Laparoscopic adjustable gastric banding is a surgical procedure that helps with weight loss. The LAP-BAND® System is the first adjustable gastric banding device approved by the FDA. Dr. Ahmad and his staff are experts in this procedue and his Houston clinics are specificaly equiped for this surgery.
The LAP-BAND® is a fully reversible procedure that limits the amount of food that the stomach can hold. It does not require stomach cutting, stapling, or gastrointestinal re-routing to bypass normal digestion. Dr Ahmad is able to adjust the LAP-BAND® so that food can move more quickly or slowly through your digestive system. Weight loss with the LAP-BAND® tends to be gradual and steady.
IS LAP-BAND® SURGERY THE RIGHT OPTION FOR YOU?
The National Institute of Health (NIH) recommends weight loss surgery for patients with the following characteristics:
- Excess body weight of approximately 100 pounds (45.5 kg) or more.
- No known metabolic or endocrine-related causes for obesity.
- Objectively measurable physical, emotional, or social conditions that might benefit from weight reduction.
- Risk of hypertension (high blood pressure), diabetes (high blood sugar), heart disease, breathing problems, lung disease, sleep apnea (snoring), and arthritis.
- An understanding of the full importance of the proposed surgical procedure including risks and complications.
- A commitment to routine medical treatment and follow-up care.
- Previous, unsuccessful attempts at weight reduction under medical supervision.
WHAT HAPPENS DURING LAP-BAND® SURGERY?
The LAP-BAND® surgery is a minimally invasive procedure that requires general anesthesia. You will be asleep throughout the entire process, and you will not feel any discomfort. Your surgeon will make a small, half-inch incision near your belly button. He will then use carbon dioxide, a gas that occurs naturally in your body, to create a workspace near your abdomen. A small laparoscopic camera will be placed through the incision to provide visibility into your abdominal cavity. Your doctor will then create several additional incisions to complete the procedure. Your surgeon will use this space to create a small, circular tunnel behind the stomach where the gastric band will be inserted and locked into place.
HOW SHOULD YOU PREPARE FOR LAP-BAND® SURGERY?
- A thorough medical examination from your primary care doctor or specialist.
- Supplemental diagnostic tests, including a nutritional evaluation from a dietitian.
- A psychiatric or psychological evaluation to determine your ability to adjust to lifestyle changes after the procedure.
- Consultations from specialists, such as cardiologists, pulmonologists, or endocrinologists may be needed depending on the patient’s medical history.
- Continued participation in a regular obesity support group is encouraged after surgery.
- A written consent for surgery will be needed after the surgeon reviews the potential risks and benefits of the surgery.
- Days prior to surgery, patients begin a clear liquid diet.
- Blood transfusions and/or blood products such as platelets may be needed.
- It is recommended that patients shower the night before or morning of the operation.
- After midnight the night before the operation, patients should not eat or drink anything except for medications allowed by the surgeon.
- Medications such as aspirin, blood thinners, anti-inflammatory medications (arthritis medications) and Vitamin E will need to be stopped temporarily for at least several days before surgery.
- Diet medication or St. John’s Wort should not be used for at least two weeks prior to surgery.
WHAT SHOULD YOU EXPECT ON SURGERY DAY?
- You will arrive at one of our Houston-based locations the morning of the operation for your LAP-BAND® surgery.
- You will need to store your clothes in a hospital-provided locker or bag and change into a hospital gown for the duration of the procedure.
- A licensed medical staff member will use a needle to place an IV catheter into your arm. This IV catheter will be used to administer medication while you are asleep.
- Under doctor supervision, you may need to take pre-operative medications.
- Shortly before the procedure, you will meet the anesthesiologist and discuss what to expect from the medications you’ll be receiving.
- You will be under general anesthesia (asleep) during the operation, which may last for several hours.
- After surgery, you will be sent to a recovery room until you wake up. You will then be sent to your hospital room where you will be closely monitored until you are ready to go home.
- Most patients return home on the same day as the surgery.