Friday, April 12, 2024

Lap Band Surgery Pros And Cons

What Is Endoscopic Sleeve Gastroplasty

Lap Bands: Pros & Cons
Online Bariatric Seminar – Endobariatrics

Dr. Chris explains what endoscopic bariatrics is. This incisionless technique reduces the capacity of your digestive system leading to a safe and healthy weight loss. Endoscopy is used for many types of procedures to reduce pain and increase the speed of healing.

Who Should Have It

In the past, guidelines recommended gastric band placement only if a personâs body mass index was 35 or above. Some people with a BMI of 30â34.9 had surgery if there were other obesity-related problems, such as diabetes, hypertension, or sleep apnea. This was because of the high risk of complications.

Advances in surgical techniques, however, have improved the safety record of the procedure, and this recommendation is no longer in place.

A doctor may now recommend bariatric surgery for some individuals with a BMI of 30â35 if:

  • they have obesity-related complications and
  • non-surgical approaches have not proven effective

Nonsurgical options include:

The advantages of laparoscopic gastric banding include:

  • the possibility of long-term weight loss for those with obesity
  • relatively rapid recovery
  • smaller chance of wound infections and hernias after surgery
  • reduced risk of diabetes, high blood pressure, urinary incontinence, and other conditions related to excess weight
  • no loss of nutrient absorption
  • improved quality of life after surgery in many cases

There is also the option to remove or adjust the band. Adjustability means it can be tightened or loosened, for example, if not enough weight is being lost, or there is vomiting after eating.

On average, between 40 and 60 percent of excess weight may be lost, but this depends on the individual.

There are some risks associated with having a gastric band.

These include the following:

Natural Alternatives To Weight Loss Procedures

Weight loss surgeries like bypass surgery should be a last resort after all other options have been tried, and there are excellent options.

In my 30 years at the Pritikin Longevity Center, Ive seen hundreds of men and women lose 50 to 100 pounds and more just by exercising and following the Pritikin Eating Plan, observes Dr. Jay Kenney, PhD, RD, Educator and Nutrition Research Specialist at the Pritikin Longevity Center in Miami.

Pritikin is a program of healthy eating, exercise, and lifestyle change that differentiates itself from other weight-loss resorts by its scientific efficacy. More than 100 studies have been published in peer-reviewed medical journals documenting the Pritikin Programs success in helping thousands worldwide shed excess weight, control diabetes, reduce high blood pressure to the point where drugs are no longer needed, and markedly lower other cardiovascular risk factors like the metabolic syndrome, cholesterol, and triglycerides.

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Find A Weight Loss Surgeon

SECTION SUMMARY:

  • You can ask a local bariatric practice for a free insurance check or cost quote
  • You can attend a free in-person seminar or an online webinar offered by a local weight loss surgeon
  • You should schedule a phone or in-person consultation , if you are interested in learning more about weight loss surgery

Search the Lap-Band Surgeon Directory below to find a weight loss surgeon by country and region:

Average Results Lap Band Vs Gastric Sleeve

Lap

On average, patients will initially lose 40% to 60% of their excess body weight after undergoing lap band surgery. That said, these results vary widely depending on the motivation and compliance of the patient in question.

For example, patients who follow the advice of their bariatric surgeon, maintain a balanced and healthy diet, and exercise regularly will generally lose greater amounts of weight than a patient who reverts to old habits.

Patients who commit to making the correct lifestyle choices can expect to lose anywhere from two to three pounds of lost weight every week on average. Over the long term, this will drop to around one pound every week.

On average, patients who undergo gastric sleeve surgery may lose up to 60% of their total body weight. In some instances, this number may be even higher up to two years post-surgery. That said, the patient must be willing to commit themselves to make significant lifestyle changes such as eating healthy and exercising.

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How Much Weight Will I Lose With Lap Band

The ideal pace of weight loss after lap band placement is one to two pounds per week, says Ontario bariatric surgeon Dr. Christopher S. Cobourn in a RealSelf Q& A.

Significant weight loss is possible over time, particularly if you watch your food intake and stick with a regular exercise program. A systematic review of the Lap-Band System in the United States found that the average weight loss over 20 years was 66.4 lbs .

The pattern of weight loss is slow and steady, but if you notice a plateauespecially if it corresponds with an increase in hunger and a feeling that you can eat more than you shouldthat may mean your lap band needs to be adjusted. Your surgeon can add or remove saline from the lap band, via your port, to reposition it.

Start Working With A Weight Loss Surgeon As Soon As Possible

Surgeons will help you navigate your surgical options, pre-surgery steps, financing, and insurance options:

  • Many surgeons offer a free initial consultation, free local seminar, or free webinar. These will give you a better idea of what to expect and allow you to ask questions.
  • Many also provide a free insurance check. They will also help you appeal any denials or find financing.
  • Most insurance companies need proof of a medically supervised diet program. Your surgeon will set this up for you if you havent done so already.
  • Your surgeon will push you towards new habits that will be essential to success after surgery. Many surgeons will recommend support group meetings for feedback from actual patients.
  • Find a Weight Loss Surgeon Essential Checklist: 3 to 6 Months Out

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    Gastric Sleeve Vs Lap Band

    The gastric band procedure is placed around the upper portion of the stomach, creating a new stomach or small pouch that reduces the amount of food that can be consumed. The limiting of food intake results in weight loss. Once the band is in place, it is possible for the bariatric surgeon to adjust it at any time by inflation or deflation. There is also the option of band removal.

