LAP BAND PROCEDURE
The LAP-BAND procedure is one of the fastest growing forms of weight loss surgery. The FDA approved the LAP-BAND ( Inamed/ALLERGAN) in 2001 and it has been used in Europe and Australia since 1993. There have been over 300,000 people worldwide who have undergone the LAP-BAND surgery.
The LAP-BAND procedure is to help overweight people achieve long-term weight loss. If you are considering weight loss surgery, it would benefit you to learn more about the LAP-BAND procedure in order to reach your goal.
The LAP-BAND is a silastic ring designed to fit around the upper part of the stomach. By creating a smaller stomach pouch, which holds less food patients feel full sooner and longer. The average weight loss is 1 to 2 lbs. per week.
The LAP-BAND (ALLERGAN ) is the only adjustable and reversible bariactric surgery that does not require cutting and stapling of the stomach, or gastrointestinal tract
It is designed to help patients lose excess body fat, the LAP-BAND procedure improves weight-related health issues such as diabetes, sleep apnea, heart disease and high blood pressure.
The studies have shown that most obese people will not acheive success with diet, fitness training or medication regimens alone. Over 90% of the people that participate in diets and non-surgical weight loss programs do not lose enough weight. The LAP-BAND is the best option for those who want to achieve substantial weight loss that is sustained.
Lets take this journey together
After you make the decision to the LAP-BAND procedure, you will need to make a deposit, and I will then make all of the arrangements for the surgery.
We will fly into San Diego where we will be picked up . From there we will go across the border to Weight Loss Surgery hospital. Once we arrive at the hospital, you r will recib instruct you on filling out all of the paper work that is required for the LAP-BAND procedure. You will then sign for your Inamed /ALLERGAN brand band.
You will have a band with the Inamed /ALLERGAN LAP-BAND ID card and serial number. You will also get an operative report which explains your surgery, the telephone numbers for Dr. Huacuz, and his staff. You will also get a diet plan to follow for the next two weeks.
We will provide you with a list of providers in the U.S. that will do your fills. The third day we picks you up and we will return to the airport in San Diego to return home. I will be there every step of the way to make sure that you feel comfortable about having the surgery. I will also be there to assist you even after you return home.
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
Recovering
During the first few weeks after surgery, you need to take the time to recover and to start adjusting to your new life with the LAP-BAND® Adjustable Gastric Banding System. A big part of your long term weight loss success will be your motivation and commitment to a new lifestyle that includes a new diet and exercise plan, routine check ups with your surgeon, ongoing LAP-BAND® System adjustments, support group meetings, and more. However, be patient with yourself in the first weeks after surgery. You've already taken the biggest step - the first one. Now, it'll be a new life and lifestyle you create over time, not overnight. Our doctor will work with you to address your needs specifically.
Here are some key points for your recovery in the first few days and weeks.
First Days
You can expect some soreness, especially where the access port is, but it should subside (Please call your surgeon if the pain persists after a few days).
To prevent infection, your surgeon may tell you not to shower for a day or so after surgery.
Try to walk as much as you can comfortably, so that you'll regain strength and prevent blood clots, but take it slowly.
First Week(s)
During the first week after surgery, allow yourself to recover and get plenty of rest.
In about a week, you should be able to return to work, provided it's not physically demanding.
For more physically active jobs, allow yourself two to three weeks to recover.
Within four to six weeks, you should be able to resume all normal activity and start a new exercise program. Note: Before engaging in any physical activity or exercise program, first consult your surgeon.
Your First Adjustment
The first adjustment usually occurs about six weeks after surgery, although the exact time varies from patient to patient. The LAP-BAND® System is designed to help you achieve steady and safe weight loss, so don't be in a hurry. You and your surgeon will decide when the time is right for you to have your first adjustment.
At your first adjustment appointment, you should expect to discuss your eating habits, exercise, and rate of weight loss. This will help determine if it's time for you to have a band adjustment. If it is, you can expect the following:
* An evaluation of your pouch size and stoma size before adjusting the band (this isn't always done. Your surgeon may or may not evaluate your pouch size and stoma size before the adjustment.)
* Adjustment of your LAP-BAND® System
* Evaluation of your pouch size and stoma size after the procedure to confirm that the proper band adjustment has been made.
Vertical Sleeve Gastrectomy Surgery
The restrictive portion of the surgery reduces the stomach along the greater curvature so that the volume is approximately one third to one fifth of the original capacity. Eliminates the portion of the stomach that produces the hormones that stimulates hunger (Ghrelin). Weight loss causes changes in appetite and energy expenditure that promote weight regain. Ghrelin is a hormone that increases food intake in rodents and humans. If circulating Ghrelin participates in the adaptive response to weight loss, its levels should rise with dieting. Because Ghrelin is produced primarily by the stomach.
Vertical Gastrectomy procedure also called vertical Sleeve Gastrectomy, vertical gastroplasty, Greater Curvature Gastrectomy, Parietal Gastrectomy, Gastric Reduction and even Vertical Gastroplasty it generates weight loss by restricting the amount of food that can be eaten (removal of stomach or vertical gastrectomy) without any bypass of the intestines or malabsorption. The stomach pouch is usually made smaller than the pouch used in the Duodenal Switch.
Vertical Gastrectomy: How it Works
This procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a banana and measures from 2-5 ounces (60-150cc). The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded. The Roux-en-Y gastric bypass stomach can be reconnected (reversed) if necessary. Note that there is no intestinal bypass with this procedure, only stomach reduction.
Post-Op Dietary Plan for Vertical Sleeve Gastrectomy Weight-Loss Surgery Patients
As with all surgical weight-loss programs, it is imperative that VG patients adhere to a strict postoperative diet. Patients must stick to a liquid-based diet for 2 weeks after surgery; 4-6 weeks after the operation, patients graduate to a 600-800 calorie/ day solid diet. Once goal weight is achieved, usually 1-2 years after surgery, most patients can consume about 1000-1200 calories per day.
Long-Term Weight-Loss Results
On average, patients who undergo Vertical Gastrectomy surgery experience a 60-80% loss of excess weight.To gain a better understanding of your personal weight-loss needs, please use our BMI to determine your current Body Mass Index.
Duodenal Switch Surgery
Also known as Bilio-Pancreatic Diversion with Duodenal Switch or the DS) procedure is a weight loss surgery that alters the gastrointestinal tract with two approaches: a restrictive aspect and a malabsortive aspect.
The malabsorptive portion of the surgery reroutes a lengthy portion of the small intestine, creating two separate pathways and one common pathway. The shorter of the two pathways, the digestive loop, takes food from the stomach to the large intestine. The much longer pathway, the bilio-pancreatic loop, carries bile from the liver to the common path. The common path, or common channel, is a stretch of small intestine usually 75-150 centimeters long in which the contents of the digestive path mix with the bile from the bilio-pancreatic loop before emptying into the large intestine. The objective of this arrangement is to reduce the amount of time the body has to capture calories from food in the small intestine and to selectively limit the absorption of fat. The Duodenal Switch is very effective for high BMI patients but unfortunately it can also be quite risky and may by safer if done open. The Vertical Gastrectomy is a reasonable solution to this problem. It can usually be done laparoscopically in patients weighing over 500 pounds. The stomach restriction that occurs allows these patients to lose more than 100 pounds and in many patients more than 200 pounds. This weight loss allows significant improvement in health and effectively "downstages" a patient to a lower risk group. Once the patients BMI is lower (35-40) they can return to the operating room for the "second stage" of the procedure, which can either be the Duodenal Switch, Roux en Y gastric bypass or even a LapBand®. Currently, results of the second stage are very limited. |
