Complications of Gastric Bands

  • Bradley F. SchwackEmail author
  • Christine Ren Fielding
  • Jaime Ponce


Laparoscopic adjustable gastric banding (LAGB) is a restrictive bariatric operation. The procedure involves the placement of a gastric band around the upper part of the stomach, just below the gastroesophageal junction. This device is adjustable, and the procedure is devoid of any resection—no staples used at all. The procedure is unique in the fact that it requires strict follow-up with subsequent “fills” of the band in order to attain the proper level of satiety. These fills are performed in the office with a non-coring Huber needle. A patient’s success with a LAGB is directly proportional to the patient’s ability to follow up and the surgeon’s availability to provide such follow-up.


Gastric band complications Gastric band outcomes Bariatric surgery Bariatric revision 



Excess weight lost


Laparoscopic adjustable gastric banding


  1. 1.
    Ponce J, Dixon JB. 2004 ASBS consensus conference. Laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2005;1:310–6.CrossRefPubMedGoogle Scholar
  2. 2.
    Fielding GF, Ren CR. Laparoscopic adjustable gastric band. Surg Clin N Am. 2005;85:129–40.CrossRefPubMedGoogle Scholar
  3. 3.
    Cunneen SA. Review of meta-analytic comparisons of bariatric surgery with focus on laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2008;4:S47–55.CrossRefPubMedGoogle Scholar
  4. 4.
    O’Brien PE, MacDonald L, Anderson M, Brennan L, Brown WA. Long term outcomes after bariatric surgery: fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgery literature. Ann Surg. 2013;257:87–94.CrossRefPubMedGoogle Scholar
  5. 5.
    Gulkarov I, Wetterau M, Ren CJ, Fielding GA. Hiatal hernia repair at the initial laparoscopic adjustable gastric band operation reduces the need for reoperation. Surg Endosc. 2008;22:1035–41.CrossRefPubMedGoogle Scholar
  6. 6.
    Ponce J, Fromm R, Paynter S. Outcomes after laparoscopic adjustable gastric band repositioning for slippage or pouch dilation. Surg Obes Relat Dis. 2006;2:627–31.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Bradley F. Schwack
    • 1
    Email author
  • Christine Ren Fielding
    • 2
  • Jaime Ponce
    • 3
  1. 1.Department of SurgeryNew York University School of Medicine – NYU Langone Medical CenterNew YorkUSA
  2. 2.Department of SurgeryNYU School of MedicineNew YorkUSA
  3. 3.CHI Memorial HospitalChattanoogaUSA

Personalised recommendations