Adjustable Gastric Band
There are two types of adjustable gastric bands available in the United States. These are the LapBand AP system and the Realize system. In this procedure, a small pouch is created in the upper part of the stomach using a controlled and adjustable band that does not require stomach stapling, but can be adjusted to meet individual and weight loss needs. The small pouch in the upper stomach will only hold a small amount of food; the lower, larger part of the stomach remains below the band. Food then passes through the band from the upper stomach pouch to the lower part more slowly, allowing the patient to feel satisfied longer.
The Laparoscopic Adjustable Gastric Band is considered the safest, least invasive, and least traumatic of all weight-loss surgeries since there is no stomach cutting, stapling, or gastrointestinal re-routing involved. The laparoscopic approach to this procedure also offers reduced post-operative pain, shortened hospital stays, and quicker recovery. And, if for any reason, the band needs to be removed, the stomach generally returns to its original form.
Advantages:
- The Average excess weight loss (EWL) after the Laparoscopic Adjustable Gastric Band is 40-50% over 2-4 years.
- Reduction of associated health conditions.
- Least invasive approach.
- No stomach stapling, cutting, or intestinal rerouting.
- Adjustable.
- Lower operative complication rate & mortality rate.
- Reversible.
Disadvantages:
- Slower weightloss than gastric bypass.
- Less overall weightloss than gastric bypass.
- More follow-up is required for band adjustments to obtain the maximum weight loss.
- Slower resolution of comorbidities.
- Port/Tube/Band malfunctions.
- Intolerance of certain foods such as breads, pasta, or thick cut or dry meats.