Patient Information Book For Gastric Bypass Surgery - permanente.net

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ADJUSTABLE GASTRIC BANDING (LAP-BAND) Intro While the Lap-Band differs in many ways from gastric bypass surgery the need for LIFE LONG COMMITMENT to a new healthy lifestyle remains the same. Just like gastric bypass you must use this “tool” EVERYDAY for the REST OF YOUR LIFE to be successful with your continued weight loss and weight loss maintenance. The Band is a silicone hollow ring placed around the upper part of the stomach, creating a pouch above the band about the size of an egg. The inner surface of the Band (or “balloon”) is adjustable by adding or removing saline. By adjusting the amount of saline in the band you can reduce the flow of food from this pouch into the lower part of your stomach. The band lets you feel full after eating a smaller amount of food and makes you less hungry between meals. The Band is connected by a tube to a port placed underneath the abdominal skin during surgery. The amount of saline in the band is controlled by piercing this port through the skin with a special needle. Anatomy and Surgical Procedure Almost 100% of gastric bands are placed laparoscopically, with an average of 5 small incisions. They all require full general anesthesia and about 1 hour of surgical time. Most patients stay one night in the hospital. Although most pictures you will see do not show it, the band is kept in place by securing it in a flap of stomach with 3-4 sutures. Should the band be removed, this flap is left in place. Due to the natural scarring that occurs in the body, reversal of this flap would be very difficult. Even with removal of the band, the stomach is left scarred and altered. Thus, the band is REMOVABLE, but not everything is reversible.
Short Term Side Effects and Complications The following complications can occur within the first few weeks of the operation: • respiratory arrest, usually caused by pulmonary embolus or apnea. • cardiac arrest (heart attack). • physical injury • organ injury (liver, spleen, intestines) • bleeding and need for blood transfusion or reoperation (less than 1%) • wound infection, port site infection. • death Weight Loss The weight loss with the lap band is slower and more variable than with the gastric bypass or gastric sleeve. <strong>Patient</strong>s may lose ZERO to 80% of their excess weight over 1 to 5 years. Compared to the gastric bypass and gastric sleeve, the calorie restrictions and hunger suppression is less. Because it is a “smaller tool”, it requires even greater diligence, understanding, and motivation to make weight loss successful. Most of the 10 year results for the band have been based on patients from Europe and Australia. In the United States, the long term weight loss results have been less successful. Some surgeons feel that it is extremely difficult to lose more than 100 pounds with the band, and do not recommend it for anyone with a BMI of 50 or above. Adjustments and Fills Band adjustments are done in the clinic in the doctor’s office. The skin over the port site is sterilized. To adjust the band your doctor will inject or remove a small amount of saline from the port located under the skin of your abdomen. This procedure is generally very well tolerated and local anesthetic is not needed. Most patients say it is nearly painless. Only a trained clinician can adjust your band. Never let an untrained clinician do it. A special needle provided by the makers of the Band MUST be used otherwise the port may be damaged and leak saline.
Page 1 and 2: Fremont Medical Center Bariatric Pr
Page 3 and 4: • Pre-op Meal Plan (Before Surger
Page 5 and 6: Introduction to the Kaiser Northern
Page 7 and 8: Section 2 Overview of Obesity, Weig
Page 9 and 10: Like all mammals, humans eat food t
Page 11 and 12: Weight Loss After Surgery After an
Page 13 and 14: Medications for depression and othe
Page 15 and 16: TYPES OF WEIGHT LOSS SURGERY The di
Page 17 and 18: Patients with prior abdominal opera
Page 19 and 20: Anatomy of the Stomach and Intestin
Page 21 and 22: Anatomy of the Roux Y Gastric Bypas
Page 23 and 24: Before your surgery your stomach is
Page 25 and 26: few patients may develop deficienci
Page 27 and 28: VERTICAL SLEEVE GASTRECTOMY Intro T
Page 29: prohibited. However NSAIDs, steroid
Page 33 and 34: 6. After every fill you will be on
Page 35 and 36: This is also known as prolapse and
Page 37 and 38: COMPARISON OF THE DIFFERENT OPERATI
Page 39 and 40: GOALS AND PREPARATION BEFORE SURGER
Page 41 and 42: The expected hospital course is as
Page 43 and 44: • Many patients will be able to s
Page 45 and 46: YOU, the Patient Despite the growin

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