Mr. Jim S Khan, Consultant Laparoscopic, Colorectal & General Surgeon, Havant Hampshire
Mr Jim S Khan - Consultant Laparoscopic, Colorectal & General Surgeon : 023 9245 6034
 
Mr. Jim Khan, General Surgeon, Havant Hampshire

Obesity Surgery

Laparoscopic Adjustable Gastric Banding :: Biliopancreatic Diversion BPD
:: Tube Gastrectomy :: Gastric Bypass

Laparoscopic Adjustable Gastric Banding

Adjustable gastric banding. In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

Advantages

  • Keyhole approach : Less scarring or wound problems Earlier return to work (1-2 weeks)
  • Adjustable : By filling port the outlet size can be reduced
  • Reversible: By removing fluid or the band
  • No malabsorbtion
  • Lower risk

Disadvantages

  • Easy to cheat if chocolates or sweets taken
  • Mechanical problems
    • Prolapse
    • Pouch dilatation
    • Food bolus obstruction
    • Slippage of the stomach through the band erosion
    • Infection of the band or port leak
    • Revision rate ? 5 -10%
  • An entree portion forever

Optimal pouch capacity 30 mlss

Usual weight loss With Lap Band 50-60% of excess weight lost in 2 yrs

To find out more about Laparoscopic Gastric Banding visit www.lapband.com.au

Mr Jim S Khan - Consultant Laparoscopic, Colorectal & General Surgeon
Mr Jim S Khan - Consultant Laparoscopic, Colorectal & General Surgeon
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