Lap banding is a weight-loss procedure that involves placing a band around the stomach to create a smaller capacity for food. Clinically known as laparoscopic gastric banding, it is performed by making a few incisions in the skin to access the stomach. This approach greatly reduces risks associated with the more permanent stomach stapling, yet still results in a tiny stomach pouch that can accommodate only a few ounces at a time.
Clinical Obesity
Having an elevated body mass index (BMI) in the range of 30 to 40 is the equivalent of being 60 to 100 lbs. overweight and is the primary requirement to be considered a candidate for lap banding. Simple charts are available to show BMI based on an individual's height and weight. A person with a BMI above 30 is considered to be obese and at higher risk for developing chronic health problems, according to data from the National Heart Lung and Blood Institute. Some centers, such as Lap Band Solutions of Texas, require a BMI of 40 or greater, or a BMI of 35 with existing health conditions. In some cases, a person with a BMI of 30 to 35 may qualify.
History of Unsuccessful Weight Loss Attempts
A second requirement for being a lap band candidate is having a history of serious dieting attempts without long-term success. The patient must demonstrate that he has tried numerous diet and exercise programs without being able to maintain a significant amount of weight loss.
Age Requirements
Most lap band centers require a candidate be 18 years of age or older.
Health
Possible medical conditions contributing to obesity must be ruled out before performing the lap band procedure. Patients must be in good enough physical health to undergo surgery and free of interfering abnormal stomach physiology or injury. Pregnant women are not candidates for lap banding. Mental health is also a consideration: Psychological evaluation is performed prior to acceptance for the procedure. Individuals must be determined to be mentally stable and not dependent on alcohol or illegal drugs.
Compliance With Instructions
A patient is expected to be compliant with the regulations of each surgeon. All lap band centers have a regimen of pre-operative tests, questionnaires, diet modifications and follow-up visits that are required. There is also a diet that must be followed for several days prior to the procedure. The Lap Band Solutions surgeons explain a no fat, liquid diet must be eaten for the seven-day period prior to surgery to reduce liver size, making surgery safer.
Motivation
The University of California, San Diego Center for the Treatment of Obesity points out that motivation and commitment to adopting a new lifestyle are vital to the success of the lap band procedure. The adjustment of the stomach size accomplished by the banding is only a tool for weight loss. Long-term success depends on the individual complying with a change in dietary intake along with regular exercise.
Member Comments