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Home | Surgery Types | Adjustable Gastric Band


The LAP-BAND® Adjustable Gastric Banding System consists in positioning an inflatable silicone band around the upper part of the stomach, dividing it into two parts (like an hourglass). This new small bag formed in the upper part of the stomach limits and controls the amount of food that can be ingested at one time and the narrow exit from the stomach increases the time needed for the stomach to empty. The patients therefore experience a sensation of fullness and satisfaction after ingesting a small quantity of food. The resulting reduction in food ingestion leads to a loss in weight.

Among the principal advantages of LAP-BAND® Adjustable Gastric Banding System, the one that stands out is that it is the only adjustable, reversible surgery for obesity, as it requires no cutting, no stapling of the stomach, nor any bypassing of the gastrointestinal system to divert the normal digestion.

Being a minimally invasive procedure (laparoscopic), patients are subjected to less postoperatory pain, and it requires a shorter hospitalization and recovery time. In addition, the LAP-BAND® Adjustable Gastric Banding System has a lower rate of mortality or of surgical complications, with little risk of malnutrition.

Initial weight loss is slower than with the Bypass or Gastric Sleeve, requiring an implanted medical device. In some cases the efficiency can diminish due to the band slipping. Regular medical control is crucial to ensure success.

 
 
The LAP-BAND® Adjustable Gastric Banding System performed by laparoscopy, with a hospital stay of no more than a day and the results are quite satisfactory. Their effectiveness may be reduced due to erosion or slippage of the band in the stomach. The regular medical supervision is critical for optimal results.

Dr. Dick Manrique, bariatric surgeon of Lima Obesity Surgery Center performs the LAP-BAND® Adjustable Gastric Banding System by laparoscopy, with a hospital stay of no more than one day. The results are quite satisfactory if the patient has been well selected and comply all the instructions for the success of the surgery.

 
 
» Will I often feel bad after the LAP-BAND® Adjustable Gastric Banding System?
» How much time will I need to recover after LAP-BAND® Adjustable Gastric Banding System?
» How much weight will I lose with the LAP-BAND® Gastric Banding System?
» How do weight loss results compare between the Adjustable Gastric Band and the Gastric Bypass Surgery?
» Are frequent visits to the surgeon needed after an LAP-BAND® Adjustable Gastric Banding System?
» Does the LAP-BAND® Adjustable Gastric Banding System limit any physical activity?
» How is the band adjusted?
» Do I have to be careful with the access port located just beneath the skin?
» Can the band be removed?
» Is it true that the Adjustable Gastric Band seems to be “tighter” in the morning?
» Will I feel hungry, will I be undernourished with the Adjustable Gastric Band?
» What happens if I get sick?
» What happens if I am pregnant?
» Will I need to take any vitamin complements?
» What about other medication I may be taking?
» What happens if I eat out?
» What happens with alcohol?
» Can I eat anything in moderation?
»

Will I suffer from constipation with the Gastric Band Surgery?

 
 
 
Will I often feel bad after the LAP-BAND® Adjustable Gastric Banding System?

The LAP-BAND® Adjustable Gastric Banding System limits food ingestion. If you feel nausea or continuous discomfort, it could be that you are not chewing your food properly or that you are not adequately following the diet instructions. Nevertheless, it could also indicate a band positioning problem. If the problem persists, contact your surgeon. Vomiting must be avoided at all costs, as it can cause the small stomach bag to shrink. It can cause part of the stomach to slip past the band and reduce the effectiveness of the operation. In some cases, another surgery may be required.

 
 
 
How much time will I need to recover after LAP-BAND® Adjustable Gastric Banding System?

Patients are normally hospitalized for less than 24 hours. Most patients are able to go back to work after about a week and can continue exercising after a month to six weeks. If complications arise, the recovery might need more time.

 
 
 
How much weight will I lose with the LAP-BAND® Gastric Banding System?

Weight loss varies from patient to patient and the amount of weight that you lose depends on several factors. The LAP-BAND® Gastric Banding System must be in the correct position and you need to have made a commitment to follow a new life-style and eating habits. The obesity surgery is not a panacea, and the weight will not disappear by itself. It is very important to set reasonable weight loss goals from the very beginning. A weight loss of 0.5 to 1 kilo a week is possible in the first year after surgery, but the more probable loss will be around 0.5 kilos per week. The weekly weight loss is generally lower twelve to eighteen months after surgery. Remember that you must lose weight gradually. An excessively fast weight loss becomes a health hazard and can cause numerous problems. The principal goal is a weight loss that improves or solves the medical problems associated to severe obesity. Most patients experience an overweight loss of 50-60% after a 5-year follow-up.

 
 
 
How do weight loss results compare between the Adjustable Gastric Band and the Gastric Bypass Surgery?

Surgeons inform that patients with a Gastric Bypass lose weight more rapidly during the first year. Nevertheless, after five years, many patients with the LAP-BAND® Gastric Banding System achieve a similar weight loss, or slightly lower, than patients with a Gastric Bypass. Focus on the long-term weight loss and remember that it is important to lose weight gradually as this reduces the risks associated to obesity and improves your health.

