Lap-Band surgery is one of several surgical procedures to treat obesity. Surgery is an option for patients who previously tried and failed to lose weight with other medically supervised weight loss programs, such as behavioral alterations, pre-packed meals and pharmacotherapy. To qualify for Lap-Band surgery, patients need to have a Body Mass Index (BMI) higher than 40 or higher than 30 and suffer from a comorbidity, like high blood pressure, diabetes or heart disease.
While weight loss surgery is often a “last resort” for patients who need to lose weight, an increasing body of research evidence is revealing that bariatric surgery procedures such as Lap-Band surgery may in fact offer patients the best option for losing weight, since the procedures are proving to be both safe and effective.
For Lap-Band surgery, treatment includes the placement of a silicone band around the stomach to reduce its size, as well as the connection to the band’s inflatable inner surface to an access port using a thin tube. The device, which is usually placed in the patient’s body through a minimally invasive laparoscopic surgery, limits food intake based on the tightness of the band, which can be adjusted by regulating the amount of fluid injected into the band by a physician.
Is the Lap-Band Safe? Lap-Band Safety Procedures
The Laparoscopic Adjusted Gastric Bands surgery is a proven safe procedure, with a very low 0.1% mortality rate.
Obese patients often favor the Lap-Band because it is:
Minimally invasive — the surgery can be conducted by making only a few small incisions.
Not permanent — the gastric band can be removed at any time, unlike other weight loss surgeries, such as sleeve gastrectomy, which permanently change the digestive tract.
Proven safe — most weight loss surgeries are safe and have low mortality rates, but the gastric band’s .1% mortality rate is compelling for patients.
Proven effective — numerous clinical trials have demonstrated that the Lap-Band helps patients achieve weight loss and can also improve comorbidities, such as type 2 diabetes.
Is The Lap-Band Safe? It Depends on Patient Compliance
In order to ensure the safety and success of the Lap-Band procedure, there are some lifestyle changes that have to be made on the part of the patient. The eligibility of the patients for a Laparoscopic Adjusted Gastric Bands surgery is very specific and should be discussed with a physician. The system is not recommended for patients younger than 18 years old, patients with conditions that may make them poor surgical candidates or increase the risk of poor results, including inflammatory or cardiopulmonary diseases, gastrointestinal conditions, symptoms or family history of autoimmune disease, and cirrhosis.
In addition, to ensure the safety of the patients, they need to be willing and able to commit to required dietary restrictions, as well as giving up alcohol and addressing drug addictions. Pregnant women are also not candidates for the Lap-Band surgery.
However, the Lap-Band is indeed a long-term weight loss treatment and additional surgeries may be needed to enhance the results, correct potential problems and ensure the safety of the patient.
Potential Problems Associated with the Lap-Band
Despite the safety of the treatment, there are potential problems that can occur. The possible side effects associated with the Lap-Band include:
- band problems
- blood clots
- bowel function changes
- bowel perforations
- esophageal dilation
- food trapping
- Gastroesophageal Reflux Disease
- hiatal hernia
- indigestion (Dyspepsia)
- food intolerance, nausea
- port problems
- pouch dilation
Based on the study cited above, the most common adverse events caused by the Lap-Band were vomiting, indigestion, acid reflux, and nausea. Specialists argue that these adverse events can be mitigated by adhering to the best practices of the device.
Gastric banding requires a drastic diet change—you need to eat small portions frequently to prevent complications and ensure weight loss, if you eat or drink more than your stomach pouch can hold, the pouch will stretch and food may back up into the esophagus. You may have nausea and vomiting, and require an adjustment of the band.
And if patients eat a lot of fattening foods or drink milkshakes or other high-calorie liquids, they may not lose a lot of weight.
when it comes to complications and adverse events associated with the device, it is primarily up to the patient to ensure that they eat right in order to continue to lose weight and feel good.