Obesity Surgery

Laparoscopic Adjustable Gastric Banding :: Biliopancreatic Diversion BPD
:: Tube Gastrectomy :: Gastric Bypass

Laparoscopic Adjustable Gastric Banding

Adjustable gastric banding. In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

Advantages:

• Keyhole approach .. Less scarring or wound problems Earlier return to work (1-2 weeks)
• Adjustable : by filling port the outlet size can be reduced
• Reversible: By removing fluid or the band.
• No malabsorbtion
• Lower risk

Disadvantages

• Easy to cheat .. if chocolates or sweets taken.
• Mechanical problems:
  • prolapse
  • pouch dilatation
  • food bolus obstruction
  • slippage of the stomach through the band erosion
  • infection of the band or port leak
  • Revision rate ? 5 -10%
• An entree portion forever.

Optimal pouch capacity 30 mls

Usual weight loss With Lap Band 50-60% of excess weight lost in 2 yrs