Adjustable Gastric Banding is a
restrictive surgery which limits food intake but does not
interfere with the normal digestive process. In this procedure,
surgeons place a hollow band made of silicone rubber around the
upper portion of stomach. This creates a small pouch and narrow
passage into the rest of the stomach. This small pouch allows the
patient to feel full after only a very small meal.
The band is then inflated with a salt solution through a tube
that connects the band to an access port placed deep underneath
the skin. It can be adjusted over time to change the size of the
passage depending on the needs of the individual patient.
Adjustable Gastric Banding is performed laparoscopically, with
the surgeon making one or more small incisions through which
slender surgical instruments are passed. This technique
eliminates the need for a large incision and creates less tissue
damage with faster healing times.
Sources: Surgical Clinics of North America, National
Institute of Diabetes & Digestive & Kidney Diseases
While Adjustable Gastric Banding allows for more flexibility in
the diet than gastric bypass surgery, the procedure requires the
patient to make good dietary choices to achieve weight loss
success. Adjustable Gastric Banding results in few nutritional
deficiencies, according to the National Institute of Diabetes and
Digestive and Kidney Diseases.
Patients who have had Adjustable Gastric Banding experience
slower but steady weight loss, losing the bulk of their weight
over the first two years. Over the long-term, patients can expect
to lose approximately 60 percent of their excess weight.
Successful results depend on the patient's willingness to adopt a
long-term of healthy eating, regular physical exercise and
follow-up with their surgeon.
Adjustable Gastric Banding results in improvements in
weight-related comorbidities including Type 2 diabetes, sleep
apnea and hypertension, joint problems, infertility, self-esteem
and overall quality of life according to the American Society for
Patients experience a low immediate complication rate following
surgery. The most common long-term complications involve the port
underneath the skin. An estimated 1 to 2 percent of patients will
require surgical revision of the port over the life of their
band. This revision is usually performed as an outpatient
procedure. Other complications such as band slippage or erosion
are less common and may or may not require surgical revision, or
sometime replacement of the band. Discuss these and other
potential complications with your physician.
Sources: American Society for Bariatric Surgery,
National Institute of Diabetes & Digestive &