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Adjustable gastric banding has gained wide recognition as a minimally invasive, effective tool for long term weight loss. The adjustable gastric band also known as a LAP-BAND, REALIZE band or MIDBAND, effectively limits the amount of food consumed, allowing patients to feel satisfied quickly with smaller amounts of food. The result is drastic, manageable and permanent weight loss. Adjustable gastric banding can reduce your risk of developing serious diseases such as type II diabetes, high blood pressure and sleep apnea.

How it Works

Using a minimally invasive laparoscopic technique, surgeons insert the adjustable gastric band around the upper portion of the stomach dividing it into two parts: a small upper pouch and a lower stomach. With this new division, the upper pouch has a reduced capacity; limiting food intake, while the restriction from the band slows the progression of food resulting in a quicker and more long lasting feeling of fullness. Essentially the adjustable gastric band leads to more prompt feelings of fullness with considerably less food.

The band is joined by connective tubing to a port that sits underneath the skin, accessible to physicians for adjustments. Non invasive band adjustments tighten the band for greater restriction or loosen the band for less restriction. The adjustability of the band allows patients to control or limit food intake to comfortable levels for sustained, permanent weight loss.

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Band adjustments are made by accessing the port underneath the skin with a needle. Adjustments are painless, using a local numbing agent a physician or nurse will insert the needle into the port and either fill for greater restriction by injecting saline or de-fill for less restriction by removing saline from the band.

To ensure proper healing, the first band adjustment should be performed 4-6 weeks post surgery. After the first adjustment, adjustments should be as needed based on weight loss and food intake. Typically patients experience weight loss of 1-2 pounds per week.

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Proven Safe & Effective for weight loss:

with over 400,000 procedures worldwide; the adjustable gastric band has been proven as an effective tool for long-term permanent weight loss.

Relief or resolution of obesity related health conditions:

An adjustable gastric band can lead to significant health improvements including resolution or improvement of; type 2 diabetes, high blood pressure, heart disease, sleep apnea, acid reflux and cholesterol levels.


Patients can control their weight loss by setting individual levels of restriction. The band can be tightened or loosened by a simple fill or de-fill of saline into the band. Adjustments control the flow of food, a tighter band will create a quicker longer lasting feeling of fullness.


The band can be removed, the stomach will return to its original form and function. Although the band can be removed, it should be considered a permanent implant that is safe and sustainable in the body as an effective tool for weight loss.

Minimally Invasive:

Implanted using laparoscopic surgical technology, laparoscopic surgeries require smaller incisions than open surgeries and produces far less tissue trauma, reducing pain and recovery time.

No Stapling:

There is no stapling or cutting of the stomach and no intestinal re-routing.


The LAP-BAND, REALIZE band or MIDBAND are ideal tools for individuals seeking a permanent solution to weight loss. With commitment to a long-term health and lifestyle change, the adjustable gastric band can be used by almost anyone as a tool for weight loss. Generally patients who meet the criteria below may qualify for gastric banding surgery. Speak to an AMBI representative about your eligibility.
  • At least 18 years old
  • Have a BMI of 30 or more
  • Have been overweight for longer than 5 years
  • Have made past attempts to lose weight
  • Do not have a disease that caused weight gain
  • Are prepared to commit to new lifestyle and eating habits
  • Do not drink in excess and do not have a drug dependency

Risks and Complications

It is important for patients to understand that there are risks and complications involved with general surgery itself. Adjustable gastric banding has been shown to be the safest surgical option for treating obesity. Some of the risks and complications related to general surgery are; Bleeding, pain, shoulder pain, pneumonia, complications due to anesthesia and medications, deep vein thrombosis, injury to stomach, esophagus, or surrounding organs, infection, pulmonary embolism, stroke or heart attack and rarely death (0.3%).

Complications specific to laparoscopic gastric banding include Migration of the band (band erosion, band slippage, port displacement), tubing-related complications (port disconnection, tubing kinking), band leak, esophageal spasm, gastroesophageal reflux disease (GERD), inflammation of the esophagus or stomach and port-site infection.

Your doctor will address risks and complications directly with you before you have your surgery.

For more information on risks and complications please visit:, and