Compare
the
Lap
Band
procedure
to
Gastric
Bypass
surgery
|
LAP-BAND
System |
|
Gastric
Bypass |
 |
|
 |
|
Description |
|
A
restrictive
procedure,
during
which
an
inflatable
band
is
placed
around
the
upper
part
of
the
stomach.
This
creates
a
smaller
stomach
pouch,
which
restricts
the
amount
of
food
that
can
be
consumed
at
one
time
and
increases
the
time
it
takes
for
the
stomach
to
empty.
As a
result,
a
patient
achieves
sustained
weight
loss
by
limiting
food
intake,
reducing
appetite,
and
slowing
digestion |
|
A
combination
procedure
that
uses
both
restrictive
and
malabsorptive
elements.
First
the
stomach
is
stapled
to
make
a
smaller
pouch.
Then
most
of
the
stomach
and
part
of
the
intestines
are
bypassed
by
attaching
(usually
stapling)
a
part
of
the
intestine
to
the
small
stomach
pouch.
As a
result,
a
patient
cannot
eat
as
much
and
absorbs
fewer
nutrients
and
calories. |
|
Advantages |
- Lowest mortality rate1
- Least invasive surgical approach
- No stomach stapling or cutting, or intestinal re-routing
- Adjustable
- Reversible
- Lowest operative complication rate
- Low malnutrition risk
|
|
- Rapid initial weight loss
- Minimally invasive approach is common
- Longer clinical experience in the U.S.
- Slightly higher total average weight loss reported than with purely restrictive procedures
|
|
Disadvantages |
- Slower initial weight loss
- Regular follow-up critical for optimal results
- Requires an implanted medical device
- In some cases, effectiveness can be reduced due to band slippage
- In some cases, the access port may leak and require minor revisional surgery
|
|
- Cutting and stapling of stomach and bowel are required
- More operative complications
- Portion of digestive tract is bypassed, reducing absorption of essential nutrients
- Medical complications due to nutritional deficiencies
- "Dumping syndrome2" can occur
- Non-adjustable
- Extremely difficult to reverse
- Higher mortality rate
|
|
Results |
|
Although
during
the
first
year
after
surgery,
weight
loss
with
the
gastric
bypass
is
greater
than
with
the
LAP-BAND®
System,
surgeons
report
that
at 5
years
many
LAP-BAND®
and
gastric
bypass
patients
achieve
comparable
weight
loss
(55%
for
LAP-BAND®
and
59%
for
Gastric
Bypass).
|
|
Risks |
Mortality
rate:
0.05%
Total
complications:
9%
Major
complications:
0.2%
Most
common
include:
- Standard risks associated with major surgery
- Nausea and vomiting
- Band slippage (minor revisional surgery)
- Band erosion (minor revisional surgery)
- Access port problems (minor revisional surgery)
|
|
Mortality
rate:
0.5-2%
Total
complications:
23%
Major
complications:
2.1%
Most
common
include:
- Standard risks associated with major surgery
- Nausea and vomiting
- Separation of stapled areas (major revisional surgery)
- Leaks from staple lines (major revisional surgery)
- Nutritional deficiencies
|
|
Costs
and
Insurance |
|
Generally
speaking,
both
procedures
will
be
covered
by
insurance,
but
check
with
your
employer
or
your
surgeons
office
for
specific
information
about
your
policy.
Costs
of
LAP-BAND®
surgery
and
Gastric
Bypass
surgery
will
vary
depending
upon
the
site
where
the
surgery
occurs
(in-patient
or
out-patient),
the
type
of
bypass
procedure
(laparoscopic
or
open)
and
how
long
you
are
required
to
stay
in
the
hospital.
One
survey
of
cash
prices
for
both
procedures
showed
the
average
charge
for a
LAP-BAND®
procedure
of
$17,500
while
the
average
charge
for a
laparoscopic
gastric
bypass
was
$22,500.
The
survey
did
not
find
any
program
that
offered
a
cash
price
for
open
gastric
bypass.
|
|
Recovery
Timeline |
- Hospital stay is usually less than 24 hours
- Most patients return to normal activity within 1 week
- Full surgical recovery usually occurs within about 2 weeks
|
|
With
a
laparoscopic
approach:
- Hospital stay is usually 48-72 hours
- Many patients return to normal activity within 2.5 weeks
- Full surgical recovery usually occurs within about 3 weeks
|
CLICK HERE TO SEE IF WE
CAN HELP YOU QUALIFY FOR SURGERY!
1. American Society
for Bariatric
Surgery, Rationale
for the surgical
treatment of morbid
obesity. American
Society for
Bariatric Surgery
Web site. April 8,
1998. Available at:
http://www.asbs.org/html/patients/rationale.html.
Accessed April 2006.
2. Ren CJ, Laker S,
Weiner M,
Hajoseuedhavadi O. .
J Am Coll Surg.
2006;202:. Executive
summary:
Laparoscopic
adjustable gastric
banding for the
treatment of
obesity, ASERNIPS
2002.
3. “Dumping
syndrome” is a
physiological
reaction frequently
seen following
gastric bypass
surgery, which is
designed to alter
anatomy and
interrupt normal
digestion. Whenever
patients eat foods
such as sugar and
sweets, they may
experience symptoms
of nausea, flushing
and sweating,
light-headedness,
and watery diarrhea.
4. Fisher B. Obes
Surg.2004;14:67-72.
Disclaimer:
As
with any surgery,
there are specific
risks and possible
complications
associated with the
LAP-BAND® System
surgery. Talk to
your doctor to
determine if you are
a candidate for the
LAP-BAND® System.
M898-03 05/06
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