NEW JERSEY BARIATRIC CENTER
Medical and Surgical Weight Loss

Ajay Goyal, MD, FACS

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Laparoscopic Gastric Band (LAP-BAND™)

Laparoscopic gastric band (LAP-BAND™) is a restrictive procedure, it works by reducing the amount of food consumed at one time, yet doesn't interfere with the normal absorption of food. The surgeon places an adjustable, hollow band around the upper part of your stomach.

The band divides the stomach into two sections, a small upper pouch and a larger lower section. The band is then connected by a tube to a reservoir placed beneath your skin during surgery. After surgery, the size of the opening between the upper stomach pouch and the rest of the stomach is narrowed by injecting saline into the reservoir via a fine needle through the skin causing the inner part of the band to expand. As the opening that divides the two stomach sections becomes narrower with subsequent adjustments, food stays longer in the upper stomach pouch and one feels full for a longer period of time.


Laparoscopic Gastric Band


View Animation of the Laparoscopic Gastric Band Procedure - Part I
View Animation of the Laparoscopic Gastric Band Procedure - Part II


Advantages of LAP BAND™:

  • The primary advantage of this restrictive procedure is that it reduces the amount of food consumed at one time, yet doesn't interfere with the normal absorption of nutrients and vitamins.
  • Studies show that patients can maintain 55%-65% of targeted excess weight loss even five years after surgery.
  • It is the least invasive surgery since there is no stomach stapling or cutting, or intestinal rerouting; there is no risk of intestinal leak or dumping.
  • Serious health risks are significantly improved or cured.
  • The surgery is reversible and the band can be removed.
  • The band can be adjusted in the office without requiring further surgery.
  • Surgery takes approximately one hour to perform and hospital stay is one to two days.


Disadvantages of LAP BAND™:

  • Regular follow up is critical for optimal weight loss. The band needs to be adjusted approximately 3-5 times in the first year to obtain the desired long term weight loss, therefore patients need to be committed to regular follow up with the same surgeon for the first few years.
  • Patients who are sweet eaters (high calorie shakes, chocolate or soda) will have a more difficult time losing weight with this procedure.
  • Other risks of surgery include slippage, erosion into the stomach or port/tube problems that may require another operation to correct.