Gastric Banding Surgery – LAP-BAND® and REALIZE® Band
In the U.S. market, two types of adjustable gastric bands have been approved for gastric banding surgery by the Food and Drug Administration (FDA): LAP-BAND®and REALIZE® band. They are both considered laparoscopic adjustable gastric banding (LAGB). Laparoscopic adjustable gastric banding was first performed in 1994, and to date more than 600,000 procedures have been performed worldwide.
- How Gastric Banding Surgery Works
- Ideal Candidate for Gastric Banding Surgery
- Benefits of LAP-BAND® or REALIZE® Band Surgery
- Banding Procedures – Considerations and Risks
- Where Banding Surgery is Offered
How Gastric Banding Surgery WorksWith gastric banding, an adjustable band is placed around the top of the stomach like a belt, creating a 1-2 ounce pouch above the band. A port implanted under the skin next to the belly button is used to inflate a balloon inside the band with saline, thereby narrowing the entry to the stomach and limiting the amount of food that can be consumed. Through injections of saline, the size of the pouch can be adjusted.
Adjustable gastric banding is useful for people who either do not wish to permanently alter their gastrointestinal tract, or who are higher risk patients (e.g, those with other medical problems or older age groups). This method does tend to have slower weight loss and overall less weight loss when compared to other procedures.
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Ideal Candidate for Gastric Banding Surgery
- Has a BMI ≥40
- BMI ≥30 with one or more obesity-related co morbid conditions
- Needs to lose between 50-100 pounds
- Is not comfortable with permanent procedures
- Can maintain a post-operative diet <1,500 calories/day
- Enjoys participating in an exercise program
Benefits of LAP-BAND® or REALIZE® Band Surgery
- One-hour procedure with same day or next day hospital discharge
- Recovery time ranges from a few days to a few weeks
- Stomach pouch size can be adjusted to meet individual needs
- Only type of bariatric surgery that is adjustable
- Fully reversible / removable
- No effect on absorption of foods, nutrients, and vitamins
- Most insurance plans cover procedure
Banding Procedures – Considerations and Risks
- Provides slower weight loss (1-2 pounds per week) than other procedures
- Average excess weight loss is 50%
- Appetite suppression and a comfortable feeling of fullness may be difficult to achieve
- Potential complications include band slippage, erosion, breakage, prolapse and infection
- 10-year removal or reoperation rate is approximately 25% of patients
- Least effective for resolving chronic, insulin-dependent diabetes
- Requires lifetime supplementation with vitamins and calcium
- Need to restrict certain types of food and limited drinking fluids with meals
- Banding procedures in the U.S. have decreased from 23.8% of all bariatric procedures in 2008 to 4.1% of procedures in 2012, due to band-related problems and wider acceptance of sleeve gastrectomy
Sutter Health LocationsThe following facilities offer gastric banding procedures.
Alta Bates Summit | Oakland/Berkeley
California Pacific Medical Center | San Francisco
Memorial Medical Center | Modesto
Mills-Peninsula Health Services | Burlingame
Palo Alto Medical Foundation | Palo Alto, Mountain View
Sutter Pacific Medical Foundation | San Franciso, Marin
Sutter Medical Center of Santa Rosa | Sonoma, Napa, Lake
Sutter Medical Center, Sacramento | Sacramento
Sutter Roseville Medical Center | Roseville
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