Gastric Banding (Lap-Band)

Lap-Band surgery helps promote weight loss by dividing the stomach into two smaller pouches. Because the upper stomach pouch can hold only a small amount of food — and this food moves more slowly between the upper and lower stomach as it’s digested — people with a gastric band feel full sooner. As a result, they eat less and gradually lose weight.

During the gastric banding procedure, a silicone band containing an inflatable balloon is placed around the upper part of your stomach. When the balloon is inflated with saline fluid, which tightens the band, your stomach is divided into a small upper pouch and a larger lower pouch. The opening between these two pouches, called a stoma, can be made smaller or larger by inflating or deflating the balloon.

In addition to the band around your stomach, a small device called a port will be placed under the skin in your abdominal area. The port is connected by a tube to the band around your stomach, allowing fluid to be added or removed from the balloon.

Unlike other bariatric surgery methods that permanently reduce the size of your stomach, gastric banding can be removed at any time. The “tightness” of the band is also easily adjusted in your doctor’s office to increase or decrease the rate of weight loss. 

For example:

• If the band is too loose and weight loss is inadequate, adding more saline will tighten the band and reduce the size of the opening between the two pouches (stoma), which further restricts the amount of food that can move through.
• If the band is too tight, removing some saline will loosen the band and reduce the amount of restriction.

The tightness of the band can be adjusted to meet your individual needs, which can change over time. For example, pregnant patients can expand their band to allow them to eat more food and support a growing fetus, while patients who are not experiencing significant weight loss can have their bands tightened.

Our bariatric surgery team can manage existing lap-bands, but we do not perform new lap-band placements.