Deanna M. Neff, MPH
This procedure is done to treat
obesity. Small incisions are made in the abdomen. An adjustable band is placed around the stomach with the aid of a tiny tool with a camera on it. The tube is called a laparoscope. The surgery causes weight loss by decreasing the amount of food that can pass into your stomach.
This surgery treats severe obesity.
Body mass index
(BMI) calculations are used to determine how overweight or obese you are. A normal BMI is 18.5-25.
This surgery is a weight loss option for people with:
The success of this surgery depends on your commitment and follow-up with your doctor. If lifestyle changes are made and maintained, the benefits of bariatric surgery include:
If you are planning to have this procedure, your doctor will review a list of possible complications, which may include:
Long-term complications include vomiting and gallstones.
Factors that may increase the risk of complications include:
Discuss these risks with your doctor.
Each bariatric surgery program has specific requirements. You may have the following done:
Leading up to your procedure:
will be used. You will be asleep for the surgery.
To prepare you for surgery, an IV will be placed. You may receive fluids and medications through the IV during the procedure. A breathing tube will be placed through your mouth and into your windpipe. This will help you breathe during surgery. You will also have a catheter placed in your bladder to drain urine.
Several small incisions will be made in the abdomen. Gas will be pumped in to inflate your abdomen. This will make it easier for the doctor to see. A laparoscope and surgical tools will be inserted through the incisions. A laparoscope is a thin, lighted tool with a tiny camera. It sends images of your abdominal cavity to a monitor in the operating room. Your doctor will operate while viewing the area on this monitor.
An adjustable round band is placed around the top of the stomach and fastened into place. This creates a smaller stomach area for food. Tubing is placed from the band to an access port in the abdominal wall. The band can later be adjusted with a special saline solution and needle syringe. The incisions will be closed with staples or stitches.
The breathing tube will be removed. You will be taken to the recovery area while the anesthesia wears off.
Anesthesia will prevent pain during surgery. You may have pain and soreness at the incision site. You will be given pain medication to relieve discomfort.
The usual length of stay is 1-2 days. Your doctor may choose to keep you longer if needed.
While you are recovering at the hospital:
Be sure to follow your doctor’s instructions. You will need to practice lifelong healthy eating and exercising habits. Keep in mind after your surgery:
Your new stomach pouch will be the size of a small egg. It will be slow to empty. This will make you feel full quickly. Nutritional guidelines include:
You may need to take medications, as directed by your doctor, which may include:
Ask your doctor if you are able to take medication in pill form. You may need to crush your medication or switch to liquid forms.
After you leave the hospital, call your doctor if any of the following occurs:
Call for medical help or go to the emergency room right away if you have:
If you think you have an emergency, call for medical help right away.
American Academy of Family Physicians
American Gastroenterological Association
Canadian Association of Gastroenterology
Bariatric surgery. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated December 2, 2013. Accessed December 9, 2013.
Gastric band operation. The British United Provident Association website. Available at:
http://www.bupa.co.uk/individuals/health-information/directory/g/gastric-band. Updated December 2012. Accessed December 9, 2013.
LapBand surgery information. Center for the Treatment of Obesity, University of California San Diego Medical Center website. Available at:
http://health.ucsd.edu/specialties/surgery/bariatric/weight-loss-surgery/gastric-band/Pages/default.aspx. Accessed December 9, 2013.
6/24/2011 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Pontiroli AE, Morabito A.
Long-term prevention of mortality in morbid obesity through bariatric surgery. a systematic review and meta-analysis of trials performed with gastric banding and gastric bypass.
Maciejewski ML, Livingston EH, et al.
Survival among high-risk patients after bariatric surgery.
Last reviewed December 2013 by Marcin Chwistek, MD; Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © EBSCO Publishing. All rights reserved.