The Lap Band
The band causes no malabsorption, therefore there are usually no issues with anemia or dumping syndrome related to the band. Long term results are being studied. The LapBand is a relatively new procedure and will require more time to follow patients for effective results.
The patient must be very motivated and compliant with behavior modification in order to achieve optimal weight loss. The band merely restricts the amount of food that can be eaten at one time and does not affect absorption of food in any way.
The placement of the band is not without risks. Immediate operative risks include splenic injury, esophageal injury, wound infection, and the possible need to convert the operative procedure to an open procedure. Later complications can include band slippage, reservoir leaks, infection, band erosion into the stomach leading to a leak and death. Persistent vomiting, acid reflux, and failure to loose weight.
Success rates in the USA are as follows: 10% of people lose 75% of their excess weight and 62% of people lose 22% of the excess weight. Therefore if your BMI is over 45 there is a 50% chance that the band will leave you morbidly obese.
In depth discussion with the surgeon should take place prior to deciding on the LapBand or any other weight loss surgical procedure prior to making a decision on the appropriate procedure for you.
