How does the LAP-BAND System Work?

• A silicon band is placed around the upper part of the stomach
  -  A small pouch is created (a restrictive procedure)
              -  Stomach holds less food
              -  Induces feeling of satiety

• A port is attached to the band and is placed under the skin for adjustment
• Operation time = 1 hour
• Overnight hospital stay
• Return to work in 1 week
• Evaluate every 6-8 weeks for gradual tightening if necessary
• Expectation of weight loss of 1.5-2.0 lbs/week or 50% of excess weight
• Higher weight loss can be achieved depending on patient’s commitment

Advantages:

• Physiologic
• Least invasive procedure
• No stomach stapling or cutting
• No intestinal rerouting
• Adjustable, and Reversible
• Lowest operative complications
• Lowest mortality rate (0.05%)
• Low malnutrition risk
• No diarrhea, anemia, osteoporosis, or vitamin loss

Disadvantages:

• Slower initial weight loss than gastric bypass
• Long term (5 years) results of weight loss are equal to gastric bypass
• Regular follow-up is critical for optimal results

Surgical Complications:

• 1% slippage or erosion that requires re-operation
• 2% Minor port problems that may require removal, repositioning, or replacement