What is Lap Band Surgery?
Patients who are having a weight-loss problem, having a Body Mass Index (BMI), of 40 Kg/m2 or more, or having a BMI of 30 Kg/m2 with one or more conditions related to their obesity, called comorbid conditions are most likely candidates to have lap band surgery.
If a patient also suffers from inflammatory or cardiopulmonary disease, other Gastrointestinal conditions or reports family histories of autoimmune diseases or cirrhosis, surgeons may not recommend bariatric surgeries. Added complications like alcohol or drug abuse, possible pregnancy or being unable or unwilling to follow required dietary restrictions mean a patient is not a good candidate for this surgery.
Lap Band surgery is a laparoscopic procedure that is usually performed as an outpatient surgery by a bariatric surgeon. The surgeon makes small cuts to insert the lap band system and instruments used for positioning the band around the proper area of the stomach. Lap Bands have inflatable pillow-like compartments that will be filled with saline to increase or decrease the band tightness.There is an access port attached securely just under the skin that is attached to the device by tubing so the surgeon has continued access to the implant.
Adjustments are made more often at first, then less often as weight loss is stabilized. The device is intended to assist with one or two-pounds weight loss per week by reducing your stomach's ability to hold large quantities of food. Limiting the amount of food intake keeps the patient feeling full longer, also making the feeling of fullness occur sooner with the lab band in place.
The Lap Band is considered a permanent implant unless a patient begins to suffer complications and the surgeon determines the device must be removed.
Lap Band Slippage Symptoms
If your lap band becomes misplaced from the original, intended location around a specific portion of your stomach, there are several options for a solution. Depending on the severity of the slippage problem, and the reasons behind the slippage, your bariatric surgeon will determine the treatment solution.
Reasons behind Lap Band Slippage:
- drinking carbonated beverages
- excessive vomiting
- poor placement originally
Look for Symptoms of Lap Band Slippage:
- chronic nausea
- acid reflux
- difficulty eating
- sudden ability to eat larger quantities
To correct problems with Lap band slippage, your bariatric surgeon might deflate your band to correct minor slippage, and reposition the band to its intended place. If the slippage is more serious, your surgeon could advise you to have the Lap Band removed and possibly conversion to a Gastric Bypass or Sleeve Gastrectomy.
Lap Bands sometimes have complications such as Band erosion. If the Lap Band erodes and migrates, it could grow into your stomach. When erosion happens, the Lap Band no longer effectively restricts food from entering your stomach. You might begin to gain weight back again. Another warning sign is if you have hunger pains and increased appetite suddenly. It usually takes about two years for an erosion problem to occur, but another surgery will have to be done to remove the Lap Band that is attached to the stomach.
Another issue with Lap Bands, the occasional port problems, when they detach from under the skin and flip or move away from the accessible location. Surgeons cannot get to the site for making saline adjustments your Lap Band. Other issues like minor infections in the port can be treated easily with antibiotics, but for serious infections within the system, the surgeon could recommend removal.
Contact our staff at Riverside Surgical and Weight Loss Center with questions about our preferred, very effective bariatric surgery options.