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Minimally Invasive LAP-BAND® Procedure

In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach. The band is then inflated with a salt solution. It can be tightened or loosened over time to change the size of the passage by increasing or decreasing the amount of salt solution. The entire procedure is done laparoscopically, where a laparoscope is inserted through the abdominal wall through small surgical incisions.

It induces weight loss by reducing the capacity of the stomach, which restricts the amount of food that can be consumed.

Minimally Invasive Approach

During the procedure, surgeons usually use laparoscopic techniques (using small incisions and long-shafted instruments), to implant an inflatable silicone band into the patient’s abdomen. Like a wristwatch, the band is fastened around the upper stomach to create a new, tiny stomach pouch that limits and controls the amount of food you eat. It also creates a small outlet that slows the emptying process into the stomach and the intestines. As a result, patients experience an earlier sensation of fullness and are satisfied with smaller amounts of food. In turn, this results in weight loss.

Least Traumatic Procedure

Since there is no cutting, stapling or stomach re-routing involved in the LAP-BAND System procedure, it is considered the least traumatic of all weight loss surgeries. The laparoscopic approach to the surgery also offers the advantages of reduced post-operative pain, shortened hospital stay and quicker recovery. If for any reason the LAP-BAND System needs to be removed, the stomach generally returns to its original form.

LAP BAND

Adjustable Treatment

The LAP-BAND System is an adjustable weight loss surgery. The diameter of the band is adjustable for a customized weight-loss rate. Your individual needs can change as you lose weight.

To modify the size of the band, its inner surface can be inflated or deflated with a saline solution. The band is connected by tubing to an access port, which is placed well below the skin during surgery. After the operation, the surgeon can control the amount of saline in the band by entering the port with a fine needle through the skin.

The LAP-BAND® System Advantage

Minimal Trauma

  • Least invasive surgical option
  • No intestinal re-routing
  • No cutting or stapling of the stomach wall or bowel
  • Reduced patient pain, hospital length-of-stay and recovery period

Fewer Risks and Side Effects

  • Significantly lower mortality risk than other obesity surgery procedures
  • Low risk of nutritional deficiencies associated with gastric bypass
  • Reduced risk of hair loss
  • No “dumping syndrome” related to dietary intake restrictions

Adjustable

  • Allows individualized degree of restriction for ideal, long-term weight loss
  • Adjustments performed without additional surgery
  • Supports pregnancy by allowing stomach outlet size to be opened for increased nutritional needs

Reversible

  • Removable at any time
  • Stomach and other anatomy are generally restored to their original forms and functions

Effective Long-Term Weight Loss

  • More than 600,000 cases performed worldwide
  • Standard of care for hundreds of practices around the world
  • Academic publications with up to 7 years of follow-up

Want more information?

Am I a Candidate?

The BioEnterics® LAP-BAND® System is not right for everyone. Here are some of the things the physician will consider when evaluating your candidacy for obesity surgery.

Indications
The LAP-BAND System may be right for you if:

  • Your BMI is 35 or higher or you weigh at least twice your ideal weight or you weigh at least 100 pounds more than your ideal weight.
  • You can use the BMI Calculator to determine your current BMI.
  • Your serious attempts to lose weight have had only short-term success.
  • You are willing to continue being monitored by the specialist who is treating you.

If you do not meet the BMI or weight criteria, you still may be considered for surgery if your BMI is over 40 and you are suffering from serious health problems related to obesity.

Your Motivation
While the LAP-BAND System is an effective treatment for morbid obesity, the weight does not come off itself. The LAP-BAND System is an aid to support you in achieving lasting results by limiting food intake, reducing appetite and slowing digestion. However, your motivation and commitment to adopt a new lifestyle are extremely important for long-term weight loss. New eating habits must be adhered to for the rest of your life. Exercise is an equally important component of a changed lifestyle.

Surgery Risk Information

A brief description of relevant contraindications, warnings and adverse events of the LAP-BAND® System

Indications: The LAP-BAND System is indicated for use in weight reduction for severely obese patients with a Body Mass Index (BMI) of at least 40 or a BMI of at least 35 with one or more severe co-morbid conditions, or those who are 100 pounds. or more over their estimated ideal weight.

Contraindications: The LAP-BAND System is not recommended for patients with conditions that may make them poor surgical candidates or increase the risk of poor results, who are unwilling or unable to comply with the required dietary restrictions, or who currently are or may be pregnant.

Warnings: The LAP-BAND System is a long-term implant. Explant and replacement surgery may be required at some time. Patients who become pregnant or severely ill, or who require more extensive nutrition may require deflation of their bands. Patients should not expect to lose weight as fast as gastric bypass patients, and band inflation should proceed in small increments. Anti-inflammatory agents, such as aspirin, should be used with caution and may contribute to an increased risk of band erosion.

Adverse Events: Placement of the LAP-BAND System is major surgery and, like any surgery, death can occur. Possible complications include the risks associated with the medications and methods used during surgery, the risks associated with any surgical procedure, and the patient’s ability to tolerate a foreign object implanted in the body.

Band slippage, erosion and deflation, obstruction of the stomach, dilation of the esophagus, infection, or nausea and vomiting may occur. Reoperation may be required.

Rapid weight loss may result in complications that can require additional surgery. Deflation of the band may alleviate excessively rapid weight loss or esophageal dilation.

