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Gastric Band

Popularly known as the LAP-BAND®, a gastric band is a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. Following the initial surgery, the band itself can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

Patient Journey

From beginning to end, the journey for a patient undergoing bariatric care is full of changes. It will require persistence and discipline, but at the end it is all worth it. Feel free to learn more about the patient journey.

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What is the Lap Band?

Popularly known as the LAP-BAND®, a gastric band is a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. Following the initial surgery, the band itself can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

In certain patients, we can do this with a single incisions in your belly button, so a scar is barely noticeable.

How does the Lap-Band surgery work?
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How does the Lap-Band surgery work?

In the surgical procedure, the band is placed around the upper part of the stomach, creating a small pouch that can hold only a small amount of food. The narrowed opening between the stomach pouch and the rest of the stomach controls how quickly food passes from the pouch to the lower part of the stomach. The system helps the patient eat less by limiting the amount of food that can be eaten at one time and increasing the time it takes for food to be digested.

Depending on the patient’s needs, after the device is implanted via the initial surgery the narrowed opening between the pouch and the lower part of the stomach can be adjusted in size by inflating or deflating the hollow band. Inflating the band makes the opening smaller, causing food to pass more slowly. Deflating the band makes it wider, and causes food to pass more quickly. This adjustment is made by adding or removing fluid inside the hollow band. The doctor does this by injecting or removing the fluid through a small button-like part called the access port. This access port is placed under the skin in a muscle in the chest wall. The port is connected to the band by the tubing. Learn about the adjustments of the band post-op below.

Advantages of Lap-Band Surgery?
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Advantages of Lap-Band Surgery?

Gastric banding is most simple of the bariatric surgery options, and leads to the smallest number of serious complications. LAP-BAND patients often return to work in just a week or two. Another advantage of this weight loss treatment is that the band is adjustable. This means that the surgeon can change the level of fluid in your band at a quick office visit. Adding fluid makes the band tighter, and removing fluid makes the band looser. Each patient is different, so as time goes on you will work with our team and can call the office any time your band feels too loose or too full.

Another advantage of the band is that it is reversible. Although the band is meant to stay in place permanently, if there are side effects or other reasons to remove it, this is an option. No cutting or stapling is done, and the anatomy of the body is not changed at all when the gastric band is put in place. The LAP-BAND also does not have a malabsorbtion risk, like other procedures. When part of the stomach is removed or the intestines are rerouted, patients’ bodies absorb fewer nutrients which can lead to negative health consequences, especially if they do not follow their vitamin and supplement routine. Because the LAP-BAND has no risk of malabsorbtion, there would be no extra vitamin deficiencies to worry about.

Disadvantages of Lap-Band?
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Disadvantages of Lap-Band?

Most patients experienced at least one side effect. Common side effects include nausea and vomiting, heartburn, abdominal pain, and slippage of the band. The most serious side effects required either another operation or hospitalization.

Because of the LAP-BAND design, it can be tempting to ‘cheat’ on your diet. Foods like chocolate or ice cream are easy to eat with the band, so it is important that patients commit to the eating changes that need to go with the surgery in order for it to be successful. It is also possible for food to get stuck, if you take bites that are too big or do not chew your food very carefully. This can be uncomfortable and potentially dangerous. Patients must be mindful of eating carefully with the band.

Most patients experience at least one side effect when they have a LAP-BAND. Common side effects include nausea and vomiting, heartburn, and abdominal pain. Some side effects are managed in follow up visits, but the most serious side effects require either another operation or hospitalization. There are risks to the gastric band, just like there are with any surgical procedure. These risks include prolapse, pouch dilatation, band erosion, and infection of the band, or port leak.

WHEN SHOULD IT NOT BE USED?

An adjustable band procedure should not be used for people who are poor candidates for weight loss surgery, have certain stomach or intestinal disorders, have an infection, have to take aspirin frequently, or are addicted to alcohol or drugs. It should not be used on patients who are not able or willing to follow the rules for eating and exercise that are recommended by the doctor after surgery.

Is Lap Band Surgery Right for Me?
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Is Lap Band Surgery Right for Me?

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  1. If your BMI is 40 or higher, you qualify for the Lap Band
  2. If your BMI is between 30 and 40 and you have a medical condition due to obesity, you qualify for the Lap Band
How to get started?
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How to get started?

