How much weight are you able to lose with Lap-Band surgery?| How much weight can you lose with Lap-Band surgery?| All about weight loss lap band surgery| Why lap band surgery is needed?
Why lap band surgery is needed? When there is a craze for food after exceeding the permissible weight limit, then usually dieting is prescribed. But eating less amount of food does not satisfy the food craving, in most cases, so an alternative is to be searched for that.
The alternative that one can think of is to reduce the stomach size so that one feels full after eating a certain amount. That is exactly what is done with lap band surgery, wherein a small pouch in the upper part of the stomach is created.
The idea is to fill up the smaller upper pouch of the stomach to give a filled-up feeling because it fills quickly with less food. Because of the slender opening, it takes longer to empty into the lower part of the stomach, because of this that the following pang of starvation is not on time.
7 flat stomach exercises
Placing the Lap-Band
Placing the Lap-Band, The procedure involves placing a silicone band around the upper portion of the stomach so that the stomach gets divided into two with the upper part being a small pouch with a narrow opening to the bigger lower part.
A gastric band device is introduced in the abdomen through a tiny incision of 1 cm. The operation is performed under general anesthesia and takes about 30 minutes to one hour to complete.
The band is a hollow cylinder itself. It can be inflated if further constriction is required, and can be deflated if vomiting, obstruction, esophageal enlargement, etc. happens.
The band can be inflated by a reservoir of saline solution positioned under the skin at the upper abdomen connected by a tube. Normally six to ten band adjustments during the first year are required for a patient.
Apprehensions and facts about Lap-Band
Apprehensions and facts about Lap-Band, Lap Band involves no major surgery of the stomach and no inside stapling. Adjustments can be done without further operation. When the objective is achieved, the laparoscopic removal of the band is possible.
The Lap-Band reduces the size of a normal stomach by 1000 cc’s by 15 to 30 cc's which is about the size of an egg.
Weight loss is slower in the case of Lap-Band than in gastric bypass. One can lose only 38 percent of excess body weight during the first two years after which the weight becomes static.
Weight loss is a journey. A journey is meant to help one through. This procedure involves less pain, less risk leading to effective treatment of the weight.
Who qualifies for the operation?
Who qualifies for the operation? Though the intake of less food helps the patient continually lose weight, not everybody qualifies for the procedure. People who are obese and require controlling their weights from gaining dangerously exponential proportions are the ones who are normally given this treatment. Although the band can be placed permanently, still it is possible to remove it at any time.
Apart from achieving a good weight loss curve, the operation is taken up in case of patients who continuously vomit making intake of solid foods impossible.
To gain an insight into weight-loss needs, the BMI Calculator can be used to determine the current Body Mass Index.
Post-operation care
Post-operation care, The advantage of the operation is that the stoma size can be adjusted post-operatively without any further surgery. All surgical weight loss operations require the patients to eat much less than 800 calories of food in keeping with day in the course of the first 18 months and up to 1200 calories consistent with the day after 36 months.
Costs associated with lap band surgery
Cost of Lap banding surgery, On average, the cost of Lap-Band surgery comes from $17,000 to $30,000 that including treatment and travel.
Reimbursement from insurance companies
Although there was no provision from the insurance companies to reimburse the cost of Lap-Band surgery (mainly because it was mistaken as cosmetic surgery), slowly the life risk aspect of the surgery is being realized which is why they are paying for the most part of it certified by the doctor according to the NIH standards.
Expense overheads are borne by the hospitals
The arrangements are such that the patients are received from the airport to the hotel where a stay of 4-5 days is arranged. The hospital stay is just for one night.
The out-of-town patients get scheduled within three weeks. Most patients can go back to work within 5 days and can start their exercise regime within 10 days. All required Pre-Operative Exams are done on the day prior to surgery.
Some successful doctors 
Case 1
Dr. Rumbaut and his team at San José, the most prestigious Private University Affiliated Facility in Northern Mexico, have performed about 1800 Lap-Band procedures without a single case of death.
The mean excess weight loss after 18 months, in this case, is approximately 67%, other complications with the slippage and erosion of lap band are less than 1%. Infection, bleeding, pneumonia, etc. all less than 2%, and all patients were discharged before one week.
Case 2
Dr. Franco Favretti, and Dr. Gianni Segato, two of the most experienced Lap-Band Surgeons in Europe at Saint-Pierre Hospital in Brussels have performed well over 1,700 Lap-Band cases. They have the distinction of performing this surgery along with two other team members namely Dr. Cadiere and Dr. Himpens, in October 1992.
The treatment requires 5 to 6 days stay in Italy which starts meeting the patients at Venice International Airport on Thursday. The patients get admitted to the hospital on Friday Morning for pre-op tests, undergo surgery on Saturday, and get discharged from the hospital on Monday.
After surgery, the patients are requested to stay a few more days to make sure about their recovery. After that, they are taken sightseeing to nearby Venice.
By Friday the patients can go back home and can resume work.
Case 3
According to the records of Dr. Cadière and Dr. Himpens, who have done 3000 cases already, not many patients received reimbursement from their insurance.
One patient's mortality that in their case was due to over-eating, and esophageal perforation when the death occurred some 4 weeks after surgery. The erosion rate is 1%, the Pouch dilatation rate is 6 % and the band-removal rate is 3% after 3.6 years.
Case 4
Dr. Andreas Osterwalder is one of the most experienced Lap-Band Surgeons in Europe at the Ars Medica Clinic near Lugano.
