The Allergan, Inc. LAP-BAND® System is designed to help you lose
excess body weight for resolution of obesity-related health
conditions and enhancement of life. In partnership with leading
bariatric surgeons, an approach has been developed that eliminates
many of the known associated operative risks and provides
unique benefits compared to other obesity surgeries. This
effort has resulted in the LAP-BAND® System, the only adjustable
and reversible obesity surgery that does not require cutting
and stapling of the stomach or gastrointestinal re-routing
to bypass normal digestion.
Patient benefits include reduced surgical trauma, complications,
pain, and scarring, as well as shorter hospitalization and
recovery time compared to other obesity surgeries. The name
LAP-BAND® Adjustable Gastric Banding System comes from the surgical technique used (laparoscopic)
and the name of the implanted medical device (gastric band).
The body gets energy from food while it passes through the
alimentary canal, which consists of the mouth, esophagus,
stomach, and small and large intestines. Digestion starts
in the mouth with chewing and the addition of saliva. After
food passes through the esophagus, this process continues
in the stomach. The stomach then provides temporary storage
for food. Gastric juices, which contain enzymes, break down
the food so that it can be absorbed and the energy can be
carried through the body by the blood.
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. 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 band also controls the stoma (stomach outlet)
between the two parts of the stomach. The size of the stoma
regulates the flow of the food from the upper to the lower
part of the stomach. When the stoma is smaller, you feel full
sooner and have a feeling of satiety so you are not hungry
band is connected by tubing to an access port that is placed
beneath the skin during surgery. Later, the surgeon can change
the stoma size by adding or subtracting saline inside the
inner balloon through the access port. This adjustment process
helps drive the rate of weight loss. If the band is too loose
and weight loss inadequate, adding more saline can reduce
the size of the stoma to further restrict the amount of food
that can move through it, if the band is too tight, the surgeon
will remove some saline to loosen the band and reduce the
amount of restriction.
LAP-BAND® SYSTEM PLACEMENT
The LAP-BAND® System is usually placed laparoscopically under
general anesthesia. First the surgeon makes a few small incisions
in the abdominal wall for the insertion of long, thin surgical
instruments. A narrow camera is also passed through a port
so the surgeon can view the operative site on a nearby video
monitor. A small tunnel is made behind the top of the stomach
to let the band through and allow it to be wrapped around
the upper part of the stomach, almost like a wristwatch. The
band is then locked securely in a ring around the stomach.
The LAP-BAND® Adjustable Gastric Banding System is usually left empty or only partially inflated
for the first 4-6 weeks after surgery.
LAP-BAND® SYSTEM WEIGHT-LOSS RESULTS
The LAP-BAND® System is a tool to help you achieve sustained
weight loss by limiting how much you can eat, reducing your
appetite, and slowing digestion. Remember, though, the the
LAP-BAND® System by itself will not solve morbid obesity, nor
will it ensure that you reach your goal weight or even that
you lose weight at all. The amount of weight you lose depends
both on the band and on your motivation and commitment to
a new lifestyle and eating habits. Below is a sample of published
results from around the world:
Sample of Published Results From Around The World:
||% of Excess Weight Lost
||Years of Patient Follow Up
||# of Patients Studied
|Rubenstein, et al, Us
|O'Brien et al, Australia
|Nehoda et al, Austria
|Forestieri et al, Italy
|Fielding et al, Australia
Some people lost more than others, and though you may never
reach your ideal weight, chances are good that with weight
loss our health and self-image will improve.
LAP-BAND® SYSTEM REMOVAL
If there is a problem with the band, if you can't lose enough
weight or can't adjust to the new eating habits, your surgeon
may suggest removal of the band. This decision will come after
your surgeon consults with you. Generally after LAP-BAND® System
removal, your stomach will be restored to its original form,
and the digestive tract should function normally. Please keep
in mind that when the band is removed your weight will likely
LAP-BAND® SYSTEM ADVANTAGES
- Least invasive surgical option
- No intestinal re-routing
- No cutting or stapling or the stomach wall or bowel
- Small incisions and minimal scarring
- Reduced patient pain, length of hospital stay and recovery
Fewer Risks and Side Effects
- Significantly lower mortality risk compared to other obesity
- Low risk of nutritional deficiencies associated with
BPD and Gastric Bypass
- Reduced risk of hair loss
- No "dumping syndrome" with certain dietary
- Allows individualized degree of restriction for ideal,
long-term weight-loss rate
- Adjustments performed without additional surgery
- Supports pregnancy by allowing stomach outlet size to
be opened to accommodate increased nutritional needs
- Removable at any time
- Stomach and other anatomy are generally restored to their
original forms and functions
Effective Long-Term Weight Loss
- More than 100,000 LAP-BAND® Adjustable Gastric Banding Systems placed worldwide
- Standard of care for hundreds of surgeons around the world
- Academic publication with up to 7 years of follow-up
LAP-BAND® SYSTEMS CANDIDATES
You may be eligible for LAP-BAND® System surgery if:
1. You are at least 18 years old.
2. Your BMI is > 40 or you weigh at least 100 pounds
more than your ideal weight.
3. You have been overweight for more than 5 years.
4. Your serious weight-loss attempts have only had short-term
5. You are not suffering from any other disease that my
have caused your obesity.
6. You are prepared to make substantial changes in your
eating habits and lifestyle.
7. You are willing to continue being monitored by the specialist
8. You do not drink alcohol in excess.
If you do not meet the BMI or weight criteria, you still
may be considered for surgery if your BMI is over 35 and you
are suffering from serious health problems causes by your
weight. Your surgeon may have additional criteria to those
LAP-BAND® SYSTEM CONTRAINDICATIONS
The LAP-BAND® System is not right for you if:
- You have an inflammatory disease or condition of the
gastrointestinal tract, such as ulcers, severe esophagitis.
- You have severe heart or lung disease that makes you
a poor candidate for surgery.
- You have some other disease that makes you a poor candidate
- You have a problem that could cause bleeding in the
esophagus or stomach. This might include esophageal or
gastric varices (a dilated vein). It might also be something
such as congenital or acquired intestinal telangiectasias
(dilation of a small blood vessel).
- You have portal hypertension.
- Your esophagus, stomach, or intestine is not normal
(congenital or acquired). For instance you might have
a narrowed opening.
- You have or have experienced an intra-operative gastric
perforation at or near the location of the intended band
- You have cirrhosis.
- You have chronic pancreatitis.
- You are pregnant. (If you become pregnant after the
LAP-BAND® System has been placed, the band may need to
be deflated. The same is true if you need more nutrition
for any other reason, such as becoming seriously ill.
In rare cases, removal may be needed).
- You are addicted to alcohol or drugs.
- You are under 18 years of age.
- You have an infection anywhere in your body or one
that could contaminate the surgical area.
- You are on chronic, long-term steroid treatment.
- You cannot or do not want to follow the dietary rules
that come with this procedure.
- You might be allergic to materials in the device.
- You cannot tolerate pain from an implanted device.
- You or someone in your family has an autoimmune connective
tissue disease. That might be a disease such as systemic
lupus erythematosus or scleroderma. The same is true if
you have symptoms of one of these diseases.
Your surgeon will not do the operation unless he or she knows
you understand the problems your excess weight is causing.
Also, your surgeon will make sure you know that you have responsibilities,
such as adopting new eating patterns and a new lifestyle.
If you are ready to take an active part in reducing your weight,
your surgeon will consider the treatment. You should be well-informed
about the advantages, disadvantages, and risks involved. Be
sure to investigate whether this treatment is right for you.