How Effective is Lap Band Surgery

Did you know the longest study yet for Lap Band surgery for up to 15 years maintained a significant weight loss of an average of 60 pounds.



During the course of the lap band surgery almost half the patients needed to adjust their bands, meaning only 1 in 20 patients ended up opting to have the band removed.

The study is published in the January issue of the Annals of Surgery.

“Placing the band is just the first step in the process,” he says. “Compliance and follow-up are critically important. There are plenty of people out there doing this surgery without a follow-up program for their patients, and they are setting them up for failure.”

To assess the safety and effectiveness of LAGB in an expanded group of patients, Robert Michaelson, MD, PhD, FACS, of Northwest Weight Loss Surgery in Everett, Washington, and his colleagues recruited 149 individuals with a BMI of 35 to 39.9 without an additional condition, or a BMI of 30 to 34.9 with at least one obesity-related condition.

"Patients in our study had been obese for an average of 17 years," said Dr. Michaelson. "They tried numerous other weight loss methods and finally reached out for surgical treatment when they were weary of the repetitive failures at maintaining weight loss."

One year after undergoing the procedure, 84.6% of patients achieved at least a 30 percent loss in excess body weight, with an average excess weight loss of 65 percent. A total of 66.4 percent of patients were no longer obese. Obesity-related conditions that were present at the time of surgery improved for many patients, including 64.4 percent of patients who had high cholesterol, 59.6 percent of patients who had hypertension, and 85.7 percent of patients who had diabetes. Patients' quality of life also improved. Most side effects were mild to moderate and resolved within one month.

NYU Langone's expert weight loss surgeon, Dr George Fielding, was interviewed about the study. He has a unique understanding of the benefits of the Lap Band, as he underwent the procedure years ago. "This is the largest long term follow up study on the lap band, by the surgeon from Australia who has done more than anyone to explain the band's benefits over the last 15 years. The study author, Dr. Paul O'Brien, did my own band 13 years ago, and my weight is stable. I've lost 110lbs. The most important part of this study is the demonstration of reduction in need for reoperation over the last few years," he said. Dr David Voellinger agreed saying, "This sub-analysis by timeline is particularly important as it shows the improvements made over time in both the device and in surgical technique. It also very clearly shows the importance of a dedicated, multi-disciplinary program with understanding of band physiology to obtain lasting success with the Lap-Band."

Gastric banding is considered the safest form of bariatric surgery, with a rapid recovery time. It is also the least invasive operation of all the weight loss surgeries available, since there is no cutting or re-connecting of stomach or intestines. You can learn more about the Lap-Band here, or by attending one of our free information sessions.

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"I learned about LAP-BAND® after interviewing a bariatric surgeon about it on our show, and decided that this was the route I wanted to take. I lost the 50 pounds I had been battling since I had my two children and I have kept it off for six years. Compared to work required by constant dieting, I found LAP-BAND® to be a less stressful way to get healthy and down to a weight that makes me feel comfortable and confident on the air and in my personal life."

"I chose LAP-BAND® because I knew it would help me lose weight, change my behaviors, and keep the weight off for the long term. I have lost 120 lbs and I am healthier than ever!"

"Quick service. Easy appointment setting. Great deal on the cost. Everyone is very nice and helpful. Truly the best in the business when it comes to explaining the lap band procedure in Los Angeles and doing it!"