Laparoscopic adjustable gastric banding (also known as “Lap-Band” or “the band”) is the least invasive method of weight loss surgery. It is an outpatient procedure which involves an inflatable band that is placed around the upper portion of the stomach, creating a small stomach pouch above the band, and the rest of the stomach below the band. The upper, smaller pouch receives food and can only hold six to eight ounces ensuring you feel full more quickly. The food then enters the lower, larger pouch of the stomach, which further allows you to feel full for a longer period of time. LapBand® surgery involves no cutting or stapling of the stomach. Recovery occurs fairly quickly, as compared to other weight loss surgery methods. Lap-Band® surgery patients usually lose 1.5 to 2 pounds per week following surgery, and 50% of their excess weight is typically lost in the first year after the procedure.
Office based adjustments are made to the tightness of the band depending on the degree of restriction a person feels and how well they are losing weight. You’ll need to be seen on an ongoing basis so that the band can be adjusted to fit your needs. Patients who have a continuous relationship with our medical team tend to be most successful.
The Bariatric Center of Kansas City uses office-based fluoroscopy to assist patients in maximizing the filling results of their gastric band adjustments. Using an X-ray machine, the surgeons are able to fill the band and visualize in real time how fast the band empties. This allows us to more accurately achieve the level of restriction desired for controlling hunger and avoids overfilling or obstruction of the band. The patient is able to visually see all this as it is happening which also gives a greater sense of what’s going on when they eat or drink.
If someone has had their band placed at another practice, state or out of the country, we can assess their band for any need of adjustment. We welcome “out of towners” or those who want to change practices.
In comparison to the other bariatric surgeries (gastric bypass or gastric sleeve), the band has less weight loss overall and is typically associated with more long-term complications (vomiting, acid reflux, difficulty swallowing) and more reoperations.
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The Bariatric Center of Kansas City is the largest center for laparoscopic weight loss surgery in the Kansas City metropolitan area. We are listed by the Surgical Review Corporation as a Bariatric Center of Excellence.
Dr. Stanley Hoehn has served on university faculties and have received specialty training in the field of laparoscopic weight loss surgery from surgeons who developed laparoscopic techniques. In addition to the dedicated surgeons, we are also staffed with with physician assistants, nursing and supporting staff that have years of experience in providing compassionate, American Society for Metabolic and Bariatric Surgeryatient-centered care.
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