Guest guest Posted December 19, 2002 Report Share Posted December 19, 2002 My trainer just referred a lady to me who is in desperate need of surgery...she's facing two knee replacements but they won't do that until she's lost some weight. Here in Austin, she's been steered to a lap-band guy. My surgeon says they're beginning to do lap-band but don't have the same results yet as the guys in Australia do. Any lap-band comments or sources? Not to start a war, but isn't lap-band better for people with under 100 pounds to lose? Thanks, in Austin RNY April 1998 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2002 Report Share Posted December 19, 2002 I subscribe to a service that sends me abstracts on some 30 obesity and nutrition related medical journals. This came in on the topic of long term effects of the adjustable gastric banding operation. As I read it, the average result was a reduction of the Body Mass Index (BMI) from 42 to 30. The article calls this a " good " result. That appears to be a matter of perspective. A BMI of 30 is clinically defined as " obese. " " Obes Surg 2002 Aug;12(4):564-8 " Long-term results of laparoscopic adjustable gastric banding for the treatment of morbid obesity. Belachew M, Belva PH, Desaive C. State University of Liege, Free University of Brussels, CHR Huy, Belgium. " BACKGROUND: Since the first laparoscopic adjustable gastric banding (LAGB) operation on September 1, 1993, there have been important publications related to this procedure. The majority of the articles reported surgical technique and short-term results. Long-term results of LAGB are lacking. The authors report long-term data (at least 4 years) from 3 major bariatric centers in Belgium that perform LAGB routinely. METHODS: The 3 centers applied the same patient selection criteria, the same standard surgical technique, the same laparoscopic band (Lap-Band) and the same follow-up program. 763 patients have been enrolled. Sex ratio was 22% male/78% female. Mean age was 34 years, and mean preoperative BMI was 42 kg/m2. RESULTS: The follow-up rate was 90%, and the minimum follow-up time was 4 years. The average BMI after 4 years was 30 kg/m2. Early complications were: gastric perforation 4 (0.5%); large bowel perforation 1 (0.1%); bleeding 1 (0.1%); and conversion to open 10 (1.3%). Late complications were: erosion 7 (0.9%); total food intolerance 59 (8%); access port problems 20 (2.5%); re-operations 80 (11.1%); death 1 (0.1%). " CONCLUSION: Long-term results of LAGB have been rarely reported, although publications on the procedure are copious. Our long-term data found that BMI evolution is good, the complication and re-operation rates are acceptable and the overall long-term results of the Lap-Band system are good. " Here's a new link to the BioEnterics Corporation -- they are the folks who developed and produce the LAP-Band device. http://www.inamed.com/products/obesity/us/patient/patient.html At their old link they published the results of the U.S. trial. From their own documentation, based on 178 patients (24 were diabetic, 55 were " Super Obese " with a BMI of 50+) at 3 years post-op: " The average weight loss in the United States clinical study was approximately 36-38% of excess weight 2 and 3 years after surgery. A few people lost up to 100% of their excess weight, some did not lose any weight, and a few got heavier. " 5% showed " no change " 62% lost at least 25% of excess weight 52% lost at least 33% of excess weight 22% lost at least 50% of excess weight 10% lost at least 75% of excess weight " I did not find this information at their new site. Nonetheless, according to the documentation from the manufacturer of the LAP-Band system, you have less than a 25% chance to lose 50% of your excess weight. If you are 100 lbs overweight, you could realistically expect to lose 33 lbs, possibly 50 lbs. Only 1 in 10 would lose 75 pounds or more. With the RNY, the odds of losing a larger percentage of your excess weight is much higher -- something like 75% of people lose 65 - 85% of their excess weight. I personally have lost about 100% of my excess weight so far. Ray Hooks For WLS nutrition info, visit http://www.bariatricsupplementsystem.