RT Book, Section
A1 Hunter, John G.
A1 Spight, Donn H.
A1 Sandone, Corinne
A1 Fairman, Jennifer E.
SR Print(0)
ID 1162530684
T1 Gastric Band Placement
T2 Atlas of Minimally Invasive Surgical Operations
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071449052
LK accesssurgery.mhmedical.com/content.aspx?aid=1162530684
RD 2024/04/19
AB Gastric  banding  involves  the  placement  of  a  prosthetic  band  around  the  upper  stomach,  to  create  a  small  gastric  pouch  similar  to  gastric  bypass,  but  without  the  need  for  transection  or  anastomosis  of  the  gastrointestinal  tract.  Surgeons  in  Europe  and  Australia  have  accumulated  significant  experience  with  gastric  banding  over  the  past  three  decades.  As  data  accumulate,  it  has  become  clear  that  weight  loss  and  metabolic  disease  remission  outcomes  after  gastric  banding  do  not  match  those  associated  with  gastric  bypass  or  sleeve  gastrectomy,  and  long-term  morbidity  requiring  band  explant  may  exceed  50%.  Nonetheless,  peri-operative  major  morbidity  and  mortality  associated  with  gastric  banding  is  5–10-fold  lower  than  that  associated  with  gastric  bypass  and  sleeve  gastrectomy.  As  such,  gastric  banding,  while  waning  in  use,  remains  a  component  of  the  bariatric  surgery  armamentarium.  Gastric  band  patients  often  require  multiple  fills  of  the  band  reservoir  before  weight  loss  begins,  and  they  typically  achieve  maximal  weight  loss  after  2  to  5  years.  Patients  who  have  difficulty  with  frequent  postoperative  visits  may  not  be  ideal  band  candidates,  nor  are  patients  who  do  not  understand  the  postoperative  care  involved  in  gastric  banding.  Candidacy  for  gastric  banding  is  dictated  by  National  Institutes  of  Health  (NIH)  criteria  for  bariatric  surgery  and  require  patients  to  have  a  body  mass  index  of  at  least  40,  or  at  least  35  with  a  serious  obesity-related  comorbidity.  In  addition,  patients  should  demonstrate  a  full  understanding  of  the  advantages  and  disadvantages  of  gastric  banding,  and  a  willingness  to  comply  with  postoperative  care.