Deanna M. Neff, MPH
This procedure is done to treat
obesity. Small incisions are made in the abdomen. An adjustable band is placed around the stomach with the aid of a tiny tool with a camera on it. The tube is called a laparoscope. The surgery causes weight loss by decreasing the amount of food that can pass into your stomach.
This surgery treats severe obesity.
Body mass index
(BMI) calculations are used to determine how overweight or obese you are. A normal BMI is 18.5-25.
This surgery is a weight loss option for people with:
The success of this surgery depends on your commitment and follow-up with your doctor. If lifestyle changes are made and maintained, the benefits of bariatric surgery include:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Long-term complications include vomiting and gallstones.
In some cases, the procedure may not result in weight loss. This may lead to removal of the band or the use of another bariatric procedure.
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications, such as:
Each bariatric surgery program has specific requirements. You may have the following done:
Leading up to your procedure:
will be used. You will be asleep for the surgery.
To prepare you for surgery, an IV will be placed. You may receive fluids and medications through the IV during the procedure. A breathing tube will be placed through your mouth and into your windpipe. This will help you breathe during surgery. You will also have a catheter placed in your bladder to drain urine.
Several small incisions will be made in the abdomen. Gas will be pumped in to inflate your abdomen. This will make it easier for the doctor to see. A laparoscope and surgical tools will be inserted through the incisions. A laparoscope is a thin, lighted tool with a tiny camera. It sends images of your abdominal cavity to a monitor in the operating room. Your doctor will operate while viewing the area on this monitor.
An adjustable round band is placed around the top of the stomach and fastened into place. This creates a smaller stomach area for food. Tubing is placed from the band to an access port in the abdominal wall. The band can later be adjusted with a special saline solution and needle syringe. The incisions will be closed with staples or stitches.
The breathing tube will be removed. You will be taken to the recovery area while the anesthesia wears off.
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
The usual length of stay is 1-2 days. You may be kept longer if needed.
While you are recovering at the hospital:
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
There are also steps you can take to reduce your chance of infection, such as:
Be sure to follow your doctor’s instructions. You will need to practice lifelong healthy eating and exercising habits. Keep in mind after your surgery:
Your new stomach pouch will be the size of a small egg. It will be slow to empty. This will make you feel full quickly. Nutritional guidelines include:
Call your doctor if any of these occur:
Call for emergency medical services right away for:
If you think you have an emergency, call for emergency medical services right away.
American Gastroenterological Association
Family Doctor—American Academy of Family Physicians
Canadian Association of Gastroenterology
Bariatric surgery. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated November 3, 2014. Accessed December 1, 2014.
Gastric band operation. The British United Provident Association website. Available at:
http://www.bupa.co.uk/individuals/health-information/directory/g/gastric-band. Accessed December 1, 2014.
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 December 1, 2014.
Maciejewski ML, Livingston EH, et al.
Survival among high-risk patients after bariatric surgery.
6/24/2011 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: 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.
1/2/2014 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Jensen M, Ryan D, et al. 2013 AHA/ACC/TOS Guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. Nov 12 2013.
Last reviewed December 2014 by Michael Woods, MD
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