Lap Band

Babak   Moeinolmolki, MD -  - Bariatric Surgeon

Healthy Life Bariatrics

Babak Moeinolmolki, MD

Bariatric Surgeon located in Los Angeles, CA

Lap Band Specialist
Laparoscopic adjustable gastric banding, also known as LAP-BAND® surgery, is a highly-effective bariatric procedure. However, in about 9% of patients, the band needs to be removed and another procedure performed. In such instances, you want the most-experienced and skilled surgeon available. In Los Angeles, Glendale, and Encino patients in need of gastric band revision surgery turn to Dr. Babak Moeinolmolki of Healthy Life Revisions, located in the city’s Century City area.

Lap Band Q & A

by Babak Moeinolmolki, MD

What is a LAP-BAND and how can it help patients lose weight?

As with all bariatric procedures, the Lap band works by restricting the patient’s stomach volume. Less space within the stomach means a reduction in the number of calories that can be consumed at any one time. That translates into weight loss, which will have a number of positive impacts on an individual’s health and wellness. As weight loss progresses, many patients are invigorated by being able to measure and observe the changes in their body, health, and level of energy. That can have a powerful cumulative effect, helping patients to take control of their health and wellness.

 

What is gastric banding?

Gastric banding, also known as LAP-BAND surgery,  is a laparoscopic surgery used to aid in weight loss. The procedure entails placing a band around the upper part of your stomach to create a small pouch to hold food. The band limits the amount of food that can be comfortably consumed, causing you to feel full after eating smaller amounts.

What is gastric band revision surgery?

When gastric band surgery is unsuccessful or complications occur, as is the case in a small percentage of cases, removal of the band is necessary. Following removal of the band, four revision surgery options exist. These are:

  • rebanding
  • converting to gastric sleeve
  • converting to gastric bypass
  • converting to duodenal switch

 

Dr. Moeinolmolki has extensive experience in all of these procedures and recommends the best revision surgery for each patient’s health and weight loss success. Revision surgery may be performed in a single-stage (band removal and a new weight loss surgery technique performed at the same time, or a two-stage procedure in which removal is followed by the revision option at a later time).

 

Which method is best for you will depend on your situation, but most surgeons recommend a single-stage procedure.

 

How is the LAP-BAND put into place?

As the name implies, the lap band is placed into position using laparoscopic surgery, which is minimally invasive. A few very small incisions are made in the abdomen and a tiny camera is used to guide the insertion of the band. Special surgical instruments are used to place the band around the stomach and then to constrict the band. The band can be adjusted through an access port that is situated just under the patient’s skin. The device is designed for long-term use but can be removed through another laparoscopic procedure if needed.

What role does the patient play in supporting the LAP-BAND weight loss process?

Each individual must take control of his or her own weight loss journey. The LAP-BAND system, as with any other bariatric tool, should be considered as a means of supporting weight loss and is not a complete solution in and of itself. Patients must educate themselves on healthy choices, including nutrition and lifestyle modifications. It can take up to 45 days before the patient will be able to consume food that has not been liquefied or softened, and that is a great opportunity to learn to listen to the body’s signals regarding hunger and satiation. Steady, gradual change is the best way to achieve success after a LAP-BAND procedure. 

 

Why would a patient need gastric band revision surgery?

The most common reasons gastric band revision surgery is necessary include:

 

  • A lack of weight loss
  • Band slippage
  • Intolerance to the band (Gastroesophageal reflux disease or difficulty swallowing)
  • Infection

What is considered unsuccessful weight loss?

Generally, unsuccessful weight loss is considered to be less than 25-30% or less of your excess weight. Complete success generally means 50% or more of excess weight loss.

 

Does insurance cover gastric band revision surgery?

 

In most cases, if your insurance covered your original gastric band surgery it will cover removal of the band, as well as the revision procedure.

 

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Wilma Caldwell in Los Angeles, CA | Oct 08, 2016

The entire staff was genuinely nice and willing to explain everything to ease my worries about the procedures. My silicon breast implant went perfect. The doctor was very thorough, honest and took his time to make sure I was at ease and had a good understanding of everything. Thank you Moein!
 
 
 
 
*Individual results may vary
 

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