Bariatric Surgery

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What Is a Lap-Band ?

Laparoscopic Banding Surgery Symptoms, Laparoscopic Gastric Banding"Lap-Band System" is the brand name of the adjustable gastric band used in the procedure. Most simply, a Lap-Band is a silicone belt that goes around the top of the stomach. This results in the ability to control your hunger and achieve a "feeling of fullness," or satiety. Ultimately, you eat much less and should feel full sooner.

A key component of the Lap-Band System is its adjustability. The band is connected to a port, which enables the device to be inflated over time to expedite the weight loss.

Who Are Candidates for the Lap-Band System ?

The requirements for Lap-Band surgery are the same as for any other weight loss surgery. These criteria were originally set in the early 1990s and have not changed. If your BMI, or body mass index, is between 35 and 39, then you must also have associated severe medical problems, or co-morbid conditions, in order to be a candidate for the Lap-Band. These conditions usually include diabetes, hypertension, or high cholesterol. But if your BMI is greater than 40, then it is not required that there be any associated medical problems.

Most insurance companies also require a history of previous attempts at weight loss. How stringent these requirements are can differ from one insurance company to another.

Many people do not meet the NIH requirements or do not have the insurance benefit for weight loss surgery, but they may still be able to pursue the procedure by paying for it themselves.

How Does Laparoscopic Gastric Banding Work ?

The laparoscopic gastric band restricts the amount of food that can be eaten Attached to the gastric band is a port which is placed just under the skin. The port can be accessed with a needle to inflate or deflate the gastric band after surgery

Advantages Of Gastric Banding : -

  • No cutting of the stomach
  • No stapling of the stomach
  • Calibrated pouch and stoma size
  • Can be adjusted to patient's needs after surgery with no operation to adjust the stoma
  • Laparoscopic removal possible
  • Fully reversible
  • Short hospital stay (does not exceed 48 hours)


  • 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
  • An entree portion forever.

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