Adjustable Gastric Band / Gregory Schroder, MD, FACS

Adjustable Gastric Band / Gregory Schroder, MD, FACS


– The laparoscopic adjustable
gastric band is a restrictive operation
we provide to our patients to help
them lose weight. The band is a foreign
body that is placed inside of the abdomen laparoscopically and goes around the
stomach, near the upper part of the stomach to create
a four ounce pouch. Initially, when the band is in, it doesn’t have any
fluid in it, and it allows free passage
of whatever you eat to go through the
whole stomach. The band however, has a
balloon on the inside of it, and it has a port which
sits on the under surface of the skin on the
abdominal wall that allows us to place a
small, skinny needle into it and put fluid into the
band to allow the band to go from a half dollar
size opening to the size of a pencil. Once that band has been adjusted
to the size of a pencil, when a patient eats four ounces
of food they feel fullness. It takes time for that food
to go through the band, which keeps that
sense of fullness for about four to five
hours after they’ve eaten that four-ounce meal. As a result, that hunger
that patients feel is gone. They feel full for about
four to five hours. They eat three four-ounce
meals a day, which is approximately
1,000 to 1,200 calories, and they lose about
two pounds a week. The weight loss with
the laparoscopic adjustable gastric band is
not as aggressive or quick as with the gastric bypass
or the sleeve gastrectomy. After you’ve had the
adjustable gastric band, we expect you to lose
about 50 pounds in your first year
after surgery. During the second year,
we expect you to get up to about 55% of your excess
body weight or about 55 pounds if
you’re 100 pounds over your ideal body weight. And by the third year,
hopefully close to about 58 or 60% of your excess
body weight.

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