Laparoscopic Gastric Banding
is gastric banding?
A gastric band is placed on a portion of the stomach and reduces
the amount of food that you are able to eat. It acts like a belt
around the top portion of your stomach, creating a small pouch.
This means that you feel full after eating only a small quantity
There are a number of different gastric bands available. They are
all very similar to one another and comprise of a silicone ring
and a reservoir connected to the ring by a length of tubing. Inflating
the ring makes the band tighter, therefore, restricting the opening
between the new small pouch that the band creates and the main part
of your stomach. By adjusting the amount of fluid in the balloon
you can control the amount of food you eat.
The gastric banding
technique has been used successfully for many years and offers several
advantages: It is adjustable - the adjustability of the band gives you
and your doctor control to achieve weight loss without creating
too many unpleasant symptoms due to the degree of restriction.
It is placed laparoscopically – this means that you
can return to work soon after the operation with a minimal recovery
It is reversible – taking the band out would revert
the stomach back to its normal size and you would therefore probably
gain weight again. For this reason it is usually planned to leave
the band around your stomach permanently.
Lap -Band Surgical
The Lap-Band® system
is designed to help you lose excess body weight for resolution
of obesity-related health conditions and enhancement of life.
In partnership with leading bariatric surgeons around the world,
a new surgical approach has been developed that eliminates many
of the known associated operative risks and provides unique benefits
compared to other obesity surgeries. This effort has resulted
in the Lap-Band® system, the only adjustable and reversible
obesity surgery that does not require cutting and stapling of
the stomach or gastrointestinal re-routing to bypass normal digestion. Persistent fever over 101F (39 C)
Candidates for LAP-BAND
Lap-Band System surgery is recommended for those persons who are
40 kg or more overweight and have or are likely to have medical
complications that will be helped, and in many instances, cured
by substantial weight loss. While weight loss surgery is not for
everyone, there are a large number of patients for whom losing
a lot of weight is imperative, including those suffering from
diabetes, high blood pressure, heart trouble, shortness of breath,
arthritis and orthopaedic (bone) problems with their legs, hips
You will be admitted to hospital either the night before, or the
morning of your surgery. Most patients stay in hospital 1-2 nights
following their surgery. You will have a general anaesthetic,
and the operation will take approximately 1 hour. The surgery
is done laparoscopically, (keyhole). Through a serious of small
incisions across your upper abdomen the surgeon will use laparoscopic
instruments guided by a small camera attached to a telescope.
The surgeon will be able to visualize the inside of your abdomen
on a TV screen. The surgeon will then be able to secure the band
round the upper part of your stomach. The port used to inflate
and deflate the gastric band is placed under the skin of the abdomen
so that the surgeon is then able to make adjustments easily in
What happens if the surgery cannot be performed Laparoscopically?
In a small number of patients, the laparoscopic method cannot be
performed. Factors that may increase the possibility of choosing
or converting to the "open" procedure may include a history of prior
abdominal surgery causing dense scar tissue, inability to visualize
organs or bleeding problems during the operation.
The decision to perform the open procedure is a judgement decision
made by your surgeon either before or during the actual operation.
When the surgeon feels that it is safest to convert the laparoscopic
procedure to an open one, this is not a complication, but rather
a sound surgical judgement. The decision to convert to an open procedure
is strictly based on patient safety.
What to expect after Gastric Banding
You will usually be in the hospital 1 to 3 days after a laparoscopic
procedure. You may have a tube through your nose into your stomach
(inserted while asleep) and not be permitted to eat or drink anything
until it is removed. You should be out of bed, sitting in a chair
the night of surgery and walking by the following day. You will
need to participate in breathing exercises. You will receive pain
medication when you need it.
On the first of second day after surgery you may have an X-ray
of your stomach. The X-ray is a way for the surgeon to know if
the stapling of the stomach is okay before beginning to allow
you to eat. If no leakage or blockage is seen (the usual case)
then you will be permitted to have one ounce of liquids every
hour. The volume of liquid you drink will be gradually increased.
Some surgeons allow you to eat baby food or a “puree”
type of food. You will remain on a liquid or puree diet until
your doctor evaluates you approximately 1-2 weeks after you return
Patients are encouraged to walk and engage in light activity.
It is important to continue the breathing exercises while at home
after surgery. Pain after laparoscopic surgery is generally mild
although some patients may require pain medication. At the first
follow-up visit the surgeon will discuss with you any dietary
After the operation, it is important to follow your doctor’s
instructions. Although many people feel better in just a few days,
remember that your body needs time to heal. You will probably
be able to get back to most of your normal activities in one to
two weeks time. These activities include showering, driving, walking
up stairs, and work and light exercise.
When to call your Doctor
Increased abdominal swelling or pain
Persistent nausea or vomiting
Persistent cough and shortness of breath
Difficulty swallowing that does not go away within a few
Drainage from any incision
Calf swelling or leg tenderness
There are guidelines for changes in your diet and behaviour after
LAP-BAND® surgery. But these guidelines are not all you need.
Your weight management team will have specific instructions for
you, so be sure you understand what they are. Also, keep regular
appointments with your health care providers. That way, they can
carefully keep track of your progress. You also need to promptly
report any unusual symptoms you have to your surgeon.
The benefits of Laparoscopic Gastric Banding
75% of patients are expected to lose 75 to 80% of their excess body
weight. Well over 70 to 80% of patients with hypertension will be
off medications and well over 90% of patients with type II non-insulin
dependent diabetes mellitus are expected to be off medication. Drastically
improved, if not completely resolved includes sleep apnea, asthma,
joint pain, arthritis, reflux, fatigue, shortness of breath and
an overall increased sense of well-being. Click here for more information
about the benefits of gastric banding surgery.