Laparoscopic 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.