When Should a Gastric Band Be Removed?

Gastric band surgery makes up about 1% of all bariatric procedures in the United States. While gastric band procedures are highly effective for weight loss, there are times when the bands should be removed. 

To learn more about bariatric surgery and which procedures can help you lose the most weight,  schedule a consultation with David Schumacher, MD, FACS, FASMBS, at Ohio Bariatrics and Laparoscopy in Springboro, Ohio, by phone or online today.

Gastric band basics

Laparoscopic gastric band surgery is a procedure that uses an adjustable Lap-Band® or Realize® Band to restrict food intake by narrowing the stomach and slowing food passage through your gastrointestinal tract to help you feel full faster. The average weight loss after gastric band placement is about 40% during a two-year period. 

However, studies have shown that more than half of individuals with gastric bands undergo band removal after 7-10 years. 

Reasons for gastric band removal

Despite its benefits for weight loss and health improvements, Dr. Schumacher may suggest removing a gastric band for the following reasons:

Inadequate weight loss

While gastric bands are effective weight loss tools, you may need removal if you haven’t achieved your target weight. The goal is to lose at least 25-30% of your initial weight using a gastric band. If you haven’t had success, Dr. Schumacher determines if another weight loss option better matches your needs. 

Complications and side effects

You may need gastric band removal if you experience complications linked to gastric band placement, such as: 

• Nausea 
• Vomiting 
• Difficulty swallowing 
• Heartburn 
• Pain 
• Infections 
• Problems with your esophagus 

Esophageal concerns

Esophageal issues are complications that can happen to some individuals with gastric bands. Examples of potential concerns include esophagus dilation (tissue expansion), lack of movement (dysmobility), or inflammation.  

Problems with the band

Examples of complications with the band may include band slippage, obstruction from food, or band erosion. These problems often warrant gastric band removal. 

Gastric band intolerance

Since a gastric band is technically a foreign body, some people have an adverse reaction to it. For example, your body could form scar tissue around the band, or you might experience discomfort or persistent nausea after band insertion. 

Weight regain

If you’ve lost weight with a gastric band but have regained the weight, it’s time for a different weight loss solution. 

Is a gastric band procedure right for me?

Dr. Schumacher discusses your medical history and weight loss goals to determine which type of weight loss treatment is the best option for you.

In addition to inserting a gastric band, other bariatric surgeries available at Ohio Bariatrics and Laparoscopy include gastric sleeve, gastric bypass, duodenal switch procedures, single anastomosis duodenal switch, and apollo endoscopic overstitch. 

The surgery best suited for you depends on various factors. Dr. Schumacher tailors a treatment to your personalized needs and makes adjustments whenever necessary. 

Want to learn more about your bariatric surgery options? Contact us today at Ohio Bariatrics and Laparoscopy by calling our office or booking an appointment online to begin your weight loss journey.