A laparoscopic adjustable gastric band is an excellent operation, when placed correctly by an experienced surgeon, for the right person, as part of a comprehensive package with long-term, unlimited dietetic aftercare and gastric band adjustments.


The LAGB’s reputation has fallen, not because it is a poor procedure, but because some surgeons have positioned the LAGB poorly and the weight loss surgery organisations they work for have not provided the aftercare, needed for successful weight loss.


What sort of person is suitable for the LAGB?

  • Younger, active patients
  • Lower BMIs, typically 35 to 45 kg/m2
  • Highly motivated; have dieted well in the past, but been unable to maintain the weight loss
  • Lose weight relatively quickly with low calorie diets, like weight watchers and slimming world
  • Structured eating, large portions, but little grazing, with a savoury tooth


What sort of person may not do well with the LAGB?

  • Older patients, with low calorie expenditure
  • Higher BMI patients, who need to lose 8-10 stone, or more
  • Patients who struggle to lose weight or lose weight very slowly with weight watcher or slimming world.
  • Patients who graze, with a sweet tooth, who favour chocolate, sweets, biscuits etc, which would sabotage their weight loss with a LAGB


If you think you fall into the second group, reliable weight loss is more likely with a sleeve gastrectomy or a gastric bypass.


Laparoscopic Adjustable Gastric Band

  • Day-case procedure, or overnight stay
  • One-week recovery
  • Very low operative risk
  • Longer term risk of LAGB slip, which can be serious, but can usually be avoided by working well with the LAGB.
  • Good weight loss; 50 -70% of extra-weight, with good aftercare.


How does it work?

The LAGB has an inflatable, inner reservoir, that can be filled, via an access port, placed under the patient’s abdominal wall skin. The reservoir is gradually filled, with sterile saline, until the patient’s appetite is controlled, so they are much less hungry. Filling the LAGB, also makes patients slow down when they eat, so they eat smaller portions, with a reduced daily calorie intake.


The key to success, as with any weight loss surgery, is appetite control. Most diets fail, because of an overwhelming increase in appetite, that will-power can only overcome, for so long.


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