The Center for Weight Management now offers the LAP-BAND® System as an option for patients. This procedure places an adjustable gastric band around the upper part of the stomach which is then filled with saline. This creates a new, smaller stomach pouch that holds only a small amount of food. Once in place, an access port fixed beneath the skin of the abdomen allows LAP-BAND-certified physicians such as Dr. Smith to change the stoma size by adding or subtracting saline. The diameter of the band can be modified to meet individual needs. The procedure is reversible, with the stomach and other anatomy generally being restored to their original forms and functions. As with any gastric bypass surgery, the LAP-BAND® is to be used as a tool to help patients achieve their weight-loss goals.

Comparisons between LAP-BAND® and RNYGBP

The Roux-en Y procedure is considered the gold standard in the bariatric community, while LAP-BAND® offers promising new reversible technology. LAP-BAND® surgery is less complicated with a mortality average of one per 1,000, while the Roux-en-Y (gastric bypass) carries a slightly higher risk of 1.7 per 1,000. Outcomes for Roux-en-Y patients yield a faster weight loss with 70 to 80 percent achieving excess weight loss (EWL) at two years. LAP-BAND® patients show a slow, steady weight loss with 50 percent EWL at two to five years. Similarly, the Roux-en-Y procedure aids with faster resolution of co-morbid conditions, especially Type 2 diabetes. These patients also maintain a more vigorous vitamin/mineral supplementation routine. Revision is unusual for any Roux-en-Y patient, while 5 percent of LAP-BAND® patients eventually revise to the Roux-en-Y due to inadequate weight loss. Band adjustments require more frequent follow-up appointments. Roux-en-Y patients are seen less frequently in terms of follow-up care with annual appointments recommended thereafter.