The patients are required to bring the reports of the basic tests like lab/chest x-ray and ECG which prove the fitness to stand general anesthesia for at least 2 hrs, sonography of the upper abdomen (to exclude gallstones). They are also required to bring reports of a gastroscopy as proof against any gastric disease.
The patient can fly to Zürich, and then to Lugano Airport in Agno to be picked up from there. One should go prepared for a stay of 2-3 days in a hotel room.
Lap band surgery risks & complications
The pouch gets filled up with a mall amount of time. The food which gets deposited in the pouch takes time to empty into the stomach thereby reducing the craving for food.
Who are the clients of Lap band surgery?
If the frame mass index (BMI), is between 35 and 39, then there are several related scientific issues like diabetes, hypertension, or high LDL cholesterol. These are called the co-morbid conditions which make the patient an ideal case to go for the Lap-Band.
Weight loss history is recorded by many insurance companies with varying stringent measures.
How the surgery is done?
With the assist of a small digital camera, called a laparoscope, the gas band is located around the stomach, with the pipe emptying right into a port, the port being positioned underneath the abdomen. This takes simply an overnight life.
When saline is injected more into the gas band, the narrow passage becomes still narrow further restricting the food flow.
After Lap Band Surgery: Aftercare
One needs to follow a nutrition plan including vitamin supplements prescribed by the surgeon or nutritionist. The nutrition plan may be of liquid diet for some weeks until soft foods can be tolerated and solid foods ultimately.
A specific exercise program may also be taken up.
The surgeon has to check the patient many times to properly adjust or his/her band. As times go, a patient requires six to eight such adjustments during the first 18 months of the surgery.
Patients commonly lose 50% to 60% of their excess frame weight within two years after the procedure. The additional plastic surgical procedure can be indicated, depending on how lots of weight is lost.
Lap Band Complications
Slippage of the band: This can occur as weight loss happens. When the belly is going above the band, heartburn and vomiting can also happen. This needs to be laparoscopically fixed.
Erosion of band: Sometimes the band can erode into the inside of the stomach.
Deflation of the band: The band can have leakage which can deflate it which can happen on the band, the port, or the tube connecting both. As a result, the stomach pouch can get enlarged defeating the cause of getting the pouch.
Blockage of the stoma: The narrow passage can get blocked at times because of its being too narrow.
Consult a Qualified Surgeon
Losing weight without being malnourished is something that needs qualified guidance. This is critical to the success of having the surgery. One can avoid complications, and weight loss can be achieved according to one’s desire.
It is good that the surgeon verifies the number of procedures undertaken by him, and increases one’s own knowledge about further examination so that office support in case of emergency can be requisitioned.
Lap Band Surgery Diet
After Lap-Band surgical operation the stomach can't preserve extra than 4 to six oz-in line with a meal. Therefore, one must be unique approximately the dietary fee of the meals with each chunk.
Certain foods which cannot be allowed ever for a patient of Lap-Band are tough meats such as steak and pork chops and hamburgers. Oranges and grapefruits need the skin to be removed before eating. For this matter, the fruits and vegetables need deseeding, de-skinning beforehand.
Food that needs to be avoided is high fiber vegetables like celery and sweet potatoes, spicy foods, fried foods, spices like cinnamon, pepper, or onion, or garlic salt. If one is unable to tolerate milk, then calcium and protein-rich foods such as cottage cheese and dry milk can be added to foods for added protein.
Whey protein
Lap-Band patients should take fifty to sixty grams of protein every day to avoid protein deficiency.
Lack of protein causes hair loss, edema, fatigue, muscle weakness, and a delay in wound recovery. It also causes depression, anxiety, irritability, apathy, as well as gallstones, colds, headaches, low blood pressure, anemia, irregular heart rates, and, sometimes death too. The quantity of protein can be monitored through a serum albumin blood check.
How to eat food
One should eat slowly with the aid of making tiny bites. The new belly is a baby belly. It requires taking protein shakes and relearning eating skills like a new baby learns to eat. Adding new foods should be slow in the process.
The patient needs to make a habit to chew foods well. It will do the patient a world of good to cut the food items into small pieces and then chew them thoroughly. Otherwise, complications will happen such as vomiting, stomach irritation, and swelling, and stoma obstruction.
One should go back to a liquid diet if solid foods cause nausea and vomiting. Drinking 6-8 cups of water per day between meals will keep one hydrated throughout the day. Three small meals a day with adequate nutrients are to be eaten. The stomach can only hold about 1/4 cup of food at a time. Easting has to be stopped when the hunger is gone.
Having Medicine
Swallowing pills of aspirin-size or larger, or capsules or irregular-shaped pills will be difficult, so it is better to take the pills in half like the blood pressure pill. It may be required that the tri-estrogen capsules be changed to a cream form and taking liquid antibiotics and painkillers for an infection.
Diet immediately after surgery
The first 3 to 4 days following the Lap-Band surgery patients must follow a liquid-only diet. It is so important to stick to this diet that unless one has it, there will be complications like band erosion or slippage that will require additional surgery.
No caffeine is allowed for the primary three months after surgical procedure. Carbonated beverages are restricted to avoid gas, bloating, and increase in stomach size caused by carbonation and in fact are prohibited for life.
Diet immediately after two months of surgery
The second phase diet consists of a modified liquid diet (food shredded in a food processor) along with a high protein intake. The patient is required to consume two ounces of protein every hour for ten to twelve hours a day. Two ounces of other liquids such as soup, baby food, or sugar-free gelatin three times a day is also required. So the basic foods are meat, protein, vegetables, and salads. But high carbohydrate and starchy food like bread and potatoes are avoided.
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