Adjustable Gastric Banding
The adjustable gastric banding was approved and became widely used in the United States starting in 2002-2004. The early resulting data was acceptable in regards to the excess weight loss and the complication rates associated with it.
As more and more scientific data was published, it became clear that adjustable gastric banding was not as benign or effective as initially thought. The associated weight loss was significantly less for the majority of patients. This information was even present in the literature provided to patients by the manufacturer. Additionally patients started developing delayed complications associated with the band, which include esophageal dysmotility, a worsening of reflux, and continuous nausea and vomiting, in addition to inadequate weight loss.
In my opinion, the adjustable gastric banding procedures are inferior to the alternatives available. The specifics of different surgical outcomes are outlined on the poster available on our website. Adjustable gastric banding should be considered as a last resort, if at all, as a surgical procedure for treatment of morbid obesity and its associated comorbidities. Other complications that continue to plague adjustable gastric banding include slipped band, erosion, esophageal dilatation, and the required need for frequent adjustments.
The LAP-BAND AP® System