Post Operative Period
The LAP-BAND® System should be considered to be a permanent medical device. Eating
healthy food, exercise and behavior modifications are very important in
the post-op period.
It is important that patients comply with specific dietary and other instructions
after the LAP-BAND® System is in place. These instructions include the following:
- Eat 3 smaller meals per day
- Avoid snacking between meals
- Eat slowly and chew food well
- Stop eating as soon as you feel full
- Do not drink liquids during meals or for one hour before and one hour
- Drink plenty of non-caloric liquids such as water in between meals. (at
least 8 glasses per day to avoid constipation, to maintain normal
kidney function and avoid kidney stones)
- Avoid alcohol which is high in calories
- Avoid high calorie foods (fats, sugars and carbohydrates) and eat primarily
protein, i.e. fruits, vegetables and whole grains
- Avoid aspirin and anti-inflammatory drugs (can cause stomach
- Do not use a straw since it can put air into the stomach
Immediately after surgery, patients will start on a liquid diet and then
progress to a soft diet. Patients should continue progress to a regular
diet at approximately 6 weeks after surgery.
To see a video about
Dieting Following Lap-Band® System Surgery (5 minutes)
LAP-BAND® System Patients who adhere to a consistent exercise program after surgery
will lose the most weight and will also lose it faster.
Aerobic Exercise: Aerobic exercise
burns calories and causes fat loss and also strengthens your heart. It
should be done 30 minutes every day. Examples of aerobic exercise are
walking, swimming, bicycling, treadmill, stair climbing, tennis, etc. High
impact aerobic exercise such as running, can cause injury to your
Anaerobic Exercise: (weight training)
Burns calories and causes fat loss and also builds muscles and bones.
Anaerobic exercise should be done for 20 minutes every other day only.
When performing anaerobic weight training exercise, patients should remember
- Each time you lift a weight is called a repetition (i.e. up and down)
and the number of repetitions in a series is called a set.
- Repetitions should be done slowly and smoothly
- Pick the proper weight so that you can do 8 to 12 repititions
before fatigue or muscle burn sets in. This will be your 1st set.
- Rest a few minutes and then perform a 2nd set.
- Rest again for a few minutes and then do a 3rd set.
Then move on to other weight exercises and do #3 sets for each exercise.
It is ok to weight train both upper and lower body on the same day. Try
to gradually increase the weight that is being lifted as your muscles
become stronger. Some soreness after weight training is normal. Do not
arch your back when lifting weights and do not hold your breath.
can do both anaerobic and aerobic exercises the same day. If you are
in your 40's or older or have a medical condition such as heart or lung
disease, check with your physician before starting any exercise program.
It is important to warm up with gentle exercise and stretching before
starting your exercise routine each day. Try to have a goal to exercise
daily and if you don't reach that goal, then 3 to 4 times per week should
be adequate. The daily 20 -30 minutes of exercise does not have to be
continuous. Research shows that the exercise can be done in multiple
five to ten minute sessions with the same beneficial results. Try to
vary your exercise program to avoid boredom. Also during exercise, remember
to do it with enough vigor and effort to get your heart beating more
Benefits of Exercise:
- Adds muscle (More in men than in women. This results in an increase
of your metabolic rate or the rate at which you burn calories. So you burn
more calories and have better control of your weight)
- Reduces cholesterol
- Lowers blood pressure
- Strengthens your joints
- Reduces the risk of osteoporosis by building strong bones
- Increases your energy
- Curbs your appetite
- Strengthens your heart and decreases heart rate and heart disease
- Decreases your risk of cancer, diabetes and arthritis
- Decreases anxiety, depression and stress
- Improves your self-esteem
- Improves your body tone and flexibility
- Improves sleep patterns
You will require adjustments of the LAP-BAND® System after
surgery so that the band is just tight enough to allow gradual and steady
weight loss. The adjustments are made in small increments and can usually
be done as an office procedure and do not require additional surgery. If
the LAP-BAND® System is correctly adjusted, you should be able to eat (3)
smaller meals per day and feel full so you don’t feel the need to snack
in between meals. The 1st adjustment is done at 6 weeks post-op. Subsequent
adjustments are usually done at 4 – 6 week intervals. If patients are
not losing adequate weight, the patient may need a fill (tightening of
the band by injecting saline). If nausea and vomiting and reflux or heart
burn symptoms occur then an adjustment will be necessary to decrease
the saline fill amount.
Patients need to be seen at 6 week intervals during the 1st year and then
every 3 months for the next 2 years. It will also be necessary for post-op
patients to have follow-up appointments with a family doctor for medication
adjustments and also follow-up appointments with a dietician and a support
Most patients need to have post-operative plastic surgery to remove excess
skin and fat on various areas of the body after they have achieved their
desired weight loss. Our physicians and our practice is dedicated
to providing our patients with any needed plastic surgery procedures, such
as abdominalplasty (tummy tuck) and other various body lifts. Financing
is also available for these cosmetic procedures. Please contact
us if you have interest in financing your post-op cosmetic procedures.
Support groups are very important after the procedure is performed. These
groups are available to assist patients in achieving the optimal weight
loss result during the post-operative period. Please ask
us for information
regarding support groups in your area.
Postoperatively if you take any large pills that you have difficulty swallowing,
you may cut or crush the pills.
If pregnancy or severe illness occurs after the LAP-BAND® System has been placed,
the band may need to be deflated temporarily to assure adequate nutrition.
It is very important to avoid vomiting during the post–op period because
this can cause the stomach to slip upwards above the LAP-BAND® System and enlarge
the new stomach pouch.