Laparoscopic Adjustable Gastric Banding: Controversies

  • Mohammad K. Jamal
  • Eric J. DeMaria
  • Ricardo Cohen


Laparoscopic adjustable gastric banding (LAGB) has been proposed as a treatment of choice for morbid obesity by many bariatric surgeons around the world. It has been the most commonly performed bariatric procedure in Australia and Europe since the early 1990s (1). After its approval in 2001 in the United States by the Food and Drug Administration (FDA), the use of the Lap-Band has increased and has provided patients with an alternative treatment to the Roux-en-Y gastric bypass (RYGBP). The LAGB is a purely restrictive procedure like the vertical banded gastroplasty (VBG), thereby excluding any bowel anastomosis, staple line complications, or risk of leaks. As evident from the long-term follow-up of purely restrictive procedures like VBG, excess weight loss and consequent cure of comorbidities may be modest when compared to other procedures such as the RYGBP or combined restrictive and malabsorptive procedures. Furthermore, minimal long-term weight loss benefits of VBG have suggested that this procedure is not durable.


Gastric Bypass Morbid Obesity Gastric Banding Laparoscopic Adjustable Gastric Banding Excess Weight Loss 
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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Mohammad K. Jamal
    • 1
  • Eric J. DeMaria
    • 2
  • Ricardo Cohen
    • 3
  1. 1.Department of SurgeryUniversity of Iowa Carver College of MedicineIowa CityUSA
  2. 2.Department of SurgeryDuke University Medical CenterDurhamUSA
  3. 3.Center for the Surgical Treatment of Morbid ObesityHospital Sao PauloSao PauloBrazil

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