Lap-Band Surgery – Risks & Expected Weight Loss, medicare and lap band surgery.#Medicare #and
Lap-Band Surgery Information
The Lap-Band is an adjustable silicone band placed around the top part of the stomach during a laparoscopic surgical procedure designed to restrict food intake. At the time of surgery, a small device called a port (or reservoir) is placed under the skin of the abdomen. It is connected by tubing to the Lap-Band and allows the surgeon to periodically adjust the tightness of the band. This is done by injecting a small amount of saline water into the port. The Lap-Band may be adjusted several times in the first six months after surgery to promote maximum weight loss without side effects.
Typically our procedures are performed laparoscopically, an approach that is less invasive than open incision surgery because it is performed by placing the instruments and a camera through several very small incisions in the abdomen. Depending on the procedure, the hospital stay is usually a day or two, and Lap-Band patients often discharged the same day.
How does the Lap-Band promote weight loss?
The Lap-Band restricts the amount of food your stomach can hold and extends the feeling of being full and satisfied after eating a small amount of solid food. The success of this procedure, however, depends on how motivated you are to change your eating behaviors. Patients should eat three small high protein, low carb meals daily with no snacking. Eating too fast or too much can cause vomiting. No fluid should be taken with meals because it will cause the stomach to empty quickly. High-calorie beverages such as non-diet sodas, fruit juice, milkshakes, and smoothies must be avoided because they will impair weight loss. The same is true of high-calorie snack foods such as candy, ice cream and chocolate.
How does the surgery differ from gastric bypass?
The Lap-Band procedure requires no stapling or cutting of the stomach and no surgery on the intestine. No intestinal bypass is done, so there is no change in the amount of calories and nutrients absorbed in the intestine. Lap-Band patients do not experience dumping syndrome after consuming high-sugar foods or beverages. The tightness of the Lap-Band is adjusted to suit your individual situation and it can be removed if necessary. If done laparoscopically, which is the case for most patients, the Lap-Band procedure takes about one hour in the operating room and usually one night in the hospital. In 5% of cases, the Lap-Band placement cannot be completed laparoscopically. This would extend the hospital stay. Gastric bypass is a longer, more complex surgery that usually requires a stay of two or more nights.
How much weight can I expect to lose with the Lap-Band?
A weight loss of 2-3 pounds a week is possible during the first year, but this depends on the patient’s commitment to new eating habits and regular exercise.
What are the risks?
Lap-Band surgery carries the same risks as other laparoscopic surgical procedures and much less risk than gastric bypass surgery. Only 1-3% of patients experience bleeding, infection inside the abdomen, blood clots in the leg that can travel to the lungs, perforation of the stomach or esophagus during surgery, spleen or liver damage and death (less than 1%). There also are possible complications related specifically to the Lap-Band. Over time, it is possible for the band to slip out of position, block the outlet from the stomach or erode into the lining of the stomach, which would require an additional surgery to repair.
LAP-BAND SURGERY STATISTICS
Lap-band surgery has been performed in Europe for over 10 years before being approved for use in theU.S.in 2001. Until now, it is estimated that over 300,000 gastric band surgeries were performed worldwide. Over a decade of experience in the U.S. alone has shown that lap-band is an effective tool in fighting excess weight and that it has been more successful than traditional methods in achieving long-term weight loss.
According to the study performed with the use of database developed as a part of the accreditation program instituted by the AmericanCollege of Surgeons Bariatric Surgery Center Network (ACS-BSCN), out of 28,616 patients only 6% developed complications following the lap-band surgery. Majority of the complications constituted pouch enlargement (stretching of the stomach) and the band slippage, and were addressed with the band repositioning.
Another study performed by Dr. Franco Favretti and Gianni Segato looked at 1,791 patients who underwent the lap-band procedure within the period on 12 years. The analysis showed the total complication rate of 5% out of which band slippage and pouch stretching constituted 3.9% of the cases. The erosion cases constituted 0.9% of the sample. No cases of mortality were recorded. The study by Paul E. O Brien and John B. Dixon showed mortality of 1 out of 2,000 patients. This rate is approximately 10% lower than the mortality rate indicated for the gastric bypass surgery.
