Adjustable Gastric Band

Adjustable Gastric Band

The Adjustable Gastric Band involves a placement of an inflatable band that is placed around the upper portion of the stomach, creating a small stomach pouch above the band, and the rest of the stomach below the band. The clinical impact of the band seems to reduce the feeling of hunger, which helps to decrease the amount of calories that are consumed and promote the feeling of fullness. The smaller stomach pouch accommodates a small amount of food.

The feeling of fullness is influenced by the size of the opening between the pouch and the remainder of the stomach created by the gastric band. The size of the stomach opening can be adjusted by filling the band with sterile saline, which is injected through a port placed under the skin. Reducing the size of the opening is done gradually over time with repeated adjustments or “fills.” The notion that the band is a restrictive procedure (works by restricting how much food can be consumed per meal and by restricting the emptying of the food through the band) has been challenged by studies that show the food passes rather quickly through the band, and that absence of hunger or feeling of being satisfied was not related to food remaining in the pouch above the band. What is known is that there is no malabsorption; the food is digested and absorbed as it would be normally.

Benefits of the Surgery:
  • The amount of food the stomach can is reduced
  • Induces excess weight loss of approximately 40 – 50 percent
  • Involves non invasive procedure of the stomach or rerouting of the intestines
  • Requires a shorter hospital stay, usually less than 24 hours
  • Is a reversible and adjustable procedure
  • Has the lowest rate of early postoperative complications and mortality among the approved bariatric procedures
  • Has the lowest risk for vitamin/mineral deficiencies
Disadvantages
  • Slower and less early weight loss than other surgical procedures
  • Greater percentage of patients failing to lose at least 50 percent of excess body weight compared to the other surgeries commonly performed
  • Requires a foreign device to remain in the body
Complications:
  • Possible band slippage or band erosion into the stomach in a some patients
  • Mechanical problems with the band, tube or port in some patients
  • Can result in dilation of the esophagus if the patient overeats
  • Requires strict adherence to the postoperative diet and to postoperative follow-up visits
  • Highest rate of re-operation
Types of Bariatric Surgery