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Laparoscopic Adjustable Gastric Band
What is it? Overview Usage Side Effects and Warnings

What is Laparoscopic Adjustable Gastric Band?

This procedure is done to treat obesity . Keyhole incisions are made in the abdomen. An adjustable band is placed around the stomach with the aid of a laparoscope (a tiny tool with a camera on it). The surgery causes weight loss by decreasing the amount of food that can pass into your stomach.

Adjustable Gastric Banding
Adjustable Gastric Banding
© 2009 Nucleus Medical Media, Inc.

This surgery treats severe obesity. Doctors use a calculation called body mass index (BMI) 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:

  • 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

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:

  • Weight reduction
  • Improvement in many obesity-related conditions (eg, glucose intolerance, diabetes, sleep apnea , high blood pressure , high cholesterol , arthritis, poor exercise...

Possible Complications

If you are planning to have this procedure, your doctor will review a list of possible complications, which may include:

  • Vitamin deficiencies—You will take a daily multivitamin for the rest of your life.
  • Bleeding
  • Infection
  • Blood clots
  • Vomiting
  • 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)

Factors that may increase the risk of complications include:

  • Smoking
  • Recent or chronic illness (eg, kidney disease)
  • Diabetes
  • Old age
  • Heart or lung disease
  • Bleeding or clotting disorders

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