Surgical Weight Loss: Laparoscopic Adjustable Gastric Band

If you are severely obese, you’ve probably tried it all. Despite your best efforts you haven’t been able to keep the weight off. You’ve gained it back and then some. If you’ve tried it all, and the yo-yo diets only leave you more frustrated, there are new options for you.

One of these options is Laparoscopic Adjustable Gastric Banding. The Laparoscopic Adjustable Gastric Band is an adjustable gastric band designed to help you lose excess body weight, improve health conditions related to obesity and enhance quality of life. For this procedure, a silicone ring is placed around the upper part of the stomach to limit and control the amount of food intake.

The band is attached to an adjustable port fixed beneath the skin of the abdomen. The adjustable port allows the surgeon to change the stoma (stomach outlet) size by adding or subtracting saline, or salt water, inside the inner balloon through the access port. The diameter of the band can be modified to meet the patient’s individual needs, which can change as a patient loses weight.


  • The Gastric Band is the least invasive surgical option for weight loss because it does not require intestinal re-routing, cutting, or stapling.
  • Gastric Band patients are at a low risk of nutritional deficiencies.
  • In most cases, this procedure is done using minimally invasive techniques, reducing scarring and the risks associated with open procedures.

Disadvantages and Risks

  • With the Gastric Band, routing “fills” (adjusting the gastric band by the assess port) will require patient to actively seek necessary follow-up appointments.
  • Most complications are not serious but may require hospitalization or re-operation. These include, but are not limited to nausea, vomiting, and gastroesophageal reflux.
  • An additional procedure may be required to fix a twisted port, a slippage of the band from the stoma pouch or if the band erodes into the stomach.
  • An additional operation will be needed if the fill leaks. A leak can occur from the band, the reservoir, or the tubing that connects them together.
  • There are risks of stoma blockage. A blockage is caused primarily from food, swelling, an improper placement of the band, an over-inflated band, a band or stomach slippage, or pouch twisting or enlargement.

Most surgeons agree that patients who continue to eat an abundance of high calorie, high sugar foods do not experience ideal weight loss with a purely restrictive weight loss procedure such as the Gastric Band. Certain health issues may also be an indicator that the Gastric Band may not be the best weight loss surgery option. To be successful, the patient must take an active role in embracing the program protocol for eating patterns and healthy lifestyle changes.

+ Learn more about the Bon Secours Surgical Weight Loss Center.
+ Find out if you are a candidate for Surgical Weight Loss.

“The Lap-Band System Overview.” The Lap-Band System. 2007. Allergen Inc. 1 August 2007.

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