Lap-band surgery is often the best solution for treating obesity in women who plan to have children, because it can be adjusted during pregnancy to meet the unique needs of each patient. While a woman is purposefully trying to gain weight during pregnancy, the Lap-Band can be adjusted down. Removing saline to loosen the band makes it possible for the body to take in more healthy calories to provide the extra nutrition needed during pregnancy and breastfeeding. Read the full story

The adjustable laparoscopic gastric band (Lap-Band®) was approved by the FDA in June 2001 for the surgical treatment of obesity, although gastric banding procedures have been performed internationally since 1993. The Lap-Band limits the intake of food while decreasing hunger. The Lap-Band is adjustable, permitting gradual weight loss. Average weight loss is initially 10% to 15% less than that observed following a Roux-en-Y gastric bypass, but long-term results appear similar, and most patients realize excellent results.

Advantages of the Lap-Band include ease of insertion, shorter hospital stay, and rapid recovery from surgery. The risk of major complications from surgery is low with the Lap-Band, as is the operative mortality.  A disadvantage of the Lap-Band is the potential need for re-operation in the future for band replacement or removal, which may be required in up to 5% of patients. Indications for band removal include erosion into the stomach, band slippage with resultant vomiting, and port or tubing leakage. These complications are rarely life-threatening nor emergent, and can be managed laparoscopically.

We have been very pleased with the results of the Lap-Band, and we believe it is an excellent alternative to the more invasive gastric bypass. Of course, to ensure long-term success, you need to adhere to prescribed eating habits and schedule routine follow-up appointments for band adjustments. For more information about the benefits of the Lap-Band procedure, please contact our office.