The adjustable laparoscopic gastric band
The adjustable laparoscopic gastric band
Adjustable laparoscopic gastric banding surgery (LAP-BAND® and REALIZE® gastric bands) has been performed in over 300,000 patients worldwide since its clinical introduction in 1993. Our board-certified surgeons have the most extensive experience in LAP-BAND® surgery in the state of New Jersey. Dr. Hans J. Schmidt, Dr. Amit Trivedi, Dr. Douglas R. Ewing, and Dr. Sebastian Eid appreciate the subtle details of this procedure, leading to their superior long-term outcomes.
Laparoscopic banding restricts the volume of the solid food that you eat without interfering with your body’s ability to absorb nutrients. There is no permanent change to your anatomy, and the procedure can be reversed if necessary.
Laparoscopic gastric banding is both adjustable and reversible. In this procedure, the band, a belt-like device, is placed around the upper part of the stomach. Around the inside of the band, there is a balloon that can be inflated by injecting fluid into a small access port located under the skin. As the balloon inflates, the gastric band tightens, creating a narrow passage between the small upper stomach pouch and the lower stomach. This limits the amount of food that is able to pass through and maintains the feeling of fullness.
Because the pouch can hold only about one to two ounces of food at one time, you’ll eat less and feel full faster. Frequent band adjustments, performed in the office, lead to a slow and steady weight loss of one to two pounds per week. Maximum weight loss is achieved at two to three years after surgery.
Serious complications are rare, but problems may develop after surgery. As discussed at the seminar, complications include but are not limited to: device infection or malfunction, band slippage, band erosion, esophageal obstruction or dilatation, bleeding, injury to other organs, blood clots, pulmonary embolism, anesthetic complications, and the need for further surgery. Typical weight loss is 60% of excess body weight, but minimal weight loss may occur in up to 10% of patients.
An adjustable device can be implanted around the top portion of the stomach to assist in weight loss in the morbidly obese. Over 250,000 of these devices have been implanted worldwide. Two such devices are approved by the Food and Drug Administration (FDA) for use in this country.
The LAP-BAND® was approved by the FDA in 2001. Only surgeons successfully completing the authorized training course are permitted to insert this device. The surgeons at Advanced Laparoscopic Associates have the largest experience with LAP-BAND® in the state and inserted our first LAP-BAND® in October 2001.
The Realize® Adjustable Gastric Band was FDA-approved in 2007.
Both of these devices are placed surgically around the top portion of the stomach. A small stomach pouch is created above the band, with the larger part of the stomach below. This reduces the food storage area of the stomach to only a small egg-sized pouch. The opening into the rest of the stomach is limited by the band, and this opening is easily adjusted depending on appetite.
Adjusting the band is accomplished in the office by injecting saline solution into a reservoir port embedded beneath the skin during surgery. The fluid fills a balloon along the inside of the band thereby tightening it. If the band is too loose and weight loss too small, adding more fluid will reduce the size of the opening. If the band is too tight, fluid can be removed. The ability to adjust the band as often as necessary is a unique feature of these devices, not available in other operations.
The surgery generally takes one hour or less. Most patients are sent home the day of surgery or the next morning. Worldwide, the general weight loss is about 40% to 60% of excess body weight over the first two to three years. You will be on a liquid diet immediately after surgery. This is followed by a slow transition to small, healthy meals of regular food.
The band is first adjusted about six weeks after surgery, and future adjustments are determined by your weight loss and the amount of food you can eat.
As with any procedure, there can be associated risks. These risks will be explained at the seminar and further discussed with your surgeon. Advanced Laparoscopic Associates strives to minimize any potential risks as much as possible. We have structured a program that incorporates the best-qualified professionals to offer a strong pre-operative, operative and post-operative experience. This approach has allowed Advanced Laparoscopic Associates to be one of the best surgical programs in the nation.
For additional information, all prospective patients are invited to attend a free educational seminar.
Seminars are a great source of information about the procedure you are considering, and they allow you to meet the surgeons as well as ask any questions you may have. You may also have the opportunity to meet some post-operative patients.