LAGB Removal

About This Surgery

In the 1990s, the laparoscopic adjustable gastric band (LAGB) emerged as a less invasive alternative to traditional gastric bypass surgery for weight loss.

Placing an adjustable silicone band around the upper stomach initially showed promise in reducing food intake and facilitating weight loss. Concerns about long-term effectiveness and complications such as band slippage and erosion have led to reduced utilisation and increased removal surgeries. Consequently, LAGB is now less commonly recommended due to suboptimal weight loss outcomes, with removal often advised when patients experience persistent issues or fail to achieve desired results.

Key Facts

Removal is a

Laparoscopic operation

potential

Risks exist

Recovery

Varies from patient to patient

Weight regain

Can be problematic

Advantages

Resolution of complications: These include band slippage, erosion, or intolerance, which may improve overall health and quality of life.
Improved digestive function: Improved reflux, difficulty swallowing, or discomfort symptoms.
Enhanced weight loss options: After removal, patients can consider alternative weight loss options or surgery eg. sleeve gastrectomy or gastric bypass.
Reduced risk of long-term complications: Avoids the risk of erosion, reflux and pneumonia, improving health outcomes.
Restoration of dietary flexibility: Patients can enjoy a wider variety of foods and have a more flexible and enjoyable relationship with food, promoting a healthier lifestyle.

Disadvantages

Weight regain: Removing a band can lead to weight regain in some individuals, especially if alternative weight loss strategies are not implemented.
Surgical risks: There are risks associated with the removal of the gastric band, including infection, bleeding and injury to surrounding organs.
Potential for digestive changes: Patients may experience changes in digestive function after removal, such as increased reflux or difficulty with food tolerance.
Loss of initial investment: Patients who have gastric band removal may perceive it as a loss of the financial and emotional investment made in the first operation.
Psychological impact: Removing the gastric band may evoke feelings of failure or disappointment impacting their mental well-being and body image.

Is this right for me?

Persistent Reflux or Heartburn: Ongoing reflux or heartburn despite lifestyle modifications and medication.
Difficulty Eating or Swallowing: Uncomfortable eating or difficulty swallowing can impact quality of life.
Weight Loss Plateau or Inadequate Weight Loss: Weight loss plateau or failed weight loss goals could be improved by removal and other weight loss options or revisional surgeries considered.
Band-related Complications: Band slippage, erosion, or infection may force removal to prevent further health issues.
Improved Quality of Life: Living with a gastric band may negatively impact quality of life due to symptoms, dietary restrictions, or psychological factors. Removal could improve this.
Desire for Alternative Weight Loss Strategies: If you prefer a different approach to weight loss or have concerns about the long-term implications of the gastric band, removal may be a viable option.

Surgery FAQs

How do I know if I'm a candidate for gastric band removal surgery?

You may be a candidate for gastric band removal surgery if you experience complications with your gastric band like band slippage, erosion, or inadequate weight loss, and if other treatment options have been explored.

Why might someone consider having their gastric band removed?

Reasons for considering gastric band removal include unresolved complications like reflux, difficulty swallowing, or band intolerance, or if weight loss goals have not been met despite adherence to post-surgery guidelines.

What are the risks associated with gastric band removal?

Risks associated with gastric band removal include infection, bleeding, injury to surrounding organs, and potential complications from anaesthesia.

How is gastric band removal surgery performed?

Gastric band removal surgery is typically performed laparoscopically, where small incisions are made in the abdomen, and the band is carefully dissected and removed.

How long does gastric band removal surgery typically take?

The duration of gastric band removal surgery usually ranges from 30 minutes to an hour, depending on the complexity of the procedure and any additional issues encountered during surgery.

What is the recovery process like after gastric band removal?

After gastric band removal, the recovery process involves monitoring for any complications, managing pain and discomfort, gradually reintroducing food, and following post-operative instructions provided by your surgeon.

Will I experience any changes in weight or appetite after having my gastric band removed?

After gastric band removal, some individuals may experience changes in weight or appetite, which can vary depending on factors such as diet, exercise habits, and overall health.

Are there any dietary or lifestyle changes I need to make after gastric band removal?

Following gastric band removal, the New Me Surgery team may recommend dietary modifications and lifestyle changes to support your overall health and weight management goals.

What are the potential complications or side effects of gastric band removal?

Potential complications or side effects of gastric band removal include infection, bleeding, scarring, and changes in digestive function, such as reflux or difficulty swallowing.

Can I undergo another weight loss surgery after having my gastric band removed?

After gastric band removal, you may still be eligible for other weight loss surgeries, depending on factors such as your overall health, weight loss goals, and the recommendation of your New Me Surgeon.

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