Not all contraindications, warnings or adverse events are included in this brief description. More detailed risk information is available at www.lapband.com

Nutrition with a LAP-BAND

The lap band helps you lose weight by:

  • Reducing the amount of food that you can eat
  • Reducing hunger
  • Reducing the amount of kilojoules that you can eat.

With a gastric band you can eat a normal healthy diet, but you will only be able to tolerate very small portion sizes (about ½ cup or a bread and butter plate per meal). You may find some foods a little tricky, such as white bread, rice and steak, however, if you eat slowly and work with your dietitian, you should be able to eat small amounts of all foods. Eating slowly and chewing your food well is the key to success with a gastric band. Make sure that you have time to eat your meals, and try to reduce distractions such as the television so that you can concentrate on eating slowly.

Gastric Band Guidelines

It is essential that you follow the Gastric Band Guidelines for the rest of your life to ensure that you lose your optimal amount of weight and that you be as healthy as you possibly can.

  1. Eat slowly, chew well, and when you sense fullness – stop!
  2. Eat 3 small evenly spaced meals per day
  3. No snacks between meals
  4. Separate food & fluids – avoid drinking for half an hour before or after meals
  5. Avoid high calorie foods and drinks eg. chocolate, cheese, ice cream, soft drinks
  6. Take a multivitamin daily

Follow a Healthy Diet

After years of dieting, some people have forgotten how to eat a normal, healthy diet. It is a good idea to practice healthy eating habits before you have your surgery. Try the following tips:

  • Include all of the 5 Core Food Groups each day. These are:
    • Breads and cereals – pasta, rice, breakfast cereal, legumes, bread
    • Dairy – milk, yoghurt, custard
    • Vegetables – salad, vegetable sticks, stir fry
    • Fruit – fresh fruit, dried fruit, canned fruit
    • Meat & meat alternatives – meat, poultry, fish, canned tuna, nuts, legumes, tofu.
  • Eat breakfast daily. Try a high fiber breakfast such as Fiber One, Wheeta Bix, Special K, whole wheat toast, tomato or an egg or fruit salad and yogurt.
  • Avoid high calorie drinks such as soft drinks, cordials and fruit juices. Drink water or low fat milk.
  • If you’re hungry, have a nutritious snack such as fruit, raw veggies with dip, yogurt, a glass of milk or half a sandwich. Avoid foods high in calories such as chocolate, chips and biscuits.
  • Limit take away foods. Try to make foods from fresh ingredients. If you’re in a hurry, try cooking up some meals on the weekends, then freezing them for later. Casseroles and homemade soups are really good choices to freeze.
  • Do at least 30 minutes of vigorous exercise every day. Vigorous exercise means that you should be puffing. Try things like going for a fast walk, swimming or riding an exercise bike.
  • Increase your incidental exercise. Incidental exercise is exercise which is part of your everyday life. It includes things like walking up the stairs instead of taking the elevator, walking to the shops instead of driving or taking public transport and washing the car instead of taking it to the car wash.
  • Reduce screen time. You should limit activities like watching TV and playing computer games to a maximum of 2 hours each day. Go for a walk or have a hot bath for relaxation instead.
  • Drink plenty of water. Some time when you think you’re hungry, you’re actually just thirsty, so make sure that you’re drinking plenty of water. Keep a water bottle with you and take little sips all day long.

Diet for Surgery

Stage 1.
For 1-2 weeks prior to your surgery, you will need to be on a meal replacement (such as Reduce XS or Optifast) to reduce the size of your stomach. This helps to reduce the risk of complications during the surgery. Your dietitian will explain this diet to you in your pre-operative assessment.

Stage 2.
In hospital, you will be seen by a dietitian who will explain stage 2. Basically, you will need to commence a high protein fluid diet post-surgery to allow the swelling to go down, then slowly introduce new foods until you can tolerate a full diet. You will need to start on fluids, then upgrade to vitamized foods (soft, pureed) before finally being able to tolerate solid foods. This process usually takes about 4 weeks.

Stage 3.
After the first amount of fluid is put into your band, you should be able to eat a normal diet, but only very small servings at a time. It is important that you follow the Gastric Band Guidelines.

Dietetic Package

The dietitians are available to help and support you both before and after your surgery. We individually tailor an eating plan for you and assist you to follow the Gastric Band Guidelines. The package includes 5 visits with the dietitian.

  • Pre-operative assessment – assessment of the quality and quantity of your diet, discuss issues that may have caused you to become overweight and discuss problem areas.
  • Post-operative assessment – assess how you’ve been tolerating your post-operative diet and ensure that you’ve been following the Gastric Band Guidelines prior to adding fluid to the band.
  • Reviews x 3 – ensure that you’ve been following the Gastric Band Guidelines and discuss any problem areas that may have arisen.

** Additional reviews are available as required at an additional cost.


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Dr. Gonzalez performs weight loss surgery at

Plano Surgical Center

Part of the Nobilis Health family, Plano Surgical Hospital is a state-of-the-art acute care hospital committed to excellence. Our highly credentialed staff, cutting-edge equipment, and robust on-site services provide community members with access to exceptional healthcare, 24/7.

We provide concierge-quality care in a comfortable environment. At Plano Surgical Hospital, you’re family, and we stop at nothing to create a compassionate, welcoming environment.