    Also known as a vertical gastrectomy, a partial gastrectomy, gastric reduction, as well as a greater curvature gastrectomy, this procedure offers and encourages weight-loss in obese patients by removing up to 2/3 of the stomach. Sleeve gastrectomy creates a small, sleeve shaped stomach relative in size to a very thin banana. This is a permanent procedure that cannot be reversed, but one that provides a growing number of obese patients with life-saving benefits. Sleeve gastrectomy procedures are effective and safe for almost all patients, with very few exceptions and long term complications. In many cases, this surgical procedure allows patients to lose as much weight as the more aggressive gastric bypass surgery.

    What Are The Pros And Cons Of Lap Band Surgery

    Can You Lose Weight With The Lap Band Surgery?

    Pros

    • The rate of complications after the surgery is relatively low, compared to other bariatric procedures. The American Society for Metabolic and Bariatric Surgery reported in 2012 that the 30-day mortality rate for lap band surgery was 0.03%, compared to 0.08% for sleeve gastrectomy and 0.14% for gastric bypass.
    • There’s also a low risk of developing vitamin and mineral deficiencies, so you won’t have to take daily vitamins as you would after a procedure like gastric bypass.
    • It’s an outpatient procedure, so you’ll go home the same day.
    • It doesn’t require the stomach or intestines to be surgically divided, so you’ll only need about 1 week of downtime before you can start returning to your daily activities.
    • Lap band removal is possible, if you have a complication or decide you no longer want it

    Cons

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    Adjustable Gastric Band Pros And Cons: Disadvantages

    However, the gastric band also has cons, starting with the fact that the device is associated with slower and later weight loss than other surgical procedures, which can sometimes impact patients motivation to remain compliant with the program. Similarly, some patients that use the adjustable gastric band fail to lose at least 50 percent of excess body weight compared to the other surgeries commonly performed.

    In addition, it is one of the methods that requires patients to hold a foreign device inside their bodies, which can be uncomfortable and a strange experience for some patients. Several side effects are also associated with the band, including band slippage or band erosion into the stomach, which occurs in a very small percentage of patients, as well as dilatation of the esophagus if the patient overeats.

    Patients may also suffer mechanical problems with the band, tube or port in a small percentage of patients and it requires strict adherence to the postoperative diet and to postoperative follow-up visits in order to guarantee successful results and avoid potential side effects related to the band. However, due to complications that need to be surgically corrected, adjustable gastric band is also the bariatric surgery with highest rate of re-operation, according to the society.

    List Of Pros Of Lap Band Surgery

    1. Less Severe Short-Term ComplicationsThe pain and discomfort does not last very long. After the successful placement and adjustment of the band, the patient can go on a few weeks of recovery and proceed to normal lifestyle.

    2. Cost of Surgery is LesserUnlike other weight loss surgeries and medical treatments, lap band surgery is relatively more affordable. Lap band surgery costs around $19,000, while gastric bypass costs $25,000 per person. However, gastric sleeve is cheapest at $15,000.

    3. The Band is Adjustable and Procedure is ReversibleDepending on the health requirements of the patient, the band is adjusted by inserting or removing saline into the port to inflate or deflate the tube band.

    4. Has Low Malnutrition RiskThe procedure is restrictive but it does not inhibit absorption of nutrients. The patient only needs to take regular multivitamins as part of his nutritional supplementation.

    5. Least invasive among Weight Loss SurgeriesDespite the addition of a foreign object, it features quick recovery and is less invasive. Unlike gastric sleeve and gastric bypass that requires the patient to stay in the hospital for at least two days, the patient undergoing gastric band may go home immediately after the surgery, less than one day.

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    How Long Does Recovery Take

    Surgeons recommend taking a week off work after lap band surgery. Expect to be uncomfortablebut not in an excessive amount of painduring the first couple of days, says New York bariatric surgeon Dr. David Buchin. Most people begin to feel back to normal after three or four days.

    Youll need to follow a strict diet for the first six weeks after gastric band surgery, beginning with liquids and gradually introducing soft foods before resuming a normal diet .

    Because of the space restriction in your stomach, youll have to relearn your eating habits to feel comfortable. You may experience vomiting and acid reflux as you adjust.

    Adjust To Your New Post

    Reasons for a Lap

    For the first 4 to 5 weeks after surgery, you will go from a clear liquid diet to your new normal Lap-Band diet. You should also continue your transition into a more active lifestyle. You will feel full sooner after eating and start to experience weight loss within a couple weeks.

    Your surgeons dietitian or nutritionist will help you determine an appropriate diet. See the Diet & Life After section of this page for more information.