  • The Insurance experts at the New York bariatric Group will verify your insurance benefits for you free of charge.
  • The first step is to call or contact us to make an appointment with one of the experienced surgeons at the New York Bariatric Group.
  • As a candidate for bariatric surgery, you can expect to undergo a series of consultations and evaluations. A detailed comprehensive program has been developed to ensure your long-term health and safety pre- and post-surgery.
  • Dr. Garber explains how you can initiate the process to become a new healthier you.
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  • You will receive extensive patient education from our psychologist who will perform a psychological evaluation that is required by the hospital and most insurance providers.
  • Meet with our registered dietitian to discuss healthy lifestyle changes pre- and post- weight loss surgery.
  • Participate in studies to determine your pulmonary, gastrointestinal and cardiovascular health. You can usually complete this entire work-up in one day in our office.
  • After the work-up is completed you will meet with your surgeon for a second visit to be scheduled for surgery. Our insurance experts will then obtain approval from your insurance company.
  • You will be scheduled for preadmission testing at the hospital. During this testing you will meet our bariatric coordinator who will give you a complete educational class on how to prepare for surgery? What is going to happen when you arrive at the hospital on your surgery day, as well as what to expect when you go home form the hospital.
Day of Surgery and Recovery
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Day of Surgery and Recovery

It is important to remember that The New York Bariatric Group and its affiliate Bariatric Center has been recognized as a “MBSAQIP and its Accredited Center-Comprehensive”. This designation provides the public with the assurance that our practice provides complete care for patients before, during and after bariatric surgery, and we have a proven track record verified by an independent review organization.

Based on this designation, we have proven that your hospital stay, will provide all that is necessary for a fast and pleasant recovery. From our full time bariatric nurse coordinator to specialized equipment that is needed to fulfill the needs of patients post-bariatric surgery, including bariatric chairs, beds, gowns and other specialized equipment. At the end of your hospital stay, you will find that our program is designed solely for the purpose of the bariatric patient.

The surgery usually takes only 25 – 35 minutes and is performed under general anesthesia. You will usually spend one night in the hospital or sometimes can go home the same day. Once you are tolerating pureed food you will be discharged home.

Recovery Period

The recovery period after Lap-Band surgery is usually just 3 -5 days until you can return to work. With the virtually scarless (SILS) single incision technique you can soemtimes return to work sooner.

Lifestyle Changes after Lap-Band
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Lifestyle Changes after Lap-Band

Adjusting to your post bariatric surgery diet and lifestyle is one of the most important keys to your long-term success. Develop healthy daily habits based on eating in moderation that match your new body instead of failed eating patterns that can ultimately lead to poor health, fatigue, depression and attempts at binge eating. Making a commitment to lifestyle change will bring fast & substantial weight loss. Let us show you how.

Depending on the patient’s needs, after the device is implanted via the initial surgery the narrowed opening between the pouch and the lower part of the stomach can be adjusted in size by inflating or deflating the hollow band. Inflating the band makes the opening smaller, causing food to pass more slowly. Deflating the band makes it wider, and causes food to pass more quickly. This adjustment is made by adding or removing fluid inside the hollow band. The doctor does this by injecting or removing the fluid through a small button-like part called the access port. This access port is placed under the skin in a muscle in the chest wall. The port is connected to the band by the tubing. Learn about the adjustments of the band post-op below.

Post Surgery Diet
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Post Surgery Diet

Post bariatric surgery diet guidelines are fully discussed with patients during their comprehensive nutritional evaluation prior to surgery.  Patients follow a Stage I diet for the first 4-6 week after surgery.  This includes all foods that are soft, mushy and/or pureed consistencies.  Examples for pureed foods are anything blended and smooth such as baby foods, fruitless yogurt, cottage cheese and hummus.  Soft/mushy foods include chopped up ground meats such as turkey, veal, chicken or pork, soft, white, flaky fish that is baked, broiled or grilled, scrambled eggs and egg whites.  Solid foods of all kinds should be completely avoided until weeks 4-6 or when the surgeon allows it.

This practice stresses the importance of good hydration, using non carbonated, decaffeinated, sugar free beverages.  We always promote good quality proteins to be consumed from day one after bariatric surgery.  High sugar and high fat foods are limited and very specific guidelines are provided to help equip patients with a clear-cut way to determine which foods are healthy for them to eat.  Fruits, vegetables, and high fiber foods are reintroduced after the first 3 months.  All patients get full details on dietary progression from our experienced nutritionists at their follow up visits.

