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Gastric Banding Surgery (Lap Band)

In adjustable gastric banding surgery (also known as lap band surgery) 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 lap 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 of Gastric (Lap) Banding Surgery:

  • Keyhole approach – less scarring and wound risks
  • Earlier return to work (1-2 weeks)
  • Adjustable – by filling the port the outlet size can be reduced
  • Reversible – By removing fluid or the band.
  • No malabsorption
  • Lower overall risk

Disadvantages of Gastric Banding Surgery:

  • Easy to cheat – if chocolates, sweets or snacks are consumed
  • Potential mechanical problems:
    • Prolapse
    • Pouch dilatation
    • Food bolus obstruction
    • Slippage of the stomach through the lap band erosion
    • Infection of the lap band or port leak
    • Revision rate 5 -10%
  • An entree portionof food for the time that the lap band is in place
  • Optimal pouch capacity 30 mls

Usual weight loss with gastric lap banding surgery is 50-60% of excess weight lost within 2 years

To find out more about Laparoscopic Gastric Banding visit www.lapband.com.au

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