Over the years, weight-loss surgery has proven to be a successful
method for the treatment of morbid obesity.3 Surgical
options have continued to evolve and Surgical Weight Control Center
is pleased to be able to offer patients the BioEnterics® LAP-BAND® ®
System surgery. The Laparoscopic approach is the least
traumatic and recovery time is a lot less. These procedures are
unique tool that can help you achieve and maintain significant weight
loss, improve your health, and enhance your quality of life.
LAP-BAND® System Overview
Approved by the FDA in June 2001, the BioEnterics® LAP-BAND® Adjustable Gastric Banding System is the newest and the
only adjustable surgical treatment for morbid obesity in the United
States. It induces weight loss by reducing the capacity of the stomach,
which restricts the amount of food that can be consumed. Since its
clinical introduction in 1993, more than 100,000 LAP-BAND® procedures
have been performed around the world.
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.
Watch an animation of the LAP-BAND®
installation click on the image>>
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
The LAP-BAND® System is also the only 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. For example,
pregnant patients can expand their band to accommodate a growing
fetus, while patients who aren't experiencing significant
weight loss can have their bands tightened.
Watch an animation of the LAP-BAND
<<click on the image
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 BioEnterics® LAP-BAND® System is not right for
everyone. Here are some of the things we will consider when evaluating
your candidacy for obesity surgery.
The LAP-BAND® System may be right for you if:
If you do not meet the BMI or weight
criteria, you still may be considered for surgery if your BMI is
over 35 and you are suffering from serious health problems related
The LAP-BAND® System is not right for you if:
- You have an inflammatory disease or condition
of the gastrointestinal tract, such as ulcers, severe esophagitis,
or Crohn's disease.
- You have severe heart or lung disease that makes
you a poor candidate for surgery.
You have some other disease
that makes you a poor candidate for surgery.
You have a problem that could
cause bleeding in the esophagus or stomach. This might include
esophageal or gastric varices (a dilated vein). It might also
be something such as congenital or acquired intestinal telangiectasia
(dilation of a small blood vessel).
- You have portal hypertension.
- Your esophagus, stomach, or intestine is not
normal (congenital or acquired). For instance you might have a
- You have or have experienced an intra-operative
gastric injury, such as a gastric perforation at or near the location
of the intended band placement.
- You have cirrhosis.
- You have chronic pancreatitis.
You are pregnant. (If you become
pregnant after the BioEnterics LAP-BAND® System has been placed,
the band may need to be deflated. The same is true if you need
more nutrition for any other reason, such as becoming seriously
ill. In rare cases, removal may be needed.)
- You are addicted to alcohol or drugs.
- You are under 18 years of age.
- You have an infection anywhere in your body or
one that could contaminate the surgical area.
- You are on chronic, long-term steroid treatment.
- You cannot or do not want to follow the dietary
rules that come with this procedure.
- You might be allergic to materials in the device.
- You cannot tolerate pain from an implanted device.
You or someone in your family
has an autoimmune connective tissue disease. That might be a
disease such as systemic lupus erythematosus or scleroderma.
The same is true if you have symptoms of one of these diseases.
While the LAP-BAND® System is an effective treatment for morbid obesity,
the pounds do not come off by themselves. 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. For more information, please see the frequently
asked questions page.
with 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 lbs. or more over
their estimated ideal weight.
Contraindications: The LAP-BAND® System is not recommended for non-adult
patients, 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
Talk to your doctor about all of the following risks and complications:
. Gastritis (irritated
. Gastroesophageal reflux
. Gas bloat
. Dysphagia (difficulty
. Weight regain
Other problems which may occur are:
. The band can spontaneously
deflate because of leakage. That leakage can come
the band, the reservoir, or the tubing that connects them.
. The band can slip.
. There can be stomach
. The stomach pouch can
. The stoma (stomach
outlet) can be blocked.
. The band can erode
into the stomach
Obstruction of the stoma can be caused by:
. Improper placement
of the band
. The band being over-inflated
. Band or stomach slippage
. Stomach pouch twisting
. Stomach pouch enlargement
Weight loss with the band is typically slower and more gradual than
with some other weight-loss surgeries. Tightening the band too fast
or too much to try to speed up the weight loss process should be
avoided. The stomach pouch and/or esophagus can become enlarged
as a result. You need to learn how to use your band as a tool that
can help you reduce the amount you eat.
Complications can cause reduced weight loss. They can also cause
weight gain. Certain complications may require that you return to
surgery to remove, reposition, or replace the band.
1. American Association of Clinical Endocrinologists
(AACE) / American College of Endocrinology (ACE) Statement on the
Prevention, Diagnosis, and Treatment of Obesity (1998 Revision).
AACE/ACE Obesity Task Force. Endocr Pract. 1998; Vol. 4 No. 5: 297-330.
2. Kramer FM et al. Long-term follow-up of behavioral treatment
for obesity: patterns of weight regain among men and women. Int
J Obes 1989; 13:123-136.
3. SAGES/ASMBS Guidelines for Laparoscopic and Conventional Surgical
Treatment of Morbid Obesity. American Society for Bariatric Surgery.