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Laparoscopic Adjustable Gastric Banding

LAP-BAND®

The LAP-BAND® System is a clinically proven tool to aid with long-term weight loss, and research has shown patients maintain an average excess weight loss of 47.1% at 15 years.  Along with sustained weight loss, patients also see either improvement or complete control of obesity related diseases, including type 2 diabetes, sleep apnoea, heart disease, asthma and hypertension, among others.  

The procedure takes around 30-45 minutes and is performed laparoscopically. The LAP-BAND® is placed around the top of the stomach applying a constant, gentle pressure which in turn increases a feeling of satiety (a feeling of fullness) on a smaller amount of food. This mechanism means that patients feel full sooner, and are satisfied on less food consumption.

Attached to the LAP-BAND® is an access port, which sits beneath the skin on the abdomen; this allows the LAP-BAND® to be adjusted to each patients individual needs. The key to success with the LAP-BAND® is regular follow-up. Adjustments do not require any additional surgery, and are done in our clinic, usually taking only a few minutes.

Advantages 

  • Gradual weight loss of around 0.5-1kg on a weekly basis, depending on metabolism and eating & exercise habits.

  • Reversible procedure

  • The LAP-BAND® System has been a proven tool for weight loss since 1994, with over 850,000 patients’ worldwide.

  • No nutritional deficiencies from malabsorption.

Disadvantages

  • As the top of the stomach is partially obstructed by the band, patients may vomit with over eating. 

  • Patients still have their full stomach so continue to feel hungry and can 'drink past a band', thus can easily consume large volumes of soft and liquid food/fluids. 

  • Requires regular medical follow up to adjust the volume in the band to assist with weight loss.   

  • Complications- band slippage, band erosion, tubing and access port troubles.

  • Lower average excess weight loss of approximately 45% compared to the gastric sleeve and bypass.

Success Stories

Kimberly lost 22kg with the LAP-BAND® System. Watch her story here
 

Jason lost 31kg with the LAP-BAND® System. Watch his story here
 

Melinda lost 133kg with the LAP-BAND® System. Watch her story here
 

Stephen lost 36kg with the LAP-BAND® System. Watch his story here
 

Mary-Anne lost 31kg with the LAP-BAND® System. Watch here story here

 

References

  • O’Brien PE et al. Long-term outcomes after bariatric surgery: Fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg 2013; 257:87-94

  • Dixon JB et al. Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. JAMA 2008;299(3):316-323

  • Dixon JB, Schachter LM, O’Brien PE. Sleep disturbance and obesity: changes following surgically induced weight loss. Arch Intern Med. 2001;161:102-106.

  • Dixon JB, Chapman L, O’Brien PE. Marked improvement in asthma after Lap-Band surgery for morbid obesity. Obes Surg. 1999;9:385-389.

  • Dixon JB, O’Brien PE. Gastroesophageal reflux in obesity: the effect of LAP-BAND placement. Obes Surg. 1999;9:527-531 .

  • Hutan Ashrafian CW et al. Effects of bariatric surgery on cardiovascular function. Circulation 2008;118:2091-2102

  • Paul E O’Brien. Mechanisms of Bariatric Surgery, 2010

  • Apollo Endosurgery, Data on File; 2015