Approved by the FDA a decade ago in 2001, the LAP-BAND® device has helped more than a hundred thousand patients worldwide get a new start at combating obesity with surgery. LAP-BAND® weight loss surgeryworks by restricting the stomach with an adjustable band secured using minimally invasive laparoscopic surgery. Our board-certified LAP-BAND® surgeon Dr. Shyam Dahiya performs this procedure with a single small incision using the state-of-the-art SPIDER® surgical system at LA’s leading hospitals.
Early Beginnings of Gastric Banding Weight Loss Surgery
Before LAP-BAND® surgery was available, bariatric surgeons had fewer options for helping people with obesity restrict their food intake. Gastric bypass surgery and sleeve gastrectomy were the most common bariatric surgery procedures, but surgeons wanted an option that was reversible and led to fewer side effects.
In the late 1970s and early 1980s, bariatric surgeons in the US, Norway, Sweden, and Australia developed gastric bands, meshes, and clips made from various materials, including Gore-Tex® and the same plastic used to make Hula Hoops®. These early gastric banding surgery attempts were not adjustable and had very high rates of failure, but surgeons did learn from these failures that silicone worked best as a gastric band material.
The First Adjustable Gastric Bands
Lubomyr Kuzmak, an important pioneer in adjustable gastric banding surgery, began using non-adjustable silicone gastric bands for obesity surgery in 1983. Three years later, this Ukrainian-American surgeon modified his design to include a portion that was adjustable. Kuzmak found that his adjustable gastric band provided better weight loss results with fewer complications, so he shared his findings with the surgical community.
Around the same time, Dr. Dag Hallberg developed and patented the Swedish Adjustable Gastric Band (SAGB) in his native country of Sweden. Because laparoscopic surgery was still uncommon at the time, both the Kuzmak band and the SAGB were initially implanted with open abdominal surgery.
Laparoscopic Gastric Banding Surgery and the LAP-BAND® system
The increasing use of laparoscopic surgery techniques in the 1990s truly transformed the practice of bariatric surgery, making weight loss surgery safer and less invasive. Soon, Kuzmak’s design was modified again to make the device easier to implant with laparoscopic surgery. In addition, bariatric surgeons nationwide began performing laparoscopic gastric bypass surgery and laparoscopic sleeve gastrectomy surgery to combat obesity.
Finally, in 2001, the US Food and Drug Administration (FDA) approved the LAP-BAND® for weight loss surgery in the United States. The LAP-BAND® device can be readjusted without surgery and comes in five different sizes to ensure a proper fit. This removable, adjustable gastric band has become extremely popular, helping thousands of people with obesity achieve their weight loss goals.
In addition to the LAP-BAND® device, the FDA also approved the latest version of the SAGB as the REALIZE® Adjustable Gastric Band in 2007. The REALIZE® Band is a one-size-fits-all alternative to LAP-BAND® surgery.
To learn more about LAP-BAND® surgery in the LA area, please contact our board-certified Los Angeles bariatric surgeon Dr. Shyam Dahiya to schedule your LAP-BAND® consultation at our office in Lakewood, California.