Lap Band Surgery (Gastric Banding) (cont.)
Ruchi Mathur, MD, FRCP(C)
Ruchi Mathur, MD, FRCP(C) is an Attending Physician with the Division of Endocrinology, Diabetes and Metabolism and Associate Director of Clinical Research, Recruitment and Phenotyping with the Center for Androgen Related Disorders, Department of Obstetrics and Gynecology at Cedars-Sinai Medical Center.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Lap band (gastric banding) introduction
- What is gastric banding?
- What is a lap band?
- Who are candidates for the lap band system?
- How is the lap band (LAGB) procedure performed?
- How do I prepare for lap band surgery?
- How long is the recovery after lap band surgery?
- What is a lap band fill?
- What can I expect my lifestyle to be after lap band surgery (LAGB)?
- What are the side effects of lap band surgery (LAGB)?
- What are the risks and complications of lap band surgery (LAGB)?
- What type of surgeon performs lap band surgery?
- Find a local Gastroenterologist in your town
What is a lap band fill?
A lap band "fill" is the common term for gastric band adjustments. Once surgery is performed, there is a period of healing that must take place before the first adjustment. Usually, the first fill takes place around 6 to 8 weeks. It involves injecting saline into the port just under the skin which is connected to the band. Prior to this, there may be little change in appetite. Fills are painless and are usually performed by the surgeon who performed the procedure. These adjustments may take place to enhance weight loss, especially if there is a plateau phase in weight loss, and they may to performed to overcome side effects such as nausea and vomiting (in this latter case, the band is loosened).
What can I expect my lifestyle to be after lap band surgery (LAGB)?
Immediately after surgery, there will be some pain and discomfort that can be controlled with medications. This is part of the normal recovery phase after any surgical procedure. After 6 to 8 weeks, one can generally return to normal activities. Weight loss with LAGB is a gradual process. Initially, the weight loss may be more dramatic- say 2 to 3 pounds per week. However, this generally slows to a pound or so weekly over the long-term. Naturally, the food choices made will govern this weight loss rate. After about 18 months, the weight loss tends to slow significantly. The average weight loss for this procedure is 40% of excess body weight in the first year, with an additional 10% to 20% in the second year. Patients are usually asked to keep in contact with their surgeon regularly during this time period as further band adjustments may be needed.
What are the side effects of lap band surgery (LAGB)?
Side effects include nausea and vomiting, ulceration at the band site, esophageal reflux (indigestion), weight regain, and dehydration. Since this type of surgery is restrictive and does not cause malabsorption of nutrients, vitamin deficiencies are not usually seen. However, many centers recommend multivitamin supplementation. Constipation is commonly encountered.
Find out what women really need.