Is the LAP-BAND Right for Me?
is the key
We will ensure that you understand the problems your excess weight
is causing. You have the most important role to play.
responsibilities will include new eating patterns and a new
If you are ready to take an active part in reducing your weight,
the LAP-BAND may be an ideal treatment option for you. It is
important that you know about the advantages, disadvantages, and
The LAP-BAND System may be right for you if :
The LAP-BAND System is not right for you if :
- You are between 18 and 60 years old.
- Your BMI is 35 or higher or you weigh at least twice your
ideal weight or you weigh at least 100 pounds (45 kilos) more
than your ideal weight.
- You have been overweight for more than 5 years.
- Your serious attempts to lose weight have had only short-term
- You do not have any other disease that may have caused you to
- You are prepared to make major changes in your eating habits
- You do not drink alcohol in excess.
- You have an inflammatory disease or condition of the
gastrointestinal tract, such as ulcers or esophagitis.
- You have severe heart or lung disease that makes you a poor
candidate for surgery.
- You have serious or untreated psychological problems.
- You have a problem that could cause bleeding in the
oesophagus or stomach. That might include oesophageal or gastric
varices (a dilated vein).
- You are pregnant. If you become pregnant after the LAP-BAND
System has been placed, the band may need to be deflated or
- You or someone in you family has an autoimmune connective
tissue disease. That might be a disease such as systemic lupus
erythematosus or scleroderma.
You should remember that the LAP-BAND System by itself will not
solve the problem of severe obesity. The amount of weight you lose
depends both on the band and on your motivation and commitment to a
new lifestyle and eating habits.
of the LAP-BAND
System has the following advantages :
- The LAP-BAND is adjustable.
Normally, you do not need more surgery to adjust the size of
the opening between the upper and lower stomach. Adjusting the
amount of fluid in the band may be a regular part of follow-up
for this procedure. It is a feature that may become more
important as you lose weight. With the LAP-BAND System, the
amount of food you can eat at one time can often be changed with
a simple inflation or deflation of the band via the access port.
- The LAP-BAND is reversible.
It is anticipated that the LAP-BAND would never need to be
removed. Only if there is a problem with the band would removal
be necessary. Removing the LAP-BAND will restore your stomach to
its original form and function and it is likely you would begin
to gain weight.
- The procedure can usually be performed on an outpatient
Patients normally leave the hospital or clinic the same day as
their surgery. If a large incision is required or if you have
other significant medical problems, admission to hospital may be
required. After the procedure, patients usually get back to
their normal activities in a week or two. It may take four weeks
or more if the procedure is not done laparoscopically or if
there are complications.
- There is no stapling of the stomach
The LAP-BAND does not involve stapling or diversion of the
gastrointestinal tract. Gastric banding is less invasive and
easier to adjust or reverse. Operations which rely on stapling
have a higher rate of complication due to problems with
potential poor healing of the stapled area.
- LAP-BAND does not rely on malabsorption
Most other weight loss surgical procedures (such as gastric
bypass) achieve results with a combination of restriction of the
stomach plus malabsorption. Long-term follow-up of patients who
have had malabsorption procedures show complications such as
liver cirrhosis and osteoporosis that may not be reversible. The
only supplement necessary for LAP-BAND patients is a chewable
"The advantage of LAP-BAND is that it goes around the
outside of the stomach, and the procedure can be reversed. I
wouldn't have other surgeries. Having my stomach stapled is so
final. Obviously, the LAP-BAND is also 'final', because you have to
'wear' it for the rest of your life. But it's good to know you can
have it removed if there is a problem. With the LAP-BAND method,
your new small stomach won't let you eat much. This means you can
lose a lot of weight in a short time. It also means the weight loss
is long lasting. With a diet, you always put the weight back on or
even put on more. I've won the battle with my body and my mind. I'm
going to make sure it stays that way." (LAP-BAND patient)
of LAP-BAND and Other Weight Reduction Surgical Procedures
The Gastric Bypass
The Gastric Bypass is both a restrictive and a malabsorptive
procedure. With this surgery, most of the stomach and part of the
intestines are bypassed. With the Gastric Bypass, the stomach is
stapled to make a smaller pouch. Then a part of the intestines is
attached (usually stapled) to the small stomach pouch. The result is
that you cannot eat as much and you absorb less nutrients and
calories from your food. This is the most commonly performed weight
loss surgical procedure in the United States. The associated risk of
death may be as high as 1%. We do not perform this procedure at the
Surgical Weight Loss Centre due to the relatively high risk of
complications. The lack of adjustability and reversibility are
limits of the procedure. There are significant long term health
consequences of malabsorption.
Vertical Banded Gastroplasty (VBG)
The VBG is a restrictive surgery. The surgeon uses staples to make
a small stomach pouch. This reduces how much food your stomach can
hold. When the amount of food the stomach can hold is reduced, you
feel full sooner. But at the same time, the stomach digests
nutrients and calories in a normal way. This operation requires a
major operation to reverse and is not adjustable. This operation has
historically failed to maintain adequate weight loss and is rarely
3. LAP-BAND Adjustable Gastric Banding
This procedure restricts how much the stomach can hold by placing
an adjustable band around the upper part of the stomach. There is no
cutting or stapling needed to divide the upper stomach pouch from
the lower stomach. The result is you take in less food. But unlike
gastric bypass, the LAP-BAND can be adjusted to suit your situation,
and can be removed if necessary. Adjusting the volume of liquid in
the band is a simple office procedure and is done with a needle
puncture through the skin to the reservoir in the abdominal wall.
