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Lap-Band (Adjustable Gastric Banding Surgery)

What is Lap-Band surgery? 

Adjustable gastric banding surgery, also called Lap-Band surgery, is a type of bariatric (weight loss) surgery that limits how much food the stomach can hold. During the procedure, a flexible silicone band is placed around the upper part of the stomach, creating a small pouch that helps you feel full after eating smaller portions. 

Lap-Band surgery is adjustable and reversible, but it is no longer considered a preferred bariatric procedure. Research shows it leads to less weight loss and higher rates of long-term complications compared with other surgeries such as gastric sleeve or gastric bypass. 

Banner Health surgeons do not perform Lap-Band placement, but our bariatric experts provide: 

  • Adjustments and long-term management for existing bands 
  • Revisional bariatric surgery to correct complications or convert to other procedures 
  • Ongoing medical weight loss support 

How Lap-Band surgery is performed 

Lap-Band surgery is a minimally invasive laparoscopic procedure done through small incisions in the abdomen. 

During surgery: 

  • A silicone band with an inflatable balloon is placed around the upper part of the stomach. 
  • The band divides the stomach into a small upper pouch and a larger lower section, slowing digestion. 
  • The band is connected to a small port placed under the skin. 
  • During follow-up visits, your surgeon adjusts the band by adding or removing saline through the port to control tightness and food restriction. 

Who is a candidate for Lap-Band surgery? 

Lap-Band surgery was once recommended for people with: 

  • A body mass index (BMI) of 40 or higher, or 
  • A BMI of 35 or higher with obesity-related health problems such as type 2 diabetes, sleep apnea or high blood pressure. 

However, because of its limited effectiveness and higher complication rates, Lap-Band has largely been replaced by safer, more successful procedures such as: 

  • Sleeve gastrectomy (gastric sleeve) 
  • Roux-en-Y gastric bypass 

If you already have a Lap-Band, our team can evaluate your current results and discuss whether a revision surgery or band removal may help improve your long-term health outcomes. 

Advantages of Lap-Band surgery 

The Lap-Band’s primary benefit is that it is adjustable and reversible, meaning the band can be removed if needed. Other advantages include: 

  • No stomach stapling or intestinal rerouting 
  • Shorter recovery time than other procedures 

On average, patients lose 15–20% of their total body weight within two years. However, weight regain is more common compared to other bariatric procedures. 

Risks and complications 

Because Lap-Band surgery is less effective over time, the number of people choosing it has declined. Long-term complications can include: 

Band-related complications 

  • Lap-Band slippage, causing pain, nausea, or bleeding 
  • Band erosion into the stomach wall 
  • Port infection, leakage or disconnection 

Digestive issues 

  • Difficulty swallowing, nausea, or vomiting 
  • Acid reflux (GERD) or esophagitis 

General surgical risks 

  • Gallstones or gallbladder disease 
  • Blood clots and infections 

If complications occur, your bariatric surgeon may recommend Lap-Band removal or conversion to another procedure. 

Recovery and follow-up care 

After Lap-Band surgery, patients gradually progress from liquid diets to soft foods and eventually solid foods under medical supervision. Eating small portions slowly helps prevent nausea and vomiting. 

Because the band is adjustable, you’ll have regular follow-up visits to check your progress, adjust the band as needed, and monitor nutrition levels. Banner Health also provides dietitian support and nutritional counseling to help maintain weight loss safely. 

If complications develop, our surgeons are experienced in revision and removal procedures to correct band-related problems and restore your health. 

Our expert bariatric team 

Bariatric surgery is most effective when supported by a multidisciplinary care team. Banner Health’s weight loss experts provide comprehensive, compassionate care before, during and after surgery. 

Your care team may include: 

  • Bariatric surgeons 
  • Obesity medicine physicians 
  • Nurse practitioners and nurses 
  • Dietitians and behavioral health specialists 
  • Specialists in cardiology, pulmonology and sleep medicine 

Together, we’ll help you achieve long-term success and improved quality of life. 

Bariatric Center of Excellence

 Banner Health is accredited by the American Society for Metabolic and Bariatric Surgery (ASMBS) for meeting the highest standards in safety, quality and patient outcomes. 

Ready to begin your weight loss journey?

Watch our free informational video to learn about the different weight loss surgery options we offer as well as eligibility requirements and what you can expect as a patient in the program.

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