Lap-Band; LAGB; Laparoscopic adjustable gastric banding; Bariatric surgery - laparoscopic gastric banding
Laparoscopic gastric banding is surgery to help with weight loss. The surgeon places a band around the upper part of your stomach to create a small pouch to hold food. The band limits the amount of food you can eat by making you feel full after eating small amounts of food.
After surgery, your doctor can adjust the band to make food pass more slowly or quickly through your digestive system.
See also: Gastric bypass surgery
You will receive general anesthesia before this surgery. You will be asleep and unable to feel pain.
The surgery is done using a tiny camera that is placed in your belly. This type of surgery is called laparoscopy. The camera is called a laparoscope. It allows your surgeon to see inside your belly. In this surgery:
When you eat after having this surgery, the small pouch will fill up quickly. You will feel full after eating just a small amount of food. The food in the small upper pouch will slowly empty into the main part of your stomach.
Weight-loss surgery may increase your risk for gallstones. Your doctor may recommend having a cholecystectomy (surgery to remove your gallbladder) before your surgery.
Weight-loss surgery may be an option if you have been severely obese for 5 years or more and have not been able to lose weight through diet and exercise.
Laparoscopic gastric banding is not a "quick fix" for obesity. It will greatly change your lifestyle. You must diet and exercise after this surgery. You may have complications from the surgery and poor weight loss if you don't.
People who have this surgery should be mentally stable and not be dependent on alcohol or illegal drugs.
Doctors often use the following body mass index (BMI) measures to identify patients who may be most likely to benefit from weight-loss surgery. A normal BMI is between 18.5 and 25. This procedure may be recommended for you if you have:
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Garb J, Welch G, Zagarins S, Kuhn J, Romanelli J. Bariatric surgery for the treatment of morbid obesity: a meta-analysis of weight loss outcomes for laparascopic adjustable gastric banding and laparoscopic gastric bypass. Obes Surg. 2009;19:1447-1455.
Leslie D, Kellogg TA, Ikramuddin S. Bariatric surgery primer for the internist: keys to the surgical consultation. Med Clin North Am. 2007;91:353-381.
Townsend Jr. CM, Beauchamp RD, Evers BM, Mattox KL. Townsend: Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders; 2008.
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