 
 
 
Are frequent visits to the surgeon needed after an LAP-BAND® Adjustable Gastric Banding System?

The periodic evaluation with your surgeon is a normal and very important part of the follow-up in the LAP-BAND® Gastric Banding System. During the first year, many surgeons see their patients weekly or every two weeks in the first month, and every four to twelve weeks from then on. The adjustments are made in some of these visits. Follow-up visits are typically programmed every three to six months during the second and third year after surgery, depending on each individual case.

 
 
 
Does the LAP-BAND® Adjustable Gastric Banding System limit any physical activity?
The LAP-BAND® Adjustable Gastric Banding System does not affect any physical activity, such as aerobics, stretching or vigorous exercise.
 
 
How is the band adjusted?

The adjustments are carried out in ambulatory visits, frequently in the X-ray department, where the access port can be visualized clearly, or in the medical doctor's office. In any of these cases, local anesthesia may be used. A thin needle passes through the skin in the access port to add or remove physiological solution. This process takes a few minutes and most patients claim it is practically painless.

 
 
 
Do I have to be careful with the access port located just beneath the skin?

There are no restrictions in terms of the access port. It is positioned under the skin, on the abdominal wall and, once the incisions have healed, there should be no discomfort or limitation for any physical exercise. The only sensation you may experience in the access port will be when you visit your surgeon for adjustment. In the event of continuous discomfort in the port area, you should consult your surgeon.

 
 
Can the band be removed?
Although the LAP-BAND® Adjustable Gastric Banding System was not designed to be removed, it can be extracted laparoscopically in some cases. Studies show that the stomach generally recovers its original shape after the band has been removed. After the removal, you may return to your original weight, and even put on more.
 
 
Is it true that the Adjustable Gastric Band seems to be “tighter” in the morning?

This is a very common sensation, especially for people with bands which are tight or have just been adjusted. During the day, the water content in the body changes and this can cause you to feel a "tighter" band part of the time. Some women have also noticed that the Adjustable Gastric Band feels tighter during menstruation.

 
 
 
Will I feel hungry, will I be undernourished with the Adjustable Gastric Band?

The LAP-BAND® Gastric Banding System makes you eat less and feel satisfied in two different ways: first by reducing your stomach capacity, and, second, by increasing the time that the food needs to go through the digestive system. After a small meal –the amount varies from person to person– you should feel satisfied. If you follow the nutrition rules in your choice of food, and then you chew it well, you should not feel hungry or be undernourished. Remember that the LAP-BAND® Gastric Banding System is a device that has been created to help you to change your eating habits.

 
 
 
What happens if I get sick?
One of the principal advantages of the LAP-BAND® Adjustable Banding System is that it can be adjusted. If your illness requires you to eat more, the band can be loosened by removing some of the physiological solution. Once you have recovered from your illness and are willing to lose some more weight, the band can be tightened by adding an amount of physiological solution. If the band cannot be made loose enough, it might require removing.
 
 
 
What happens if I am pregnant?
As you lose weight, your chances of getting pregnant go up. Your menstrual cycle can become more regular. If you need to eat more during pregnancy, the band can be loosened. After the pregnancy, you can have it tightened again to resume your weight loss process.
 
 
 
Will I need to take any vitamin complements?
You may have to if you do not get sufficient vitamins from your three small meals a day. During your regular check-ups, your specialist will evaluate whether you are getting sufficient vitamin B12, folic acid and iron. Your surgeon will give you advice on taking complements.
 
 
 
What about other medication I may be taking?
You should be able to take the medication prescribed for you, although you might need to take it in the form of capsules, cutting large tablets into two, or dissolve them in water so that they do not get stuck in your stomach and cause disorders. Always ask the doctor prescribing your medication about this. Your surgeon may tell you to avoid taking aspirin or other non-steroid anti-inflammatory pain killers, since they can irritate your stomach. The problems these agents could cause might make it necessary to remove the band.
 
 
 
What happens if I eat out?
Order only a small amount of food and eat it slowly. Finish your meal at the same time as those with you at the table. You may want to let your host know in advance that you cannot eat very much.
 
 
 
What happens with alcohol?
Alcohol has many calories and decomposes vitamins. Nevertheless, a glass of wine or other occasional alcoholic beverage will not hinder your weight loss.
 
 
 
Can I eat anything in moderation?
Once your stomach has healed, you can eat almost any food that does not cause any discomfort. However, as you can eat very little, you should include food that is rich in vitamins and important nutrients, as instructed by your surgeon and/or dietitian. If you eat food containing a lot of sugar or fat, or drink liquids full of "empty" calories, such as milkshake, the effect of the band can be substantially reduced or even annulled.
 
 
 
Will I suffer from constipation with the Gastric Band Surgery?

There may be some reduction in the volume of the feces, which is normal after reducing food consumption, since you will be eating less fiber. This should not cause any major problem. If you come across any difficulties, consult your surgeon. He may suggest you take a soft laxative and drink abundant water for some time. Your needs will change, but you must drink at least 6 to 8 glasses of water a day.

 
 

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Phone: (51-1) 224-6252
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