Laparoscopic Adjustable Gastric Banding

What is it?

LAP-BAND is an adjustable gastric banding system that reduces the amount of food that your stomach can hold at one time. The revolutionary technology behind the LAP-BAND system helps you gradually lose weight without any stomach cutting or stapling.

How does it work?

The LAP-BAND system is a hollow band made of special material that is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution.

 

In most cases, the LAP-BAND system is put into place during a laparoscopic procedure using general anesthesia. The procedure is performed using long, thin instruments inserted through a few tiny incisions (usually 0.5 – 1.5 cm). Often done on an outpatient basis the surgery itself typically takes an hour.

The procedure works as follows:

Step 1: The LAP-BAND System is implanted around the upper part of your stomach, much like a belt.
Step 2: A tube is then connected from the LAP-BAND System to a small access port, fixed beneath the skin of your abdomen.
Step 3: After the first six weeks, adjustments to the LAP-BAND System are made through the access port. This is done as needed – more frequently in the first year – to maintain optimal weight loss by adding or removing saline solution.

Who is it for?

The LAP-BAND system is for severely obese patients with a Body Mass Index (BMI) greater than 40 or a BMI greater than 35 with significant weight related co-morbidities.
The LAP-BAND system is not recommended for non-adult patients, patients with conditions that may make them poor surgical candidates or increase the risk of poor results, who are unwilling or unable to comply with the required dietary restrictions, who are currently pregnant or anticipating pregnancy within 3 months following surgery.
 

Results

LAP-BAND has proven to be very successful in long-term weight loss. Patients usually experience 50-60% of excess weight lost in 2 years.

Advantages:

Minimal Trauma

      • Least invasive surgical option 
      • No intestinal re-routing
      • No cutting or stapling of the stomach wall or bowel
      • Reduced patient pain, hospital length-of-stay and recovery period


Fewer Risks and Side Effects

      • Significantly lower mortality risk than other obesity surgery procedures
      • Low risk of nutritional deficiencies associated with gastric bypass
      • Reduced risk of hair loss
      • No "dumping syndrome" related to dietary intake restrictions


Adjustable

      • Allows individualized degree of restriction for ideal, long-term weight loss
      • Adjustments performed without additional surgery
      • Supports pregnancy by allowing stomach outlet size to be opened for increased nutritional needs

Reversible

      • Removable at any time
      • Stomach and other anatomy are generally restored to their original forms and functions
      • Effective Long-Term Weight Loss
      • Almost 300,000 cases performed worldwide
      • Standard of care for hundreds of practices around the world
      • Academic publications with up to 15 years of follow-up

 

Disadvantages:

Easy to cheat if chocolates or sweets taken

Mechanical problems:

      • Prolapse
      • Pouch dilatation
      • Food bolus obstruction
      • Slippage of the stomach through erosion
      • Infection of the band or port leak

An entree portion forever

The LAP-BAND System is a long-term implant. Explant and replacement surgery may be required at some time. Patients who become pregnant or severely ill, or who require more extensive nutrition may require deflation of their bands. Patients should not expect to lose weight as fast as gastric bypass patients, and band inflation should proceed in small increments. Anti-inflammatory agents, such as aspirin, should be used with caution and may contribute to an increased risk of band erosion.

 
Risks

While the LAP-BAND System is less invasive and offers fewer risks than other surgical procedures, it's important to note all surgical procedures have risks.
Placement of the LAP-BAND System is major surgery and, like 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.
Band slippage, erosion and deflation, obstruction of the stomach, dilation of the oesophagus, infection, or nausea and vomiting may occur. Reoperation may be required.
Rapid weight loss may result in complications that can require additional surgery. Deflation of the band may alleviate excessively rapid weight loss or oesophageal dilation.
Important:

Not all contraindications, warnings or adverse events are included in this brief description. Please contact your physician or surgeon regarding the possible risks and benefits of obesity surgery.

 

Winnett Specialist Group do not endorse any products.