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Laparoscopic adjustable gastric banding (LAGB) is a restrictive bariatric procedure that involves placing an inflatable silicone band around the upper portion of the stomach. This creates a small pouch, limiting food intake and promoting early satiety. The band can be adjusted postoperatively by adding or removing saline through a subcutaneous port. LAGB is reversible and does not alter the digestive tract anatomy. However, it has fallen out of favor due to its high failure rate and potential long-term complications.

 

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