The Lap Band System is indicated for reduction of weight for patients with obesity, a Body Mass Index (BMI) of at least 30 kg/m2 with one or more obesity related comorbid conditions, or a BMI of at least 40kg/m2.
The Lap-Band System is indicated only be used in adult patients and those who have been unsuccessful with more conservative weight reduction alternatives such as exercise, behavior modification programs and supervised diet. Choosing to have this surgery means patients must make the commitment to accept substantial modifications in one's eating habits for the remainder of their lives.
The LAP-BAND® System is not suggested for non-adult patients, patients with conditions that may increase the risk of poor results or may make them poor surgical candidates (e.g. ,Gl conditions, cirrhosis, symptoms or family history of autoimmune disease, inflammatory or cardiopulmonary diseases), who are incapable or unwilling to comply with the mandatory dietary restrictions, who currently are or may be pregnant, or who have alcohol or drug addictions.
The LAP-BAND® System is a long-term implant. There may be a requirement for replacement and explant surgery. Patients who become severely ill or pregnant, or who require further extensive nutrition may require their bands to be deflated.
It is recommended patients use caution when using anti-inflammatory agents, such as aspirin as they may contribute to an increased risk of the erosion of the band.
Being as it is a major surgery, as with any surgery, death can occur with the placement of the the LAP-BAND® System. The risks associated with any surgical procedure, the risks associated with the medications and methods used during surgery, and the patient's ability to tolerate a foreign object implanted in the body are all possible complications included with this surgery.
Reoperation may be required for the occurrence of erosion and deflation, band slippage, obstruction of the stomach, reflux, infection, dilation of the esophagus, or nausea and vomiting.
Additional surgery may be required with rapid weight loss that may result in complications. Having the band deflated may alleviate esophageal dilation or excessively fast weight loss.