The New York Bariatric Group is fully dedicated to promoting high standards for nutritional health. That doesn’t mean that patients should not enjoy eating. The New York Bariatric Group weight loss program has been designed to help patients lose weight rapidly, but provide you with resources to help enjoy your new lifestyle by keeping the flavor and fun in eating. Each patient is given the option to enroll in our Store. We brought together great tasting meals and supplements for breakfast, lunch, dinner and even snacks which can be ordered on our website.

Success Stories
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Success Stories

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Success Stories
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Success Stories

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How does LAP-BAND surgery work?

In the surgical procedure, the band is placed around the upper part of the stomach, creating a small pouch that can hold only a small amount of food. The narrowed opening between the stomach pouch and the rest of the stomach controls how quickly food passes from the pouch to the lower part of the stomach. The system helps the patient eat less by limiting the amount of food that can be eaten at one time and increasing the time it takes for food to be digested.

Depending on the patient’s needs, after the device is implanted via the initial surgery the narrowed opening between the pouch and the lower part of the stomach can be adjusted in size by inflating or deflating the hollow band. Inflating the band makes the opening smaller, causing food to pass more slowly. Deflating the band makes it wider, and causes food to pass more quickly. This adjustment is made by adding or removing fluid inside the hollow band. The doctor does this by injecting or removing the fluid through a small button-like part called the access port. This access port is placed under the skin in a muscle in the chest wall. The port is connected to the band by the tubing. Learn about the adjustments of the band post-op below.



What is SILS?

When a surgeon uses the SILS technique, it means they make one small incision in the belly button. This results in a surgery that is virtually scarless. Single incision Lap Band and sleeve gastrectomy surgery generally involve less pain and little or no scarring. The actual operation is the same as it is during a typical laparoscopic band or sleeve gastrectomy. The difference is just in the number of incisions made. Since there is no need to cut through the stomach muscle, recovery time is shorter. SILS is different from a typical laparoscopic Lap Band or gastric sleeve, because in those operations our bariatric surgeons generally make about 5 small incisions. Although these operations are also considered minimally invasive and the scars are quite small, SILS gives an even more advanced option, which includes an often unnoticeable, single scar in the belly button.

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Schedule a consultation today and learn how we can help you find an improved quality of life.

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5 Port “Older Way ” for Gastric Band Surgery

Single Port “New York Bariatric Group” Technique for Gastric Banding and Sleeve Gastrectomy


Why do we offer SILS?

We offer SILS because at New York Bariatric Group, we believe a comprehensive weight loss surgery practice should provide patients with a wide range of choices for treating obesity. Thanks to the combination of our expertise, cutting-edge technology, and unparalleled skills, we have achieved successful SILS gastric band and gastric sleeve results time and time again, and we can deliver these same results to you.

Dr. Shawn Garber was one of the first surgeons in the US to use the Single Incision Laparoscopic Surgery approach for Lap Band surgery. Seeing the level of success and patient satisfaction, he then adapted this technique for laparoscopic gastric sleeve surgery as well. Dr. Garber and Dr. Holover are on the forefront of this new technology. SILS minimally invasive gastric banding and gastric sleeve, offered by New York Bariatric Group, are amazingly innovative solutions for bariatric surgery.


Advantages of LAP-BAND surgery

Gastric banding is most simple of the bariatric surgery options, and leads to the smallest number of serious complications. LAP-BAND patients often return to work in just a week or two. Another advantage of this weight loss treatment is that the band is adjustable. This means that the surgeon can change the level of fluid in your band at a quick office visit. Adding fluid makes the band tighter, and removing fluid makes the band looser. Each patient is different, so as time goes on you will work with our team and can call the office any time your band feels too loose or too full.

Another advantage of the band is that it is reversible. Although the band is meant to stay in place permanently, if there are side effects or other reasons to remove it, this is an option. No cutting or stapling is done, and the anatomy of the body is not changed at all when the gastric band is put in place. The LAP-BAND also does not have a malabsorbtion risk, like other procedures. When part of the stomach is removed or the intestines are rerouted, patients’ bodies absorb fewer nutrients which can lead to negative health consequences, especially if they do not follow their vitamin and supplement routine. Because the LAP-BAND has no risk of malabsorbtion, there would be no extra vitamin deficiencies to worry about.

When is it used?

Gastric banding is used for weight loss in severely obese adults who have been obese for at least five years and for whom non-surgical weight loss methods have not been successful. They must be willing to make major changes in their eating habits and lifestyle. Patients must have a Body Mass Index (BMI) of 30 or be at least 60 - 70 pounds overweight.

