Once popular, it became outdated and numbers declined worldwide because of less efficacy and availability of better surgeries. In this an inflatable silicon band is wrapped around the upper part of stomach. Capacity of stomach above this band will be < 20 ml. So individuals can’t take large quantity of food at a time. This band has a balloon which is connected through a tube to an access port fixed outside abdominal muscles. By injecting or withdrawing saline from the access port, opening between the pouch and remaining stomach can be adjusted there by controlling the food intake.
Gastric banding is purely a restrictive procedure. It acts mainly by limiting calorie intake. Body fat is under control of several hormones and genes. And hormonal and genetic changes after gastric banding are negligible.
Since there are negligible physiological and hormonal changes after LAGB, weight loss and diabetes remission are inadequate. Weight regain chances are very high. Majority of patients want to get band removed because of intolerance and increased hunger. Problem with this operation is the need for regular visits to the doctor for repeated adjustments of the band. After this operation food intolerance, band slippage, band erosion, pouch dilatation or gastric prolapse can occur.
LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING
(DRAWN BY Dr. V. AMAR)
WAS WEIGHT LOSS INADEQUATE AFTER LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING?
DID YOU REGAIN WEIGHT AFTER LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING?