Adjustable Gastric Banding
Adjustable Gastric Banding, also known as AGB, is the only weight loss surgery that is adjustable. The surgeon places an adjustable silicone ring, or band, around the top part of the stomach to create a small 2 oz. pouch.
AGB moderately restricts the volume and type of foods that may be consumed. It also delays emptying of the pouch and creates a sensation of fullness. Patients are typically hospitalized overnight or for less than a day, and return to work after 1 week.
This procedure requires a regimen of lifetime nutritional supplements including a multivitamin and calcium. Patients must consume a very low calorie diet for 18-36 months following surgery, and continue to restrict calorie intake thereafter. Pain and vomiting may occur if certain foods become stuck, such as rice, bread, dense meats, nuts, or popcorn. Patients are restricted from drinking with meals.
AGB is best for patients who enjoy participating in an exercise program and are more
disciplined about following dietary restrictions.