At DayOne Health, our board certified bariatric surgeons will help you determine if you are a good candidate for LAP-BAND® surgery. Your eligibility is based on several factors, including your current weight and any weight-related health conditions you may have.
In 2011, The US Food and Drug Administration updated its recommendations for use of the LAP-BAND System, making it available to even more patients. One of the main factors used to determine eligibility for LAP-BAND surgery is Body Mass Index, or BMI.
WHAT IS BMI?
BMI (Body Mass Index) is a measure of your weight in relation to your height. Your BMI is used to determine your ideal healthy weight. The BMI categories are as follows:
- < 18.5 — Underweight
LAP-BAND EVALUATION PROCESS
Generally, in order to be eligible for laparoscopic gastric banding, you need to meet the following criteria:
- ✔ You are at least 18 years old
- ✔ Your body mass index (BMI) is at least 35, or
- ✔ Your BMI is between 30 and 35 and you have one or more co-morbidities
In other words, to qualify for the LAP-BAND, you need to be at least 70 pounds overweight, or approximately 50 pounds overweight and have an illness associated with your weight. Weight-related health conditions may include:
Even if you do not meet the criteria listed above, you may still be considered a candidate for LAP-BAND surgery. In some cases, BMI or weight criteria alone are not enough to determine your eligibility. If you have any questions about your eligibility for LAP-BAND surgery, schedule an appointment with one of our board certified bariatric surgeons. Based on your individual circumstances, your doctor will help you decide if LAP-BAND surgery is right for you.
IS HAVING A LAP-BAND AT A LOWER BMI AS BENEFICIAL AS WITH A HIGHER BMI?
Following changes to the FDA’s recommendations in 2011, the LAP-BAND System is now the only weight-loss procedure approved for patients with a BMI between 30 and 35. In the study reviewed by the FDA, more than 65% of participants were no longer obese one year after surgery. In addition, many of the patients’ co-morbidities — such as high cholesterol, diabetes, and hypertension — were significantly improved. In other words, undergoing the LAP-BAND procedure now, while you only have 50-70 pounds to lose, may have a huge preventive impact on your future health. If you are pre-diabetic or diabetic, or your cholesterol results are high, you may want to act now to avoid serious health problems in the future.
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
CAUTION: Rx only.