Laparoscopic Adjustable Gastric Banding:
A Restrictive Procedure
Laparoscopic Adjustable Gastric Banding procedure is a purely restrictive surgical procedure in which
a band is placed around the uppermost part of the stomach. This band divides
the stomach into two portions: one small and one larger portion. Since the
stomach is divided into smaller parts, most patients feel full faster. As the
name indicates, the band is adjustable. So if the rate of weight loss is not
acceptable, the band can be adjusted. Food
digestion
happens through normal digestion.
Advantages
47.9 percent of type 2 diabetes cases are resolved.
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Significant improvements in overall cholesterol occur, including a boost in
HDL levels.
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70.8 percent of hypertension cases are resolved or improved.
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Patients lose roughly 47 percent of their excess weight.
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The amount of food that can be consumed at a meal is restricted.
Food passes through the digestive tract in the usual order, allowing it to be
absorbed fully by the body.
In studies involving more than 3,000 patients, excess weight loss ranged from
28 to 87 percent, with a minimum of two-year postoperative follow-up.
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Band can be adjusted to increase or decrease restriction via an access port.
Surgery can be reversed.
Risks and Disadvantages
The access port may leak or twist, which can require an operation to correct
the problem.
Surgery may not provide the necessary feeling of satisfaction that one has had
enough to eat.
Dumping syndrome, which may provide important warning signs, does not occur.
Band may erode into the stomach wall.
Band may move or slip.
Weight loss is slower than that following Roux-en-Y gastric bypass surgery.
