NJ Bariatric Surgical OptionsGastric Band (Lap Band)
During this procedure, two medical devices are implanted in the patient: a silicone band and an injection port. The silicone band is placed around the upper part of the stomach and molds the stomach into two connected chambers. The injection port is attached to the abdominal wall, underneath the skin. The port is connected to the band with soft, thin tubing.
The band does not alter your digestive function. The band creates a restriction to entry of food beyond a certain amount. Food consumed passes through the digestive tract in the normal route. Approximately four to six weeks after surgery, you will visit with our team members and begin a series of periodic procedures to adjust your band. These adjustments may be necessary as long as you have your gastric band.
The band may be tightened by injecting saline into the injection port. As the saline is introduced to the injection port, it travels through the tube to the band. The addition of saline to the band creates a smaller opening between the stomach and the upper stomach pouch. This smaller opening pouch restricts the amount of food you can eat before feeling full.Potential Concerns of Gastric Banding
Gastric banding can help you feel satisfied sooner and with less food, but it won’t eliminate the desire to eat. You will need to follow your specific diet and exercise guidelines provided by your surgeon to achieve success
Gastric banding requires more intensive follow-up care than most other bariatric surgeries. This is mostly because the band is adjustable. Keep in mind that even after reaching and maintaining your success weight, we recommend that you stay in contact with our team for further adjustments if and when they become necessary.Bariatric Complications and Revisions
One of the most frustrating experiences for obesity surgery patients is inadequate weight loss after the procedure. Often, this is a result of the patient having trouble transitioning into the required new lifestyle. However, inadequate weight loss can also occur when there is a problem with the procedure that allows the patient to continue eating too much.Gastric Banding Revision
One of the major benefits of the REALIZE™ Band and LAP-BAND® surgeries is the ease with which their results can be adjusted. If the patient is still able to eat too much, the band can be tightened by increasing the amount of saline solution, thereby increasing restriction. If the band is too tight and the patient is not able to hold the necessary amount of food for proper nutrition, the amount of saline can be reduced. All of these adjustments can be made using the access port that is attached to the gastric band.
In some cases, even with the gastric band adequately tight, the patient is still able to eat too much or consistently overeats and stretches the stomach pouch. For these patients, a conversion to gastric bypass or sleeve gastrectomy may be necessary to reach the desired outcome. On occasion, complications may require the gastric band to be removed. This can often be accomplished laparoscopically, but as with all bariatric revision surgery, complete reversal of the procedure without conversion to another type of procedure will most likely result in the regaining of lost weight.