A Minimally Invasive Approach to the Treatment of Obesity
The LAP-BAND® System Adjustable Gastric Banding System is specially designed to limit food consumption in severely obese patients. The inflatable band forms a small gastric pouch and stoma, and can be adjusted to control the amount of food that can be consumed comfortably.
The LAP-BAND® System is designed to be placed laparoscopically and is intended for use by surgeons with advanced laparoscopic skills..
The laparoscopic placement of the LAP-BAND® System means that the procedure is done through very small incisions, with instruments passing through small tubes (ports), rather than having a large, open incision. And there is no cutting or stapling of the stomach. Because placing the LAP-BAND® System is typically performed via a minimally invasive procedure, patients are usually back home the day after the surgery. The shorter stay allows patients to resume their regular activities sooner and also places less strain on hospital resources.
Postoperative adjustments to the stoma can be made by changing the amount of saline in the band using a subcutaneous access port, eliminating the need for additional surgery to make adjustments to the band size.
Safe, Successful Weight Loss
The LAP-BAND® System Adjustable Gastric Banding System is an effective way for the morbidly
obese patient to lose weight, with an average excess weight loss
comparable to gastric bypass surgery at 5 years post-op. One year after
surgery, excess weight loss can average 44%. And, the
LAP-BAND® System has a perioperative severe complication rate of less than 1%.
Patients using the LAP-BAND® System continue to absorb nutrients from their meals because their
gastrointestinal tract has not been drastically altered. Patients who
receive gastric bypass surgery, on the other hand, may be required to
take vitamin supplements for the rest of their lives since they may not
absorb the proper amounts of nutrients.
Identifying the LAP-BAND® System Adjustable Gastric Banding System Patient Candidates
The LAP-BAND® System is indicated for use in morbidly obese patients who have:
- A BMI of at least 40, or a BMI of at least 35 with 1 or more severe comorbid conditions,
or those who are 100 pounds or more over their estimated ideal weight
more conservative weight loss treatments, such as a medically
supervised diet, exercise, and behavior modification programs
- Made a commitment to accept significant changes in their eating habits for the rest of
What You Should Know About the Procedure
The LAP-BAND® System Adjustable Gastric Banding System is inserted laparoscopically. The slip-through buckle design of the LAP-BAND® System facilitates placing the band around the stomach. The procedure
itself generally takes anywhere from 30 minutes to an hour depending on
the amount of experience the physician has working with the LAP-BAND® System.
techniques can be used to place the band: perigastric, where dissection
starts on the lesser curve at the midpoint and continues behind the
stomach toward the angle of His; pars flaccida, where dissection begins
lateral to the midpoint in the space of the pars flaccida and continues
over to the angle of His; and pars flaccida to perigastric, which
begins with the pars flaccida technique, but ends with the band being
placed from the angle of His through to the perigastric opening.
Information on Follow-up and Aftercare
Because placing the LAP-BAND® System is typically performed via a minimally invasive procedure,
surgery is performed as an outpatient and patients go home the same day. Patients usually can return to work in 1 to 2 days and resume regular activities.
The LAP-BAND® System Adjustable Gastric Banding System gives you the opportunity to monitor
a patient’s progress through his or her weight loss experience.
Patients typically visit their physicians 6 weeks after surgery to have
the LAP-BAND® System adjusted for the first
time. Subsequent visits continue every 6 weeks during which the stoma
size can be adjusted―by injecting or removing saline through the access
port―to help patients get just the right fit. The preformed circular
shape of the LAP-BAND® System allows for
controlled, even inflation and deflation to increase or decrease
restriction. Adjustments are typically made for at least 1 year so
healthy, continuous weight loss can be optimized.