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LAP-Band Surgery

LAP-Band SurgeryLaparoscopic adjustable banding, or lap band surgery, utilizes a band, a “belt” with a balloon on the inside. It is placed around the upper part of the stomach creating a small “pouch”. The band works by restricting intake. It makes you feel full after eating only a small amount of food. There is no removing or re-positioning of the intestines, though having laparoscopic band surgery means that the band must be adjusted on a regular basis to be successful. The band is put in “empty” and is progressively tightened to increase restriction and allow for more weight loss.

There are two different types of bands available today. The LAP-BAND has been used in the United States since 2001. The REALIZE Band was approved by the FDA in 2007. The original Realize Band and Lap band have both been taken off the market. There are second and third generation bands available currently. They are very similar in nature.

Our patients have had wonderful success with the Adjustable Gastric Banding procedure. We would love to share their stories with you using our Media Center, as well as show you what a real LAP-BAND and REALIZE Band procedure looks like! We also feel it is equally important for patients to understand how simple a band fill is. Please click here to watch Dr. Duperier perform a lap band fill.




What to expect with the Band after laparoscopic band surgery
Almost all patients who have had lap band surgery are able to go home the same day. After the band, we ask you to stay on a liquid diet for 3 weeks after surgery. This allows the band to set into place. Remember, we will plan on starting your adjustments around 3 weeks after surgery.

Adjustments: Adjustments or “fills” are done every 3-4 weeks after your operation until you achieve the “right fit”. Remember that the “right fit” may be a moving target because your stomach may shrink as you do. The stomach can also get used to a certain level of tightness, so what seems tight at 2 months may feel loose at 6 months. It is critically important that you honor your commitment to yourself and the band and keep those monthly appointments. After the first year, we are usually able to space these out after you have developed a relationship with your band. We expect our band patients to be involved in medical weight loss concurrently. Lap band surgery is NOT a metabolic surgery and requires maximum participation in our program to achieve what we consider outstanding results. If you would like to learn more about the lap band surgery with renowned bariatric surgeons at BMI of Texas, please call us to learn about your options.

Once the most popular weight loss surgery in San Antonio, Lap Band Surgery is being performed less and less. There are many reasons for this.

Data has shown that there is a revision and reoperation rate that can be as high as 40% in some studies. At BMI, we have not seen this high rate of complications; however, we feel that patients need to be informed of this data when they make the choice of what type of weight loss surgery they want to have.



If you would like more information or have a question, please Contact Us Today.
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Our Vision

Redefining healthcare by creating meaningful relationships and experiences with our patients and the community in order to overcome obesity and metabolic disease fostering improved health and a better quality of life.

If you are like most people, you are probably extremely frustrated and tired of dealing with excess weight. You have probably tried every diet out there and perhaps had some success but just have not been able to achieve long term success. Our comprehensive program will give you the tools you need to lose the weight you want and to keep it off.

Because every patient is unique, we strive to design a customized program to meet the needs of each individual. Having the expertise of an Obesity Medicine Specialist, Dr. Jenny Seger, we have the unique opportunity to provide more complete weight management and wellness services than those which are available in other practices.


Our Mission

BMI of Texas exists to provide innovative and comprehensive medical and surgical care to patients with obesity and metabolic disease. We are dedicated to creating an enduring partnership with patients in order to ensure their long-term success. We are committed to providing such care in a supportive, compassionate, and guilt-free environment.

When it comes to Texas obesity surgery, it is our goal to not only help you achieve your weight loss goals but to improve your overall health and quality of life. We look forward to partnering with you on your journey to a healthier you!