Masters Program Bariatric Pathway: Adjustable Gastric Band

  • Andrea S. Bedrosian
  • Christine J. Ren Fielding
Chapter

Abstract

Every year, tens of thousands of patients worldwide undergo laparoscopic adjustable gastric banding (LAGB) for treatment of morbid obesity. With standard surgical technique, and under the auspices of an intensive postoperative follow-up program, LAGB can be a lifesaving companion for those suffering the physical, psychosocial, and economic effects of morbid obesity. Multiple studies have shown the safety and efficacy of this procedure. Long-term successful outcomes are dependent on frequent adjustments and close clinical and behavioral support from a dedicated bariatric surgical practice. This chapter reviews the accepted surgical technique for placement of the adjustable gastric band, as well as outcomes.

Keywords

Bariatric surgery Laparoscopic adjustable gastric banding Lap-band Pars flaccida technique 

Abbreviations

LAGB

Laparoscopic adjustable gastric band

LRYGB

Laparoscopic Roux-en-Y gastric bypass

LSG

Laparoscopic sleeve gastrectomy

References

  1. 1.
    O’Brien P, Dixon J. Weight loss and early and late complications – the international experience. Am J Surg. 2002;184(6B):42S–5S.CrossRefPubMedGoogle Scholar
  2. 2.
    Fielding GA, Duncombe JE. Clinical and radiological follow-up of laparoscopic adjustable gastric bands, 1998 and 2000: a comparison of two techniques. Obes Surg. 2005;15(5):634–40.CrossRefPubMedGoogle Scholar
  3. 3.
    Fielding GA, Allen JW. A step-by-step guide to placement of the LAP-BAND adjustable gastric banding system. Am J Surg. 2002;184(6B):26S–30S.CrossRefPubMedGoogle Scholar
  4. 4.
    Ren CJ, Fielding GA. Laparoscopic adjustable gastric banding: surgical technique. J Laparoendosc Adv Surg Tech A. 2003;13(4):257–63.CrossRefPubMedGoogle Scholar
  5. 5.
    O’Brien PE, Dixon JB, Laurie C, et al. A prospective randomized trial of placement of the laparoscopic adjustable gastric band: comparison of the perigastric and pars flaccida pathways. Obes Surg. 2005;15(6):820–6.CrossRefPubMedGoogle Scholar
  6. 6.
    Colquitt JL, Pickett K, Loveman E, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014;(8):CD003641.Google Scholar
  7. 7.
    Weichman K, Ren C, Kurian M, et al. The effectiveness of adjustable gastric banding: a retrospective 6-year U.S. follow-up study. Surg Endosc. 2011;25:397–403.CrossRefPubMedGoogle Scholar
  8. 8.
    Dogan K, Gadiot RP, Aarts EO, et al. Effectiveness and safety of sleeve gastrectomy, gastric bypass, and adjustable gastric banding in morbidly obese patients: a multicenter, retrospective, matched cohort study. Obes Surg. 2015;25(7):1110–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Ponce J, Dixon JB. Laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2005;1(3):310–6.CrossRefPubMedGoogle Scholar
  10. 10.
    O’Brien PE, MacDonald L, Anderson M, et al. Long term outcomes after bariatric surgery: fifteen year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg. 2013;257(1):87–94.CrossRefPubMedGoogle Scholar
  11. 11.
    Dixon JB, O’Brien PE, Playfair J, et al. Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. JAMA. 2008;299(3):316–23.CrossRefPubMedGoogle Scholar
  12. 12.
    Sultan S, Gupta D, Parikh M, et al. Five-year outcomes of patients with type 2 diabetes who underwent laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2010;6(4):373–6.CrossRefPubMedGoogle Scholar
  13. 13.
    Wentworth JM, Playfair J, Laurie C, et al. Gastric band surgery leads to improved insulin secretion in overweight people with type 2 diabetes. Obes Surg. 2015;25(12):2400–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Neff KJ, Chuah LL, Aasheim ET, et al. Beyond weight loss: evaluating the multiple benefits of bariatric surgery after roux-en-Y gastric bypass and adjustable gastric band. Obes Surg. 2014;24(5):684–91.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Andrea S. Bedrosian
    • 1
  • Christine J. Ren Fielding
    • 1
  1. 1.Department of Surgery, Weight Management ProgramNew York University, Langone Medical CenterNew YorkUSA

Personalised recommendations