lap band surgery guide

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Lap Band Surgery

Complete Guide on Lap Band Surgery

Lap Band Surgery Insurance | Lap Band Surgery Results | Lap Band Surgery Risks | Lap Band

Surgery Cost Lap Band Surgery Finance | Lap Band Surgery Diet | Lap Band Surgery Benefits | Lap

Band Procedure

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Lap Band Surgery

About Lap Band Surgery

Generally found in middle age group persons, obesity is carrier of many more disease as bloodpressure, cancer and many more. It's not easy to get rid of obesity, inspire of several attempts and

several methods adopted to get rid of your obese condition. The treatments for obesity are not alwayssuccessful, but at present there is one way to get treated out of your obesity and its known as Lap-Band® Surgery.

Being painless and effective surgery for your obesity, Lap-Band® surgery or lap ban surgery is verymuch popular all over the world. With minimum rate of side effects and death ratio in the process of surgery, in almost 12 to 18 months you can lose up to 50% of your body weight by going for Lap-Band® surgery. The effects of Lap-Band® surgery or lap ban surgery vary from person to personwithout any side effects or vitamin or mineral deficiency. The time from lap after Lap-Band® surgeryis less and without much problem.

Procedure of Lap Band Surgery

In this surgery, a small pouch in the upper part of the stomach is created without stapling. A gastricband device is introduced through tiny (1cm) incisions in the abdomen and is placed around the upperpart of the stomach. The resulting pouch (or the "new stomach") dramatically reduces the functionalcapacity of the stomach. The band has a balloon from the inside that is adjustable and can reducestoma size, thus prolonging the period of fullness. The operation is performed under generalanesthesia and can last between 30 minutes and 1 hour. The Band is fitted around the uppermost partof the stomach, forming a 15cc small pouch. It is designed so that it can be inflated or deflated at anytime after the operation. This helps the patient continually lose weight until they reach their goals. Therestriction takes place in the radiology suite and normally takes 15 minutes. This simple lap band surgery procedure is painless. They inject saline into a port placed under the skin in the wall of thestomach. The tube that comes off of the band leads to the port.



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Lap Band Surgery

Benefits of Lap Band Surgery

LAP-BAND® System is less invasive, less risky than laparoscopic gastric bypass, according to a five-

year study comparing the two most common weight-loss surgery procedures for the seriouslyoverweight presented at this year's American Society for Bariatric Surgery meeting by the seniorinvestigator of the study and Director of Oregon Weight loss Surgery, LLC (Portland, OR). The studyalso concluded that laparoscopic gastric bypass patients had significantly more major complicationsthan LAP-BAND® patients (10% vs. 5%, respectively). This observation was substantially differentfrom the finding in the 3-year report, where no significant difference in major complications appearedbetween laparoscopic gastric bypass and LAP-BAND® patients. The lap band surgery benefits are:

• No cutting of the stomach

• No stapling of the stomach

• Calibrated pouch and stoma size

• Can be adjusted to patient's needs after surgery with no operation to adjust the stoma

• Laparoscopic removal possible

• Fully reversible

• Short hospital stay (does not exceed 48 hours)• LAP-BAND® patients have decreased complication rates

Eligibility of Lap Band Surgery

The LAP-BAND procedure is a safe and effective weight loss solution, but weight loss surgery is not foreveryone who is overweight. Whether or not you are a good candidate for weight loss surgery is adecision that you and your doctor will make together. One of the most important measures of eligibility that your doctor will use is your Body Mass Index (BMI), a calculation based on your heightand weight. Your BMI classifies you as either overweight, obese, or morbidly obese and determines if you fall in the range to be considered for Lap-Band Surgery.

Your Body Mass Index (BMI) is a useful indicator of whether or not you are a good candidate for LAP-

BAND Surgery. In general, weight loss surgery and the LAP-BAND® procedure may be the rightapproach if your BMI is over 40. For some people with a BMI less than 40 who have obesity relatedhealth conditions, LAP-BAND Surgery may still be a good choice. Other than BMI, a good indicator is if you weigh twice your ideal weight or are at least 100 pounds overweight.

Some of the lap band surgery eligibility criteria that you need to fulfill are mentioned below:

- Your BMI is more than 40 or more than 35 with obesity related health conditions ***- You weigh twice your ideal weight or are at least 100 pounds overweight- You are between the ages of 18 and 60- You have been overweight for 5 years or more- You have been unable to lose weight thru diet and exercise- You do not have an illness that has caused you to be overweight

- You do not drink too much alcohol- You are committed to making changes in your diet and lifestyle- You are willing to continue working with and be monitored by your LAP-BAND doctor



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Lap Band Surgery

How to Choose the Best Lap Band Surgeon?

