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Adjustable Gastric Band - Expected weight loss 40-55% of excess weight

Description of LAP-BAND® Adjustable Gastric Band Procedure
Description of LAP-BAND® Adjustable Gastric Band Procedure

The adjustable band is placed laparoscopically around the upper part of the stomach.  The silicone band divides the stomach into a small pouch above the band and larger pouch below the band.  The smaller pouch limits the amount of food the patient can eat with the result of fullness after eating a small amount of food.  The band is connected by a tube to a port that is placed underneath the skin and fat of the abdominal wall on top of the muscle.

Learn more about the LAP-BAND® System at: (Allergan, Inc. / INAMED)
The opening of the stomach can be increased or decreased by injecting or removing saline from the band.  Dr. Feng can later control or adjust the amount of saline in the band that is a unique feature of the LAP-BAND® System and is a normal part of follow-up post the procedure.

Dr. Feng no longer performs this procedure due to the fact that it appears less effective than the sleeve gastrectomy or other techniques.  Fewer than 10% of patients undergo this procedure any longer. He has removed many of them because of severe issues.  He has even changed some appropriate patients to sleeve gastrectomy.
Description of LAP-BAND® Adjustable Gastric Band Procedure California

Advantages of LAP-BAND® System or REALIZE™ Adjustable Gastric Banding Procedures

  • Only procedure that can be reversed if necessary
  • Usually done laparoscopically (minimally invasive)
  • Easier to perform and generally safer than other weight loss options
  • Outpatient surgery
  • Results in fewer nutritional deficiencies

Disadvantages of LAP-BAND® System or REALIZE™ Adjustable Gastric Banding Procedures

  • Successful results depend on the willingness to adopt long-term lifestyle changes more than all the other surgeries, and even the number of visits made after surgery
  • Patients may have numerous visits with Dr. Feng during the first year to ensure proper band adjustment
  • Requires the most effort from the patient to lose and maintain weight loss
  • Weight loss is usually slower than the other surgeries and may take 2-3 years to lose the predicted weight loss
  • Weight loss is less than all the other surgeries: sleeve gastrectomy, gastric bypass, or duodenal switch
  • Patients must avoid aspirin, NSAIDs such as ibuprofen, Motrin, Advil, naprosyn to avoid band erosion into the stomach
  • Patients must always avoid large meals to minimize risk of causing band slippage or excessive esophagus stretching and abnormal widening

Risks of LAP-BAND® System or REALIZE™ Adjustable Gastric Banding Procedures

  • Nausea/vomiting
  • Food getting stuck, needing deflation of band
  • Overstretched, abnormally widened esophagus
  • Excessively tightened
  • Infection
  • Inadequate weight loss
  • Weight regain
  • Device malfunction
  • Balloon, tube access port breakage
  • Access port flipping over
  • Slippage of down along the stomach causing vomiting
  • Erosion of the silicone band creating a hole in the stomach
  • Gallstones
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