Surgical Options

Lap Adjustable Gastric Band

Offered at BID-Milton or Beth Israel Deaconess Medical Center

LAP-BANDDuring this procedure, several small incisions are made in the patient’s abdomen. Using a laparoscope for guidance, the surgeon places an adjustable band around the upper portion of the stomach. The band is connected to a reservoir, which the surgeon can tighten or loosen. The Lap-Band is adjusted in our office based on the patient’s individualized weight loss and presenting physical hunger. Weight loss occurs because the newly created upper pouch will only allow the patient to consume small amounts of food at a time.

Laparoscopic Adjustable Gastric Band (LAGB) has been shown to produce sustained weight loss. The Lap-Band has been available since 2001 and is possible to be reversed. Because it is laparoscopic, this procedure is less invasive than a traditional "open" surgery and has fewer complications. Patients generally experience an improvement in obesity related health issues, such as type 2 diabetes, cardiovascular disease, sleep apnea, and hypertension.

Complications, which may occur with LAGB surgery, include:

  • Slippage of the band (2-3% of patients)
  • Band erosion (1% of patients)
  • Port infection (1% of patients)
  • Injury to adjacent organs (0.5% of patients)
  • Death within 30 days ( < 0.5% of patients)

Information has been taken from the Massachusetts Expert Panel on Weight Loss Surgery Summary from the Betsy Lehman Center for Patient Safety and Medical Error Reduction within the Department of Public Health.