The LAP-BAND uses new surgical technology to help you lose weight
by reducing how much your stomach can hold and lengthening the
feeling of being full. It is both successful and comfortable because
it does not leave the patient feeling constantly. Laparoscopic
adjustable gastric banding can be performed as an outpatient, thus
reducing the need and potential complications of a hospital stay.
The minimally invasive nature of the procedure means that the
recovery from surgery is much more rapid that with other weight
reduction surgical procedures.
The weight loss associated with the LAP-BAND is generally not as
rapid as with the other procedures, but tends to be more steady and
sustained. Rapid weight loss is associated with its own set of risks
and potential complications. Removal of the LAP-BAND and reversal of
the procedure is possible if necessary or desired. When the device
is removed the stomach returns to normal shape and function.
Complications and Adverse Events
All surgical procedures have
risks. When you decide on a procedure, you should know what the
risks are. Your surgeon will speak with you in detail and provide
information about the risks and complications that might arise.
What are the general risks?
Using the LAP-BAND System includes the same risks that come with
all major surgery. There are also added risks in any operation for
patients who are seriously overweight. There is a risk of gastric
perforation (a tear in the stomach wall) during or after the
procedure that might lead to the need for another surgery. In the
U.S. clinical study this happened in 1% of the patients. Certain
diseases such as heart, liver or kidney disease, whether they were
caused by obesity or not, can increase your risk from surgery. There
are also risks that come with the medications and the methods used
in the surgical procedure. You should know that death is one of the
risks. Death can occur despite all the precautions that are taken.
In the United States there have been six deaths in over 50,000
Adverse events that were considered to be
non-serious, and which occurred in less than 1% of the patients,
included: esophagitis (inflammation of the esophagus), gastritis
(inflammation of the stomach), pancreatitis (inflammation of the
pancreas), abdominal pain, incisional hernia, infection,
dehydration, diarrhea (frequent semi-solid bowel movements),
constipation, dysphagia (obstruction of passage of food through the
bottom of the esophagus), fever, chest pain, incision pain, contact
dermatitis (rash), band system leak, gall stones, port displacement,
port site pain, spleen injury, and wound infection.
What are the specific risks and complications?
Published results show that LAP-BAND surgery has fewer risks than
any other surgical treatment for obesity. Most complications are not
serious but some may require hospitalization and/or re-operation.
The specific complications listed below will be reviewed with all
patients prior to surgery. The specific complications are :
- band slippage - 1 to 2% of patients
- band erosion - early or late - 0.5% of patients
- Very Rare
- leakage of the balloon on the band
- leakage of the reservoir
- spleen or liver damage (sometimes requiring spleen
- damage to major blood vessels
- perforation of the stomach or oesophagus during surgery
Laparoscopic surgery is not always possible. We may need to
switch to an "open" method due to some of the reasons
mentioned above. This happened in about 5% of the cases in the U.S.
Clinical Study. Obstruction of the band can be caused by food,
swelling, band slippage or the band being over inflated. Some
complications may require more surgery to remove, reposition, or
replace the band.
Some patients have more nausea and vomiting than others. The weight
loss with LAP-BAND surgery is usually gradual and controlled. Rapid
weight loss may lead to symptoms of malnutrition and you can develop
gallstones after a rapid weight loss. This can make it necessary to
remove your gallbladder. It is possible you may not lose much weight
or any weight at all.
If any complications occur, you may need to be admitted to the
hospital or return to the hospital later.
Gastric Banding is not an insured service of The Taj Medical Group.
We offer a comprehensive program that includes pre-operative
consultation, surgery, the Lap-Band implant, and all post-operative
care. Post-operative follow-up is critical to the success of the
procedure and the fee includes all visits and telephone follow-up
for one year after surgery.
The all-inclusive cost for Lap Band surgery at The Taj Medical
Group Hospital in India is 5,800 GBP. Any office visits that are
necessary after the first year are 100 GBP per visit. All fees are
not subject to GST or other taxes. It is classified as a medical
expense and can be claimed on the federal income tax return as such.
These costs will be explained prior to the surgery.
The cost of Lap Band surgery should be compared with the cost of
many commercial weight loss programs that charge 100 GBP per week or
more (5,000 GBP per year). The failure to obtain and maintain
meaningful weight loss with these non-surgical methods translates
into a disappointing expense without long term results.
Patients may choose to finance their weight loss surgery. At The
Taj Medical Group we offer several different financing plans for our
patients benefit. These are arranged through major lending
institutions that specialize in financing for medical and cosmetic
procedures. The process is completely confidential. The applications
forms are available at our office. We can then forward the completed
application to the company for approval or the patient may do so
themselves. The cost of fully financing the 5,800 cost over three
years is approximately 170 GPB per month.
Most patients are approved for financing. Approvals are usually
received by the same day or within 24 hours. The interest rates are
competitive with most major credit cards and are clearly outlined
during the application process. Repayment is extremely flexible and
is always totally open so that total repayment can be made at any
time without penalty.