Gastroenterology

Laparoscopic Gastric Banding Treatment

Bariatric surgery

Gastric banding is a surgical treatment used for treating obesity. These kinds of surgery are called bariatric surgery. This process constricts the stomach so that a person feels full after eating less food than he/she usually. A laparoscopic adjustable gastric band, commonly called, a band, LAGB, or a lap-band, is an inflatable silicone device placed around the top portion of the stomach for treating the obesity, which is intended for decreasing the food consumption by the patients.

What is Gastric Banding?

Gastric banding is a surgical treatment used for treating obesity. These kinds of surgery are called bariatric surgery. This process constricts the stomach so that a person feels full after eating less food than he/she usually. A laparoscopic adjustable gastric band, commonly called, a band, LAGB, or a lap-band, is an inflatable silicone device placed around the top portion of the stomach for treating the obesity, which is intended for decreasing the food consumption by the patients.

What is Laparoscopic adjustable gastric banding (LAGB)?

Laparoscopic adjustable gastric banding (LAGB) is a type of weight-loss surgery. These weight-loss surgeries are also called bariatric surgery. It is performed as a laparoscopic surgery, with small cuts in the upper abdomen of the patients. The surgeon puts an adjustable band around the top part of the patient’s stomach. This surgery helps in creating a very small stomach pouch. The small stomach pouch means that the patients will feel full even after eating less food. This will help them in losing their weight. The band around the top part of the stomach can be adjusted. The adjustment can be performed by removing or adding fluid in a balloon around the band. This is performed through a port placed under the skin of the patient’s abdomen. A tube leads from the port to the band around the patient’s stomach. During the office visits after surgery has been performed, the doctor will use a needle to go through the patient’s skin into the port. The fluid is being injected into the port. The fluid then goes through the tube into the balloon around the band and presses the top of the patient’s stomach. A small amount of fluid is generally added at after each office visit, while the weight loss is being checked. If the band around the stomach becomes too tight, some of the fluid will be removed. 

Why an individual might requires Laparoscopic adjustable gastric banding (LAGB)?Page Image

Laparoscopic adjustable gastric banding (LAGB) is used for treating severe obesity. It’s recommended for the people who have tried other weight loss procedure without any long-term success. The doctor may suggest Laparoscopic adjustable gastric banding (LAGB) if the patients are seriously obese with a body mass index (BMI) over 40. The doctor may also suggest LAGB if the patients have a BMI between 35 and 40 and a health condition such as high blood pressure, heart disease, type 2 diabetes, or sleep apnea.

How do the patients get ready for Laparoscopic adjustable gastric banding (LAGB)?

The patient’s healthcare team will be required to make sure that a Laparoscopic gastric bypass is a good option for the patients or not. Weight-loss operation isn’t recommended for those patients who abuse alcohol or medicines, or who are not able to commit to a lifelong change in their diet and exercise habits. The patients may need to have a psychological evaluation. The patients will also need physical exams and tests. They will require blood tests. The patients may also need to have imaging studies of their stomach or have an upper endoscopy. If an individual smoke, they will be required to stop smoking several months before surgery has taken place. The patient’s surgeon may ask the patients to lose some weight before their surgery. This will be useful in making their liver smaller and making surgery a lot safer. The patients will be required to stop taking ibuprofen, aspirin, and other blood-thinning medicines in the days before they undergo surgery. The patients shouldn’t drink or eat or anything after midnight before surgery has taken place.

What happens during Laparoscopic adjustable gastric banding (LAGB)?

  • Laparoscopic adjustable gastric banding (LAGB) surgery generally takes about 60 minutes for its completion.
  • The patients will have general anesthesia for their surgery. This will result in the patients to sleep through the whole surgery, and not experience any pain.
  • The surgeon will be using laparoscopy. The surgeons will make several small incisions (cuts) in the patient’s upper abdomen. The surgeon will then insert a laparoscope (a medical instrument) and put other small surgery tools into these incisions (cuts).
  • The surgeon will put an adjustable gastric band around the patient’s upper stomach and then tightening the band for making a small stomach pouch.
  • The surgeon will put a small port under the skin of the patient’s abdomen. A tube is being connected between the band and the port.
  • If the patients have a hiatal hernia, the surgeon may repair that at the same time as their Laparoscopic adjustable gastric banding (LAGB) surgery take place. 

What are the risks of Laparoscopic adjustable gastric banding (LAGB)?

Infection, blood clots, and bleeding in the patient’s legs are possible side effects that may be resulted after any other surgery. General anesthesia can also result in breathing problems or other reactions. Other risks of Laparoscopic adjustable gastric banding (LAGB) can include puncturing of the stomach, food not going into the stomach, or slipping of the band. The patients may have food intolerance after LAGB. For example, the patients may not be able to eat red meat (red meats are a major source of dietary iron). This would put the patients at a huge risk for anemia. Over time, a fibrous capsule forms around the patient’s stomach and band. This can make it hard to do any other surgery on the upper stomach of the patient later on in his/her life if required. With Laparoscopic adjustable gastric banding LAGB, the patients may not lose as much weight as they would like to lose. If the patient’s body mass index (BMI) is over 50, the band might not be a good option for the patients. If the patients are not physically active, they may not lose a lot of weight with this surgery. The patients may also have other risks based on their health.

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