LAP-BAND Adjustable Gastric Banding System

The lap-band is the first adjustable medical device approved in the United States for individualized weight loss. The lap-band was approved by the U.S. Food and Drug Administration in 2001 for use in weight reduction for severely obese adults with a Body Mass Index (BMI) of 40 or more, or for adults with a BMI of at least 35 plus at least one severe obesity-related health condition, such as Type 2 diabetes, hypertension and asthma. Used in more than 300,000 procedures worldwide, this simple medical device has safely helped many seriously overweight individuals successfully achieve and maintain significant long-term weight loss to reduce the health risks associated with severe and morbid obesity. Worldwide, approximately 1.6 million adults are overweight, and it is estimated that obesity affects at least 400 million adults.

Designed to be placed laparoscopically (via small incisions in the abdomen, usually 0.5 - 1.5 centimeters in length), the lap-band does not require cutting or stapling of the stomach. Instead, an inflatable band is placed around the top portion of the patient's stomach, creating a small pouch that limits or reduces food consumption. The lap-band is adjustable, which means that the inflatable band can be tightened or loosened to help the patient achieve a level of fullness while maintaining a healthy diet, supporting a patient's long-term weight loss success.

Advantages

  • minimally invasive
  • lowest mortality (10 times safer) and complication rate
  • adjustable for long term-satiety
  • reversible
  • shorter hospital and recovery time
  • digestion and absorption is normal

 

Risks/Disadvantages  

  • Regular follow up for fills necessary
  • Slower weight loss (average 1 lb/week)
  • Gastric perforation or tearing of stomach
  • Access port leakage or twisting
  • May not provide the necessary feeling of having had ‘enough’ to eat
  • Nausea and vomiting
  • Outlet obstruction
  • Pouch dilatation
  • Band migration/slippage