Lap Band Surgeon plays a very pivotal role in the overall success of this weight loss surgery. A goodsurgeon would minimize the complications and the side effects so caused after the surgery. If you

want to select the best surgeon for your lap band surgery, be prepared to ask the following questionsto the person concerned:

- How many lap band surgeries have you performed?- Are you board-certified by the American Board of Surgery or the American Osteopathic Board

of Surgery?

- Are you a member of the American Society for Metabolic and Bariatric Surgery?- Will the surgery be performed in a Bariatric Surgery Center of Excellence?- How many lap band surgeries have been performed in the hospital- What is my personal risk and benefit profile for this surgery?- Will another doctor be assisting during the surgery?

- Does the hospital have staffs that are trained specifically to care for weight loss surgery

patients?- Does the anesthesiologist have experience with obese patients- What support will be available after surgery?- Who will be covering for the surgeon when he or she is away?- Does the program help deal with insurance and other payment issues that may arise?



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Lap Band Surgery

Importance of Diet after Lap Band Surgery

Merely getting the lap band surgery is not the sure short passport for achieving weight loss. Peopleneed to take a proper care of their diet as this was the main reason which leads to obesity among thepeople. The patient has to forget their previous eating habits and should concentrate on the eatingguidelines as put forward by their surgeon. If people don’t pay adequate attention to their lap band surgery diet, weight loss would not occur and complications would arise and the end result would bethat the person concerned would have to get re operated. Your diet will start to change before lap

band surgery with your pre-op diet. Your doctor will put you on a special diet to get your body readyfor surgery. After surgery, your diet will progress from liquids to soft foods until you are able to eatsolid foods over the six week recovery period. It is important to follow your doctor's nutritionalguidelines and food recommendations to get the most out of your lap band and maximize weight loss.If you overeat, the food will come up and out. Most lap band patients have had one or twoexperiences that teach them to eat slowly, chew food well, and not eat too much.



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Lap Band Surgery

One Week Diet before Lap Band Surgery

In the months before lap band surgery, you will be expected to start making changes to your diet. Thepre-surgery diet will help prepare your body for the upcoming surgery - to reduce body fat in andaround the liver, to help preserve and protect muscle tissue, improve recovery, increase rate of weightloss, and help you prepare for the post-op diet. When it is just one week away for the lap bandsurgery, it is advised that people don’t consume any kind of solid food or that contains a lot of fat andcalorie in them. It would be best if the person is on liquid diet only because it would reduce the

element of fat around the liver and the person would be ready to get the silicon and attached to theirstomach. Drink as much water as possible because it would help the body to remain hydrated andwould provide the optimum environment to get the surgery done with minimum complications. Yoursurgeon will have you begin a special pre-op diet that is designed to get your body ready for surgeryand make recovery easier.

Diet Just After Lap Band Surgery

Right after the lap band surgery, it is recommended that the patient is not eating anything for thatparticular day. The only thing that they do is to sip water in small amount or suck water out from anice cube. The reason being is that the band attached to the stomach is pretty tight and hence it wouldnot allow any kind of solid food. Apart from water, you can take in some juice but make sure that youdon’t over consume it because it would then cause giddiness and nausea and end up with vomiting.Although you may be tempted to splurge on all your favorite foods, this is not the time to let yourhealth worsen. Foods that will need to be decreased in your diet include high-sugar foods, highcarbohydrate foods (including bread and pasta), fats (such as butter), fatty meats, fried foods, wholemilk products, high-calories beverages (including regular soda and alcoholic beverages).

