Bariatric surgeons often state that weight loss surgery gives patients a tool to help them lose the excess weight and help them keep it off long-term. Every individual is unique and weight loss success will vary based on adherence to diet, activity levels and physician guidance after the procedure. This is especially true for the LAP-BAND® procedure, which is an adjustable tool that can be customized to each patient’s individual needs. The LAP-BAND® is an inflatable silicone band placed around a very specific portion of the upper stomach, creating a small stomach pouch above the band and acting as an adjustable valve that slows passing of the food into the remaining stomach below the band. The more the band is inflated, the longer it takes to empty the small stomach pouch of food. Your hunger levels may differ. A majority of our patients feel satisfied after consuming small meals throughout the day.
The LAP-BAND® System is currently the only weight-loss surgical device approved by the FDA for BMI of 30-35, or approximately 50-70 lbs overweight. On February 16, 2011, the FDA approved the expanded use of the LAP-BAND® for obese adults with a Body Mass Index (BMI) of 30-40 and at least one obesity-related health condition, who have failed more conservative weight reduction methods, such as diet, exercise and pharmacotherapy. This decision is very timely, as the US struggles with the obesity epidemic and Louisiana climbs to #2 on the list of the most obese states in the country. One-third of Louisiana’s population – or almost 1.5 million people – has a BMI of at least 30 and may now be eligible for the LAP-BAND® ® procedure. Those suffering from obesity may be able to benefit from long-term, surgical weight loss. Each individual is unique and outcomes will vary. Some of our patients have had their weight-related health conditions, such as, type II diabetes, sleep apnea, heart disease and joint problems, improve and even resolved.
The LAP-BAND® procedure is purely a restrictive surgery. The anatomy of the patient’s gastrointestinal tract is essentially unchanged while the capacity of the stomach is greatly reduced, so less food can be consumed at each meal. There is no intestinal re-routing so the risk of malnutrition and vitamin deficiencies is negligible. Weight loss tends to be slower than with other procedures such as the gastric bypass, but the long-term weight re-gain frequently seen with the gastric bypass is not as common with the LAP-BAND®. The complication rate of the LAP-BAND® procedures is less than half that of the more complex gastric bypass (9% versus 23%), and the mortality rate is over 10 times less than the gastric bypass (0.1% versus 1.0 %). The safety profile of the LAP-BAND® allows us to perform >65% of our procedures as same day surgeries. The LAP-BAND® procedure is also easily reversed if necessary.
- · Only bariatric procedure approved for BMI as low as 30
- · Least invasive bariatric procedure
- · No stomach stapling, cutting or removal
- · No intestinal re-routing (anastomosis)
- · Adjustable
- · Reversible
- · Lowest complication rate of all bariatric procedures (9%)
- · Lowest mortality rate (0.1%)
- · Lowest risk of malabsorption or vitamin and mineral deficiencies
- · Least expensive option for patients paying for their procedure
Patients considering the LAP-BAND® procedure should be prepared to make a commitment to regular follow-up visits with their surgeon and nurse coordinator for ongoing educational support and LAP-BAND® adjustments. Most patients require up to six adjustments to reach their optimal level of restriction. Monthly office visits for adjustments for the first 12 months is typical for optimal weight loss.