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Laparoscopic Band

Laparoscopic gastric banding is recommended for those with a body mass index (BMI) over 40; however, the gastric band is still considered investigational for adolescents. Enrollment of patients in a study evaluating the gastric band in adolescents has been completed, and long-term results are awaited. The Food and Drug Administration (FDA) has not approved the device for patients younger than 18 years. The procedure is also losing favor in Europe because of poor long-term outcomes.

We have the following concerns with the gastric band:

  1. Less weight-loss than with other surgeries
  2. Decreased quality-of-life as a consequence of vomiting and nausea
  3. Need for ongoing follow-up visits to adjust the band
  4. Bands are frequently removed because of long-term complications (including infection, migration and erosion)
  5. The band can injure the stomach, which can impact the risk of future weight-loss surgeries
  6. There is a potential for long-term injury of the esophagus and lower esophageal sphincter

Learn more about laparoscopic gastric banding

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