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LAPBAND SURGERY

What Is The Lap-BandŽ?
Approved by the FDA in June 2001, the InamedŽ Lap-BandŽ and the RealizeŽ Adjustable Gastric Banding Systems are the newest and the only adjustable surgical treatments for morbid obesity in the United States. It induces weight loss by reducing the capacity of the stomach, which restricts the amount of food that can be consumed.

Minimally Invasive Approach
The Lap-BandŽ uses new surgical technology to help you lose weight by reducing how much your stomach can hold and lengthening the feeling of being full. There is no cutting or stapling needed to divide the upper stomach pouch from the lower stomach. The result is you take in less food - but unlike stomach stapling, the Lap-BandŽ can be adjusted to suit your situation, and can be removed if necessary.

During the procedure, surgeons usually use laparoscopic techniques (using small incisions and long-shafted instruments rather than a large incision), to implant an inflatable silicone band into the patient's abdomen. Like a wristwatch, the band is fastened around the upper stomach to create a new, tiny stomach pouch that limits and controls the amount of food you eat. It also creates a small outlet that slows the emptying process into the stomach and the intestines. As a result, patients experience an earlier sensation of fullness and are satisfied with smaller amounts of food. In turn, this results in weight loss.

Least Traumatic Procedure

Since there is no cutting, stapling or stomach rerouting involved in the Lap-BandŽ System procedure, it is considered the least traumatic of all weight loss surgeries. The laparoscopic approach to the surgery also offers the advantages of reduced post-operative pain, shortened hospital stay and quicker recovery. If for any reason the Lap-BandŽ System needs to be removed, the stomach generally returns to its original form.

Adjustable Treatment
The Lap-BandŽ System is also the only adjustable weight loss surgery available in the United States. The diameter of the band is adjustable to meet your individual needs, which can change as you lose weight. For example, pregnant patients can expand their band to accommodate a growing fetus, while patients who aren't experiencing significant weight loss can have their bands tightened.

To modify the size of the band, its inner surface can be inflated or deflated with saline solution. The band is connected by tubing to a reservoir, which is placed well under the skin during surgery. After the operation, the surgeon can control the amount of saline in the band by entering the reservoir with a fine needle through the skin.

The BioEnterics Lap-BandŽ System and accessories contain no latex or natural rubber materials.

Lap-Band Indications

The Lap-BandŽ System is not right for everyone.

The Lap-BandŽ System may be right for you if:

• You are an adult (at least 18 years old or 15 with parental consent)
• Your BMI is 35 or higher or you weigh at least twice your ideal weight or you weigh at least 100 pounds (45 kilos) more than your ideal weight.
• You have been overweight for more than 5 years
• Your serious attempts to lose weight have had only short-term success.
• You do not have any other disease that may have caused you to be overweight.
• You are prepared to make major changes in your eating habits and lifestyle.
• You are willing to continue working with the specialist who is treating you.
• You do not drink alcohol in excess.


If your BMI is less than 35, the Lap-Band System may not be right for you. On the other hand, the doctors may consider it if you have health problems that are related to obesity.

Contraindications

The Lap-BandŽ System is not right for you if:

• You have an inflammatory disease or condition of the gastrointestinal tract, such as ulcers, severe oesophagitis or Crohn's disease.
• You have severe heart or lung disease that makes you a poor candidate for surgery.
• You have some other disease that makes you a poor candidate for surgery.
• You have a problem that could cause bleeding in the esophagus or stomach. That might include oesophageal or gastric varices (a dilated vein). It might also be something such as congenital or acquired intestinal telangiectasia (dilation of a small blood vessel).
• You have portal hypertension.
• Your esophagus, stomach or intestine is not normal (congenital or acquired). For instance you might have a narrowed opening.
You have experienced an intra-operative gastric injury, such as a gastric perforation at or near the location of the intended band placement.
• You have cirrhosis.
• You have chronic Pancreatitis.
• You are pregnant. (If you become pregnant after the Lap-BandŽ System has been placed, the band may need to be deflated. The same is true if you need more nutrition for any other reason, such as becoming seriously ill. In rare cases, removal may be needed.)
• You are addicted to alcohol or drugs.
• You are under 15 years of age.
• You have an infection anywhere in your body or one that could contaminate the surgical area.
• You are on chronic, long-term steroid treatment.
ˇ You cannot or do not want to follow the dietary rules that come with this procedure.
ˇ You might be allergic to materials in the device.
• You cannot tolerate pain from an implanted device.
•You or someone in your family has an autoimmune connective tissue disease. That might be a disease such as systemic lupus erythematosus or scleroderma. The same is true if you have symptoms of one of these diseases.


