The LAP-BAND® System

The LAP-BAND® System is a clinically proven tool to aid with long-term weight loss. Studies have shown an average excess weight loss of 47.1% maintained at 15 years,1 with either complete control or improvement in obesity related diseases such as type 2 diabetes, sleep apnoea, heart disease, asthma and hypertension, among others. 2-6

During the 30-45minute laparoscopic procedure, the LAP-BAND® is placed around the top of the stomach; this applies a constant, gentle pressure, and increases a feeling of satiety (a feeling of fullness) on a smaller amount of food, therefore patients eat less.7

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Attached to the LAP-BAND® is an access port. The access port sits beneath the skin on the abdomen, and allows the LAP-BAND® to be adjusted to the patients’ individual needs. For optimal weight loss, we work with you on a regular basis to ensure you are in the ‘Green Zone’. These adjustments do not require any additional surgery, and are done in our clinic, usually taking only a few minutes. For more information on the LAP-BAND® System zones, watch this YouTube animation.

Patients generally lose around 0.5kg-1kg on a weekly basis depending on their metabolism and eating & exercise habits, while a recent large Australian study from CORE, the Centre for Obesity Research & Education of Monash University, showed that patients maintained an excess weight loss of 47.1% long-term at 15 years.1

The LAP-BAND® is intended to be implanted as a long-term device, however if required it can be removed at any time. It doesn’t require stapling, removing or re-routing any part of the stomach, which makes it a minimally invasive procedure.

Patients with a BMI of 35, or 30 with 1 or more obesity related diseases qualify for the procedure, which usually indicates around 20 kg or more to lose.

The LAP-BAND® System has been a proven tool for weight loss since 1994, with over 850,000 patients worldwide.8 It is a prosthetic device made from medical grade silicone which is used in many other medical devices such as hip prosthesis components.

The procedure is usually performed as day-surgery, and recovery time is around 1-2 weeks.

References

  1. O’Brien PE et al. Long-term outcomes after bariatric surgery: Fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg 2013; 257:87-94
  2. Dixon JB et al. Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. JAMA 2008;299(3):316-323
  3. Dixon JB, Schachter LM, O’Brien PE. Sleep disturbance and obesity: changes following surgically induced weight loss. Arch Intern Med. 2001;161:102-106.
  4. Dixon JB, Chapman L, O’Brien PE. Marked improvement in asthma after Lap-Band surgery for morbid obesity. Obes Surg. 1999;9:385-389.
  5. Dixon JB, O’Brien PE. Gastroesophageal reflux in obesity: the effect of LAP-BAND placement. Obes Surg. 1999;9:527-531.
  6. Hutan Ashrafian CW et al. Effects of bariatric surgery on cardiovascular function. Circulation 2008;118:2091-2102
  7. Paul E O’Brien. Mechanisms of Bariatric Surgery, 2010
  8. Apollo Endosurgery, Data on File; 2015
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