Adjustable Gastric Banding

Adjustable gastric banding is a purely restrictive surgical procedure. The system consists of an inflatable silicon ring that goes around the stomach. The ring is attached to tubing connected to an injection port placed on the abdominal wall underneath the skin. Fluid is added or removed through the port to adjust the size of the ring.

In performing the surgery, the surgeon slips the band around the stomach and locks it into place, creating a ring around the upper portion of the stomach. The stomach pouch formed by the ring holds only a small amount of food, restricting the number of calories that can be consumed. The ring also slows the emptying of food from the stomach pouch, causing a feeling of fullness.

After surgery, the band is periodically tightened or loosened by injecting or withdrawing saline through the port via a needle. Adjustments are made by a healthcare professional during visits to your surgeon’s office.

Although it involves the placement of a foreign object, the procedure is less invasive (involving no stapling or cutting) than other procedures and is almost always performed laparoscopically.

Weight loss with the band is slower than other procedures, requiring two to three years for maximum weight reduction. Slow weight loss has several advantages, including a reduced risk for gallstones, loss of muscle or other lean tissue and “loose” or “hanging” skin. The procedure is also reversible, and the system can usually be removed laparoscopically.

This information is intended only as an overview of a gastric banding procedure. Should you and your surgeon decide that this surgery is appropriate for you, you will receive more extensive education regarding the potential risks, side effects and complications as well as pre- and post-surgery guidelines to follow for your health.