Gastric Band

Gastric Band Surgery

Gastric band surgery is a form of weight loss surgery where a surgeon places a specialised band around the stomach, sometimes called a lap band. The band temporarily divides your stomach into two pouches, reducing its volume and helping you feel full sooner to prevent overeating and excessive weight gain.

A laparoscopic adjustable gastric band is a ring made from soft, medical-grade silicone that fits around the upper portion of your stomach. The band has an inflatable balloon inside it that helps adjust its tightness. Gastric bands are attached to an injection port fixed to your abdominal wall below the skin via soft tubing. Your surgeon will use this port to inflate and deflate the band when it requires adjustment.

You may benefit from gastric band surgery if you suffer from obesity and your body mass index (BMI) is over 30. Your doctor may also suggest a lap band if you have other obesity-related health issues, such as diabetes, sleep apnoea, or hypertension. This procedure may be beneficial if you have tried non-surgical weight loss methods, such as medication, dieting, and exercise programmes, without success.

How is a Gastric Band Adjusted?

You can get your band adjusted to change how much food typically passes through your stomach as you progress with your weight loss.

The gastric band is attached to a piece of tubing with a port at the end, which the surgeon fixes to the abdominal wall below your skin during the insertion operation. Your specialist can fill your lap band with fluid, typically a saline solution, or deflate it to change its tightness around your stomach after the initial surgery.

The doctor will insert a needle into the port under your skin to inject saline solution through the tube and into your gastric band. As the band fills up, it puts pressure on your stomach to shape it into two compartments – a small upper pouch and a larger lower stomach.

Tightening the lap band creates a smaller opening between the two sections of your stomach, making it more difficult for large amounts of food to pass through it at once. This helps food move more slowly through the stomach, preventing you from feeling hungry all the time, which often leads to overeating.

How Often Do I Need To Get my Gastric Band Adjusted?

Everyone requires different levels of lap band adjustment, and visiting your specialist regularly will help you find a fit that allows you to get all the nutrients you need without gaining weight.

The frequency of adjustments depends on your nutritional intake and if you are reaching your targeted goals. You will need to adjust your gastric band at our Melbourne clinic every four weeks for at least the first six months after surgery. You may need additional adjustments to find the best fit for your lap band during the first year.

Once you have reached a point where you experience consistent weight loss, you can schedule the adjustment appointments further apart. Many surgeons suggest slight adjustments once or twice a year to make sure the band is positioned correctly and still helping you maintain your weight-loss goals. Contact your surgeon if you experience vomiting, coughing at night, or any pain which may indicate your band is too tight.

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What are the Advantages of a Gastric Band Over Other Weight Loss Surgeries?

Many bariatric surgeries are available to help you lose weight when non-surgical methods are not working. Here are some of the reasons to choose a lap band over other similar surgeries:

A lap band operation is considered to have the lowest mortality risk compared to other common weight loss procedures, such as sleeve gastrectomy and gastric bypass surgery, performed in Australia.
There is no dividing of any abdominal organs or performing an anastomosis during the procedure, reducing the risk of surgical complications. The surgery also has a relatively rapid recovery time compared to other bariatric surgeries.
Gastric Band bariatric surgery is entirely reversible. Your surgeon can remove the band with ‘key hole’ or laparoscopic surgery, unlike many other bariatric surgeries that involve removing portions of the stomach or intestine.
Gastric band surgery does not cause your body to absorb fewer nutrients from your food, unlike gastric bypass surgery. Malabsorption of nutrients connected to gastric bypass surgery may result in various deficiencies requiring you to take vitamin or mineral supplements indefinitely.

FAQs About Gastric Band Surgery

How long is the operating time for a lap band procedure?

The surgery duration is generally 30 minutes to an hour. This varies with a patient’s individual circumstances, including but not limited to their BMI, previous surgery, and medical co-morbidities.
Will I be able to feel my port?

Some people can feel their ports under the skin, and it is no cause for alarm. The larger the layer of fat covering the port, the more difficult it will be to feel and find. Talk to your specialist if you feel pain or experience inflammation at the site of the port.
What will my diet be like after lap band surgery?

Your doctor will guide your dietary restrictions for the weeks following surgery. You will likely consume only liquids immediately after the procedure to allow your stomach to heal. After a few weeks, you can reintroduce solid foods into your diet, but you will need to reduce your portion size and eat nutrient-dense foods.

Surgery Options

Please see below a list of some of the more common surgeries for Bariatric (Weight Loss), Upper Gastrointestinal (Hiatal Hernia & Anti Reflux) and General Surgery (Gall Bladder & Hernias) that Mr.Niruben currently performs.

Laparoscopic Sleeve Gastrectomy

Most common weight loss surgery done
Reduction of hunger hormone ”Ghrelin”

Laparoscopic Gastric Roux En Y Bypass

A small stomach pouch is created
The small bowel is divided so that the first part of the bowel is by-passed, and the remainder of the small bowel is attached to the newly formed pouch

Laparoscopic Mini Gastric Bypass

The first step is to create a small stomach pouch
This is connected (anastomosed) to the intestine, bypassing between 1.5m to 2mof the part of the proximal intestine

Gastric Balloon

The Gastric Balloon is a soft, saline filled silicone balloon that is temporarily inserted into the stomach without surgery, giving you a feeling of fullness. It will make you feel less hungry and feel fuller more quickly after small meals

Revisional Bariatric surgery

Gastric Sleeve to Roux En-y Gastric Bypass / Mini-gastric Bypass
Gastric Band to Roux En-y Gastric Bypass / Mini-gastric Bypass

Gastric Band

A form of weight loss surgery where a surgeon places a specialised band around the stomach
The band temporarily divides your stomach into two pouches, reducing its volume and helping you feel

Hiatal Hernia & Anti Reflux Surgery

The surgery fixes this and creates an anti-reflux effect (can have part of this done together with weight loss surgery)
No permanent Weight loss component

Gall bladder Surgery

Key hole / Laparoscopic
Average length of stay 1-2 nights
Performed for Privately insured & Self funding patients

Hernia Surgery

This is often done as key hole surgery with an overnight stay
Performed for privately insured and self funding patients

View all surgery options

Visit the Mr.Niruben

Mr.Niruben Rajasagaram is a trusted surgeon that offers gastric band surgery in Melbourne. We have extensive knowledge and experience in bariatric surgery, and our medical team is passionate about providing weight-loss solutions that help you overcome obesity and lead a healthy lifestyle.

Please don’t hesitate to contact us for more information.

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If you are thinking of this journey and would like to talk to one of our patients directly to get their perspective – Please feel free to contact us.

Gastric Band Surgery

How is a Gastric Band Adjusted?

How Often Do I Need To Get my Gastric Band Adjusted?

Connect with Our Expert Support

What are the Advantages of a Gastric Band Over Other Weight Loss Surgeries?

FAQs About Gastric Band Surgery

How long is the operating time for a lap band procedure?

Will I be able to feel my port?

What will my diet be like after lap band surgery?