Lap Band Surgery – The Truth Behind Lap Band Weight Loss Surgery – Nurse Reveals!

June 28, 2009 · Filed Under Weight Loss Surgery · Comment 

One method of handling long term obesity and chronic fat and belly fat problems without resorting to liposuction is lap band surgery. Lap band surgery is an adjustable gastric band weight-loss procedure where a prosthetic band is placed around the upper part of the stomach. This creates a small pouch that limits the amount of food the patient eats. One difference in the early days between the LAP BAND system and the Swedish adjustable lap band is that it didn’t have a self-closing mechanism. It had to be closed with sutures.

Choosing to undergo weight loss surgery is not only an important medical decision but also a significant financial decision. Some people finally give up on diets – they want to lose belly fat or get rid of fat and cellulite forever. Diets and the best weight loss plans have not worked for some reason.

Emotionally unstable people or people with mental deficiencies are not considered for lap band surgery. Or if one is dependent on alcohol or drugs, they won’t be eligible for adjustable band surgery either. In any event it’s usually contraindicated if the surgery or treatment shows an unreasonable risk to the patient.

Any failure of dietary or weight-loss drug therapy for more than 12 months can make one eligible for the adjustable gastric band procedure. Other contraindications for lap band surgery are: an allergic reaction to materials found in the band and for anyone who has exhibited pain intolerance to any implanted devices.

The bariatric surgeon uses a special needle is to avoid any damage to the port membrane. The placement of the adjustable gastric band creates a very small pouch at the top of the stomach which holds about 50 ml; this pouch ‘fills’ with food fast and the passage of food from the top to the bottom of the stomach is slowed down considerably. When fluid is introduced into the stomach the lap band expands, which places pressure around the outside of the stomach. This expansion decreases the size of the passage in the stomach and restricts the movement of any food.

While the upper part of the stomach thinks it’s full the message to the brain is that the stomach is full and it is this sensation that helps the patient to eat smaller portions and lose weight over a period of time. The band is inflated and adjusted by way of a small access port which is placed subcutaneously – directly under the skin. Then radiopaque isotonic solution or saline solution is introduced into the band by way of the created port. Future removal of this adjustable gastric band would require a precise keyhole procedure. The stomach usually returns to its normal pre-banded state.

The amount of weight that is lost in the months following surgery depends on the individual and their personal preferences, circumstances, motivation, and their mobility. Using the precise, proper and most sensitive adjustment of the gastric band is imperative to any weight loss and the ultimate long term success of the lap band procedure. Many doctors make the first adjustment between about six to eight weeks after the surgery to allow time for the stomach time to heal properly; after that the fills are performed whenever they are needed.

Some of the banding patients may find that before they have their first fill they are still able to eat fairly large portions of food. The lap band may remain deflated throughout pregnancy. Once that breast feeding or bottle-feeding is completed the band may be gradually re-inflated to help with any postpartum weight loss if it’s needed.

Some of the adjustable gastric band post-surgery complications that can arise are abdominal pain, some loss of strength, hernia, pain, infection, chest pain, incisional infection, incision pain, fever and even death has occurred.

Some of the mechanical malfunctions that can happen after surgery are leaking from the port, some cracking of the kink-resistant tubing or a disruption of the tubing connection from the port to the band, port site pain and displacement of the port.

Erosion can happen, meaning the band may wear a small area on the outside of the stomach. This can lead to migration of the band to the inside of the stomach. Sometimes slippage can occur. This is an unusual occurrence where the lower part of the stomach may prolapse over the gastric band and cause an obstruction.

Some weight loss surgery post-surgical teams offer support groups. However some of them mix gastric bypass surgery patients with gastric banding patients. It’s better to find a support group for gastric banding patients only. It’s also important to find a weight loss team that has a good post-surgical plan because after surgery recommendations can vary dramatically.

It’s important to discuss post-surgical care and diet plans with your bariatric or weight loss doctor if you’re considering having adjustable gastric band or lap band surgery. The cost of lap band surgery may be an issue also. In any event make sure you understand all the pros and cons before you commit.

For information on lap band weight loss surgery and lap band surgery complications go to a nurse’s website for tips on lap band surgery, adjustable gastric band surgery, medical travel for low cost lap band surgery and cost of lap band surgery

Lap Band Surgery – Should You Have Lap Band Weight Loss Surgery?

June 27, 2009 · Filed Under Weight Loss Surgery · Comment 

The Lap Band System uses a Lap Band which is an adjustable gastric band that is actually a silicone belt that is placed around the top of the stomach. Lap Band surgery is one in which this band is placed dividing the stomach into two parts with the upper part forming a pouch which is connected to the lower part of the stomach through a narrow passage. It’s a weight loss surgery but unlike gastric bypass surgery it is temporary whereas gastric bypass surgery is permanent and requires much more of a lifestyle change. You can lose belly fat and other body fat with this procedure.

