LAP-BAND® FAQ
The following questions about laparoscopic banding (LAP-BAND®) frequently come up during consultations in our Tucson, Tempe, Phoenix and Scottsdale weight loss surgery offices. If your question is not answered here, feel free to contact us and our healthcare team will respond to you as quickly as possible. Please ask us all the questions you have about obesity surgery and the LAP-BAND System – we are here to help!
1) Will I be sick a lot after the operation?
The LAP-BAND System limits food intake. If you feel nauseated or sick on a regular basis, it may mean that you are not chewing your food well enough or that you are not following the diet rules properly. However, it could also mean that there is a problem with the placement of the band so you should contact us if this problem persists. Vomiting should be avoided as much as possible as it can cause the small stomach pouch to stretch. It can also lead to slippage of part of the stomach through the band and reduce the success of the operation. In some cases, it can require another operation.
2) How long will it take to recover after surgery?
If LAP-BAND surgery is performed laparoscopically, it can usually be done as an outpatient – you go home the same day! In some cases, an overnight stay in the hospital might be required. It takes most patients about a week to return to work and a month to six weeks to resume exercising. In the case of open surgery or if there are complications, recovery may take longer.
3) How much weight will I lose?
Weight-loss results vary from patient to patient, and the amount of weight you lose depends on several things: The band needs to be in the right position, and you need to be committed to your new lifestyle and eating habits. Obesity surgery is not a miracle cure, and the pounds won't come off by themselves. It is very important to set achievable weight-loss goals from the beginning. A weight loss of 2 to 3 pounds a week in the first year after the operation is possible, but one pound a week is more likely. Twelve to eighteen months after the operation, weekly weight loss is usually less. Remember that you should lose weight gradually. Losing weight too quickly creates a health risk and can lead to a number of problems. The main goal is to have weight loss that prevents, improves, or resolves health problems connected with severe obesity.
4) How do weight-loss results with LAP-BAND compare to those with gastric bypass?
Surgeons have reported that gastric bypass patients lose weight faster in the first year – approximately 70% of their excess weight vs. approximately 45% of excess weight loss in the first year with a band. At five years, however, many LAP-BAND patients have achieved weight loss comparable to that of gastric bypass patients. You should focus on long-term weight loss and remember that it is important to lose weight gradually while reducing obesity-related risks and improving your health.
5) Does the LAP-BAND limit any physical activity?
The LAP-BAND does not hamper physical activity including aerobics, stretching and strenuous exercise.
6) Does the LAP-BAND require frequent office visits after surgery?
For our patients in Scottsdale, Tempe, Phoenix and Tucson, LAP-BAND System follow-up visits are normal and very important. These check-ups include band fills/adjustments, as well as screening endoscopies every year.
7) How is the band adjusted?
Adjustments include an ultrasound to locate the port, and then a fine needle is passed through the skin into the access port to add or subtract saline. This process most often takes only a few minutes and most patients say it is nearly painless.
8) Do I have to be careful with the access port just underneath my skin?
There are no restrictions based on the access port. It is placed under the skin in the abdominal wall, and once the incisions have healed it should not cause discomfort or limit any physical exercise. The only sensation you may experience from the port occurs when you go in for adjustments. If you feel persistent discomfort in the port area, let us know as soon as possible.
9) Can the band be removed?
Although the LAP-BAND System is meant to be a tool to help you lose weight and keep it off for the rest of your life, it can be removed laparoscopically. Surgeons report that the stomach generally returns to its original shape once the band is removed. After the removal, though, you may soon go back up to your original weight or even gain more.
10) Will I need plastic surgery for excess skin when I have lost a lot of weight?
That is not always the case. As a rule, plastic surgery will not be considered for at least a year or two after the placement of the Lap-Band, as sometimes the skin will mold itself around the new body tissue. Give the skin the time it needs to adjust before you decide to have more surgery.
11) Is it true that the LAP-BAND seems "tighter" in the morning?
This is a fairly common feeling, especially for people with bands that are tight or just after an adjustment. During the day the water content in the body changes and this may cause the band to feel "tighter" some of the time. Some women have also noticed that the LAP-BAND feels tighter during menstruation.
12) Will I feel hungry or deprived with the LAP-BAND?
The LAP-BAND makes you eat less and feel full in two ways – first by reducing the capacity of your stomach and second by increasing the time it takes food to get through the digestive system. After a small meal, the amount of which varies from person to person, you should feel full. If you follow the nutrition guidelines when you choose your food and then chew it well, you should not feel hungry or deprived. Remember that the LAP-BAND is a tool to help you change your eating habits.
13) What will happen if I become ill?
One of the major advantages of the LAP-BAND System is that it can be adjusted. If your illness requires you to eat more, the band can be loosened by removing saline from it. When you have recovered from your illness and want to lose weight again, the band can be tightened by increasing the amount of saline. If the band cannot be loosened enough, it may have to be removed.
14) What about pregnancy?
Becoming pregnant can be easier as you lose weight. Your menstrual cycle may become more regular. If you need to eat more while you are pregnant, the band can be loosened. After the pregnancy, the band may be made tighter again, and you can resume losing weight.
15) Will I need to take vitamin supplements?
You may. It's possible to not get enough vitamins from three small meals a day. At your regular check-ups, our dedicate staff will evaluate whether you are getting enough vitamin B12, folic acid, and iron.
16) What about other medication?
You should be able to take prescribed medication though you may need to use capsules, break big tablets in half or dissolve them in water so they do not get stuck in the stoma (pouch) and make you sick. You should always ask the doctor who prescribes the drugs about this.
17) What if I go out to eat?
Order only a small amount of food, such as an appetizer. Eat slowly. Finish at the same time as your table companions. You might want to let your host or hostess know in advance that you cannot eat very much.
18) What about alcohol?
Alcohol has a high number of calories and breaks down vitamins. An occasional glass of wine or other alcoholic beverage, though, is not considered harmful to weight loss.
19) Can I eat anything in moderation?
After your stomach has healed, you may eat most foods that don't cause you discomfort. However, because you can only eat a little it is important to include foods full of important vitamins and nutrients such as those advised by your dietitian. If you eat foods that contain lots of sugar and fat or drink liquids full of "empty" calories, such as milkshakes, the effect of the LAP-BAND may be greatly reduced or cancelled.
20) Will I suffer from constipation?
There may be some reduction in the volume of your stools, which is normal after a decrease in food intake because you eat less fiber. This should not cause you severe problems. If difficulties do arise, let us know as soon as possible. And remember to drink at least 6-8 glasses of water a day.
Our Commitment to You
At Weight Loss Institute of Arizona, our highly trained surgeons and staff are dedicated to your well-being. With us, you have a partner on your journey to better health. We are here for you around the clock, offering support before, during and after your procedure. We share your goal of a healthier, more fulfilling life, and your success is our top priority.
The best way to get an overview of weight loss surgery and our program is to attend one of our FREE comprehensive seminars that cover numerous topics including:
- Am I a candidate?
- Medical treatment for obesity
- Surgical treatment for obesity
- A specific overview of our individualized program
If you are interested in surgical weight loss in the Phoenix area, request your complimentary consultation online or RSVP to one of our weight loss seminars today.