LAP Adjustable Gastric Banding (LAGB)

This procedure involves placing an inflatable band around the top of the stomach that acts to restrict the amount you would be able to eat.  This band is connected to a reservoir that is located under the skin at the abdominal wall.  In your follow-up visits we will determine if you are losing weight effectively, and if not we can place more fluid in the band, further restricting how much you are able to eat.  This operation is newer, and as a result there are fewer long-term studies available, but it has reportedly produced 40-60% loss of excess body weight. 

This procedure is performed under general anesthesia, and is usually performed using a minimally invasive approach (laparoscopically).  The hospitalization is overnight and return to work would be in 1–2 weeks.  After the surgery you would be expected to follow the dietary recommendations we give you, take the vitamin supplements, and keep your follow-up appointments.  You will need to crush any pills you take.  Anti-inflammatory medications (e.g. Motrin, aspirin, Advil) are not to be used since they may cause serious pouch ulceration. 

This procedure has minimal risk, but as with any surgery complications can occur.  Long-term problems with band erosion or slippage can occur in 1-5%.  The complications are rarely life-threatening, but may involve reoperation.  The band can be removed, replaced, or one could proceed with Roux-en-Y gastric bypass.  The reversibility, adjustability, and low risk may make this procedure a good choice for you. 

When we meet with you in the office we will determine if this operation will meet your needs.  If you decide to proceed we will seek approval from your insurance provider, and then meet with you again to schedule the date for the operation.  This process may take several months, but it offers you a lifetime of change.