Laparoscopic Gastric Banding
Laparoscopic gastric banding surgery was first introduced to Australia in 1994. Since then, it has become the most widely used weight control surgery in the country.
About Gastric Banding
Gastric banding surgery involves placing a silicone band around the top of the stomach using laparoscopic (or keyhole) surgery.- The band is a hollow ring that can be adjusted with more or less saline to create a smaller or larger opening.
- The tightness of the band restricts the amount of food that can be eaten at any one time and prevents hunger between meals.
- The surgery is minimally invasive, adjustable, and totally reversible, and requires no cutting or stapling of the stomach, or gastrointestinal re-routing to bypass normal digestion.
- General anesthesia is required with this surgery. Laparoscopic surgery has the advantages of less pain, fewer wound complications, and a quicker recovery than traditional open surgery.
Advantages:
Significantly lower mortality risk than other obesity surgery procedures- Allows individualized degree of restriction for ideal, long-term weight loss Adjustments performed without additional surgery
- Keyhole approach means less scarring and faster recovery with return to work in 1-2 weeks and only an overnight stay in hospital.
- No malabsorption of nutrients, which means no pills or supplements following surgery
- You can continue to eat the same meals as your family, only a smaller portion size.
- You can expect weight loss to be between 2-4kg a month
- The gastric band is designed to stay in for life
- The band can be adjusted to increase or decrease hunger sensations.
- Completely reversible - this can be achieved by removing all of the fluid, or the band itself
- The Band is designed to stay in forever. It is likely that you will regain all of the weight that you have lost, if you have the band removed.
Disadvantages:
- Easy to cheat with high calorie liquid such as chocolate milk or alcohol.
- Certain foods such as steak and bread should be avoided
- Requires a commitment to long-term follow-up
- Not ideal if severely needle-phobic
- Pouch dilatation
- Food bolus obstruction
- Slippage of the stomach through the band
- Port/tubing leak
- Wound infection
To find out more about Laparoscopic Gastric Banding visit www.lapband.com.au



