Laparoscopic Adjustable Gastric Band Management
Key Points Summarized Within Each Domain
Behavioral health
Nutrition
Identification and management of complications and weight recurrence
Medical management
Special populations
Pregnancy: A tailored approach to LAGB management during pregnancy allows patients and providers to monitor weight gain, nutritional adequacy, and fetal growth for a healthy pregnancy outcome. Evidence supports LAGB placement as safe and well tolerated during pregnancy with close LAGB monitoring. One risk that should be discussed with patients prior to conception, during pregnancy, and postpartum is band slippage.
Follow-up assessment of LAGB patients
diagnostic evaluation (i.e., upper gastrointestinal radiologic study) of patients with long-term LAGB management.
Recommendation Grading
Overview
Title
Laparoscopic Adjustable Gastric Band Management
Authoring Organization
American Society for Metabolic and Bariatric Surgery
Publication Month/Year
July 2, 2022
Last Updated Month/Year
April 1, 2024
Document Type
Consensus
Country of Publication
US
Document Objectives
Inclusion Criteria
Male, Female, Adult, Older adult
Health Care Settings
Ambulatory, Outpatient, Operating and recovery room
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Management
Diseases/Conditions (MeSH)
D050110 - Bariatric Surgery, D010535 - Laparoscopy
Keywords
bariatric surgery, laparoscopy, weight loss surgery, gastric band, LAGB
Source Citation
Benson-Davies S, Rogers AM, Huberman W, Sann N, Gourash WF, Flanders K, Ren-Fielding C. American Society of Metabolic and Bariatric Surgery consensus statement on laparoscopic adjustable gastric band management. Surg Obes Relat Dis. 2022 Jul 2:S1550-7289(22)00568-8. doi: 10.1016/j.soard.2022.06.295. Epub ahead of print. PMID: 35981951.