Belgian study published in 2011 indicated complication rates for lap-band to be significantly higher – especially for instances of band erosion – than any other study. The researchers were claiming that the approximately 40% of patients experienced serious complications (39% band erosions) and another 22% suffered minor complications such as pouch enlargement. Nevertheless, study analyzed patients who underwent the surgery between the 1994 and 1997, and followed only half of the original sample. In other words, out of the whole sample of 151 patients, the researchers followed up only on 84 patients. In addition, bands and urgical methods observed in the study were substantially different from the bands currently used.
In over a decade of experience at DayOne Health, we observed the complication rate no higher than 4%. The most common complications we ve seen at our practice are a stretched pouch and a band slippage. At DayOne Health, we have not seen yet any band erosions.
LAP-BAND WEIGHT LOSS
According to the study done by Dr. Favretti and Dr. Segato the average weight loss achieved by patients was 58lbs or 38.5 ± 27.9% loss in excess weight. Other studies report 40% excess weight lost within the first year followed with additional 10% to 20% in the second. The study by O Brien and Dixonindicates weight loss of 56% of excess weight in three years after the procedure. In comparison, the average weight loss for the same time period for gastric bypass was 59%. In other words, lap-band is as effective in achieving long-term weight loss as gastric bypass. As a side note, the surgeons who performed over 100 lap-band surgeries achieved better weight loss results than the less experienced ones.
Lap-band weight loss results and closely connected with the frequency and length of a follow up care. The study performed by Jonathan A. Myers, M.D. Sharfi Sarker, M.D. and Vafa Shayani, M.D. showed that patients with higher BMI ( 60) took longer to achieve the same weight loss results than lower BMI patients and required longer follow up period. In the study performed by Evan Valle, Minh B. Luu, Khristi Autajay, Amanda B. Francescatti, Louis F. Fogg, Jonathan A. Myers, that there is a strong positive relationship between a higher number of lap-band adjustments and percent of excess weight lost. The study also indicated that patients operated and followed up on at the surgical facility achieved greater weight loss results from patients at the hospital. The difference was ascribed to the fact that patients seen at the surgery center had easier access to the frequent follow up
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Bariatric Surgery in Austin, TX by Dr Nilesh Patel #austin #weight #loss, #lap #band
Texas Bariatric Specialists Delivering Bariatric Surgery in Austin – Now Serving True Results Patients *
Founded by Dr. Nilesh A. Patel, MD, a nationally recognized and fellowship-trained bariatric surgeon, Texas Bariatric Specialists is a holistic weight loss practice focused on delivering long-term weight loss solutions through which have resulted in over 2,500 bariatric surgeries that have exceeded the national average of successful weight loss management.
Announcement to All Former True Results Patients
Dr. Patel has been designated as a preferred provider for all former True Results patients in the Austin area. True Results patients have already been experiencing the high level of service available and the comprehensive care program.
Dr. Patel specializes in surgical weight loss procedures including:
With a commitment to surgical expertise, compassionate care and exemplary preoperative and postsurgical consultative services, Dr. Patel and staff at Texas Bariatric Specialists ensure successful weight loss management for their patients through long-term relationships to support good health.
Our Services Include:
- Ultra-modern 5,000+ sq. ft. office in Northern Austin atop the Horizon Bank. Knowledgeable, full-time staff available Monday through Thursday.
- Back-on-Track Program – This program is designed to assist prior bariatric patients with a lap band, sleeve, or RNY to re-embark upon their journey to health and wellness. Our experienced staff will get you back on track with any nutritional, dietary, or physical weaknesses established post-surgery.
- Revision of failed weight loss surgery – There are times when surgery just does not yield the desired outcomes. Not always due to surgeon or patient compliance. There is just a disconnect between desired results and achieved results. Dr. Patel has become a laparoscopic revision surgery specialist and has successfully converted all types of failed surgical procedures to more viable and beneficially procedures for the patient. If you are struggling with your chosen procedure, and are considering reversal or revision surgery, please see our experienced staff for evaluation.
- Carol Andrus, NP a very knowledgeable and compassionate addition to the TBS staff. She is specifically assigned to our North Austin office and is available every Tuesday – Thursday from 9:00 am – 1:00 pm to provide clinical services and support of your health goals.
- Radiological Services –Available on site most days, Monday through Thursday 9:00 am – 1:00 pm for Barium swallows (UGI) and fluoroscopic adjustment of laparoscopic adjustable gastric bands.
