Laparoscopic Gastric Banding Detroit
- 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
- >THE RELIANT BAND, made by JOHNSON & JOHNSON.
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.