A Gastric band is a weight loss procedure offered at the Better Weigh Center by Lloyd Stegemann, M.D., and Jegan Gopal, M.D. at Bay Area Medical Center Hospital for patients considering weight loss surgery. The procedure is conducted at the Bay Area Medical Center Hospital in Corpus Christi, TX.
What is It?
Gastric banding is the only weight loss surgery that in no way alters the natural anatomy. Using an adjustable band that slips over the stomach, Dr. Stegemann can inflate or deflate the band allowing for a restriction of food intake resulting in weight loss.
Unlike the gastric bypass or gastric sleeve, adjustable gastric banding does not rely on metabolic or hormonal weight loss methods, and works exclusively based on the restriction method.
The procedure is ideal for patients with a lower BMI as weight loss is less drastic.
Benefits of Adjustable Gastric Banding
- Lowest risk of death in the first 30 days after surgery
- Natural Anatomy Unchanged
- Slow, steady weight loss (1-2 pounds a week)
- Still able to eat sugar without feeling sick
- Low risk of nutritional or vitamin and mineral deficiencies
- Expected improvement in weight related medical problems if weight is lost
As with any surgery, there are potential risks associated with Adjustable Gastric Banding. While all of the risks listed below are possible, the likelihood of them occurring is often based on your overall health and medical problems prior to surgery. When you meet with Dr. Stegemann he will discuss with you your individual risks.
Potential risks of Adjustable Gastric Banding include, but are not limited to:
- •Anesthesia reactions
- •Blood Clots in legs or lungs
- •Breathing Problems
- •Injury to stomach, esophagus, liver, or spleen
- •Conversion to open procedure (large incision)
- •Band Erosion
- •Band Slippage
- •Band Leakage
- •Port Displacement
- •Port Infection
- •Pouch Enlargement
- •Disconnection from Port
- •Dysphagia (difficulty swallowing)
- •Need for additional procedures
- •Failure to lose weight
- •Vitamin and mineral deficiencies
Is the Band Right For Me?
In our experience, Adjustable Gastric Banding is useful for patients that have a lower BMI and are very good at following weight loss programs. The most successful band patients we have seen are those who have been able to take off significant amounts of weight with diet and exercise in the past, but were unable to maintain that weight loss long –term. The band is very helpful during this maintenance phase.
The band works well to control hunger and limit portion size. The adjustable gastric band works by limiting how much solid food a patient can eat in one meal so patients who snack frequently or take in significant amounts of high calorie liquids (soda, sweet tea, milkshakes, juice, alcohol, etc) are often quite disappointed with their weight loss results. If one of your main issues when it comes to eating is portion size (vs food choice!), a band might be a good option for you.
Weight loss with an Adjustable Gastric Band is slow and steady so band patients need to be patient when it comes to their weight loss. If a band patient is following our program closely, then they should expect to lose 1-2 pounds a week. If they are not following the program closely or if they fail to get their band filled periodically, the weight will come off much slower or will not come off at all. In the first two years after surgery, it is expected that a band patient will lose around 50% of the extra weight they are carrying. This means that if you are 100 lbs overweight, you can expect to see a weight loss of at least 50 lbs in the first two years after the band is put in. Again, in our experience, this expected weight loss is only seen in patients who follow the program closely and have their band filled periodically.
As long as a patient has realistic expectations and is committed to working with our program, the Adjustable Gastric Band is a reasonable weight loss surgery option!