Lap Band Surgery

The Lap Band System

One of the more popular forms of weight loss surgery for the treatment of obesity is Lap Band. This procedure has been successful in helping individuals suffering from obesity. Many people are also aware of another form of weight loss surgery called gastric bypass surgery, a complex procedure that is somewhat similar to Lap Band. Both procedures divide the stomach into a smaller, upper section and a larger, lower section. The upper section serves as the new stomach for the patient.

The Differences between Lap Band Surgery and Gastric Bypass Surgery

Lap Band surgery is an advanced procedure incorporating a series of narrow incisions and a small laparoscopic camera. The camera is used to facilitate the bariatric surgeon’s ability to insert the belt-like band around the stomach, creating two different pouches. The minimized invasiveness of this bariatric surgery usually makes it a same-day procedure. Full surgical recovery is typically achieved approximately two weeks following surgery. Patients who undergo Lap Band weight loss surgery do not typically experience the same type of rapid weight loss as gastric bypass patients. Most Lap Band surgery patients experience a more gradual weight loss that levels off around two years after surgery.

Lap Band Adjustment

The Lap Band is adjusted by controlling the amount of saline solution in the ring via an access point embedded underneath the skin. Patients who have Lap Band surgery typically require 6-8 adjustments to the band during the first year and a half following surgery. These adjustments control the size of the upper stomach pouch to better facilitate weight loss.

As with any surgery, complications can arise from the Lap Band surgery, including the band leaking, enlargement of the stomach pouch or the stomach outlet becoming blocked. Increased weight loss can also cause the band to move from its original spot, which may lead to the stomach to shift above the band. This complication may lead to heartburn or vomiting.

Gastric Bypass

Gastric bypass is a more complex and invasive procedure in which portions of the abdomen are removed. The bariatric surgeon creates two differently sized pouches and then modifies the small intestine so it is connected to both sections. Due to the invasiveness of this approach, gastric bypass patients usually stay in the hospital for 48-72 hours and typically achieve full surgical recovery after three weeks. Most gastric bypass surgery patients experience rapid weight loss over the first 3-6 months. Usually after 10-16 months, patients discover their weight loss has tapered off.

Since gastric bypass surgery requires numerous incisions, infection could lead to serious complications. Patients need to routinely monitor their incisions to check for signs of infection. They also need to meet frequently with their bariatric surgeon to chart their recovery and discuss any problems or concerns.

Besides meeting with the bariatric surgeon for regular follow-ups after gastric bypass or Lap Band surgery, the patient is assisted in several other ways to help achieve optimal results. After the procedure, the patient is put on a liquid diet for a few weeks. Soft and then solid food is introduced depending on the recovery status. Many bariatric surgeons have their patients adhere to an exercise plan, while some incorporate behavioral modification programs to help patients adjust to different eating habits.

Finding a Bariatric Surgeon for Weight Loss Surgery

It is important to locate a bariatric surgeon with extensive experience. This can help lead to fewer complications and ensure a better aftercare support system.

The first time an individual meets with a bariatric surgeon, the decision will be made regarding eligibility for a weight loss surgery such as Lap Band surgery or gastric bypass. In the early 1990s the National Institutes of Health established a set of criteria for surgeons to follow. The doctor will analyze the candidate’s body mass index (BMI) to make a decision regarding qualification.

BMI is a measure of body fat based on an individual’s height and weight. If the BMI is between 35 and 39, a candidate must also have associated medical conditions with obesity such as diabetes, hypertension or high cholesterol to qualify for weight loss surgery. If the BMI is greater than 40, most surgeons will not require a candidate suffer from any concurrent problems and will go ahead with the surgery depending on the patient’s health.

It is important patients build a quality rapport with their bariatric surgeon as they typically spend a significant amount of time with their doctor after surgery. The surgeon can provide support, answer any medical questions and facilitate weight loss progress. Many patients who have gone through a weight loss surgery routinely praise their surgeons for the assistance they provided. Working with the most qualified and supportive bariatric surgeon available will lead to optimal results from the weight loss surgery.

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