- Program Exercise Physiologist – Our staff physiologist is readily available to help create a robust exercise program that will be both challenging and beneficial for obtaining and maintaining your goals.
- Pulmonary Function Tests – Testing offered during normal business hours specifically designed to assess your pulmonary status and ability to undergo bariatric surgery.
- Ultrasonic Body Composition Testing – Scientifically proven and trusted modality can accurately measure tissue structure and body composition. It is a very effective tool used by our staff to help patients track fat and muscle, gains and losses and to evaluate the effectiveness of their diet and exercise program.
- Insurance Concierge – Our staff of knowledgeable insurance specialists provide a full range of insurance qualification services to make your prequalification paperwork is in order. This full service ensures you are receiving the full benefits you are entitled to, alleviates the hassle for you, and provides you with peace of mind. We are happy to say that 80% of our weight loss surgeries are paid for by insurance. You will be assigned an insurance advocate who will answer all your questions about insurance guiding you through the approval process. Just provide your insurance information and they will take it from there.
- Life Partner for Weight Loss – As a nationally recognized surgeon, Dr. Nilesh A. Patel, MD, believes in long-term relationships and forming partnerships for success.
- Program Psychologist – A staff psychologist is available for all patients’ pre-op and post-operative treatment, to assist with through the journey of successful, long-term weight loss.
- Program Dietician – A certified dietician/nutritionist who specializes in the unique needs of bariatric surgery patients and provides both private consultations and group sessions before and after surgery.
- Nutritional Resource Store – A convenient, in-house nutritional supplement resource store with pharmaceutical-grade supplements.
- Support Group – A strong online support group to help keep you on track and create a forum to discuss issues.
Texas Bariatric Specialists is more than a surgery center; it is a group of highly trained professionals focused on ensuring your health for a lifetime.
Texas Bariatric Specialists – South Austin
9701 Brodie Lane Ste 206
Bariatric Weight Loss Gastric Bypass Surgery Knoxville East Tennessee (TN) New Life Center #bariatric,
Long-term Weightloss From Medically Supervised to Surgical Weightloss Treatment We Take an Individualized Approach for Each Unique Patient
At the “New Life Center for Bariatric Surgery” we want to send you a message of hope. Severe obesity robs individuals of the quality of life and health that they deserve. But there is hope. Bariatric surgery can be a life saving journey that can lead to a New Life for you.
Why Choose Us?
We have helped thousands of patients just like you be successful and enter a New Life! Our multidisciplinary team has a collective experience of over 75 years helping people lose weight permanently.
We consider it a privilege that you have taken the time to consider us as your partner in the path to your New Life.
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At the New Life Center for Bariatric Surgery we understand that the decision to pursue weight loss surgery is a difficult and personal one.
- Highest Patient Satisfaction
- Ability to Eat Larger Meals
- Greatest Excess Weightloss
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Learn More About Obesity Are You a Candidate for Surgery?
Obesity is a disease of excess fat storage that robs us of a fulfilling life and causes the development of a number of serious diseases which take the lives of approximately 1000 American’s daily.
Had Surgery Elsewhere? Looking For Great Aftercare?
Unfortunately, for a variety of reasons, patients may not experience the results they desired after their weight loss surgery. We are happy to evaluate your situation and recommend appropriate treatment.
My Road to Weight Loss Surgery and Beyond
My goal is share every detail of my journey and describe every step along my way of WLS and hopefully help others that are in the same situation.”
What Treatment Options Are Available?
At the New Life Center for Bariatric Surgery we offer a truly individualized care plan outlined by your surgeon. This plan is uniquely designed to both guide you through the maze of insurance requirements and prepare you for your New Life after bariatric surgery. We are proud to offer more weight loss options than anyone else.
As the seventh center in the country to be designated as a Center of Excellence by the American Society for Metabolic Bariatric Surgery (ASMBS), New Life Center for Bariatric Surgery performs bariatric surgery only at hospital facilities that maintain the highest credentialing available from ASMBS and the American College of Surgeons (ACS). New Life Center for Bariatric Surgery is affiliated with Turkey Creek Medical Center, a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) accredited center by the American College of Surgeons. New Life Center for Bariatric Surgery is a division of Premier Surgical Associates .
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