Gastric band
It is an adjustable and reversible surgery that reduces the stomach's capacity to help control intake, without removing part of the stomach or bypassing the intestine.
Adjustable and reversible
It allows results to be optimised
Minimally invasive
Day-case laparoscopic surgery
Adjustable gastric band
It consists of placing an inflatable silicone band on the upper part of the stomach to create a small pouch and achieve early satiety with less food, offering an adjustable and reversible procedure that leaves the digestive anatomy intact.
Health benefits
Induces satiety to eat small portions
The band can be adjusted during treatment
Without intestinal resection or bypass
Reversible can be removed if indicated
When is the gastric band indicated?
It is indicated for selected patients with obesity who are seeking weight loss through a minimally invasive, adjustable and reversible procedure.
BMI ≥ 40
With or without associated comorbidities
BMI ≥ 35
With comorbidities such as type 2 diabetes, hypertension, sleep apnoea or severe osteoarthritis
BMI ≥30
with type 2 diabetes or uncontrolled high blood pressure despite optimal medical treatment
Bypass surgery
Total knee arthroplasty (TKA) or hip replacement with a BMI ≥ 35
Reversible treatment
Ideal for patients who value the option of removing the device in the future
Each case is unique. A tailored evaluation would make it possible to define the most appropriate treatment for you.
Benefits and limitations of the gastric band
Knowing the advantages and limitations of the procedure will allow you to make an informed decision that is in keeping with your health goals.
ADVANTAGES
Adjustable treatment
The volume is adjusted according to the weight loss
Reversible procedure
The device can be removed when necessary
Fewer anatomical changes
It requires no stomach cutting or stapling
Maintain natural digestion
Food continues its normal passage without intestinal bypass
Lower risk of malnutrition
Nutrient absorption is usually optimal
Disadvantages
Minor weight loss
Inferior results vs sleeve or bypass
Needs adjustment
Periodic checks and calibrations
Permanent device
It involves having a silicone band fitted around the stomach
Continuous monitoring
Essential for preventing and detecting complications
Revision surgery
Some patients require repositioning or removal
Which bariatric option is right for you?
Results vary depending on your health, habits and adherence to the treatment plan.
| Comparison | Gastric bypass | Gastric sleeve | Gastric band | Gastric balloon |
|---|---|---|---|---|
| Ideal for | BMI ≥ 35 with comorbidities or gastro-oesophageal reflux | BMI ≥ 35 with associated comorbidities | Obesity with comorbidities | BMI ≥ 27 with any comorbidity |
| Main objective | Weight loss and metabolic control | Weight loss and metabolic control | Weight loss | Weight loss and lifestyle change |
| Average weight loss | 32.8% TBWL | 28.9% TBWL | 17.3% TBWL | 15% TBWL (Spatz3 balloon) |
| Inpatient care | 1 day | 1 day | Same-day discharge | Same-day discharge |
| Return to activities | 1 week | 1 week | 1 week | 3 days |
| Duration | Permit | Permit | Adjustable and reversible | Temporary (4–12 months) |
| Important aspects | Greater type 2 diabetes remission and improvement in reflux | No bowel bypass • Reflux may appear or worsen | Reversible • Requires adjustments | Non-surgical • Endoscopic or via ingestible capsule |
Gastric bypass
- Ideal for
- BMI ≥35 with associated comorbidities or GORD
- Main objective
- Weight loss + metabolic control
- Average weight loss
- 32.8% TBWL
- Inpatient care
- 1 day
- Return to activities
- 1 week
- Duration
- Permit
- Important aspects
- Greater remission of type 2 diabetes • Improvement of GORD
Gastric sleeve
- Ideal for
- BMI ≥35 with associated conditions
- Main objective
- Weight loss + metabolic control
- Average weight loss
- 28.9% TBWL
- Inpatient care
- 1 day
- Return to activities
- 1 week
- Duration
- Permit
- Important aspects
- • No intestinal diversion • GORD may appear or worsen
Gastric band
- Ideal for
- Obesity with comorbidities
- Main objective
- Weight loss
- Average weight loss
- 17.3% TBWL
- Inpatient care
- Same-day discharge
- Return to activities
- 1 week
- Duration
- Adjustable and reversible
- Important aspects
- Reversible • Requires adjustments
Gastric balloon
- Ideal for
- BMI ≥27 with one comorbidity
- Main objective
- Weight loss and lifestyle change
- Average weight loss
- 15% TBWL (Spatz3 balloon)
- Inpatient care
- Same-day discharge
- Return to activities
- 3 days
- Duration
- Temporary (4–12 months)
- Important aspects
- Non-surgical • Endoscopic or via ingestible capsule
Ready to take the next step?
Speak with our bariatric surgery specialists.
Our patient results
Thousands of patients have trusted Dr Dick Manrique and his multidisciplinary team to transform their health, regain their confidence and improve their quality of life.
From the first appointment to post-bariatric care
His process goes beyond the procedure: comprehensive initial assessment and long-term multidisciplinary follow-up to sustain his progress and well-being
First appointment and assessment
Evaluate your case with Dr Dick Manrique's team to define your goals, clarify any questions and explore your treatment options
Personalised plan
Every patient is unique. We design a plan tailored to your health profile, lifestyle and long-term goals
Bariatric procedure
With an international career and reputation, Dr Dick Manrique performs his procedure with the utmost precision and safety
Continuous monitoring
Lasting results require follow-up; our team will support you after the procedure