Gastric Banding: A Restrictive Procedure
The Laparoscopic Adjustable Gastric Banding procedure is a purely restrictive
surgical procedure in which a band is placed around the uppermost part of the
stomach. This band divides the stomach into two portions: one small and one
larger portion. Since the stomach is divided into smaller parts, most patients
feel full faster. As the name indicates, the band is adjustable. So if the rate
of weight loss is not acceptable, the band can be adjusted. Food digestion
happens through normal digestion.
- A 2004 meta-analysis of more than 22,000 patients showed that those who
underwent a bariatric surgical procedure experienced complete resolution or
improvement of their co-morbid conditions including diabetes, hyperlipidemia,
hypertension, and obstructive sleep apnea.16
- 47.9 percent of type 2 diabetes cases were resolved.3
- Significant improvements in overall cholesterol occurred, including a
boost in HDL levels.3
- 70.8 percent of hypertension cases were resolved or improved.3
- Patients lost roughly 47 percent of their excess weight.3
- The amount of food that could be consumed at a meal
- Food passed through the digestive tract in the usual
order, allowing it to be absorbed fully by the body.
- In studies involving more than 3,000 patients, excess weight loss ranged
from 28 to 87 percent, with a minimum of two-year postoperative
- Band can be adjusted to increase or decrease
restriction via an access port.
- Surgery can be reversed.
Risks and Disadvantages
- The access port may leak or twist, which can require
an operation to correct the problem.
- Surgery may not provide the necessary feeling of
satisfaction that one has had enough to eat.
- Dumping syndrome, which may provide important warning
signs, does not occur.
- Band may erode into the stomach wall.
- Band may move or slip.
- Weight loss is slower than that following Roux-en-Y
gastric bypass surgery.
- The procedure could result in death.