Laparoscopic Adjustable Gastric Band (Lap-Band)

LAP-BAND® Overview

 

Minimally Invasive Approach

During the procedure, Dr. Fusco uses laparoscopic techniques (using small incisions and long-shafted instruments), to implant an inflatable 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 eaten. The LAP-BAND® 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 re-routing involved in the LAP-BAND® System procedure, it is considered the least traumatic of all weight loss surgeries. The laparoscopic approach also offers the advantages of reduced post-operative pain, shortened or no hospital stay and quicker recovery. If for any reason the LAP-BAND® System needs to be removed, the stomach generally returns to its original form.

The Lap-Band is an adjustable device that is placed at the very top port of the stomach. When properly adjusted the band forms a small pouch of stomach above the band. When the patient eats a very small meal this small pouch fills and helps the patient to fill full (satiety) and decreses hunger. Approved by the FDA in June 2001, the LAP-BAND® Adjustable Gastric Banding System is the newest and the only adjustable surgical treatment for morbid obesity in the United States. Since its clinical introduction in 1993, close to a million LAP-BAND® procedures have been performed around the world.

Adjustable Treatment

The LAP-BAND® System is also the only adjustable weight loss surgery. The diameter of the band is adjustable for a customized weight-loss rate. Individual needs can change as you lose weight. To modify the size of the band, its inner surface can be inflated or deflated with a saline solution. The band is connected by tubing to an access port, which is placed well below the skin during surgery. After the operation the amount of saline in the band is controlled by entering the port with a fine needle through the skin. This is an procedure done in the office without the need for general anesthesia.

Effective Long-Term Weight Loss

There have been close to a million cases performed worldwide. Academic publications with up to 7 years of follow-up have been published showing the band to be an effective treatment for obesity. Results from the “APEX TRIAL”, of which LifeShape continues to be one of the major enrolling sites, shows 53% excess weight loss at two years and the lowest complication rates of any weight loss surgery.

Your Motivation

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. LifeShape Advanced Bariatrics center of Florida will help you learn the important behavioral changes you need to make in order to be a successful “LAP-BAND® patient”.

Risks

The Lap-Band procedure is generally reguarded as the safest weight loss procedure. Data from the Bariatric Outcomes Longitudinal Database (BOLD) which is collected from all Ameican Society for Metabolic and Bariatric Surgery Bariatric Surgery Center of Exellence (BSCOE) programs, show that at 30 days Lap-band is at least 5 times safer than gastric bypass and four times safer than gastric sleeve. At one year, the complication rate for gastric bypass is 4-fold higher and the gastric sleeve complication rate is 3-fold greater than Laparoscopic Adjustable Gastric Banding.

 

As with all surgery there is the Potential risks include but are not limitted to bleeding, infection, injury to surrounding structures, blood clot, band prolapse, need for band removal, need for band repositioning, and death.