Lap Band Surgery (Adjustable Gastric Banding)
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Weight loss with lap band surgery has been quite inconsistent with only about one-third of people achieving a weight loss considered acceptable in weight loss surgery. Someone who has surgery for weight loss is expected to lose 50 to 70% of their excess weight in one year. Only about one-third of people achieve that with a lap band.
The way that things have gone both in the United States and worldwide is that the lap band operation has very much fallen out of favor. In the last couple of years the percentage of lap bands that are going in has dropped off to a great degree, and a lot more bands are being taken out. What the Europeans have discovered—and they are a little bit further ahead of the United States in their experience—is that about 50% of lap bands need to be removed at some point.
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The adjustable gastric band is a type of restrictive weight loss surgery. The band limits your food intake to aid in weight loss.
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The Lap-Band procedure is a surgical procedure that involves placing a device around the top part of the stomach to aid in weight loss. Watch this video from Coliseum Medical Centers to learn more.
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In general, most patients find they are unable to easily tolerate red meat, pasta, rice, fresh bread, and fibrous foods. Foods that are well tolerated include fish, dark meat chicken, ground beef or turkey and other soft foods that can be chewed well. You will be asked to eat three meals a day with one to three planned snacks, chew your food very well, and swallow slowly. You must drink only calorie-free or low-caloric beverages and wait at least one hour after eating to drink.
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Commitment to diet and exercise after LAP-BAND surgery will affect how soon you see results. Average weight loss after surgery is five pounds a month.
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You can go home after lap band surgery as soon as within a day. An overnight stay allows the doctor to monitor you after surgery for safety.
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The LAP-BAND procedure for weight loss is usually performed with laproscopic surgery. Watch this video from Coliseum Medical Centers to learn more.
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LAGB can improve diabetes in morbidly obese patients. Although remission of diabetes after this operation is less common than with gastric bypass surgery and the efficacy is more strictly linked with the weight loss effect of the procedure, gastric banding may be a valuable alternative option in selected patients.
Gastric banding involves encircling the upper part of the stomach with a band-like, saline-filled tube just distal to the gastroesophageal junction. The amount of restriction may be adjusted by injecting or withdrawing saline solution from the hollow core of the band through a subcutaneous port.
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Adjusting the size of the opening between the two parts of the stomach controls how much food passes from the upper to the lower part of the stomach. This opening (stoma) between the two parts of the stomach can easily be decreased or increased, by injecting or removing saline from the band. The band is connected by a tube to a reservoir placed beneath the skin during surgery. The surgeon or nurse practitioner can later control the amount of saline in the band by piercing the reservoir through the skin with a fine needle. The ability to adjust the band is a unique feature of gastric banding and is a normal part of follow-up.
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Gastric banding can cause side effects when it is improperly adjusted or dietary recommendations are not followed. The most commonly experienced side effects include: difficulty swallowing and heartburn like symptoms. It is important for the patient to see their surgeon if they experience these symptoms.
