Robotic Bariatric Surgery

Gastric Banding

Gastric Banding (Lap-Band® & Realize® Band)

gastric banding surgeryGastric banding, also known by trade names Lap-Band® and Realize® Band, is another form of bariatric surgery that we offer. The Lap-Band® was approved for use in the United States in 2001 by the FDA and has become the most popular procedure performed in the US. This is due to patient preference and should not be misconstrued by the patient deciding on the type of surgery that is the best. The patient and the surgeon should decide on which surgery is right for them and usually the patients choice is honored unless there are circumstances the surgeon feels might make a procedure less effective or safe for the patient.

How Does Gastric Banding Work?

The gastric band is placed around the top of the stomach and tightened to form two interconnected chambers. The smaller, upper chamber becomes the reservoir for the majority of food that is consumed. Because of the restriction the band provides, the amount of food one can eat before feeling full is reduced. This, in turn, limits the number of calories that are consumed, resulting in weight loss. The band is fully adjustable through an access port attached to the inside wall of the abdomen during surgery. The access port is invisible, however it is attached to the band, allowing the surgeon to use a special needle to inject or remove saline, tightening or loosening the band as necessary. Tightening the band allows less food to pass through, resulting in greater weight loss. Loosening the band does the opposite. If needed, the band can be removed, and studies have shown that in most cases the stomach will return to its normal shape and functionality.

Advantages of the Band

The gastric band is fully adjustable and reversible. It doesn’t involve any cutting or stapling of the stomach and since the intestine is not rerouted, patients rarely need long-term vitamin supplements. However a multi-vitamin a day is recommended.

Risks and Considerations

Gastric banding requires additional follow-up appointments to adjust the band and the percentage of excess weight loss is slower than that of gastric bypass patients.

FAQs

The longevity of a gastric band varies from person to person and depends on factors such as the type and brand of the band used, the patient's adherence to post-operative guidelines, and individual physiology. On average, gastric bands may last around 10 to 15 years or more. However, they may require adjustments or replacements over time to maintain optimal weight loss and address any complications. Regular follow-up with a healthcare provider is essential to monitor the condition of the gastric band and make necessary modifications.

The cost of gastric band surgery can vary widely depending on several factors, including the geographical location, the surgeon's fees, hospital or surgical center fees, anesthesia costs, pre-operative assessments, and post-operative care expenses. In the United States, the total cost of gastric band surgery typically ranges from $8,000 to $20,000 or more. It's essential to consult with a healthcare provider or a bariatric surgical center for a detailed breakdown of costs and inquire about insurance coverage or financing options, as some insurance plans may cover bariatric procedures under certain conditions.

The requirements for gastric banding, also known as laparoscopic adjustable gastric banding (LAGB), may vary depending on the guidelines of the surgical center or healthcare provider. However, some common requirements often include:
  • A body mass index (BMI) above a specific threshold (usually 40 or higher) or a lower BMI (between 30-35) with obesity-related health conditions.
  • Evidence of previous attempts at weight loss through non-surgical methods.
  • Comprehensive medical evaluation, including assessments of physical and psychological health.
  • Willingness and commitment to making significant lifestyle changes, including dietary modifications and regular physical activity.
  • Understanding of the risks and benefits of the procedure, as well as the long-term commitment to post-operative follow-up care.
Patients considering gastric banding should schedule a consultation with a bariatric surgeon or specialized clinic to determine their eligibility and understand the specific requirements for the surgery.

About Dr. Bilton

Dr. Bradley D. Bilton received his graduate degree and medical doctorate in Louisiana. He then completed his residency program in General Surgery. During that time, he participated in research and is a published author and co-author. Following this he completed a fellowship in minimally invasive surgery (laparoscopic and endoscopic techniques).

After completing his fellowship in 2001 he moved to Tuscaloosa and joined University Surgical Associates. Upon his arrival he ushered in advanced minimally invasive surgery and these techniques continue to be the focus of his practice.

Client Says

Latest Success Stories

Read these real testimonials from our clients.

Latest News

Our Blog

View All