Lose Weight and Keep it Off With Lap Band Surgery in Augusta, Georgia
If you’re looking for a reversible weight loss operation, laparoscopic adjustable gastric banding, or lap band surgery, may be an option for you.
Adjustable gastric banding involves placing an inflatable (adjustable) silicone band around the very upper portion of the stomach just below the end of the esophagus. An access port for adjusting the band is placed in the fatty tissue of the abdominal wall above the abdominal wall muscles.
The band creates a new small pouch that limits the amount of food you can take in after surgery. It also slows the empyting of food from the esophagus to the stomach and intestine. This causes you to feel fuller sooner.
The operation takes about 1-2 hours to perform. Patients usually spend about 1 day in the hospital following surgery and return work in 2-4 weeks after surgery.
Beginning no earlier than 6-8 weeks after the procedure, the degree of restriction can be adjusted as needed. The degree of tightness of the band around the stomach must be fine tuned every 1-2 months for the first 12-18 months and at least once a year thereafter for you to have the best possible weight loss. Lap band surgery requires committed follow up by the patient for successful and sustained weight loss.
The operation offers many benefits to patients. It is a reversible operation. The operating time and time spent in the hospital is shorter. There is not bypass of the intestine, so certain nutritional complications are less likely to occur. Patients have an average excess weight loss of 28-65% at 2-years following surgery and an average excess weight loss of 50% at 5-years following surgery. Patients also have significant improvement in medical conditions related to their weight.
Certain patients are not good candidates for the adjustable gastric banding operation.
This procedure is not usually recommended in patients with these medical conditions:
inflammatory bowel disease, severe heart and lung disease, bleeding disease of the upper GI tract, portal hypertension, anomalies of the GI tract, cirrhosis, chronic pancreatitis, substance abuse, any active infection, long-term steroid use, a personal or family history of autoimmune connective tissue disease (lupus, scleroderma) and pregnancy. The operation is also not recommended in patients with allergies to the band material, gastric or esophageal injury at the time of surgery or who are unable to follow instructions about diet after surgery.
The operation can be performed using open or laparoscopic techniques. At the Georgia Regents Weight Loss Center, most operations are performed using the laparoscopic or “minimally invasive” technique. All operations are performed by surgeons with expertise and specialty training in both laparoscopic and bariatric surgery. Your safety is our primary concern, so a handful of cases may be converted to the open technique if the laparoscopic operation cannot be done safely.
Laparoscopic adjustable gastric banding uses several small skin incisions (cuts) for a camera and instruments used by the surgeon to perform the operation. It usually results in a shorter stay in the hospital, a faster recovery and return to normal activities, less pain after surgery and less risk of certain complications such as hernias and infections.
Adjustable Gastric Banding video
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