Laparoscopic Adjustable Gastric Banding

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Laparoscopic adjustable gastric banding (LAGB) is a weight loss solution for the severely obese. It reduces stomach size through the use of a surgically applied band.

What is laparoscopic adjustable gastric banding?

When obesity has not been successfully treated through lifestyle modification or other medical therapies, laparoscopic adjustable gastric banding may be a solution.

Using a minimally invasive laparoscopic approach, a silicone band is applied to the upper portion of the stomach. This creates a small pouch that can accommodate only a limited amount of food. This causes the individual to feel full after eating only a small amount of food. Saline can be added or removed through a reservoir placed just under the skin to achieve the correct level of restriction.

Advantages of laparoscopic adjustable gastric banding

Some advantages of LAGB include the following:

  • The band can be removed, making the procedure reversible
  • Band is adjustable so changes can be made gradually
  • Restricts the amount of food that can be taken in, leading to weight loss
  • Does not require cutting the stomach or rerouting the intestines
  • Lower risk of vitamin and mineral deficiency than with other weight loss surgeries

Disadvantages of laparoscopic adjustable gastric banding

Although there are many advantages to the laparoscopic adjustable gastric band, there are also some negatives associated with this method, including:

  • Weight loss may be slower than with other surgical methods
  • The band is at risk for slipping
  • The band may cause erosive damage to the stomach
  • Overeating can cause the esophagus to dilate
  • Requires patients to strictly follow the guideline laid out

LAGB is an option for severely obese individuals who have difficulty reducing food intake. It encourages patients to eat less by limiting stomach capacity. Those with an adjustable band should chew their food slowly and thoroughly.