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Lap-Band, Realize Band: Gastric Banding
In this procedure, a silicone band is placed around the upper part of the stomach to create a small stomach pouch which can hold only a small amount of food. The lower, larger part of the stomach is below the band. These two parts are connected by a small outlet created by the band. Food will pass through the outlet ("stoma" in medical terms) from the upper stomach pouch to the lower part more slowly, and one will feel full longer. The diameter of the band outlet is adjustable to meet individual needs, which can change as one loses weight.
On the inner lining of the band there is a longitudinal balloon (like a bicycle tire). The band is gradually filled with fluid by injection through the subcutaneous (just under the skin) port. It is thus possible to vary the opening in the stomach after surgery. This can be done in the surgeon's office or under X-ray guidance.
Advantages
 Short recovery period
- Major complication rate is low
- No opening or removal of any part
of the stomach or intestines - No altering of the natural anatomy
- Lower mortality rate
compared to bypass surgery - Lifestyle adjustability
- Lifelong appetite control
Disadvantages
- About 5% failure rate because of:
- Balloon/Port leakage
- Band erosion/migration
- Patient non-compliance
- Identifying patients who will not "eat through" the operation can be difficult.
- Patients will need to re-learn portion control to be successful.
- Long term follow-up necessary for best success.
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