Top Surgeons - Lap Band Surgery Guide

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  • LAP-BAND Surgery Guide

    TopSurgeons : promotes some of the finest LAP-BAND Surgeons, Plastic Surgeons /

    Cosmetic Surgeons and Dermatology Surgeons / Dermatologists in Beverly Hills, Los Angeles

    and beyond.

    LAP-BAND Surgery for Weight Loss

    For millions of Americans, being overweight is more than just a problem of carrying around a

    few excess pounds. For this population, being overweight is a significant hindrance to living a

    normal life, and is a risk factor for serious health problems. This condition is known as morbid

    obesity.

    How Is Morbid Obesity Defined?

    Typically, the term morbid obesity is defined as being 100 pounds or more over ones ideal

    weight, or, alternatively, having a BMI (body mass index) of 40 or greater. BMI is calculated

    according to the following formula: BMI = [Weight (lbs) height (in)] x 703

    What is the LAP-BAND?

    LAP-BAND is an implantable device consisting of an inflatable band (a silicone ring), which fits

    around the upper part of the stomach.

    How Does LAP-BAND Work?

    The LAP-BAND, once implanted, is inflated with saline solution through an access port

    placed under the skin. This causes the LAP-BAND to become tighter around the upper part of

    the stomach, creating a smaller stomach pouch. When you eat, the pouch fills up much more

    quickly because there is simply less physical space. It will take time for food to move from the

    newly-formed pouch to the rest of the stomach. You will therefore feel full faster and eat less.

    How much weight will I lose?

    Dramatic weight loss can be expected over time, but a gradual weight loss of about 1-2 pounds

    per week is preferred. Usually, 40 percent of excess weight is lost within a year of the procedure;

    and at 5 years, most patients lose and maintain 50-70% of excess body weight. LAP-BAND

    surgery is approved for patients meeting guidelines set by the National Institute of Health: Body

    Mass Index (BMI) greater than 40, or BMI of at least 35, combined with severe medical

    conditions, such as type 2 diabetes, hypertension or high cholesterol. The LAP-BAND is

    recommended for patients 18 years and older.

    What Does the LAP-BAND Surgery Involve?

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  • Implantation of the Lap-Band is a minimally invasive procedure. This means there are no large

    incisions necessary. Your surgeon uses a laparoscopic technique (hence the name LAP-

    BAND), which involves making a few tiny incisions and inserting a laparoscope (a tiny camera)

    to guide the placement of the LLAP-BAND in the appropriate position as the surgeon views it

    on the video monitor. The LAP-BAND is then locked securely in place.

    Adjusting the LAP-BAND

    One of the most appealing features of the LAP-BAND is that its adjustable. Your doctor will

    insert a thin needle into the access port located beneath the skin, and either withdraw liquid to

    loosen the band or inject more saline to tighten the LAP-BAND, depending on your response

    to the therapy and your comfort level. If you find the LAP-BAND is so restrictive that it causes

    significant discomfort, it will be loosened; if you find yourself eating too much and/or not feeling

    full, it will be tightened to allow further restriction of food intake.

    When is the LAP-BAND Considered Appropriate Therapy?

    The LAP-BAND should only be used in cases of severe or morbid obesity. The cutoff should be

    a BMI >30. It is not indicated for patients who are mildly or moderately overweight. The LAP-

    BAND is not indicated as first-line therapy; it should be considered only after normal measures

    of caloric restriction and exercise have failed.

    What Are The Advantages of the LAP-BAND Surgery?

    Minimally invasive procedure

    No large incisions or scarring

    No cutting or stapling of the intestines or stomach

    No surgical bypass is created

    Significantly less pain post-op

    Lower risk of complications and mortality

    Fully adjustable and removable

    Clinically proven to maintain long-term weight loss.

    After Your LAP-BAND Surgery

    You will be able to go home the same day, and will likely be able to return to work or school

    within one week. You will start to notice weight loss gradually, but the cumulative results will be

    impressive. Most patients lose 50-80% of their excess weight within the first year after LAP-

    BAND surgery. You need to follow your surgeons instructions closely so that your procedure

    will be a success.

    A New Way of Eating

  • Your new stomach will require special treatment. In the first few weeks following LAP-

    BAND surgery, you will be placed on a liquid diet. After that, you will eat only soft or pureed

    foods, and then finally regular solid foods. You will find that you get full very quickly compared

    to before your LAP-BAND surgery. this is normal, and to be expected. When you eat, you

    should not drink a large quantity of liquids with your food. This will advance the food through

    the pouch and into the rest of the stomach, defeating the purpose of the pouch.