Adjustable Gastric Band (Lap Band)
UPMC Chautauqua WCA
31 Sherman Street Building, Suite 2500
UPMC Chautauqua WCA)
Jamestown, NY 14701
Fax: (716) 485-7878
7:30 a.m. – 4:00 p.m.
Our Bariatric Physician
Galo Grijalva, MD FACS
This is a diagram of the adjustable gastric band. A soft plastic band is placed at the top of your stomach, dividing the stomach into two compartments. The small portion of stomach above the band is called the pouch. The outlet, or stoma, is created by placing the band around the upper part of your stomach. The band is adjustable as it can be filled with saline to alter the size of the outlet between the two parts of the stomach. The size of the outlet helps control the passage of food from the pouch to the main stomach. As the outlet is made smaller by filling the band, you will feel full sooner and have a feeling of satiety. Because the stomach and intestines are not rerouted, food will still travel through all parts of your digestive tract. Because of this, there is less chance for nutritional deficiencies.
Immediately after the surgery, the band will not be filled. However, due to swelling at the surgical site, you will feel some restriction. The outlet between the pouch and the main stomach will be very small. Because of this, we will maintain you on a high-protein liquid and soft-solid diet during the first two weeks after surgery. As you begin to take medications, remember that they must be small enough to pass through the outlet. We will ask you to crush your pills, or take them in a chewable or liquid form. It is very important not to overeat early after surgery. This can result in slippage of the band which will limit its effectiveness.