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    A Surgical Procedure Offers Risk

    Another con t Lap Band Surgery is unavoidable. This is a surgical procedure, which means that risk is automatically involved. This risk is the reason that only certain patients are even given Lap Band Surgery as a weight loss method. Blood clots are always a concern for obese patients. However, this risk is evident in all surgical procedures for obese individuals.

    Food & Drink: Your Diet Transition Schedule

    Timeframe Range

    Without enough Vitamin D, youre at risk of developing rickets, a weakening of the bones, muscles, and teeth.

    • Chewable or liquid forms are best
    • 3,000 International Units per day
    • Take 2 hours apart from any Iron supplement

    Talk with your surgeon to be sure, but you may be able to find a calcium supplement that fulfills your Vitamin D requirements.

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    Two Weeks Out: Prepare For Surgery

    You will have completed your pre-op tests, physical, and any other required steps. You should have insurance approval by this point. You should also be well on your way towards developing your diet and lifestyle habits.

    In the week or two leading up to surgery, youll go to the hospital pre-surgery department. They will perform an EKG, blood work, and any last minute tasks or other pre-op tests. Youll meet with the surgeon one more time to wrap up final tests and forms. The night before surgery, do not eat or drink anything starting at midnight.

    What Is Gastric Sleeve And How It Is Performed

    Is the Lap Band Right for Me?

    Gastric sleeve surgery is known as stomach reduction surgery for short. In gastric sleeve surgery, 80 percent of the stomach is removed through approximately 0.5 cm holes drilled through the anterior abdominal wall without making a large incision. Because the remaining 20 percent resembles a tube, the tube is called gastric surgery.

    This closed intervention is called laparoscopic surgery. The fundus section is located in the 80 percent part taken by surgery. The fundus is the area where the hunger hormone is secreted. On the other hand, it also has an absorption-reducing effect, although not as much as a gastric bypass.

    Before all obesity surgeries, there are a number of procedures that need to be performed to investigate the suitability for surgery. For example, a person who is going to have obesity surgery must comply with the body mass index data set by the World Health Organization.

    BMI is obtained by dividing a persons weight by the square of their height. Each result has categories such as thin, normal weight, obese, extremely obese.

    In order to have obesity surgery, the result must be 40 and over. If there are additional diseases other than obesity, it is sufficient to have a result of 35 and above.

    Gastric sleeve surgery is performed by laparoscopic method. Laparoscopic surgery is a closed surgery technique. In its place, several holes of about 0.5 cm are made, and the camera and treatment tools are sent through these holes to the abdominal region.

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    Who Is Good Candidate For Lap Band Surgery

    The adjustable gastric band was FDA-approved in 2001 for people with a body mass index of at least 40 who have tried other weight-loss programs without success.

    To be a good candidate, you’ll need to be mentally ready to make lifestyle changes to ensure the long-term success of this weight-loss procedure and avoid future weight regain.

    List Of Cons Of Lap Band Surgery

    1. Not as Effective as Gastric Sleeve or BypassLap band surgery or gastric band promises up to 50% of excess weight loss after five years, which is about 15% to 25% less than other procedures. Also, weight loss is highly unpredictable because the patient has to couple the surgery with proper diet to make it work.

    2. Needs Frequent Visits to the DoctorThe patient needs to visit the doctor more frequently, up to 15 times in the first year, and fewer in the succeeding years. This is especially true if the band has to be adjusted, has slipped, or caused complications.

    3. Has 3% Fatality Rate and Higher Long-Term ComplicationsSurgeries have innate risks, and can result to death. This is true to lap band surgery. Also, it has higher long-term complications, which requires re-operation and removal of the band.

    4. Not a Cure-All against ObesityAgain, only the intake is restricted. The patient has to control his diet, and when possible, perform exercise, to ensure weight loss in a healthy way.

    5. Requires Foreign Object PlacementThe band is a foreign object, and this might not do well with some patients. Others dread the implantation of a medical device inside their bodies, more than the removal of a body part, as in the case of bypass and sleeve.

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    Side Effects Between Lap Band And Gastric Sleeve

    As with any bariatric procedure, patients may experience a range of side effects and/or complications following lap band surgery. On average, 15 60% of patients require revisional bariatric surgery due to complications such as frequent vomiting, implant malposition, erosion, or lack of weight loss.

    The most common side effects include:

    Weight loss surgery can take its toll on the body. For a six-month period following surgery, you may experience hair thinning, fatigue, changes in mood, and feeling cold. This is quite normal, and attributable to the rapid loss of body fat. After 6 months, these symptoms nearly always resolve. However, the initial recovery time for both surgeries is relatively quick. Both surgical weight loss patients are held overnight for observation but can go home the next day and resume normal activities.

    How Much Does A Lap Band Cost

    What Are The Dangers Of Lap Band Surgery

    The price you pay will depend on your surgeon’s level of experience, their practice location, and whether your health insurance covers a portion of the cost.

    When youre budgeting for lap band surgery, consider the ongoing cost of having the device, including regular follow-ups and band adjustments.

    Most lap band patients need band adjustment 610 times in the first year or two, says Detroit-area bariatric surgeonDr. Mark Pleatman.

    You can finance your treatment with CareCredit.

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