LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING
1. Most commonly performed weight reduction operation in Europe and the Pacific rim.
2. Very little chance of dying from operation.
4. Adjustable: band can be adjusted to increase or decrease weight loss.
5. Weight loss averages 40 to 60 percent of excess body weight.
6. Malnutrition complications rare.
7. Short hospital stay usually less than 24 hours.
8. Substantial improvement in many health problems related to morbid obesity.
9. Covered by most insurance companies.
1. Magnitude of weight loss greatly impacted by team effort of patient and surgeon.
2. Weight loss is very dependent on frequent follow-up visits.
3. 1 to 2 percent long-term risk of erosion of the band into the stomach requiring revisional surgery.
4. 5 to 10 percent long-term risk of stomach slippage requiring revisional surgery.
5. Device may require repair with time requiring additional minor operations.
6. Weight loss is VERY dependent on long-term follow-up with monthly follow-up visits for the first year.
Possible Complications During Surgery or Within 30 Days of Surgery:
Death, Hole in stomach, Hole in intestines,
Leak from bowel, Bleeding & transfusions, Tear in spleen,
Chest infection, Pneumonia, Peritonitis,
Infertility, Kidney failure, Liver failure,
Irregular heart rhythms, Heart attack, Heart failure,
Blood clots in legs, Blood clots in lungs, Breathing failure,
Stroke, Injuries to arms & legs, Paralysis,
Wound infections, Conversion to open operation, Skin scarring,
Abdominal wall hernias, Allergic reactions to medications, Abscess formation,
Re-admission to the hospital, Additional operations, Dehydration,
Difficulty swallowing, Low blood pressure, Dizziness,
Abdominal scar tissue, Adhesions.
Self-Donation of Blood:
Most individuals can donate blood for themselves approximately a week before surgery. This has to be done at Hackensack University Medical Center. It can not be done at another blood bank at a different location. Your surgeonís office can help you make these arrangements.
Possible Long Term Complications After Surgery:
Gastro-Esophageal Reflux Disease, Heartburn, Pseudo-Achalasia,
Difficulty swallowing, Strictures of the intestines, Gallstones,
Common bile duct stones, Inflammation of the Pancreas, Pancreatitis, Kidney stones,
Constipation, Erosion of Lap Band into stomach, Internal hernia,
Breakage of Lap Band, Bowel obstructions, Abdominal pain,
Strangulation of Stomach, Infection of Lap Band, Hair thinning,
Not loosing any weight, Regaining all of the lost weight,
Development of unsightly and redundant skin folds due to weight loss
Vitamin & Mineral Deficiencies after Lap Band:
After Lap Banding, patients should take vitamin supplements.
Common Vitamin Deficiencies include:
Vitamin B12, Vitamin B1 (Thiamine), Vitamin K
Vitamin D, Iron, Calcium,