During Lap Band surgery, a bag filled with fluid is placed around the stomach, reducing its size and decreasing the amount of food it can take in. This breakthrough is the least invasive of any form of bariatric or weight loss surgery. And Lap Band surgery is a much simpler surgery than the better known gastric bypass surgery. For gastric bypass, of which there are two types (Roux-en-Y-gastric bypass and biliopancreatic diversion bypass), the weight loss surgeon not only reduces the size of the stomach, but also creates a bypass around the stomach and also a part of the intestine in this more complicated procedure.

It’s been around for about ten years, but it didn’t get approval from the FDA until 2001. While gastric bypass is still the more well-known option for weight loss surgery, there has been increasing interest in the Lap Band and it’s becoming a much preferred procedure. According to some studies done BioEnterics for the FDA, the band can create side effects such as nausea and vomiting, heartburn and sometimes abdominal pain. Sometimes patients need another surgery to correct a problem with it. But, the Lap Band surgery procedure is preferred over the other permanent surgeries and is the least traumatic. It is the only adjustable and completely reversible obesity surgery in the United States today.

The surgery takes less than an hour and does require an overnight stay in the hospital. The patient’s stomach isn’t stapled. And the small intestine isn’t cut and rerouted as it is in gastric bypass surgery. The banding procedure also eliminates the ‘dumping syndrome’, which is the sick feeling that is associated with eating sweets or drinking alcoholic beverages after gastric bypass surgery.

Lap Band surgery typically costs thousands of dollars less than gastric bypass surgeries do. And people often travel to Mexico or other countries if they don’t have health insurance. Both surgeries improve or eliminate diabetes, high blood pressure and other illnesses or symptoms associated with obesity.

Gastric bypass surgery forces patients to lose weight rapidly though malabsorption of important key nutrients, but the Lap Band can be customized to fit individual weight loss needs and goals. Lap Band surgery has helped many patients lose weight successfully and who have been good candidates for it.

You can go online and visit blogs, forums and personal websites of people who have undergone lap band surgery to learn more about experiences. You might find you identify with them and their stories will help you decide if you’re a good candidate and are moving in the right direction.

Considering whether to undergo Lap Band surgery requires serious thought. It should only to be considered if morbid obesity is a major medical issue and nothing has worked. Make sure you understand the side effects and risks. Check your health insurance plan or provider and see if it is covered. Both gastric bypass and lap band surgery can provide significant health benefits through proven long-term weight loss. But many people do gain weight along the line so it is not a cure-all or a way to get around changing eating habits. Diets and eating habits must be changed for any weight loss surgery to work.

For information on lap band weight loss surgery and lap band surgery complications go to a nurse’s website for tips on lap band surgery, adjustable gastric band surgery, medical travel for low cost lap band surgery and cost of lap band surgery

Loose Skin After Weight Loss Surgery

June 26, 2009 · Filed Under Weight Loss Surgery · Comment 

In his blog, Jimmy Moore of the book “Livin La Vida Low Carb”, the author posted about having an excess of 15-20 pounds of “loose skin” after losing 180 pounds of weight. In the following comments, someone noted that if one was to lose so much weight, lose skin is inevitable.

Indeed a search on the internet for “loose skin weight surgery” will always nearly without exception serve back topics on plastic surgery. Lose or hanging skin is most evident in people who have lost weight using weight loss surgery. The surgical intervention in obesity cases results to such dramatic loss of weight leaving “hanging skin” on the abdomen, thighs, buttock, chest and underarms.

The argument forwarded to support the theory of loose skin is that with weight gain your skin stretches. Since fat is stored both around organs (visceral fat) and under the skin (subcutaneous fat), you will need to stretch the skin to accommodate the increased fat.

With huge amounts of weight usually above 50 pounds but more graphically with 100 pounds, you literally melt away body fat with surgery. But because the skin was so far stretched, it losses its elasticity and cannot possibly stretch back to its original size. Rolls of skin in various parts of the body are shown as evidence.

But this evidence is really inconsistent with the human biology. The skin is really a thin sheet of tissue consisting of epithelial cells. Considering that the fold of skin can be a thick as one inch it is impossible that this so called “loose skin” is solely fat.

With such huge weight loss there not only loss of body fat, but also lean tissue in significant amounts. Studies show that weight lost by diets only programs consist of up to 25% lean tissue. This is specifically muscle tissue. Also with the same dieting technique, you tend to lose more visceral fat than subcutaneous fat. So even after an overweight individual loses a lot of weight, thier body composition still constitutes of significant amount of fat.

The rolls of skin that is usually called hanging skin is really subcutaneous fat. And when you lose this fat, your skin will go back to its original form.

Just think about it, the skin is a living tissue, everyday thousand of skin cells die and new ones are formed, and since the human body is inherently adaptive don’t you think that the skin will shrink as more of it grows and the older cell die?

Well do not get mad at the plastic surgeons for convincing you of “hanging skin”. What do you expect them to eat after all these years in med school; furthermore its not their job to tell you there is nothing like lose skin after weight loss surgery.

More on weight loss and related topics like weight loss surgery procedures e.g. gastric bypass, lap band and weight loss diets like mediterranean and low carb diets

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