Lap-Band is a restrictive type of weight reducing surgery that creates a small stomach pouch. This limits the amount of food consumed and creates an early feeling of fullness. The band when appropriately adjusted also confers a baseline level of satiety that helps to abolish hunger cravings. It is a major operation, but by using a laparoscopic approach the majority of our patients are able to go home on the same day as their surgery. The stomach pouch outlet opening is adjustable and can be made larger or smaller by injecting saline into a port or reservoir implanted onto the abdominal wall at the time of surgery. The port is placed beneath the fat and skin and is not visible and must be accessed by your surgeon or nurse. We do this using fluoroscopy and have that capability in our office.
The Lap-Band system has been available worldwide since 1993 and there is an abundance of clinical information available regarding its ability to safely assist patients with weight reduction. The majority of patients can expect to lose approximately 55-65% of their excess body weight within the first two years of using the band. The complications of band surgery are minimal as compared to traditional bypass surgery. It is not an “investigational” procedure. The Lap-Band system was FDA approved for use in the United States in June of 2001. We have performed over 1700 cases, with minimal complications. We typically utilize the following criteria for surgery. BMI of 40 or greater–or–BMI of 33 or greater with a co-morbidity. We will consider a BMI of less than 33 on a case-by-case basis only.
Our use of the Lap-Band system adheres to these guidelines. Our bariatric program institutes a multi-disciplinary approach (nutritional, physiotherapy / exercise, and psychological) to the surgical treatment of this disease and we are able to provide appropriate long-term care for our patients.
We are currently performing this operation at South Sound Surgery Center, Capital Medical Center & Providence St. Peter Hospital in Olympia, Harrison Medical Center in Bremerton and Mason General Hospital in Shelton, all superb facilities, which have provided excellent working environments by investing in the appropriate equipment and exceptional training for supporting staff and nursing personnel.
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What is Morbid Obesity?
Morbid Obesity is defined as:
The above statements provide only a general description of morbid obesity.
The exact degree of excess weight is determined using the Body Mass Index (BMI) which employs both weight and height to calculate the measurement.
We use the term "morbid obesity" because this degree of excess weight may considerably reduce life expectancy and is associated with an increased risk of developing conditions or diseases (co-morbid conditions) such as:
With sufficient weight loss, your health can be improved, your risk of developing associated conditions or diseases can be reduced, and the quality of your life can be enhanced.