Laparoscopic Adjustable Lap Band ®
 Gastric Banding
The adjustable gastric band is made of silicone and is attached to a small access port that is placed under the skin of the abdomen through which the diameter of the band can be adjusted. Inflation of the silicone pouches functionally tightens the band and thereby increases weight loss and decreases appetite. These bands can be inserted laparoscopically, thereby reducing the complications and discomfort of an open procedure.
Laparoscopic Adjustable Lap Band does not involve an intestinal bypass, it is a procedure which induces weight loss solely through the restriction of food intake. For optimal results, strict patient compliance and frequent follow-up for band adjustments are required. The LAP-BAND ® is a reversible procedure that does not carry the risks of nutritional and mineral deficiencies and other life-threatening complications of other bariatric procedures. It has also been show to improve health conditions including, Type II diabetes mellitus, dyslipidemia, sleep apnea, gastroesophageal reflux, hypertension, and asthma.
Advantages of LAGB
- Adjustability of the band
- Reversibility (by band removal)
- Laparoscopic placement
- Absence of anemia
- Absence of dumping
- Lack of malabsorption
- Short hospital stay
- Very low mortality rate
Complications of gastric banding
- Gastric perforation
- Incisional hernia
- Stomal stenosis
- Band slippage
- Band erosion into stomach
- Need for reversal or revision
- Port or band infection
- Obstruction
- Esophageal dilatation
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