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The ASMBS Textbook of Bariatric Surgery pp 193–204Cite as

Laparoscopic Adjustable Gastric Banding: Technique and Outcomes

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Abstract

After a period of evolution of the laparoscopic adjustable gastric banding technique, the pars flaccida approach has been established with the creation of a very small upper gastric pouch, primarily anteriorly and the dissection of the lesser curvature of the stomach including the neurovascular bundle of the lesser omentum. Suture fixation of the anterior wall of the stomach, with gastrogastric sutures, is performed to stabilize the band anteriorly. The system is assembled, and the port for inflation and deflation of the band is secured onto the rectus fascia of the anterior abdominal wall. Adjustment of the band through the access port is an essential part of the technique. Appropriate and initially frequent adjustments are critical for successful outcomes.

The adjustable gastric banding is proving to be an acceptable form of bariatric surgery because of its safety, effectiveness, long-term weight loss, and reversibility. Weight loss is variable ranging from 36 to 56 % of the excess body weight at 3–5 years and an average of 48 % at long-term follow-up (>10 years) with a wide range of revisions and removals.

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Author information

Authors and Affiliations

  1. Bariatric Surgery, Hamilton Medical Center, 1504 Broadrick Drive, Dalton, GA, 30720, USA

    Jaime Ponce MD, FACS, FASMBS

Authors
  1. Jaime Ponce MD, FACS, FASMBS
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Corresponding author

Correspondence to Jaime Ponce MD, FACS, FASMBS .

Editor information

Editors and Affiliations

  1. Division of Gastrointestinal Surgery, Department of Surgery, University of California, Irvine Medical Center, Orange, California, USA

    Ninh T. Nguyen

  2. Scottsdale Bariatric Center, Scottsdale, Arizona, USA

    Robin P. Blackstone

  3. Section of Bariatric and Minimally Invasive (BMI) Surgery, Stanford School of Medicine, Stanford, California, USA

    John M. Morton

  4. Bariatric Surgery, Hamilton Medical Center, Dalton, Georgia, USA

    Jaime Ponce

  5. Professor of Surgery and Chairman Department of General Surgery Director, The Bariatric and Metabolic Institute Cleveland Clinic, Weston, Florida, USA

    Raul J. Rosenthal

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© 2015 Springer Science+Business Media New York

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Ponce, J. (2015). Laparoscopic Adjustable Gastric Banding: Technique and Outcomes. In: Nguyen, N., Blackstone, R., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1206-3_16

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  • DOI: https://doi.org/10.1007/978-1-4939-1206-3_16

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1205-6

  • Online ISBN: 978-1-4939-1206-3

  • eBook Packages: MedicineMedicine (R0)

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