Gastric Band Procedure
Post Procedure Support
Ongoing patient monitoring and support is critical to the success of the Gastric Band procedure. The Gastric Band works by limiting the patient's food intake and reducing their appetite. The procedure is very dependant on the patient’s motivation and commitment to a new lifestyle, and eating habits. In order for patients to lose weight safely and effectively, the band must be periodically adjusted to limit food intake by creating a feeling of satiety after a smaller portion of food. Patients typically have the band adjusted for the first time four weeks after surgery.
Subsequent clinic visits or telephone follow up varies with each individual, and continues indefinitely. During each visit the channel size can be adjusted by injecting or removing saline through the access port. The access port is placed on the fascia of the abdominal wall in a predictable location at the time of surgery. The circular shape of the band allows for controlled, even inflation or deflation to increase or decrease restriction. Adjustments can be made as often and as long as necessary so that healthy, continuous weight loss can be optimized. Adjustments may be required several years post-operatively, and long-term follow-up is the key to success.
A well-adjusted band means:- Safety and patient comfort
- Healthy weight loss–approximately 1 – 2 lbs per week
- Satiety with a smaller meal
- Satiety lasts between meals
- No nutritional deficiencies
Gastric Band References:
1. Data on file, Allergan, Inc. October 2006.2. Ponce J, Paynter S. Fromm R. Laparoscopic adjustable gastric banding: 1,014 consecutive cases. J Am Coll Surg. 2005;201:529-535.
3. O’Brien PE, McPhail T, Chaston TB, Dixon JB. Systematic review of medium-term weight loss after bariatric operations. Obes Surg. 2006; 16:1032-1040.
4. Data on file, Allergan, Inc. October 2006.
5. Ponce J, Paynter S. Fromm R. Laparoscopic adjustable gastric banding: 1,014 consecutive cases. J Am Coll Surg. 2005;201:529-535.
6. O’Brien PE, McPhail T, Chaston TB, Dixon JB. Systematic review of medium-term weight loss after bariatric operations. Obes Surg. 2006; 16:1032-1040.
7. O’Brien PE, Dixon JB. Lap-Band®: outcomes and results. J Laparoendosc Adv Surg Tech 2003;13:265-270.
8. Parikh MS, Laker S, Weiner M, Hajiseyedjavadi O, Ren CJ. Objective comparison of complications resulting from laparoscopic bariatric procedures. J Am Coll Surg. 2006;202:252-261.
9. Dixon JB, Chapman L, O’Brien P. Marked improvement in asthma after Lap-Band® surgery for morbid obesity. Obes Surg. 1999;9:385-389.
