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Laparoscopic Adjustable Gastric Banding

Adjustable gastric banding. In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

lap band system, obesity, gastric banding

Advantages:

  • Keyhole approach .. Less scarring or wound problems Earlier return to work (1-2 weeks)
  • Adjustable : by filling port the outlet size can be reduced
  •  Reversible: By removing fluid or the band.
  • No malabsorbtion
  • Lower risk

Disadvantages:

  • Easy to cheat .. if chocolates or sweets taken.
  •  Mechanical problems:
    • prolapse
    • pouch dilatation
    • food bolus obstruction
    • slippage of the stomach through the band erosion
    • infection of the band or port leak
    • Revision rate ? 5 -10%
  • An entree portion forever.

Optimal pouch capacity 30 mls

Usual weight loss With Lap Band   50-60% of excess weight lost in 2 yrs

To find out more about Laparoscopic Gastric Banding visit