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.
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.
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.
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
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.
The Lap-BandŽ System is not right
The Lap-BandŽ System may be right for you if:
• You are an adult (at least 18 years old or 15 with
• 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
• 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.
The Lap-BandŽ System is not right for you
• You have an inflammatory disease or condition of the
gastrointestinal tract, such as ulcers, severe oesophagitis or
• 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
• Your esophagus, stomach or intestine is
not normal (congenital or acquired). For instance you might have a
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
• You are on chronic, long-term steroid treatment.
You cannot or do not want to follow the dietary rules that come with
ˇ You might be allergic to materials in the
• 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
• Reduced surgical trauma and pain
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
• 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
Major Risks associated
with the LAP-BAND
band into stomach
of stomach pouch or band slippage
Major Risks associated
with Laparoscopic Surgery
of stomach / esophagus
major blood vessels
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.
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