Laparoscopic adjustable gastric banding is a restrictive procedure that has been widely performed in Europe. Since FDA approval of the LapBand device in June 2001, its popularity in the United States has grown. Synergy Bariatrics currently does not offer this procedure.

The procedure involves placement of a silicone band around the main portion of the stomach, dividing it into two sections, one much smaller than the other. This drastically restricts the amount of food which can be eaten and creates a feeling of fullness much sooner than usual. The band can be kept in place for up to 10 years and the degree of restriction is adjusted periodically by the surgeon in an office setting.

Copied with permission © 2006 Ethicon Endo Surgery, Inc.

After gastric banding, patients typically lose about 40-50% of their excess body weight gradually over a period of 18 months to 3 years 1 2. However, since adjustability of the band is an integral part of its success, regular follow-up with the surgeon is mandatory and continued for as long as the band is present.

The most frequent complications of gastric banding tend to be less serious than other weight loss surgery procedures. They usually involve slippage or problems with the band and can be easily corrected with additional surgery. But, there are some unique concerns to consider. The function of the band may be counteracted by inadequate feelings of satisfaction after smaller meals, and the consumption of high-calorie beverages like soda and sugary drinks.

To learn more about the laparoscopic adjustable banding procedure and insurance alternatives, visit www.lapband.com

1. Holloway, Jeffrey A., MD, et al “The Lap-Band is an effective tool for weight loss even in the United States” The American Journal of Surgery 188(2004) 659-662

2. Zinzindohoue, Franck, MD, et al. “Laparoscopic Gastric Banding: A Minimally Invasive Surgical Treatment for Morbid Obesity. Prospective Study of 500 Consecutive Patients” Annals of Surgery (2003) 237, No. 1, 1-9.