An Effective Solution for Obese Patients

There are several types of surgery for weight loss currently available to obese patients.  Thanks to recent medical advances, these surgeries are considered no more risky than gallbladder removal.  Here, we summarize an article by colleagues of Dr. Christine Ren-Fielding which profiles one such bariatric surgery.  Laparoscopic gastric banding is a safe, minimally invasive surgical solution for those who have had difficulty losing weight other ways.  We describe how laparoscopic gastric banding works and how it helps individuals to lose excess weight.

Bariatric Surgery: A Safe and Reliable Option

Bariatric surgeons take many factors into account when discussing surgery for weight loss with patients. Laparoscopic gastric banding has the lowest perioperative risk compared with sleeve gastrectomy, gastric bypass, and duodenal switch. Laparoscopic gastric banding results in about 50% loss of excess weight when measured at 5 years after the procedure. While reoperations do occur, recent improvements in technique have resulted in a decrease in reoperation rates.

How Laparoscopic Adjustable Gastric Banding Works

A diagram showing placement of the adjustable band near the top of the stomach.

There are two kinds of gastric bands available in the United States, each involving an inflatable medical device.  This band is connected to a subcutaneous port usually located on the abdominal wall.  Through this port, saline is injected to adjust the size of the band opening.

Next, the gastric band is placed laparoscopically through several small incisions or through a single opening, often near the umbilicus. The gastric band is then placed right below the gastroesophageal junction. The tubing of the band connects to the port, and is placed subcutaneously. When adjustments are needed, they can be done under fluoroscopic guidance, or gradually during an office visit. Adjustments work by inflating the band balloon, constricting the stomach, and thus restricting the patient’s food intake.

Aftercare with a Bariatric Surgery Expert Like Dr. Christine Ren-Fielding

Research shows that aftercare with bariatric surgery experts like Dr. Christine Ren-Fielding is critical for sustained weight reduction. In addition to monitoring overall health, the bariatric surgeon will make necessary band adjustments. Studies show that patients who meet with their surgeon over six times during the first year after this bariatric surgery have optimal weight reduction results.

Interested in Surgery for Weight Loss?

Are you are considering laparoscopic gastric banding or another surgery for weight loss?  Please consult Dr. Christine Ren-Fielding and colleagues at the NYU Langone Weight Management Program.