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Toggle: English / SpanishLaparoscopic gastric banding - Recovery
Alternative Names
Lap-Band; LAGB; Laparoscopic adjustable gastric banding; Bariatric surgery - laparoscopic gastric banding
After the Procedure:
You will probably go home the day after your surgery. Many patients are able to return to work and begin their normal activities 1 or 2 days after going home.
The band around your stomach is filled with saline (saltwater). It is connected to a container that is placed under your skin in your upper belly. Your surgeon can make the band tighter or looser by increasing or decreasing the amount of saline in the band. To do this, your surgeon will insert a needle through your skin into an “access port” in the container.
Your surgeon can make the band tighter or looser any time after you have this surgery. It may be tightened or loosened if you are:
- Not losing enough weight
- Having problems eating
- Vomiting after you eat
Outlook (Prognosis):
The final weight loss with gastric banding is not as large as with gastric bypass. The average weight loss is about one-third to half of the extra weight that you are carrying. This may be enough for many patients. Talk with your doctor about which procedure is best for you.
The weight will usually come off more slowly than with gastric bypass. You should keep losing weight for up to 3 years.
Losing enough weight after surgery can improve many medical conditions you might also have. Conditions that may improve are asthma, type 2 diabetes, high blood pressure, obstructive sleep apnea, high cholesterol, and gastroesophageal disease (GERD).
Weighing less should also make it much easier for you to move around and do your everyday activities.
This surgery alone is not a solution to losing weight. It can train you to eat less, but you still have to do much of the work. To lose weight and avoid complications from the procedure, you will need to follow the exercise and eating guidelines that your doctor and dietitian gave you.
- Reviewed last on: 2/12/2009
- Crystine Lee, MD, Department of Surgery, Marin General Hospital, Greenbrae, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
References
Buchwald H, Estok R, Fahrbach K, Banel D, Sledge I. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery, 2007;142:621-632.
Leslie D, Kellogg TA, Ikramuddin S. Bariatric surgery primer for the internist: keys to the surgical consultation. Med Clin North Am. 2007;91:353-381.
Townsend Jr. CM, Beauchamp RD, Evers BM, Mattox KL. Townsend: Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders; 2008.