Also known for the brand name of the device used — LAP-BAND® — the adjustable gastric band is applied to the upper part of the stomach to create a small pouch and restrict the amount of food allowed in. The band can be tightened or loosened over time to help with ongoing weight loss.
How It Works
The adjustable gastric band helps you lose weight because it restricts the amount of food you can eat and leaves you feeling full faster. The surgeon applies the band to the stomach using a minimally invasive laparoscopic technique with four small incisions on the abdomen. A small port then placed under the skin of the abdomen to allow the surgeon to adjust the band’s size, or tightness, if needed.
Pros
Having weight loss surgery is a big step, but the benefits of the adjustable gastric band are life-changing, including:
- There is no permanent change to your anatomy.
- Weight loss, potentially more than you expect
- Control of diabetes, cholesterol and blood pressure
- Curbed cravings, especially for sugar or fats
- Better control of acid reflux/Barrett’s esophagus
Cons
Your surgeon will also discuss with you the cons of the adjustable gastric band, which can include:
- Need for frequent office visits right after surgery
- Weight loss is slower than for other procedures
- Tolerance for high-carb, high-fat foods, which can slow weight loss
- The need to take vitamin supplements for the rest of your life to replenish what your body will no longer get from food.
Risks
Every type of surgery comes with such risks as:
- Bleeding at the incision
- Blood clots
- Infection
- Adverse reaction to anesthesia
- Lung or breathing problems
In addition, risks specific to this surgery include:
- Pouch enlargement
- Band slip, which can lead to heartburn, reflux, upper abdominal pain and vomiting
- Band erosion
- Infection at the port site