 Hello, I'm Angela Monroe and I am one of the bariatric coordinators with the Michigan Health Surgical Weight Management Program. When considering bariatric surgery it's important to understand your surgical options. Listen to one of our bariatric surgeons discuss the adjustable gastric banding option. So first I'll talk about the adjustable gastric band and first I'll qualify this by saying that the gastric band is kind of a dying breed. Five years ago a lot of patients were having a band performed but nowadays it's been largely replaced by one of the other procedures which is the CVastrectomy. A lot of people liked the thought of the band because it was completely reversible. It could be removed in a later date if patients needed to. The weight loss is typically more slow and gradual compared to the other surgeries and the total amount of weight loss is typically a little bit inferior to the other procedures as well. Again it does require an implanted medical device. There's a if you look at the diagram on the right side of the screen here this is the band itself which is placed around the upper part of the stomach and it creates a virtual pouch in this part of the stomach here. So as food comes down the esophagus it kind of gets held up there and has to digest before it empties through into the rest of the stomach. So with a smaller pouch patients will feel potentially fuller with a smaller volume and therefore consuming less calories ultimately. What I'll tell you about the band is that it seems like for as many patients that might have had success with the band there were a number that kind of struggled and faltered as well. So my personal thought is that in another couple of years I mean I don't think there's a lot of centers that are actually going to be doing the band any longer. If you would like to learn more about other surgical weight management options watch the videos on sleeve gastrectomy and ruin why gastric bypass.