1st 2 Weeks Diet After Lap Band Surgery

Your stomach will only tolerate liquids at this time. It’s important to also stay hydrated by drinking lots

of water. Drinking small amounts frequently may help you avoid vomiting. In the early weeks it'simportant not to stretch the small stomach pouch above the band. Vomiting can do this, so it isimportant not to vomit, as this can also increase the chance of stomach tissue slipping up through theband. During this time, only thin liquids can be tolerated. It’s important to keep hydrated with lots of water. Other liquids recommended during this phase include:

- Clear broth or soup (with no vegetables or meat and not creamy)- Skim milk- Fruit juice- No-sugar added popsicles



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Lap Band Surgery

3rd and 4th Week Diet after Lap Band Surgery

The 3rd and 4th week after the surgery is a crucial time and now people can start consuming some

kind of semi liquid diet. You can eat pureed or texture food and make sure that your diet containslarge amount of protein in it. Some of the food items that you can consume by now are:

- Skinless fish- Pureed chicken- Peas or mashed potatoes- Low fat yoghurt etc

Lap Band Surgery Diet 5th Week Onwards

From the 5th week onwards, make sure that you are eating only those kinds of food that have low

calorie and fat. Make sure that your every day diet contains at least 45 grams of protein in it. Thereason being after the lap band surgery, there is a deficiency of proteins in the body. Drink water inlarge proportion and remain hydrated all the time. This is the time when you need to take special careof yourself because most of the complications and side effects arise during this time period only.

Food to Avoid After Lap Band Surgery

Eating foods that are high in sugar content, high in fat content, and high in calories with littlenutritional value will decrease your rate of weight loss. In order in increase your rate of weight loss,there are some foods you should avoid, including:

- Sugar and sugary foods, including: high-calorie soft drinks, syrups, honey, jelly, jam, cakes,cookies, candy, ice-cream.

- High-fat foods, including: chocolate, chips, pies, pastries, ice-cream, bacon, sausage, friedfoods, cream soups, cream sauces.

- High-calorie drinks, such as milkshakes, soda, beer, orange juice, apple juice, other fruitjuices, whole milk.

- Starchy and white flour foods, such as pasta, rice, and doughy breads.- Fats such as butter or oil should be restricted to 3 to 4 teaspoons per day.



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Lap Band Surgery

- Carbonated beverages - carbonated drinks (such as soda, carbonated water, champagne) canincrease the size of the pouch and cause discomfort.

- Fibrous foods - fibrous foods (such as asparagus, celery, corn, dried fruit, oranges, pineapples,sweet potatoes) can get stuck in the stoma (stomach opening created with LAP-BAND®).

- Other problematic foods include nuts, popcorn, skins and seeds of fruits and vegetables, andtough meats such as steak, pork chops, and hamburger.

Lap Band Surgery Side Effects

The common lap band surgery side-effect associated with lap band surgery is vomiting. It cause whenyou eat large chunky food or drink any liquid in a hurry. It may lead to slippage of band and re-

operation but you can avoid this just by taking care of eating procedure. Don’t make your mind thatafter surgery you are really going to loss approx 50% of weight. It may less in your case. Generally itdiffers from person to person. Consult with your surgeon and make a clear concept about the lap bandsurgery before going for it. You can’t take it lightly because it is really expensive surgery and notgetting the right result may disappoint you. And after having a real fact about the risk andcomplication then you can do thing to avoid this. Make a conversation with successful lap bandpatients.

Most of the side-effects of lap band surgery are normal just need a proper attention during the phase

after lap band surgery. some common side-effects arenausea, ban slippage, erosion of lap ban instomach, Weakness, vomiting, diarrhea, flatulence, erosion, problem in sleeping, hair loss,dehydration, ulcer, inconsistent stool, and reflux. There are many more too. You every surgery hasside-effects but your intelligence can avoid this. Be in contact with surgeon after surgery. Change yourlife style. If problem persist immediately consult to your doctor.

Lap Band Slippage: A Common Complication after This Surgery

From time to time the stomach wall can slip up through the band. Slippage causes an hourglass effectwith a bulge above the band and extra stomach tissue within the band. Slippage may be mild andintermittent, or it may be severe and may not resolve. Symptoms are nausea and vomiting and a

decrease in the ability to take foods or liquids. Slippage requiring reoperation or removal of the bandoccurs in less than 5 percent of patients when the currently accepted surgical technique known as thepars flacida technique is used to implant the band. Care is taken as well to make the pouch above theband very small.

Treatment :

- Mild slip: Deflate the band, reinflate in one to two weeks



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Lap Band Surgery

- Moderate slip: Deflate the band, operate to reposition band- Severe slip: Deflate band and operate to remove band

Prevention:

- Appropriate band placement by surgeon

- Careful progression of diet by patient. No solids for 4 weeks- Wait at least 6 weeks for first adjustment

Lap Band and Alcohol: A Big No

Food and drink which contain high calories or carbohydrate, you have to avoid that after lap bandsurgery. Alcohol contains high calories. It’s natural to avoid this. But not totally, as it is liquid and inthe recent time of surgery you have to take only liquid then you can take it but in moderation afterconsulting with your doctor. It may effects in weight loss goal but if you take it in small quantity thenit doesn’t affect more.

