Management of adjustable banding surgery

Adjustable banding surgery, which often uses the Lap-Band® system, is one of the options that has been used in the past to help those who struggle with obesity. It’s a minimally invasive type of weight-loss surgery that involves placing an adjustable silicone band around the upper part of your stomach to create a smaller stomach pouch. This helps you feel fuller with smaller amounts of food, leading to weight loss.

Aurora surgeons will not perform new adjustable banding procedures but will provide management and necessary revisions.

Here's an overview of the management of a Lap-Band:

• Dietary guidelines: You will be provided with specific dietary guidelines to follow after Lap-Band surgery. Initially, you will be on a liquid diet, gradually progressing to soft foods, and then to solid foods over time. You will be advised to eat small, frequent meals and to chew your food thoroughly to prevent discomfort or complications. Regular follow up visits with your dietitian are recommended.
• Adjustments (fills): The Lap-Band is adjustable, meaning it can be tightened or loosened as needed to optimize weight loss and manage any issues such as reflux or difficulty swallowing. Adjustments are done through a needle inserted into a port that's placed under the skin during the initial surgery. These adjustments are typically done in a clinic setting and may be performed periodically based on the patient's progress and needs. Check with your insurance provider about your benefits.
• Follow-up visits: Regular follow-up visits with your provider are important for monitoring weight loss progress, assessing any issues or complications and adjusting the Lap-Band as needed. These follow-up visits also provide an opportunity for you to receive ongoing support and guidance on lifestyle changes, nutrition and exercise.
• Behavioral and lifestyle changes: Like any weight-loss surgery, the Lap-Band is most effective when combined with long-term behavioral and lifestyle changes. You are encouraged to adopt healthy eating habits, incorporate regular physical activity into their routine and address any underlying issues related to your relationship with food.
• Monitoring for complications: While Lap-Band surgery is generally considered safe, there can be potential complications such as band slippage, erosion or pouch dilation. You need to be aware of the signs and symptoms of these complications and seek medical attention if they occur.
• Revision or removal: In some cases, you may require revision or removal of the Lap-Band due to complications, inadequate weight loss or other reasons.

Locations

• Aurora Sinai Medical Center
• Aurora Medical Center Summit