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LAGB (Laparoscopic Adjustable Gastric Banding)

Laparoscopic adjustable gastric band surgery is basically a type of weight loss surgery which is a form of bariatric surgery. LAGB surgery is done laparoscopically as it requires small incisions in the upper abdomen. The surgeon uses laparoscopic procedure to perform gastric band surgery, where he puts an adjustable band on the top part of the stomach and creates a small pouch. The reason for creating a small pouch is that the person will be able to eat less food that will ultimately help in losing weight. The band is adjustable in nature and the process is done by adding a fluid in a balloon around the band after which it is placed around the stomach to create a pouch. This technique is quite safer and gives desirable results for weight loss.

Why is it required?

Laparoscopic adjustable gastric band procedure is used to treat severe cases of obesity. People who are unable to lose weight despite several efforts such as diet and exercise usually require this procedure. In many cases people who have chronic diseases such as hypertension, diabetes, heart diseases, breathing problems, sleep apnea are also not able to do any physical activity and hence are unable to lose weight. Therefore, in such conditions gastric band surgery becomes the only option to lose weight. The doctor recommends LAGB surgery only when a person is severely obese and has a body mass index of 40 or more.

Risk factors:

Every major surgery have some or the other health risk associated with it; similarly laparoscopic adjustable gastric band surgery also have few risks such as

  • Excessive bleeding
  • Infection
  • Blood clots in legs
  • Reaction to anesthesia
  • Slipping of band
  • Puncturing of stomach
  • Food intolerance
  • Food not reaching stomach
  • Risk of anemia
  • Inadequate weight loss

What to expect:

Laparoscopic gastric band surgery is done in order to help a person with weight loss. Performing the surgery laparoscopically has several benefits such as it requires less incisions, small cuts, lesser scars, less risk of bleeding, less risk of infection and has a shorter hospital stay. Therefore, laparoscopic gastric band surgery is a more favorable type of surgery for weight loss. Also, the type of bariatric surgery is usually recommended looking at the condition and requirement of the patient.

  • Firstly, a gastroenterologist or surgeon checks the vitals and the health condition of the patient before beginning the procedure.
  • Then an expert general anaesthesiologist gives general anesthesia before the surgery so that the patient is asleep and does not feel any pain during the procedure.
  • Then the surgeon makes small cuts or incisions in the abdomen based upon the requirement. Now, through these incisions a laparoscope is inserted that has a camera attached one side so that the doctor can see the inside organs clearly on a monitor screen.
  • Then the surgeon places the band around the upper part of the stomach so that it gets separated from the lower part. This creates a small pouch that will receive only small parts of food.
  • Also, this type of surgery does not involve any kind of stapling in the stomach. Usually, the surgery takes about 40 to 60 minutes depending upon the condition of the patient.
  • After the surgery the patient is kept under observation for at least 1 to 2 days. The doctor also recommends a few precautionary measures for faster recovery and diet to maintain weight loss.