Bariatric Surgery

Gastric LAP BAND Surgery in New Jersey

Obesity leads to a host of physical and psychological complications. In addition to low self-esteem, you could be in danger of developing or worsening high blood pressure, digestive issues, back pain, and joint problems. You don’t have to suffer due to the failure of past dieting techniques. The weight loss experts at Advanced Surgical & Bariatrics of NJ, PA are here to help with safe, effective surgical and non-surgical treatments. Although gastric banding is no longer a mainstay in our bariatric repertoire, it still has value in certain situations. It’s a minimally invasive procedure that allows you to restrict your caloric intake while developing a healthier lifestyle with the help of your professional weight loss team. Call today to find out if it’s a good solution for you.

What is Gastric Banding?

Placement of a laparoscopic adjustable gastric band is safe and effective.  It was first performed in 1978. The initial procedures used a non-adjustable band around the top part of the stomach to divide it into two pouches. Unfortunately, the pouches gradually dilated, and the operation proved ineffective for long-term weight loss.

By 1986, scientists had developed an adjustable band lined with an inflatable balloon, which proved much more effective at reducing weight for patients. If you’re considering having an adjustable gastric lap band placed, the surgical practice at Advanced Surgical & Bariatrics of NJ, PA (ASBNJ) enjoys a world-class reputation. Their commitment to quality patient care is second to none, and they have six convenient locations in central New Jersey to serve you.

Our practice uses the LAP-BAND ™ gastric banding system. We implant two devices in the abdomen: a silicone band and an injection port. The silicone band is placed around the upper part of the stomach, creating two connected chambers of the stomach. The injection port is attached to the abdominal wall underneath the skin and connected to the lap band with soft, thin tubing. The lap-band is adjustable and several adjustments will be made periodically after the procedure is completed to assure the appropriate level of restriction. The physician uses a needle to inject saline solution into your band through the port, increasing the amount of restriction provided by the band, which in turn can help you feel fuller.

Adjustable Gastric Lap Band Surgery, Explained

Adjustable gastric lap band surgery is a specific surgical technique in the field of bariatrics. Bariatric surgery refers to any surgical weight loss procedure, so a lap band in New Jersey helps you restrict the amount of food you eat. During laparoscopic gastric banding, your surgeon places an inflatable band around the upper section of your stomach.

The small band contains a volume of fluid that your doctor can adjust if necessary. The more fluid in the band, the more restricted your food intake becomes. If the band proves too tight, it may prevent sufficient food intake or cause digestive problems. But your bariatric specialist has the ability to remove some fluid too.

Other Types of Bariatric Surgery

The LAP-BAND ™ differs from other bariatric procedures. For example, gastric band surgery is reversible, unlike some of the other procedures, which include:

  • Gastric sleeve surgery. Your surgeon reduces the size of your stomach by removing as much as 75 percent of the outer curvature leaving a narrower “sleeved” stomach.  This helps reduce your portion size and can help reduce your appetite and cravings by removing the main areas of the stomach where the hunger hormones reside.
  • Gastric bypass surgery. During this bariatric procedure, your surgeon creates a small pouch out of the top of your stomach and connects it to your small intestine directly. The small pouch creates restrictions to help eat smaller portions. The remainder of the stomach and first part of the small intestine is bypassed, which reduces the amount of calories your body can absorb.
  • Bariatric revision surgery. When previous weight loss surgeries have failed to deliver the desired results, another procedure may be required. Your doctor may recommend a bariatric revision surgery if you fail to lose weight, regain some of the weight or suffer from other medical complications.

Good Candidates for Gastric Banding Surgery

Top bariatric surgeons often insist that you try your best to lose weight through diet and exercise before you have any bariatric surgery. If after working hard to eat healthier and exercise daily, you find yourself still with a body mass index (BMI) of more than 40, you would qualify for bariatric surgery. You may also qualify if you have a BMI between 35 and 40 along with other health problems like heart disease, diabetes, or high blood pressure.  Even if surgery is the right decision for you, it won’t fix your weight problem by itself. It is merely a tool to help you along your journey to good health.  You still need to watch what you eat and do your best to live a healthy lifestyle.

What to Expect after the Gastric Banding Procedure?

After your doctor applies the gastric lap band, you won’t be able to eat any solid foods for several weeks.  Your doctor will provide detailed dietary instructions on how to gradually advance your diet from liquids to mushy/soft foods and finally back to regular food. If you’re suffering any discomfort during this time, remember to chew your food well and eat slowly.  Some foods may take longer than others to be tolerated. All bariatric surgeons encourage patients to walk as much as possible after a procedure to promote healing, reduce gas pains, and prevent blood clots.

As with all surgeries, complications are possible, but under the guidance of  Advanced Surgical & Bariatrics of NJ, PA, a highly effective set of safety protocols have been developed. We have one of the lowest rates of complications in the Northeast. Serving northern and central New Jersey, southern New York, and eastern Pennsylvania, ASBNJ provides access to personalized, effective weight loss. Contact the medical practice today to schedule your initial consultation.

Recovery times can vary between patients, depending on the procedure and the patient’s general health. As a rule of thumb, however, the less invasive nature of the gastric lap-banding procedure lends itself to a reduced recovery time. Our physicians will advise you on when you can return to normal activity. Gastric Banding patients usually see a loss of up to 50 percent of their excess body weight, and most patients have reported that Type 2 diabetes, high blood pressure, and cholesterol issues have improved or resolved.

Considerations and Risks of Gastric Banding

Gastric banding can help you feel satisfied sooner, but you will have to follow specific diet and exercise guidelines in order to reach and maintain your weight goals. Gastric banding requires more follow-up care than most other bariatric surgeries. Since the band is adjustable, it will be adjusted over the course of several months to find the perfect level of restriction for you. Even after reaching your ideal weight, you may need to see us periodically to adjust the band further.

Risks include:

  • Migration of implant (band erosion, band slippage, port displacement)
  • Tubing-related complications (port disconnection, tubing kinking)
  • Band leak
  • Esophageal spasm
  • Gastroesophageal reflux disease (GERD)
  • Inflammation of the esophagus or stomach
  • Port-site infection
  • Inherent risks of any surgical procedure

This page was modified on Aug 31, 2022 by Dr. Sadek (Surgeon) of Advanced Surgical & Bariatrics
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