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The Lap Band "Adjustable Gastric Banding System" is the newest and the only Adjustable and Reversible surgical treatment for morbid obesity in the United States, It induces weight loss by reducing the capacity of the stomach, which restricts the amount of food that can be consumed.

This minimally invasive surgical procedure eliminates the need for drastic stomach stapling and by-pass, for normal digestion.

The newest and least invasive surgical technique is the Lap Band system.
Lap Band Procedure
The band is placed laparoscopically (or using "keyhole" surgery) around the upper part of the stomach thus dividing the stomach in two parts, this creates a new small stomach pouch and leaves the larger part of the stomach below the band so the food storage area in the stomach is reduced, and the pouch above the band can hold only a small amount of food.
The Lap Band system is a silicone elastomer ring designed to be placed around the upper part of the stomach and filled with saline on the inner surface.

Technique

We perform the Lap Band procedure through several small incisions with the aid of a fiberoptic camera and specialized instruments. This minimizes post-operative pain and recovery. During the surgery, we place an adjustable gastric band around the top part of the stomach to create a small (20cc) gastric pouch without cutting the intestines. A small
section of tubing connects the band to the adjusting port that we place under the skin in the abdominal wall allowing easy access for adjustments in the office. The inner lining of the
band is a balloon that we fill with saline to narrow the stomach opening, thus limiting the
amount of food that can pass.

We add saline via the access port with a needle and syringe.

We hide the port beneath the skin so it will not limit your activity level. Adjustments involve
placing a needle into the port and adding or withdrawing saline. This allows patients to
have an individualized weight loss program, which we customize to their situation. Patients
say the adjustments are minimally painful. The schedule of adjustments varies with each
patient. Typically, we do the first adjustment six weeks after surgery and as needed after
that so you get full on small amounts of food and lose about 1-2 pounds per week.

Weight loss occurs because small amounts of food make you feel full. It also decreases
the background hunger that is so typical of dieting. Patients say they lose their obsession
with food and are satisfied with smaller meals. The Lap Band stays in forever. It does not
have to be removed. You can see an animated video about the BioEnterics® LAP BAND®
Adjustable Gastric Banding System here.
Advantages of  the Lap Band

• Safest weight loss operation
• Less invasive
• No cutting, stapling or rearranging of the intestines
• Adjustable
• Reversible
• Complications are fewer and less severe
• Vitamin needs are simple and vitamin deficiencies are rare
• Avoids unhealthy muscle wasting from protein deficiency
• No “dumping syndrome”
• No stretched out pouch causing weight regain
• Can be adjusted during pregnancy for adequate calories and vitamins
• Weight loss is healthier, slower and less likely to cause gallbladder problems
• Less expensive if you have to pay for your operation
• Outpatient in most cases
Weight loss surgery clinic
LAP BAND®
Adjustment

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