Adjustable Gastric Banding (Lap-Band)

Purpose: To reduce the size of the stomach and restrict food intake.

Procedure: An adjustable band is placed around the upper part of the stomach to create a small pouch.

Note: The information provided here is applicable to elective Adjustable Gastric Banding (Lap-Band) procedures performed under standard conditions. However, details may vary depending on individual patient factors such as the presence of obesity-related comorbidities, patient tolerance, or complications that may arise during or after the surgery. The patient’s overall health, the complexity of the procedure, and the need for band adjustments can also affect the surgery and recovery process.

Hospitalization/Clinic: Adjustable Gastric Banding (Lap-Band) is typically performed as an outpatient procedure. This minimally invasive weight loss surgery usually allows patients to return home on the same day. However, if the patient has other health issues, an overnight stay for closer monitoring may be recommended.

Hospital Stay Duration: Patients undergoing Adjustable Gastric Banding typically do not stay in the hospital overnight. The procedure generally lasts 1 to 2 hours, including preparation and recovery time. After the procedure, patients are observed for a few hours to ensure recovery from anesthesia and to determine if they are ready for discharge.

Type of Anesthesia: The procedure is performed under general anesthesia, which means the patient will be completely unconscious during the surgery. General anesthesia ensures that the patient remains comfortable and immobile, allowing the surgical team to perform the procedure safely and effectively.

Postoperative Travel: Patients are generally advised to avoid traveling, especially long-distance or air travel, for at least a few days after Adjustable Gastric Banding. This period is necessary for initial recovery and monitoring of early complications (such as pain, nausea, or vomiting). Most patients can return to normal activities within a week, but they should follow their healthcare provider’s specific recommendations regarding travel and activity levels.

Preoperative Preparation: Preparation for Adjustable Gastric Banding usually involves several steps, including dietary changes and lifestyle modifications to optimize health before surgery. Patients are often instructed to follow a liquid or low-calorie diet several days to a week before the surgery to reduce liver size and improve surgical outcomes. Patients may also need to discontinue certain medications, particularly blood thinners, to reduce the risk of bleeding. A comprehensive preoperative assessment, including blood tests and imaging studies, is conducted to plan the surgery.

Procedure Duration: The Adjustable Gastric Banding procedure typically takes 1 to 2 hours. During the procedure, an adjustable silicone band is placed around the upper part of the stomach to create a small pouch that restricts food intake. The tightness of the band can be adjusted over time through a port placed under the skin, allowing for personalized weight loss management.

Recovery Time: Recovery from Adjustable Gastric Banding is generally faster than more invasive weight loss surgeries. Most patients can return to light activities within a few days, but vigorous exercise should be avoided. Patients should follow a specific diet that starts with liquids, then progresses to pureed foods, and finally solid foods. Full recovery and adjustment to new eating habits may take several weeks to a few months.

Estimated Cost: The cost of Adjustable Gastric Banding can vary widely depending on the hospital, geographic location, and patient-specific factors. Patients should contact their healthcare providers or hospitals directly for accurate cost information.

Postoperative Care: Postoperative care after Adjustable Gastric Banding involves regular follow-up appointments to monitor weight loss, adjust the band as needed, and address potential complications. Patients should adhere to a structured meal plan to ensure proper nutrition and prevent overeating or discomfort. Regular adjustments to the band may be necessary to optimize weight loss. Patients will also receive guidance on incorporating physical activity and long-term dietary changes into their routines to support sustained weight loss and health. Psychological support or counseling may be recommended to help adapt to postoperative changes and address any emotional or behavioral issues related to eating.