Weight Loss Surgery: The LapBand® Procedure

Weight Loss Surgery: The LapBand® Procedure


(mellow music) – It’s an operation, and
there’s a variety of them that are utilized to alter
the person’s anatomy, of their digestive system to some point so that they don’t absorb or ingest enough calories and therefore lose weight. It’s generally reserved for people who have failed all other means of trying to lose weight. Well there’s a calculation
based on height and weight, it’s called the Body Mass Index, and the criteria for
having weight loss surgery is having a BMI greater than 40, or if it’s greater than 35 with associated illnesses
that are related to obesity, such as diabetes, heart disease, sleep apnea, high blood pressure. A Lap-Band is an adjustable device that’s implanted around the
upper portion of the stomach, and it’s designed to
compartmentalize the stomach into a very small upper pouch, and then there’s resistance
to the food flowing through it to get to the lower
portion of the stomach. What that does, is it gives the person the sensation of being
full while with eating just a very small amount of food, and it does so where the person feels full and does not feel hungry. Therefore it allows, it’s
a tool that allows them to eat small amounts, but still feel comfortable
eating small amounts and then therefore lose weight. The nice thing about the Lap-Band
is that it can be adjusted and so we tailor it to
exactly what the patient needs at any given point in time, and it generally has to be adjusted throughout the course
of their weight loss. As far as the other procedures
that are more invasive, such as the bypasses or
the Roux-en-Y procedures that people have heard about, and then there’s also a
variety of other procedures. They all are much more invasive. They violate the continuity
of the digestive system, and there’s certainly a potential
for serious complications, such as leakages where
the anatomy is reconnected and certainly a high mortality rate compared to the Lap-Band, and people actually can
die from the procedure. As far as the weight loss
from the two procedures, there’s probably a much
more rapid weight loss in the first year with the
bypass type procedures. Over the course of approximately
three years however, the numbers are very comparable between the Lap-Band patients and the bypass patients. And then ironically after
about five to seven years, the bypass patients will
actually start gaining some of their weight back because their altered gastro-intestinal tract adapts and becomes more efficient
at absorbing food. The risks associated
specifically to the Lap-Band are either slippage of the band relative to its position on the stomach. We try to counter that
by the way it’s placed through a very tight
tunnel behind the stomach, and then we sew a tunnel
in front of the stomach to keep it in one spot. But occasionally the stomach
could slide up under it and cause what’s called
a hernia of the stomach. That would require revision of the band. That does not happen
too terribly frequently, but it is a reported complication. Well, specifically to the Lap-Band, and I think to some extent
also with the bypass, is I find that the
people who are successful with the bypasses stick with a program, where you have a dietician, someone monitoring your progress. Because all of these
procedures can be defeated if a person is not motivated or educated to the proper diet and care of the band. With regard to the Lap-Band, it requires a frequent conversation that we have with the patient. We understand what
their symptoms are like. If they’re having symptoms
of the band being too tight, then they’ll start drinking rich fluids like milkshakes, and they gain weight actually. So we need to maybe adjust
it so it’s not so tight. On the contrast if it’s too loose, they can eat unimpeded
and it doesn’t work. So it requires constant
follow-up and monitoring of that and then subtle adjustments. Let’s not mistake it with saying that a person is going to
get down to say, model size. The goal is to lose 60 to 70 percent of your excess body weight. That person, though, will
still feel much better. They will feel as though they look better. They will be able to buy smaller clothes. They will not have all
the impediments in society that a severely overweight person has. In terms of health issues, it has been shown to be very effective at reducing the trend of diabetes which is heavily associated with obesity, specifically Type 2 Diabetes. And with the loss of only a minimum amount of the excess body weight, the requirements for diabetic medicines go down dramatically. Similar results or success is shown also with other diseases such
as high blood pressure and the risk of heart disease. – [Narrator] For more
information about this physician, or to schedule an appointment, please call our referral line, or visit WestValleyIsBetter.com

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