Adjustable Gastric Banding

Adjustable gastric band surgery, also known as LAP-BAND® surgery, is a restrictive procedure that places a band around the upper part of your stomach to limit the amount of food you can eat. Gastric banding allows you to feel fuller with less food so you can lose more weight.

At The University of Kansas Health System, we offer adjustable gastric band surgery with LAP-BAND to help you lose weight, reduce weight-associated medical problems, increase longevity and improve your quality of life. To schedule an appointment, call 913-588-1227 or request your appointment online. The University of Kansas Health System offers gastric adjustable band surgery with LAP-BAND for people in Kansas City, Overland Park and surrounding areas.

What is adjustable gastric band surgery?

Gastric band surgery is a weight-loss procedure in which an adjustable silicone band is placed around the top of the stomach to create a small pouch that holds less food. This band can then be inflated with saline or deflated to adjust the amount of food that can be ingested. This technique is less complicated than other bariatric surgery options. People who have this procedure feel full faster and longer.

The silicone band has an inner ring that works like a balloon so your doctor can control the size of the opening between the pouch and the rest of the stomach. By increasing or decreasing the size of this balloon, your doctor can adjust how quickly food travels through the stomach. This means that after surgery, your band can be adjusted to provide you with the best weight-loss results and maximum comfort. 

Adjustable gastric banding pros and cons

  
Pros
  • Least invasive option 
  • Faster recovery
  • Reversible 
 

Cons
  • Foreign object is implanted
  • Weight-loss is less significant
  • Slower weight-loss
    


Benefits of adjustable band surgery

Gastric banding is the only reversible and adjustable weight-loss surgical option in the U.S. and has the lowest complication rate when compared with other surgical weight loss treatments. Unlike other bariatric procedures, there is no cutting or removing any part of the stomach or intestines. Instead, the band can be placed using minimally invasive techniques to speed healing and shorten your recovery time.

In addition to helping you lose weight, gastric band surgery may also improve:
  • Type 2 diabetes
  • Sleep apnea
  • High cholesterol
  • High blood pressure

Why choose us

The University of Kansas Health System understands weight-loss surgery isn’t a quick fix, and those who choose this path aren’t taking the easy road. Bariatric surgery requires a lifelong commitment to a different way of living. Our comprehensive program provides you with the tools you need to succeed. In addition to an exceptional team of board-certified bariatric surgeons, we offer:
  • Nutritional counseling
  • Weight-loss support groups
  • Continued care and wellness classes
  • Insurance coordinators
  • Physical therapy
  • Infusions
  • Psychologists
  • Eating disorder support
  • Addiction support
  • Exercise evaluations
  • Medical adherence support
Through this network of services, you’ll have access to a number of support resources. Our goal is to help you get healthy so you can get back to the things that really matter.

What to expect

People who have adjustable gastric band surgery normally have shorter hospital stays when compared to other weight-loss procedures. Usually, this surgery is done as an outpatient or day surgery. During the procedure, your surgeon will use laparoscopic techniques to insert an inflatable, adjustable band into your abdomen. The band is wrapped around the upper portion of your stomach to create a small gastric pouch.

The band is attached to a tube which is connected to a port that the surgeon positions under the skin, where it is fixed to your abdominal wall. The band is adjusted by injecting saline into the port to fill the balloon positioned on the underside of your band to narrow the exit opening from the gastric pouch. Most people go home a few hours after surgery and return to work within a week, depending on the type of work.

The band is completely deflated or empty when you are discharged from the hospital. You will be instructed when to return to see the surgeon for a follow-up appointment after surgery. The first appointment is to ensure you are healing well. At your second appointment, you will possibly have the first fill of your band. A fill involves injecting a small amount of saline into the port, which passes through tubing and inflates a balloon that narrows the exit opening from the small gastric pouch. This restriction creates a small gastric pouch at the top portion of your stomach. Eating a small amount of food causes this pouch to send signals telling your brain that you are full.

Gastric banding requires a strict diet after the surgery along with follow-up visits. The procedure leads to a weight loss of approximately 40-50% of excess weight, but the weight-loss process is usually slower when compared with other bariatric procedures.

Risks and complications

A small percentage of people may experience complications after the surgery, including slippage or erosion of the band or problems with the port that allows for band adjustments. Your doctor will discuss the risks and benefits of gastric band surgery with you during your appointment.