Lap-Band After Bypass

Since weight regain after gastric bypass is usually caused by stretching of the stomach, one way to get the restriction back is to place an adjustable gastric band over the stretched pouch.

A LAP-BAND® is a minimally invasive procedure that involves placement of an inflatable band around the upper part of the stomach. As a revision procedure, LAP-BAND functions exactly the same as when performed as a primary surgery: by restricting the amount of food you can eat, helping you regain control over your eating habits.

HOW IS THE LAP-BAND PROCEDURE PERFORMED?

A LAP-BAND procedure is performed laparoscopically under full anesthesia. During the procedure, the surgeon makes a few small incisions and, using a special camera and thin, long-shafted surgical instruments, places an adjustable silicone band around the upper part of your stomach. The band squeezes the stomach like a belt or rubber band, creating a small pouch in the upper stomach. Even though the band is deflated when placed, some patients start to feel the restriction even before their first adjustment.

Although LAP-BAND remains the safest weight loss surgery, when done as a revision procedure it may be slightly more challenging. The tissue scarring formed after the initial procedure can make it more difficult for the surgeon to access the stomach and securely place the band. Because of the increased difficulty, the procedure may take longer than the regular LAP-BAND placement.

If you had a gastric bypass surgery and you are thinking about a revision procedure, your first step is to schedule a consultation with a bariatric surgeon. During your consultation, the surgeon will ask you questions about your experience with gastric bypass, your diet, and your weight loss goals. After finishing your preoperative testing, the surgeon will be able to provide recommendations and let you know how long your revision surgery should take.

HOW WILL THE BAND AFFECT MY DIET?

Following the procedure, you will slowly progress from a clear liquid diet to normal solid foods over the period of four to five weeks. On the fourth week, you will have your first band adjustment and start to work on achieving optimal restriction — the point at which your band effectively limits the amount of food you can eat without causing nutritional deficiencies or other complications. In addition, before and after the procedure, you will also meet with a dietitian to discuss your new diet and eating habits.

Although the LAP-BAND is a purely restrictive procedure, as a gastric bypass patient you will still have to deal with malabsorption issues and will continue to need nutritional supplements. Swallowing pills with the band may be difficult, so you will need to discuss this issue with your dietitian prior to being banded. Your dietitian will be able to recommend supplements that won’t irritate your stomach.

HOW WILL I LOSE WEIGHT WITH THE BAND?

The secret behind LAP-BAND weight loss lies in portion control and a healthy, balanced diet. While gastric bypass helps many patients change their eating habits, it often fails them in later years in respect to portion control. The LAP-BAND procedure will fill that gap and make you feel full faster with a smaller amount of food.

Just like regular LAP-BAND patients, patients who decide to undergo a LAP-BAND procedure following gastric bypass lose weight steadily and in slow increments. Even though “slow increments” may not sound too appealing, they soon add up and bring you back to your optimal weight. A slow weight will allow your body to better adapt and permits a successful long-term weight loss.


Important LAP-BAND® System Safety Information

Indications: The LAP-BAND® System is indicated for weight reduction for patients with obesity, with a Body Mass Index (BMI) of at least 40 kg/m2 or a BMI of at least 30 kg/m2with one or more obesity-related co-morbid conditions. It is indicated for use only in adult patients who have failed more conservative weight reduction alternatives, such as supervised diet, exercise and behavior modification programs. Patients who elect to have this surgery must make the commitment to accept significant changes in their eating habits for the rest of their lives.

Contraindications: The LAP-BAND® System is not recommended for non-adult patients, patients with conditions that may make them poor surgical candidates or increase the risk of poor results (e.g., inflammatory or cardiopulmonary diseases, GI conditions, symptoms or family history of autoimmune disease, cirrhosis), who are unwilling or unable to comply with the required dietary restrictions, who have alcohol or drug addictions, or who currently are or may be pregnant.

Warnings: The LAP-BAND® System is a long-term implant. Explant and replacement surgery may be required. Patients who become pregnant or severely ill, or who require more extensive nutrition may require deflation of their bands. Anti-inflammatory agents, such as aspirin, should be used with caution and may contribute to an increased risk of band erosion.

Adverse Events: Placement of the LAP-BAND® System is major surgery and, as with any surgery, death can occur. Possible complications include the risks associated with the medications and methods used during surgery, the risks associated with any surgical procedure, and the patient’s ability to tolerate a foreign object implanted in the body. Band slippage, erosion and deflation, reflux, obstruction of the stomach, dilation of the esophagus, infection, or nausea and vomiting may occur. Reoperation may be required. Rapid weight loss may result in complications that may require additional surgery. Deflation of the band may alleviate excessively rapid weight loss or esophageal dilation.

Important: For full safety information please click here, talk with your doctor, or call Apollo Customer Support at 1-855-551-3123


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