These questions are answered by our Bariatric/Weight Loss Specialist surgeon.
The lap band system is an inflatable silicone band that is placed laparoscopically around the upper portion of the stomach, creating a small gastric pouch. This system limits the amount of food the stomach will hold at any time. The band is placed without cutting or stapling of the stomach and there is no intestinal re-routing to bypass normal digestion. With this minimally invasive surgery, patients generally experience reduced pain and scarring, a faster recovery period and it is adjustable and reversible.
With LAP-BAND® weight loss surgery, a small silicone band is placed around the stomach, creating a small upper stomach pouch. This small pouch will hold a very small amount of food, allowing you to feel full more quickly and for a longer period of time. The silicone band prevents food from entering the rest of the stomach too fast. During Roux-en-Y Gastric Bypass Surgery, the stomach is surgically divided with staples, creating a small stomach pouch near the top of the stomach. A portion of the small intestine is removed and connected to the small stomach pouch. This reduced stomach size gives you a full feeling more quickly and for a longer period of time. The key difference between LAP-BAND® and Gastric Bypass Surgery is how extensive the two procedures are. During lap band surgery a a silicone band is placed around the stomach, preventing you from eating as much as you normally would. It is a reversible procedure. The Gastric Bypass procedure creates a smaller stomach and modifies the connection between the stomach and the small intestine. It is more extensive surgery and also more permanent. Also, the LAP-BAND® procedure has no effect on how food and calories are absorbed by the body. Since the Gastric Bypass Surgery changes the digestive tract, the body absorbs fewer calories.
The LAP-BAND® System is a minimally invasive procedure that has helped hundreds of thousands of people lose weight. The ideal candidate would have a Body Mass Index (BMI) is at least 40, or are at least 30 pounds overweight with a BMI of at least 35 kg/m² with one or more obesity related comorbid condition, such as diabetes, sleep apnea or hypertension.
While the LAP-BAND® System is an effective treatment for morbid obesity, the pounds do not come off by themselves. The LAP-BAND® System is an aid to support you in achieving lasting results by limiting food intake, reducing appetite and slowing digestion. However, your motivation and commitment to adopt a new lifestyle are extremely important for long-term weight loss. New eating habits must be adhered to for the rest of your life. Exercise is an equally important component of a changed lifestyle.
After a short hospital stay and a brief at-home recuperation, patients can return to your normal activities, feeling better, more energized and more confident about the future. In order to lose weight, lap band patients require their band to be adjusted. These “fills” are done in the office and generally take less than 15 minutes. Remember, the volume of saline injected and frequency of adjustments varies from person to person and should be tight enough to let you gradually lose weight. The amount of fluid injected at your visit will depend on your type of band, the amount of fluid already in your band, your appetite, huger level and snacking habits, the date of your last adjustment, as well as any symptoms of reflux or vomiting. There is no set number of adjustments or “ideal” fill volume.”
In order to get the full results of the surgery, patients must follow up with a series of important post-operative steps. The surgery alone isn’t enough to maintain weight loss goals that last a lifetime. Lap-Band post-operative steps include:
With My LAP-BAND® Journey, not only are you supported by a group, you are also taking control of your own progress. Each LAP-BAND® Journey is a personalized journey tracked both on paper and online where you can:
LAP-BAND® surgery is a minimally invasive procedure which takes about an hour. No stapling or intestinal re-routing is required. This surgical weight loss method offers reduced pain and scarring and a faster recovery. The LAP-BAND procedure is adjustable and reversible, making it a popular option for surgical weight loss candidates.
Band slippage, erosion and deflation, reflux, obstruction of the stomach, dilation of the esophagus, infection, or nausea and vomiting may occur. Reoperation may be required. Placement of the LAP-BAND® System is major surgery and, as with any surgery, death can occur. Possible complications include the risks associated with the medications and methods used during surgery, the risks associated with any surgical procedure, and the patient’s ability to tolerate a foreign object implanted in the body.
These adjustments or “fills” are done in the office and generally take less than 15 minutes. Remember, the volume of saline injected and frequency of adjustments varies from person to person and should be tight enough to let you gradually lose weight. The amount of fluid injected at your visit will depend on your type of band, the amount of fluid already in your band, your appetite, huger level and snacking habits, the date of your last adjustment, as well as any symptoms of reflux or vomiting. There is no set number of adjustments or “ideal” fill volume.”
Lap band surgery offers a quicker recovery time. Most Lap-Band patients are able to return to work within a few days to one week after surgery and are fully recovered within two to six weeks. In a sense, though, recovery from the surgery is only the first step in a life-changing, lifelong process of healthier living.
The American Society for Bariatric Surgery and the National Institutes of Health recommend that candidates for bariatric surgery generally fall within the ages of 18 and 65. However, a 2005 study published in Archives of Surgery suggests that weight loss patients over 65 fair almost as well as patients under 65. Older patients may be candidates for bariatric surgery if they can meet the same criteria as younger patients and are healthy enough for the procedure. Older patients face a higher risk for complications. They also have a higher mortality risk.
The Lap-Band procedure may be right for patients who have the following indicators:
For severely obese patients with type 2 diabetes, losing weight can be a central point of treatment. Weight loss from lap band surgery also often reduces high blood pressure. Obesity is more than a cosmetic problem. Many serious medical conditions have been linked to obesity, including Type 2 Diabetes, heart disease, high blood pressure, and stroke. Obesity is also linked to higher rates of certain types of cancer. Men who are obese are more likely than non-obese men to develop cancer of the colon, rectum, or prostate. Women who are obese are more likely than non-obese women to develop cancer of the gallbladder, uterus, cervix, or ovaries. Esophageal cancer has also been associated with obesity.
Yes, the lap band is reversible and for many patients considering surgery, the reversibility of the procedure is appealing. However, although the lap band can be removed in a relatively simple operation, this is generally only done if medically necessary. The lap band is intended to remain in place for the life of the patient, and patients who have the device removed usually regain weight.
Results vary from patient to patient and your weight loss can depend on several things. Weight loss surgery is not a miracle cure, so the pounds will not come off by themselves. You must be committed to your new eating habits and lifestyle. Starchy foods like bread, pasta, rice and potatoes should be avoided. Most patients find they lose 5-10 pounds a month, depending on their individual diet and how much they exercise. In general, it is not safe to lose weight too quickly. Remember that your primary goal is to have a weight loss that prevents, improves and/or resolves the health problems associated with obesity.
While both of these proven types of bariatric surgery can help you lose a large amount of weight, there are some key differences between the two. The key difference between LAP-BAND® and Gastric Bypass Surgery is how extensive the two procedures are. LAP-Band surgery places a silicone band around the stomach, preventing you from eating as much as you normally would. It is a reversible procedure. The Gastric Bypass procedure creates a smaller stomach and modifies the connection between the stomach and the small intestine. It is more extensive surgery and also more permanent. Dr. Sedrak will talk to you about your weight loss goals and help you determine which surgery is right for you.