|Adjustable Gastric Banding|
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Reasons for Procedure
- BMI greater than 40
- BMI 35-39.9 and a life-threatening condition or severe physical limitations that affect employment, movement, and family life
- Weight reduction
- Improvement in obesity-related conditions
- Improved movement and stamina
- Enhanced mood, self-esteem, and quality of life
- Blood clots
- Slipping or wearing away of the band
- Erosion of the band into the stomach, which may require open surgical repair
- Erosion of gastric wall
- Port complications
- Injury to other organs
- Irritation of the throat due to acid reflux
- Complications of general anesthesia
What to Expect
Prior to Procedure
- Thorough physical exam and review of your medical history
- Mental health evaluation and counseling
- Ongoing consultations with a registered dietitian
- Program to help you lose weight through diet and exercise
- Talk to your doctor about your medications, herbs, and dietary supplements. You may be asked to stop taking some medications up to 1 week before the procedure.
- Do not start any new medications, herbs, or supplements without talking to your doctor.
- Arrange for a ride to and from the hospital. Also, arrange for help at home.
- If advised by your doctor, take antibiotics.
- The night before, eat a light meal. Do not eat or drink anything after midnight unless told otherwise by your doctor. You may be given laxatives and/or an enema to clear your intestines.
- Shower or bathe the morning of your surgery.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Pain medication will be given as needed.
- On the day after the surgery, x-rays will be taken to make sure the band is in place. If everything looks fine, you will be given fluids, then progress to pureed food.
You may be asked to do the following:
- Use an incentive spirometer to take deep breaths every hour. This is to prevent breathing problems.
- Wear elastic surgical stockings or boots. This is to promote blood flow in your legs.
- Get up and walk to circulate blood and promote healing.
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
- It will take 2-4 weeks to fully recover. You may be out of work for several days after surgery.
- Meet regularly with your healthcare team for monitoring and support.
- Your doctor may recommend that you meet with a therapist to discuss emotional changes after surgery.
- Eat very small amounts and eat very slowly. You will begin with 4-6 small meals per day. A meal is two ounces of food.
- For the first 4-6 weeks, all food must be pureed. After you move to solid foods, food must be well-chewed. When making food choices, ensure that you are getting enough protein.
- Eating too much or too quickly can cause vomiting or intense pain under your breastbone. Most people quickly learn how much food they can eat.
- This procedure does not cause nausea and diarrhea if sweet or fatty foods are eaten. In fact, some people gain back weight because they continue to eat high-calorie foods. To promote ongoing weight loss, you will need to eat healthy foods.
- Follow your doctor’s instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision sites
- Pain that you cannot control with the medications you have been given
- Blood in the stool
- Constipation that lasts more than two days
- Pain, burning, urgency, or frequency of urination, or persistent bleeding in the urine
- Persistent nausea and/or vomiting
- Pain and/or swelling in your feet, calves, or legs
- Persistent cough
- New or worsening symptoms
- Shortness of breath
- Chest pain
American Gastroenterological Association http://www.gastro.org
Family Doctor—American Academy of Family Physicians http://www.familydoctor.org
Canadian Association of Gastroenterology http://www.cag-acg.org
Health Canada http://www.hc-sc.gc.ca
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. JAMA. 2011;305(23):2419-2426.
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. Ann Surg. 2011;253(3):484-487.
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.
- Reviewer: Michael Woods, MD
- Review Date: 12/2014 -
- Update Date: 12/20/2014 -