• Dr. Jitesh Parmar

Gastric Band Removal

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Removal of Gastric Band Procedure


Dr. Parmar offers gastric band removal surgery for patients experiencing complications, insufficient weight loss, or who request removal after long-term use. This minimally invasive procedure is performed laparoscopically (keyhole surgery) under general anaesthesia. During the surgery, the entire gastric band, along with its tubing and skin port, is removed. The operation typically lasts 30 to 60 minutes, and most patients can return home the same day. Although the risk of complications—such as conversion to open surgery, wound infection, or injury to internal structures—is minimal, Dr. Parmar will thoroughly explain the procedure, risks, and expected outcomes during the consultation.

Gastric Band Surgery : A Comprehensive Overview


What is Gastric Band Surgery?

Gastric band surgery, also known as laparoscopic adjustable gastric banding (LAGB) or lap band surgery, is a weight-loss procedure designed to restrict food intake without permanently altering the stomach's anatomy.

This minimally invasive keyhole surgery involves placing an inflatable silicone band around the upper part of the stomach. This creates a small pouch, limiting food intake and promoting a feeling of fullness after smaller meals. By reducing calorie consumption and prolonging satiety, the procedure supports effective and sustained weight loss.

How the Gastric Band Works


The gastric band creates a small stomach pouch at the upper part of the stomach with a narrow opening to the rest of the stomach.

  • Adjustability :  The band is connected to a small port placed under the skin, allowing adjustments. Fluid can be injected or removed to tighten or loosen the band, controlling the passage of food and adjusting the rate of weight loss.
  • Mechanism :  Food enters the small pouch before passing through the adjustable channel into the rest of the stomach. A tighter band slows this process, encouraging smaller portions and reduced calorie intake.
  • Hormonal Changes :  Alters gut hormones, helping to control appetite and cravings.

Benefits of Gastric Band Surgery


  • Reversible and Adjustable : The procedure is less invasive and easier to reverse compared to other bariatric surgeries. Adjustments can be made to optimize results.
  • Shorter Recovery Time : Laparoscopic surgery results in a shorter hospital stay compared to gastric bypass or sleeve gastrectomy.
  • Feeling of Fullness : Patients feel full quicker and stay full longer, making it easier to manage portion sizes.

Criteria for Gastric Band Surgery


This procedure is typically recommended for individuals who:

  • Have a BMI of 35+ and prefer a lower-risk, reversible procedure.
  • Have a BMI of 30+ with obesity-related conditions such as diabetes, hypertension, or sleep apnea.
  • Have struggled to achieve significant weight loss through diet and exercise alone.
  • Are committed to permanent lifestyle changes, including dietary modifications and follow-up care.

Expected Results


  • Weight Loss : Patients can expect gradual weight loss of 1–2 pounds per week. Studies suggest that most individuals lose 15–20% of their total body weight within the first year, with some achieving a reduction of 20–25% over time.
  • Sustained Results : Success depends on adhering to dietary and lifestyle recommendations, including regular exercise. Routine follow-ups are essential to adjust the band for optimal effectiveness.

Complications and Risks


Immediate Risks

As with any surgery, risks associated with general anaesthesia include wound infection, chest infection, deep vein thrombosis (DVT), or pulmonary embolism.

Long-Term Complications

While the gastric band offers many benefits, there are significant long-term risks, with complication rates reported in up to 30 - 40% of patients. These include:

Weight Management Issues :
  • Inadequate weight loss or future weight regain.
Mechanical Complications :
  • Band Slippage: May require emergency surgery in acute cases or lead to chronic pouch dilation.
  • Port or Tubing Issues: Displacement, leaks, or flipping of the access port may necessitate reoperation.
Digestive Problems :
  • Acid Reflux: Heartburn, indigestion, or regurgitation.
  • Capsule Formation: Dense scarring around the band, causing difficulty swallowing or eating.
  • Oesophageal Dilation: Enlargement of the gullet, leading to eating difficulties.
Band Erosion :
  • Ulceration of the stomach wall due to the band, which can result in infections and require removal.

Limitations of Gastric Band Surgery


Due to the high rates of complications and the likelihood of future band removal, Dr. Parmar has discontinued offering gastric band surgery as a weight-loss solution.

Patients considering this procedure should be aware of the potential for follow-up surgeries and weigh the risks against the benefits of other bariatric options such as gastric bypass or sleeve gastrectomy.