Bariatric Surgery at New York Hospital Queens
56-45 Main Street
Flushing, NY 11355
Adjustable Gastric Band (branded name, LAP-BAND) is the most common form of weight loss surgery performed in Europe and Australia. It is now approved by the FDA and is usually performed laparoscopically. LAP-BAND is one of the least invasive approaches to surgically treating obesity because surgeons do no make incisions in the stomach or intestines. The LAP-BAND procedure is one of the three types of obesity surgery performed by the Bariatric Surgery team at New York Hospital Queens. In addition to LAP-BAND, the other types of surgery are Laparascopic Gastric Bypass and Sleeve Gastrectomy.
Weight loss depends both on the LAP-BAND and on the patient's commitment to a new eating habits. The LAP-BAND can produce weight loss by:
The LAP-BAND surgery will include the laparoscopic placement of a hollow plastic band around the upper part of the stomach. This band divides the stomach into a small pouch above the band and a larger pouch below. The small stomach pouch limits the amount of food that a patient can eat at one time, producing a feeling of fullness after eating a small amount of food. Adjusting the size of the opening between the two parts of the stomach controls how much food passes through. The opening can be decreased or increased by injecting or removing saline from the band which is connected by a tube to a reservoir left beneath the skin during surgery.
Because the band is removable, adjustable, and does not permanently alter the anatomy, it has no effects on the absorption of nutrients and is an entirely reversible procedure.
Banding may also be an effective first-stage procedure for a highly obese patient (BMI>60) for whom the risks of gastric bypass can be especially high. Once the LAP-BAND has helped the patient achieve initial weight loss, the second-stage gastric bypass procedure can be done, which would be necessary to achieve substantial weight loss and a smaller body size.