• The doctors believe that patients with a "sweet tooth" will not do well with the Lap-BandŽ System. If you eat a lot of sweet foods, the doctors would prefer to do the Bypass operation. The same is true if you often drink milkshakes or other high-calorie liquids.

The advantages of BAND surgery include:
• Reduced surgical trauma and pain
Less invasive for the abdominal wall (requires small incisions of 5 to10 millimeters) and for the stomach (no cutting or stapling of the organ is needed)
• Shorter hospitalization than standard surgery
Respect of the anatomical and functional. integrity of the stomach without by-passing portions of the stomach or intestines.
• Individualized to the patient's needs via inflation or deflation of the band.
• Fully reversible by simply removing the band.

LAP-BAND Risks / Complications
The LAP-BAND System is designed to be adjustable after surgery and to assist you in losing weight and maintaining your weight loss. However, following the surgery there are risks of complications associated with the placement, movement, infection, or leakage of the band or port. In addition, some patients experience more post-operative gastric symptoms, such nausea and vomiting, than others. There also remains the possibility that you may not lose weight or that you may even gain weight or that very rapid weight loss could cause health problems.


Some of the specific major risks associated with the LAP-BAND and laparoscopic surgery are:

Major Risks associated with the LAP-BAND
  • band leakage
  • reflux
  • erosion of band into stomach
  • difficulty swallowing
  • enlargement of stomach pouch or band slippage
  • dehydration
  • blockage of stomach outlet
  • gas bloat
  • nausea
  • constipation
  • ulceration
  • weight regain
  • gastritis
  •  

    Major Risks associated with Laparoscopic Surgery
  • damage to spleen, liver
  • blood clots
  • perforation of stomach / esophagus
  • lung problems
  • damage to major blood vessels
  • Please note that laparoscopic surgery is not always possible. In the event that one or several of these complications occur during surgery, the surgeon may need to switch to an "open" method. This happened in only about 5% of the cases in the U.S. Clinical Study, and has happened in less than 0.1% of the cases in our surgical experience.

    Also note that the cost to remove the lapband in the future can be around $4500us.


    State of the Art technology and procedures done in State of the Art facilities!  Our Doctors only use the finest  hospitals in Puerto Vallarta, ones that are state of the art, with clean, sterile, and the very best equipment available.  The operating rooms are designed specifically for bariatric surgery and the doctors make sure that they have met all of their requirements.

    When you are in Puerto Vallarta and your doctor is providing you service during your medical tourism vacation, if there is an emergency you may contact the doctor, 24 hours a day via telephone or email.  Someone will be available to assist you!

    You may also contact us at info@drjoya.com

    or

    Call us @: 866.509.0571
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    • Bariatric Surgery
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    Please feel free to contact us with any questions, concerns, that you may have regarding our services. If you would like to contact us via e-mail, please forward your information to info@drjoya.com and one of our friendly staff members will contact you directly or via email within 24 hours.  We can provide you with a risk free price quote based on the information you provide.  You may also call us toll free at 866.509.0571 or 817.405.2778
    At DRJOYA.com we are all well trained, and bilingual, speaking both English and Spanish.  We have been working in the Medical Tourism industry for more than 15 years.  By selecting to have your surgery with us, you not only get the best doctors in Puerto Vallarta to assist you during your surgery, you also get top notch care before surgery, where you questions are answered usually in less than 24hours, to post op where we are here for you as well.  If you don't have insurance and are looking to go overseas for weight loss surgery, then let us bring you to beautiful Puerto Vallarta.  Our staff will get you the answers to your questions and assist you with getting all of your travel preparation needs in order.  Our staff will also assist you with any other specific needs you may have.  

    All of the Doctors and staff that work with our doctors speak English and are University trained.  The Hospitals are also accredited and are located  in the heart of Puerto Vallarta and accessible from every hotel.  The hotel and hospitals are about 10 minutes from the airport.   
    We are completely committed to delivering quality medical care to prospective patients.  With our doctors you not only get the best doctors in Mexico for your surgery, but you also get doctors who specialize in the Gastric Bypass, Gastric Sleeve surgery, Gastric Bypass Revision surgeries, Duodenal Switch Surgeries and doctors who have helped patients worldwide lose millions of pounds a year, and all of these treatments can be done at savings over what they cost in the US. The  hospitals in Puerto Vallarta have been approved by and work with most major American Insurance companies.

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