About Lap-Band Correction

Obesity Surgery Information - Research Into Obesity Surgery

Lap-Band Failures: Conversion To Gastric Bypass And Their Preliminary Outcomes

The LAP-BAND is designed to be an adjustable laparoscopically placed gastric restriction device for the treatment of severe obesity. The purpose of this study was to assess the outcome in patients who had failed to effectively lose weight with this device and were converted to a gastric bypass.

Method

A retrospective chart review was performed of all LAP-BANDS placed in patients at our institution from March 1996 to June 1998.

Results

36 LAP-BANDS were placed. To date, 18 of 36 (50%) have been removed. Fourteen of 18 were simultaneously converted to a gastric bypass. Indications for conversion included: failed weight loss (5), failed weight loss with esophageal dilatation (5), failed weight loss with leaking band (2), and symptomatic esophageal dilatation (1). Median time to conversion after LAP-BAND placement was 38.2 months. Median follow-up after conversion to gastric bypass was 8.3 months. Nineteen percent excess weight loss occurred after LAP-BAND placement. Forty-three percent excess weight loss occurred after conversion to gastric bypass.

Conclusion

In our experience, the LAP-BAND is associated with a high frequency of inadequate weight loss. Conversion to gastric bypass in this subset of patients is technically challenging but results in superior weight loss in a shorter time period.

Authors:
Kothari SN, DeMaria EJ, Sugerman HJ, Kellum JM, Meador J, Wolfe L. Medical College of Virginia of Virginia Commonwealth University, Department of Surgery, Richmond 23298, USA.

Source:
National Library of Medicine 2002

Surgery to Reduce Obesity

BARIATRIC SURGERY INFORMATION
What Is Weight Loss Surgery | How to Qualify | Types Of Surgical Operation | How Bariatric Surgery Works | Laparoscopy | How Effective Is Surgery
Success Rates | Health Benefits | Complications | Surgery Costs | Find Weight Loss Surgeon | Support Groups | Malabsorption | Gastric Bypass
Biliopancreatic Diversion Bypass | Biliopancreatic Details | Biliopancreatic Benefits/ Risks | Duodenal Switch Bypass | Duodenal Switch Details
Duodenal Switch Benefits/ Risks | Roux-en-Y Bypass Laparoscopic | Roux-en-Y Bypass Open Surgery | Roux-en-Y Gastric Bypass Benefits/ Risks
Roux-en-Y Details | Fobi Pouch Gastric Bypass | Fobi Pouch Benefits/ Risks | Dumping Syndrome | How Dumping Occurs | Bypass Health Dangers
Diet After Gastric Bypass | Restrictive Procedures | Gastric Banding | Adjustable Gastric Banding | Lap Band Procedure | Lap Band Details
Lap Band Risks & Benefits | Silastic Gastric Ring Surgery | Gastroplasty | Vertical Banded Gastroplasty | Gastric Surgery | Gastric Stapling
Stomach Stapling | Benefits of Gastric Stapling | Obesity Condition | Obesity Mortality Rate | Obesity Health Risks | Obesity Surgical Treatment
Surgery For Morbid Obesity | Weight-Related Health Risks | Obesity Surgery Research | Bariatric Studies | Gastric Reduction Articles | Statistics
Stomach Bypass | Stomach Banding | Stomach Gastroplasty | Laparoscopy | Health Complications | Nutrition after Bypass | Psychosocial Factors
Gastric Reduction Surgery | Weight Loss Surgery Clinics | Plastic Surgery | After Weight Loss | Tummy Tuck/Abdominoplasty | Dermolipectomy
Body Lift | Gynecomastia Enlarged Male Breast | Panniculectomy | Thigh Lift | Cost of Plastic Surgery | Information | Cosmetic Surgery | Lipoplasty
Types | Health Risks of Liposuction | Tumescent Method | Butt | Inner Thighs | Front Thighs | Cost | Information About Lipoplasty

Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2008 Bariatric-Surgery.Info - Terms - Contact - Information - Resources - Add URL