Gastric banding is a restrictive procedure (Belachew et al., Surg Endosc 1994;8:1354-6; Cadiere et al., Br J Surg 1994;81:1524; Forsell et al., Obes Surg 1997;7:345-51). It involves the creation of an “hourglass” type partition of the stomach, with a superior portion extremely limited in volume (15 mL).
The open surgical method was simultaneously described by Molina in the United States and by Kolle in Norway. Kuzmak, in New Jersey, developed a gastric band adjustable by insufflation.
In the early nineties, two gastric banding systems adapted for the laparoscopic technique were developed:
- the “Adjustable Silicone Gastric Banding System” (ASGBS);
- the “Swedish Adjustable Gastric Banding” (SAGB).