Laparoscopic Adjustable Gastric Banding (Lap-Band®)

Lap band surgery is a variation on the banded gastroplasty, in which the stomach is neither opened nor stapled--a band is placed around the outside of the upper stomach, and creates an hourglass-shaped stomach. It also produces a narrow, controlled and adjustable outlet that allows for management of the rate at which food travels from the upper to the lower stomach. Patients are satisfied with smaller meals that easily fill the small upper stomach. The Lap-Band® constriction causes food to slowly pass through the outlet and maintain stretch on the upper pouch - leading to a prolonged sense of fullness and lack of hunger. The Lap-Band® is made of a non-reactive, durable elastomeric polymer that can be surgically implanted during a relatively short laparoscopic procedure (less than an hour, on average). The inflation port, which is placed under the skin near but below the patient's ribs, allows for periodic adjustments to the volume of the outlet; making it tighter, if weight loss is too slow, or looser, if weight loss is too fast. These adjustments can usually be done without hospitalization and always with the utmost of safety.

True advantages to the Lap-Band® are:

•  It can almost always be inserted laparoscopically, without the usual large incision.
•  It does not require any opening in the gastrointestinal tract, so infection risk is reduced.
•  There is no staple line to come apart.
  
•  It is adjustable.
  
•  If necessary, it is reversible (Band can be removed).

This device has now been approved by the Food and Drug Administration (FDA) for use in the United States. One-hundred thousand have been implanted here and abroad, and the track record of safety is well-established.

Lap band surgery may be particularly suited to persons of lower BMI (35-48), who may wish to have a quicker recovery, less risk, and the ability to undergo a surgical procedure without the obvious outward evidence of surgery. Most can return to work quickly, and dietary changes are less obvious. Although its effects may not be as profound or rapid as the gastric bypass, the risk of the procedure are less, and the recovery time is the shortest.

The Lap-Band® surgical procedure is also an excellent tool in the treatment of morbid obesity. In the latest study out of the journal of Obesity Surgery (Rubenstein, 2002), the average weight loss at three years was approximately 54%, range: 21-94%. The resolution of co-morbidities (weight-related illness and injury) in the same interval was similar to gastric bypass surgery.

Learn more about your Denver lap band surgery options by attending a FREE weight loss seminar today!