What is the LAP-BAND® System?

The LAP-BAND® System is a clinically proven medical device 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

How is the procedure performed?

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 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, are done in our clinic, and usually taking only a few minutes.

How much weight will I lose?

Patients generally lose around 0.5-1kg 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

Is it safe?

The LAP-BAND® System has been a proven tool for weight loss since 1994, with over 850,000 patients worldwide.8 Of the current procedures offered worldwide, the LAP-BAND® System is the safest procedure due to it being a minimally invasive procedure, as it doesn’t require any removal or re-routing of the stomach or anatomy. The LAP-BAND® is intended to be implanted as a long-term device, however if required it can be removed at any time.

Who qualifies for the LAP-BAND® System?

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

What is made from?

The LAP-BAND® System is a prosthetic device made from medical grade silicone which is used in many other medical devices such as hip prosthesis components.

How long is recovery time?

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

Aftercare

Your long term health and weight loss goals are our priority; our dedicated team consists of Associate Professor Peter Nottle, and following your LAP-BAND® procedure your follow-up with us is key to success.

Costs

Most bariatric procedures are covered by private health insurance, but it’s best to check with your fund directly as costs can vary. Some patients are able to access a portion of their superannuation to cover the costs of the procedure. Call us for more information, or discuss during your consultation.

How to get the best from your LAP-BAND® - understanding the zones

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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Your BMI is below 20. You may be perfectly healthy at this BMI, but if you have lost weight recently we suggest you visit your general practitioner for a check-up.

Congratulations your weight is in the ideal range. You do not need to consider a weight loss procedure.

You are overweight but not to a degree which is likely to lead to major medical problems. You may wish to consider an appointment with our Dietitian or consider use of the Orbera Intra Gastric Balloon.

We suggest a consultation to discuss your options.

You are significantly overweight and may be a candidate for a weight loss procedure, particularly if you have other problems such as diabetes and hypertension. Options include Orbera Intra-Gastric Balloon and LapBand.

We suggest a consultation to discuss your options

Your weight is now at a potentially dangerous level and you are at high risk of developing major conditions such as Type 2 Diabetes, Hypertension, Stroke, Heart Attack and some cancers. Options include Lapband, Laparoscopic Sleeve Gastrectomy and Laparoscopic Gastric Bypass.

We suggest a consultation to discuss your options.

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