Laparoscopic Adjustable Gastric Band
|Adjustable Gastric Banding|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- BMI greater than 40
- BMI 35-39.9 and a life-threatening condition (eg, heart disease, diabetes )
- BMI 35-39.9 and severe physical limitations that affect employment, mobility, and family life
- Weight reduction
- Improvement in many obesity-related conditions (eg, glucose intolerance, diabetes, sleep apnea , high blood pressure , high cholesterol , arthritis, poor exercise tolerance)
- Improved mobility and stamina
- Enhanced mood, self-esteem, and quality of life
- Reduced risk of dying from cardiovascular disease (eg, heart attack , stroke ) and other causes
- Vitamin deficiencies—You will take a daily multivitamin for the rest of your life.
- Blood clots
- Slipping or wearing away of the band
- Erosion of the band into the stomach (may require open surgical repair)
- Injury to other organs
- Irritation of the throat due to acid reflux
- Complications of general anesthesia
- Death (occurs in less than 0.5% of patients)
- Recent or chronic illness (eg, kidney disease)
- Old age
- Heart or lung disease
- Bleeding or clotting disorders
What to Expect
Prior to Procedure
- Thorough physical exam and review of your medical history
- Mental health evaluation and counseling
- Ongoing consultations with a registered dietitian
- Program to help you lose weight through diet and exercise
- Smoking cessation program
Talk to your doctor about your medicines, herbs, and dietary supplements. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as warfarin (Coumadin)
- Clopidogrel (Plavix)
- Do not start any new medicines, herbs, or supplements without talking to your doctor.
- Arrange for a ride to and from the hospital. Also, arrange for help at home.
- If advised by your doctor, take antibiotics.
- The night before, eat a light meal. Do not eat or drink anything after midnight unless told otherwise by your doctor. You may be given laxatives and/or an enema to clear your intestines.
- Shower or bathe the morning of your surgery.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Pain medicine will be given as needed.
- On the day after the surgery, x-rays will be taken to make sure the band is in place. If everything looks fine, you will be given fluids, then progress to pureed food.
You may be asked to do the following:
- Use an incentive spirometer to take deep breaths every hour. This is to prevent breathing problems.
- Wear elastic surgical stockings or boots. This is to promote blood flow in your legs.
- Get up and walk.
- It will take 2-4 weeks to fully recover. You may be out of work for several days after surgery.
- Do not drive or lift anything heavy until your doctor tells you it is safe. This may take two weeks or more.
- Walk as soon as you are able. Exercise lightly every day.
- Meet regularly with your healthcare team for monitoring and support.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Follow your doctor’s instructions on driving limitations.
- You may have emotional ups and downs after this surgery. Talk to your doctor about your feelings.
- Eat very small amounts and eat very slowly. You will begin with 4-6 small meals per day. A meal is two ounces of food.
- For the first 4-6 weeks, all food must be pureed. Once you move to solid foods, food must be well-chewed. When making food choices, ensure that you are getting enough protein.
- Eating too much or too quickly can cause vomiting or intense pain under your breastbone. Most people quickly learn how much food they can eat.
- This procedure does not cause nausea and diarrhea if sweet or fatty foods are eaten. In fact, some people gain back weight because they continue to eat high-calorie foods. To promote ongoing weight loss, you will need to eat healthy foods.
- Follow your doctor’s instructions.
- Pain medicine (eg, acetaminophen )
- Vitamin and mineral supplements
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision sites
- Pain that you cannot control with the medicines you have been given
- Blood in the stool
- Constipation that lasts more than two days
- Pain, burning, urgency, or frequency of urination, or persistent bleeding in the urine
- Persistent nausea and/or vomiting
- Pain and/or swelling in your feet, calves, or legs
- Any other concerning symptoms
- Shortness of breath
- Chest pain
American Family Physician http://www.aafp.org
American Gastroenterological Association http://www.gastro.org
Canadian Association of Gastroenterology http://www.cag-acg.org
Health Canada http://www.hc-sc.gc.ca
Bariatric surgery. EBSCO Dynamed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated October 2009. Accessed January 27, 2010.
Gastric band operation. The British United Provident Association website. Available at: http://www.bupa.co.uk/individuals/health-information/directory/g/gastric-band. Published September 2008. Accessed January 27, 2010.
Kassel K. Vertical banded gastroplasty surgery. EBSCO Patient Education Reference Center website. Available at: http://www.ebscohost.com/nursing/products/patient-education-reference-center. Updated December 2009. Accessed January 27, 2010.
LapBand surgery information. Center for the Treatment of Obesity, University of California San Diego Medical Center website. Available at: http://health.ucsd.edu/specialties/surgery/bariatric/weight-loss-surgery/gastric-band/Pages/default.aspx. Accessed January 27, 2010.
Weight Loss Surgery Center, Beth Israel Deaconess Medical Center website. Available at: http://www.bidmc.org/wls. Accessed January 27, 2010.
6/24/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Pontiroli AE, Morabito A. Long-term prevention of mortality in morbid obesity through bariatric surgery. a systematic review and meta-analysis of trials performed with gastric banding and gastric bypass. Ann Surg. 2011;253(3):484-487.
Maciejewski ML, Livingston EH, et al. Survival among high-risk patients after bariatric surgery. JAMA. 2011;305(23):2419-2426.
- Reviewer: Marcin Chwistek, MD
- Review Date: 03/2013 -
- Update Date: 03/15/2013 -