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2002 Report Share Posted December 19, 2002 Here are the results that Bio-Enterics, the lap-band manufacturer, now says a lap-band patient can expect: " How Much Weight Can You Lose with the BioEnterics LAPBand System? " The amount of weight you may lose depends on several things. The average weight loss in the United States clinical study was approximately 36-38% of excess weight, 2 and 3 years after surgery. It is important to remember that the BioEnterics LAP-BAND® System is an aid to support you in achieving lasting results by limiting food intake, reducing appetite and slowing digestion. However, for the ultimate success of the operation it is very important that you play an active part in the effort to lose weight and keep it off by adopting a different lifestyle and eating pattern for the rest of your life. " See http://www.inamed.com/products/obesity/us/patient/lapband/information.html#advan\ tages Ray Hooks http://www.bariatricsupplementsystem.com YahooDave wrote: > > My trainer just referred a lady to me who is in desperate need of > surgery...she's facing two knee replacements but they won't do that until > she's lost some weight. > > Here in Austin, she's been steered to a lap-band guy. My surgeon says > they're beginning to do lap-band but don't have the same results yet as the > guys in Australia do. > > Any lap-band comments or sources? Not to start a war, but isn't lap-band > better for people with under 100 pounds to lose? > > Thanks, > in Austin > RNY April 1998 > > Homepage: http://groups.yahoo.com/group/Graduate-OSSG > > Unsubscribe: mailto:Graduate-OSSG-unsubscribe > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2002 Report Share Posted December 19, 2002 Ray, thanks for that information. I have to say I have wondered if a Lap band was worth all the effort of having surgery. After reading what you found......I personally am glad I have had a good old RNY. Debbie in Gig Harbor ladybostons@... www.paws2print.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2002 Report Share Posted December 19, 2002 It is extremely rare that anyone with any bariatric surgery reaches a so-called " Ideal " body weight. The goal of all bariatric surgeons is (or should be) to alleviate or eliminate co-morbidities and to give a person a surgical tool to sustain a healthy or healthier body weight. RYGB has been very effective in doing so; the Lap-Band (or other adjustable banding systems) have also been effective; the BPD and BPD/DS are also effective. Each procedure has different plusses/negatives and the personal choice of the patient and physician come strongly into play. Many folks prefer the adjustability of the banding systems and will not have more invasive surgeries which re-route the internal " plumbing. " Others will seek the most drastic procedures available since they want as much weight loss as possible. Personal choice is a wonderful thing and certainly the Lap-Band is an excellent option for many patients. Regards, Walter Lindstrom, Jr., Esquire Obesity Law & Advocacy Center www.obesitylaw.com lap-band > My trainer just referred a lady to me who is in desperate need of > surgery...she's facing two knee replacements but they won't do that until > she's lost some weight. > > Here in Austin, she's been steered to a lap-band guy. My surgeon says > they're beginning to do lap-band but don't have the same results yet as the > guys in Australia do. > > Any lap-band comments or sources? Not to start a war, but isn't lap-band > better for people with under 100 pounds to lose? > > Thanks, > in Austin > RNY April 1998 > > > > Homepage: http://groups.yahoo.com/group/Graduate-OSSG > > Unsubscribe: mailto:Graduate-OSSG-unsubscribe > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2002 Report Share Posted December 19, 2002 My surgeon is ecumenical when it comes to the procedures that people want. He has startred to do a number of lap bands. But, he feels that it would be unethical for him to leave the complete stomach intact (becaause of high " failure " rate of the plain AGB), and he does a vertical gastrectomy first (that is the first part of the DS) and then puts the adjustable band around the smaller stomach. That way, the patient cannot relapse into a full-sized stomach. --Steve At 9:37 AM -0600 12/19/02, YahooDave wrote: >Here in Austin, she's been steered to a lap-band guy. My surgeon says >they're beginning to do lap-band but don't have the same results yet as the >guys in Australia do. -- Steve Goldstein, age 62 Lap BPD/DS on May 2, 2001 Dr. Elariny, INOVA Fairfax Hospital, Virginia Starting (05/02/01) BMI = 51 BMI on 08/04/02 = 35 (-105 lb.) LBL (PS) on 08/09/02 with Dr. Matini, Mt. Vernon Hospital. BMI on 12/01/02 = 32 (-131 lb.) It took me 50 weeks to reach the Century Club: S-L-I-D-E!!! Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.