What will surgery accomplish?

LAP-BAND surgery may help the patient lose weight. In the U.S. study, the average weight loss was 36% of a patient’s excess weight three years after the device was implanted. More than half of the patients lost at least 25% of their excess weight; some patients lost over 75%, but some lost no weight.


LAP-BAND risks

Most patients experienced at least one side effect. Common side effects include nausea and vomiting, heartburn, abdominal pain, and slippage of the band. The most serious side effects required either another operation or hospitalization.

Because of the LAP-BAND design, it can be tempting to ‘cheat’ on your diet. Foods like chocolate or ice cream are easy to eat with the band, so it is important that patients commit to the eating changes that need to go with the surgery in order for it to be successful. It is also possible for food to get stuck, if you take bites that are too big or do not chew your food very carefully. This can be uncomfortable and potentially dangerous. Patients must be mindful of eating carefully with the band.

Most patients experience at least one side effect when they have a LAP-BAND. Common side effects include nausea and vomiting, heartburn, and abdominal pain. Some side effects are managed in follow up visits, but the most serious side effects require either another operation or hospitalization. There are risks to the gastric band, just like there are with any surgical procedure. These risks include prolapse, pouch dilatation, band erosion, and infection of the band, or port leak.

When should it not be used?

An adjustable band procedure should not be used for people who are poor candidates for weight loss surgery, have certain stomach or intestinal disorders, have an infection, have to take aspirin frequently, or are addicted to alcohol or drugs. It should not be used on patients who are not able or willing to follow the rules for eating and exercise that are recommended by the doctor after surgery.

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Surgery Advantages:

  • Keyhole approach. Less scarring or wound problems. Earlier return to work (1-2 weeks)
  • Adjustable: by filling port the outlet size can be reduced
  • Reversible: By removing fluid or the band.
  • No malabsorbtion
  • Lower risk

Surgery Disadvantages

  • Easy to cheat if chocolates or sweets taken.
  • Mechanical problems:
    • prolapse
    • pouch dilatation
    • food bolus obstruction
    • slippage of the stomach through the band erosion
    • infection of the band or port leak
    • Revision rate? 5 -10%

Optimal pouch capacity: 30 mls

Usual weight loss is 50-60% of excess weight lost in 2 yrs

To find out more about Laparoscopic Gastric Banding visit

Also, please feel free to contact or call the New York Bariatric Group at 800-633-8446 to ask any questions.

Getting Started

Our team is happy to speak with you and help you understand any of the treatments we offer, or answer any questions you have. Please call and speak with us at 800-633-8446, or read more about the surgical and non-surgical options we offer here.

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What our patients are saying

“The staff and doctors at the New York Bariatric Group are amazing! They are always patient, helpful, and very understanding and pro-active with questions, problems, etc. After Lap Band surgery I feel fantastic. For the last 6 years I have not had to worry if my clothes would fit. I have been able to maintain my weight loss, and have so much more energy.”

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"Dr. Holover has a great personality, I love him, I consider him a good friend, and I recommend him to everyone. He and his staff are amazing. I thought my recovery would be worse, but it wasn’t. It was great. After a couple of days I was back on my feet and going, with three boys you don’t have time to be down. Now, my kids have to keep up with me!"

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"My results are incredible; I can go to any store and find clothes that fit, I don’t have to go to the big and tall store anymore. My family and friends say I look great, but more so are so happy about my health. Definitely go for it, it is well worth it."

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"My recovery was very easy, I started moving around pretty quick because the nurses had me up and about. Dr. Angstadt has a great bedside manner, a cheerful disposition and is very knowledgeable. He was genuinely concerned for me, he answered all of my questions and put me at ease. I couldn’t be happier, I think it is the best decision I ever made."

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"I was concerned about my health, my blood pressure, cholesterol, my mobility, my flexibility. A few friends told me about NYBG and I went to a seminar. I wanted to live a healthier life and live a long life. My recovery was great, after a week I was 100%. My doctor, Dr. Sekhar, has the best personality in the world."

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"I had a couple of friends who had bariatric surgery done by Dr. Garber a few years back and I decided to make the appointment. My favorite thing about the surgery is not being able to eat that much, eating whatever I want but in smaller portions. My results are amazing"

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*Individual results may vary.

BMI Calculator

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What is your weight?

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Your BMI is

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