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LAP-BAND ® System Adjustable Gastric Banding System

Laparoscopic bariatric procedures rely on videoscopic technology. This technology allows us to perform weight loss surgery with a minimally invasive technique. The benefits of the laparoscopic approach allows, in most cases, a reduced hospital stay, less pain, and earlier return to normal activities. In addition, the wound complication and hernia risks are significantly reduced.

The criteria for laparoscopic surgery is the same as open surgery (outlined in "Are You a Candidate?") Not all patients are candidates for laparoscopic surgery and in some cases it is necessary to convert the procedure to an open procedure.

We offer roux-en-y gastric bypass, vertically banded roux-en-y gastric bypass, vertical / sleeve gastrectomy, and the LAP-BAND ® System via laparoscopic technique. We offer duodenal switch and VERGITO via hand assisted laparoscopic technique.

Approved by the FDA in June 2001, the LAP-BAND ® System Adjustable Gastric Banding System is the least invasive and the only adjustable surgical treatment for morbid obesity in the United States. It induces weight loss by reducing the capacity of the stomach, which restricts the amount of food that can be consumed. Since its clinical introduction in 1993, more than 120,000 LAP-BAND ® System procedures have been performed around the world.

To view an animation of this procedure click here.

Minimally Invasive Approach

During the procedure, surgeons usually use laparoscopic techniques (using small incisions and long-shafted instruments), to implant an inflatable silicone band into the patient's abdomen. Like a wristwatch, the band is fastened around the upper stomach to create a new, tiny stomach pouch that limits and controls the amount of food you eat. It also creates a small outlet that slows the emptying process into the stomach and the intestines. As a result, patients experience an earlier sensation of fullness and are satisfied with smaller amounts of food. In turn, this results in weight loss.

Least Traumatic Procedure

Since there is no cutting, stapling or stomach re-routing involved in the LAP-BAND ® System procedure, it is considered the least traumatic of all weight loss surgeries. The laparoscopic approach to the surgery also offers the advantages of reduced post-operative pain, shortened hospital stay and quicker recovery. If for any reason the LAP-BAND ® System needs to be removed, the stomach generally returns to its original form.

Adjustable Treatment

The LAP-BAND ® System is also the only adjustable weight loss surgery. The diameter of the band is adjustable for a customized weight-loss rate. Your individual needs can change as you lose weight. For example, pregnant patients can expand their band to accommodate a growing fetus, while patients who aren't experiencing significant weight loss can have their bands tightened.

To modify the size of the band, its inner surface can be inflated or deflated with a saline solution. The band is connected by tubing to an access port, which is placed well below the skin during surgery. After the operation, the surgeon can control the amount of saline in the band by entering the port with a fine needle through the skin.

Your Motivation

While the LAP-BAND ® System is an effective treatment for morbid obesity, the pounds do not come off by themselves. The LAP-BAND ® System is an aid to support you in achieving lasting results by limiting food intake, reducing appetite and slowing digestion. However, your motivation and commitment to adopt a new lifestyle are extremely important for long-term weight loss. New eating habits must be adhered to for the rest of your life. Exercise is an equally important component of a changed lifestyle.