Gastric band surgery is also known as Lap-Band surgery. Gastric band surgery involves the placement of a device that when properly used can greatly help with weight loss. It does so by creating the sensation of fullness when the patient eats a smaller, healthy meal. Gastric band surgery is typically performed through 5 small incisions; this is referred to as Laparoscopic surgery.
Lap Band Surgery (Adjustable Gastric Banding)
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See All 3 AnswersWith gastric banding surgery, you are restricted on how much you can eat at one meal. In fact, most people can only eat one-half to one cup of food per meal before they feel too full or ill. Also, after undergoing gastric banding surgery, you will need to eat very soft food or chew your food many times before swallowing. The surgeon can loosen or tighten the gastric band as needed in the doctor’s office.
Most people who undergo Lap-Band surgery have less dramatic weight loss when compared with gastric bypass surgery. In addition, with Lap-Band surgery, you may be more likely to gain the weight. Also, because the amount of food you can ingest is limited, a common problem with Lap-Band Surgery is vomiting if you eat too quickly or too much.
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NewYork-Presbyterian Hospital answeredThe Lap-Band procedure, which is approved by the Food and Drug Administration (FDA) for adults but not yet in teenagers, involves making the stomach smaller without staples. Instead, a band is place around the upper part of the stomach, creating a small pouch that restricts food intake. The surgeon implants a small access port, and after the surgery the doctor periodically adjusts the gastric band by inflating or deflating a saline-filled balloon that lies inside the band. If desired, the procedure is reversible.
NewYork-Presbyterian Morgan Stanley Children's Hospital is one of three sites in the nation approved to study this procedure in teens.The study, which is part of the multidisciplinary FDA-approved Lap-Band Trial, followed 14 adolescents–six boys and eight girls–between the ages of 14 and 17 who were, on average, 174 pounds overweight. Patients received dietary counseling and encouragement to exercise, both before and after surgery.
"Children who are obese are at risk for developing lifelong physical and emotional problems," said Jeffrey L. Zitsman, MD, Director of the Division of Adolescent Bariatric Surgery at NewYork-Presbyterian Morgan Stanley Children's Hospital. "These include Type 2 diabetes, heart disease, high blood pressure, trouble breathing, difficulty sleeping, and degenerative joint disorders. Teenagers who have weight problems tend to have lower self-esteem and can develop depression, anxiety and other psychological issues. Studies also show that the majority of children and adolescents who are obese remain obese as adults. Our staff is dedicated to helping adolescents who are obese lose weight when conventional methods have been unsuccessful. Our surgical team has extensive experience in laparoscopic bariatric surgery and long-term management of patients in a supportive and caring environment."
Teenagers participating in the study who received the minimally invasive surgery lost an average of 20 pounds after six months. They also had significant improvements in abdominal fat, triglyceride measurements (levels of fat in the blood) and blood sugar levels as measured by hemoglobin A1c – all risk factors for diabetes and heart disease. The patients' liver function and a measure of immune response also improved.
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Largo Medical Center answeredSee All 2 AnswersThe adjustable gastric band is a type of restrictive weight loss surgery. The band limits your food intake to aid in weight loss.
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Dr. Michael Roizen, MD , Internal Medicine, answeredSee All 5 AnswersGastric banding is a form of restrictive weight loss surgery in which the surgeon places a belt-like band around the stomach—up high on the stomach. When the belt is tightened, it constricts the stomach to form an hourglass-like shape—leaving a very small pouch at the top of the stomach for food to get stored, as it enters from the esophagus.
The band creates a one-lane road that needs to accommodate dozens of lanes of traffic, a bottleneck that slows the movement of food through your GI system, so there's no way you can physically get more traffic into the bottom half of your stomach.
When your food has to travel through that belt-tightened hourglass to the intestine, it means that you stay full for a long time, and you literally can only eat a small meal (which also forces you to eat slowly and chew thoroughly). Thus, gastric banding helps you lose weight limiting your food intake so you can't eat (and store) excess calories.
Doctors can tighten or loosen that band depending on how much you're able to get down, which means it's a procedure that has some flexibility to it. (Think of it as when Popeye squeezes Brutus's neck. When he squeezes, Brutus's head gets bigger. When the band gets tightened, it creates more of a bulge in the stomach and tighter hole in the middle of the hourglass.)
The pluses: Like an intramural-team T-shirt, it's reversible, and it has the lowest risk of all surgical weight-loss options. The downside is that because your stomach shrinks, you have to cut food down to the size of the nail on your pinkie, which means you may be more likely to feast on junkier foods, than bulky foods (like spinach). -
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UCLA Health answeredSee All 4 AnswersThe laparoscopic adjustable gastric band (Lap-Band) is used to assist people in losing weight. It requires a surgical procedure in which an inflatable band is used to create a smaller stomach pouch to limit food intake and reduce appetite.
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Gastric banding can cause side effects when it is improperly adjusted or dietary recommendations are not followed. The most commonly experienced side effects include: difficulty swallowing and heartburn like symptoms. It is important for the patient to see their surgeon if they experience these symptoms.
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Laparoscopic adjustable gastric banding works only when the band is properly adjusted and this requires close follow up with your weight loss team. When the band is adjusted properly the patient will experience a sensation of fullness that lasts for hours even though they have only eaten a small healthy meal. The meal is typically measured at about ½ cup of food.
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Coliseum Medical Centers answeredSee All 2 Answers
The Lap-Band procedure is a surgical procedure that involves placing a device around the top part of the stomach to aid in weight loss. Watch this video from Coliseum Medical Centers to learn more.
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MountainView Hospital answeredCommitment to diet and exercise after LAP-BAND surgery will affect how soon you see results. Average weight loss after surgery is five pounds a month.