Laparascopic Adustable Gastric Banding (LAP BAND® SYSTEM)

*** In my practice, LapBanding has been entirely replaced by LAPAROSCOPIC SLEEVE GASTRECTOMIES.


Adjustable gastric banding or the LAP-BAND® procedure : In this restrictive weight-loss 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.



  • Keyhole approach …. Less scarring or wound problems. Earlier return to work (1-2 weeks)
  • Adjustable : by filling the LAP-BAND® port the outlet size can be reduced which encourages weight-loss
  • Reversible: By removing fluid (or rarely) the LAP-BAND®.
  • No malabsorbtion
  • Lower risk


  • Easy to cheat …. if chocolates, sweets, high-calorie foods are swallowed, then weight-loss will be sub-optimal
  • Mechanical problems:
    • prolapse/slippage of stomach through the LAP-BAND®
    • pouch dilatation
    • food bolus obstruction
    • LAP-BAND® erosion
    • infection of the LAP-BAND® or port leakage
    • Revision rate 5 -10%
  • An entree portion forever

Optimal pouch capacity 30 mls

Weight loss with Laparoscopic Band may be 50-60% of excess weight in 2 years