Laparoscopic adjustable gastric banding (LAGB) is a type of minimally
invasive weight loss surgery that is categorized as a restrictive
procedure. It has been widely used in Europe and Australia
for patients who suffer from morbid obesity, unable to lose excess weight
with conventional medical therapy such as diet and exercise. In 2001 the
United States FDA gave approval for an adjustable band to be used in assisting morbidly obese patients to lose excess weight.
The LAP-Band® and the Realize Band® systems consist of a band with an inflatable cuff, catheter
and access port. The band is placed around the upper portion
of the stomach creating a smaller stomach by restriction. The catheter
with access port is brought to the posterior (underneath) abdominal wall
allowing access with a specialized needle to insert fluid (usually normal
saline) to the cuff of the band in order to increase or decrease the restriction
around the stomach. It is the restriction that allows a person to eat less
thus decreasing their calorie intake and allowing them to lose weight.
criteria for the gastric band are the same for other weight
loss procedures such as the gastric bypass. A person must be
at least 100 lbs over their ideal body weight (body mass index
40 or above) or a body mass index of 35 with existing associated illnesses
such as diabetes, hypertension, sleep apnea. Additionally patients are
required to meet their insurance company's
criteria to include documentation of morbid obesity for at
least 5 years.
As with any weight loss surgery, adjustable gastric banding
has risks and complications thus there is the need for appropriate
patient selection, pre operative consultations, insurance authorization,
hospitalization and a multidisciplinary approach to care.
All surgical procedures have known risks related to the type of procedure
being performed, anesthesia, and a person's current health status.
Below is a list of risks and complications for each procedure.
Talk to your surgeon in detail about all the risks and complications
that might arise. Then you will have the information you need
to make a decision.
"Risks and Complications" for Adjustable
Gastric Banding include but not limited to:
- Spleen or Liver damage
- Damage to major blood vessels
- Blood clots
- Gastric perforation
- Gastric band erosion
- Gastric band slippage
- Wound infection
- Gastric reflux
- Gastric stoma obstruction
- Band access port slippage
- Band access port leakage
- Failure to loose weight
- Weight Regain
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