Obesity Surgery

Laparoscopic Adjustable Gastric Banding :: Biliopancreatic Diversion BPD
:: Tube Gastrectomy :: Gastric Bypass

Laparoscopic Adjustable Gastric Banding

Adjustable gastric banding. In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

Advantages

• Keyhole approach : Less scarring or wound problems Earlier return to work (1-2 weeks)
• Adjustable : By filling port the outlet size can be reduced
• Reversible: By removing fluid or the band
• No malabsorbtion
• Lower risk

Disadvantages

• Easy to cheat if chocolates or sweets taken
• Mechanical problems
  • Prolapse
  • Pouch dilatation
  • Food bolus obstruction
  • Slippage of the stomach through the band erosion
  • Infection of the band or port leak
  • Revision rate ? 5 -10%
• An entree portion forever

Optimal pouch capacity 30 mlss

Usual weight loss With Lap Band 50-60% of excess weight lost in 2 yrs

To find out more about Laparoscopic Gastric Banding visit www.lapband.com.au