Laparoscopic Adjustable Gastric Banding

At both Carilion Roanoke Memorial Hospital and Carilion New River Valley Medical Center, we offer laparoscopic adjustable gastric banding, a minimally invasive procedure in which a surgeon places a band around the upper part of your stomach to limit how much food you can eat. Following surgery, you will feel full after consuming small amounts.

After receiving general anesthesia, your surgeon makes between three and six small surgical cuts in your abdomen. Through these incisions, he or she positions a camera and tiny instruments, and uses them to place an adjustable band around the upper part of your stomach to separate it from the lower part. This creates a small pouch that has a narrow opening through which food passes slowly into the larger, lower part of your stomach.

Follow-up appointments are vitally important to the success of your surgery. At these appointments your doctor may make adjustments to the band to make food pass more slowly or quickly through your digestive system. It may be tightened or loosened if you are:

  • Having problems eating
  • Not losing enough weight
  • Vomiting after you eat

Risks include eroding of a gastric band, heartburn, stomach ulcers, poor nutrition and gastritis (inflammation of the stomach lining). Anesthesia risks include allergic reactions to medicines and breathing problems. Risks for any surgery are blood clots, blood loss and infection.