Many clinicians recommend this procedure for older individual (60-65 years old) who would otherwise not be a candidate for other kinds of surgical intervention.
This procedure, which was approved in the U.S. in June 2001, is popular & is done by the Laparoscopic technique(minimally invasive, key hole surgery) and therefore recovery time is only a few days. The procedure includes an adjustable band being placed around the upper portion of the stomach, essentially resulting in a much smaller stomach. This restricts the amount of food that can be eaten, similar to the sleeve surgery.
The European literature (where the procedure has been performed for a longer period of time) shows that weight loss is similar to that seen with sleeve surgery.
Surgical Results, Complications, and Nutritional Deficiencies
At 7 years: < 50% of excess body weight lost
At 9 years: < 40 % of excess body weight lost
Major Late Complications Related to this Surgical Procedure
Medical Complications of this Procedure Include: Band slippage, Erosion of the band into the stomach, Dilation of the esophagus & infections (many of which require removal of the device).
Band eroding into the stomach: 3.3%
Slippage: 6.5 %
Leakage: 9.8%
Major reapportion: 24.4%
Nutritional Deficiencies from Gastric Banding:
Rarely significant nutritional deficiencies from the surgery itself occur
Thiamine deficiency if persistent vomiting occurs
Occasional protein deficiency from “induced ” dietary changes
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