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