When you are in the position of taking soft food then at that time do not take alcohol before and aftermeal. It may cause vomiting and vomiting cause slippage of band. So in leisure time drink alcohol.One think keep in mind you are going to drink alcohol that is weight loss surgery patients will getdrunk more quickly than others. After taking small quantity you may feel dull as patients may get highblood alcohol levels. So after taking a right decision from doctors and checking body position, start

taking alcohol. Alcohol interferes with the absorption of fat, so it can also interfere with the absorptionof fat soluble vitamins like A, E, and D. Lap band patients sometimes have difficulty getting enoughvitamins due to their low food intake, so dietitians often advise them not to drink alcohol that willfurther limit their vitamin intake.

Lap Band Vomiting: Don’t take it lightly

One of the side effects you will sometimes see with a lap band is vomiting. Air is injected to yourstomach prior to the lap band procedure. The air is removed, however a tiny bit does sometimesremain and can cause the bloated feeling and burping or the vomiting of air. More common though is



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Lap Band Surgery

actual vomiting. You can try small ice chips as well. They will melt slowly in your mouth. If thevomiting continues, this in turn can lead to lap band slippage and the health condition of yours canworsen. So it is advised to consult your surgeon as soon as possible and report about this issue to beresolved.

Lap Band Surgery in Teenagers

Lap Band Surgery has been showing miraculous results in the teenagers in getting them rid of obesity

related problems. The children would find a definite change in themselves and they would start

experiencing it from the very first day after the surgery. With the help of this surgical method, teenagers

would be able to retain their perfect body structure and get them the ideal weight required for them. It

would help them getting them slim in a very quick format of the time which was otherwise not possible

through exercise or any weight loss methods. Lap Band Surgery would save the children from the

premature death cause due to heart failure and diabetes and this is the best way for the road to fitness

for the obese teenagers.



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Lap Band Surgery

Lap Band Surgery Cost & Finance

The Lap Band surgery has become very favorites. Lap Band surgery is not cup of tea to anybody. Itrequires sit and thinks about it. The Lap Band surgery usually costs around $10,000 - $15,000; it mayvary from place to place, city to city. Unfortunately, plenty of people cannot pay this expense out of pocket at the time of the procedure. Because of this, a lot of people have to look towards Lap Bandfinancing.

Now days, weight loss surgery can cost people thousands and thousands of dollars. Luckily, plenty of the popular insurance companies have begun to provide assistance so that paying for the fees afterthe surgery becomes much more manageable. Recently, there are plenty of options to consider whendealing with Lap Band financing. Because this surgery is typically needed for medical reasons,Medicare has even begun paying for weight loss surgeries. Auspiciously, a lot of the clinics that thesesurgeons work out of usually have financing companies that we already work with that are able to helpthe patients with Lap Band financing if necessary.



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Lap Band Surgery

Does Medicaid Cover the Expenses of Lap Band Surgery?

Medicare will cover lap band surgery for qualified patients when the procedure is performed byapproved surgeons and facilities. Medicare coverage and requirements went into effect on February

15, 2006. Like many insurance programs, Medicare patients may have a co-payment amount even if they qualify. Although Medicare pays for weight loss surgery, they do not pre-authorize so it isimportant to be certain of the requirements for surgery coverage. Medicare qualified patients areMedicare beneficiaries who have a BMI (body mass index) greater than 35, have at least one co-morbidity related to obesity, have been unsuccessful in losing weight with previous medicaltreatments for obesity, and lap band surgery is considered a medical necessity. Approval for weightloss surgery is not automatic, but reviewed on a patient by patient basis.

Lap Band Surgery in India

Lap Band is indeed an expensive surgery and you must be having your pockets stuffed with cash in

order to go for this weight loss surgery. The cost of the lap band surgery depends upon thequalification of the surgeon. If the surgeon is an experienced one and carried out many surgeriessuccessfully, then the price charged would be high. The price charged varies from one nation toanother. No matter where you are, expect anywhere around $20,000 for the entire cost of lap bandsurgery. If you want to get the surgery done by incurring lower expenses, then India is the bestdestination. In India you can get the surgery done at around $15,000 without any kind of complications and risks.



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