Laparoscopic Gastric Banding Detroit

Bariatric Surgery

  • Gastric Banding had been done for many years in Australia and Europe.
  • The FDA approved the device for use in the USA in 2001.
  • A soft plastic band is wrapped around the upper stomach just below the esophagus creating a small stomach pouch. The inside of the band has an adjustable bladder which can be accessed via a port placed on the abominal wall under the patients skin/fatty layer. This bladder is filled with varying amounts of saline to provide the proper amount of constriction to the upper stomach.
  • Failure to adjust the band will result in poor weight loss .

Regularly scheduled visits to the surgeon for adjustments or “fills” is essential to success.

  • Weight loss is slower and more gradual with banding vs bypass. However, more recent studies show over a five year period, the amount of weight loss approaches 50% of excessive body weight which is close to that achieved by bypass.
  • Clearly, operative complications are less frequent with banding vs bypass.
  • The band is easier to remove vs the near irreversability of bypass.
  • The band is adjustable if for a reason the patient needs to stop dieting ie pregnancy.
  • In addition, since there is no malabsorption component there is less nutrient deficiency worries with banding.

  • Some disadvantages of banding vs bypass exist.
  • Patients may never tolerate certain foods vs bypass patients who eventually can tolerate most all foods.
  • The need for more frequent office visits with banding vs bypass may not be possible for some patients.
  • Patients who want rapid results need to realize the weight loss with banding is usually much slower and could become frustrated.
  • Finally, some patients simply fail to loose much weight with banding and even convert to bypass over time.
  • Nevertheless, banding is become increasingly more popular. there are two major types of band in the USA:
  • >THE LAP-BAND made by ALLERGAN which is the most commonly used product and the one used at Beaumont Hospital

Dr Chengelis has attended training seminars required by the FDA and the manufacturer to perform this procedure. He has participated in Lap-Band procedures but currently is not offering this procedure. Nevertheless, patients are strongly urged to participate in the Beaumont Weight Control Center’s pre-operative program to help educate and prepare them for this or any other choice.