Posts Tagged ‘Lapband mexico’

Lapband Slippage: Causes & Prevention

Thursday, October 20th, 2011

Lapband Slippage: Causes & Prevention

A Clinical Study

A clinical study was done in Germany to review complications following lap band surgery. Thirty-five hospitals were involved in the study, with 4138 patients that underwent gastric banding over a five-year period.  Lap Band long-term complications were described in 8.6%  of all patients.  The most common complications included: pouch dilation or enlargement (5.0%), lap band slippage (2.6%), and Lapband migration or erosion (1.0%). (Stroh,C  Manger, T “Complications after adjustable gastric banding”, Chirurg, 2006, Vol 77,pag 244-250)

Normal Lapband x-ray

Normal Lap Band X-Ray Under Fluoroscopy

lapband-enlarged-pouch

Enlarged Lap Band Pouch

What is Lap Band Slippage?

One of the long-term complications of lap band surgery is called “Lapband slippage” and can be defined as “when the Lapband and the stomach pouch are both prolapsed.”  This means that the lap band has shifted position and the enlarged stomach pouch has also shifted or twisted so that food does not go through the lapband into the rest of the stomach. This may result in pain, discomfort, decreased appetite and inability to eat or drink, and vomiting. Lapband Slippage does not happen immediately but may take several months to develop.

Huge-lapband-pouch

Large Lap Band Pouch

Lap Band Slippage generally develops in a progressive manner. As food intake is increased, the stomach begins to stretch and grow and the patient may stop losing weight or start to regain weight.  At this point, patients may only exhibit an enlarged stomach Lap band pouch.  This can be medically treated by deflating the lap band to release pressure and slow the growth of the pouch (successful in 70% of cases, or surgical treatment can be considered). However, if the enlarged lapband pouch continues to grow, the lapband progressively rotates until both the lap band and the enlarged pouch become prolapsed, resulting in Lap band slippage.  This is followed by functional stenosis (narrowing) of the stomach.

lapband-slippage

Lap Band Slippage

Lapband Slippage Symptoms typically include progressively worsening reflux, vomiting and epigastric complaints, which may increase to sudden near-total dysphagia (inability to swallow or eat anything, including saliva).

Risk factors or causes of lap band slippage include surgical technique, model of the  lapband used, early consumption of solid foods, early inflation or filling of the band, consumption of carbonated or sparkling beverages, and frequent vomiting.

Treatment for lap band slippage requires surgical intervention. The lapband must be repositioned or removed, based on the operative findings and condition of the stomach pouch. If appropriate, the surgeon and patient may elect to choose another type of bariatric procedure such as a Gastric Sleeve.

How Do I Prevent Lap Band Slippage?

In order to decrease the risk of developing lap band slippage, it is important to follow the recommended diet following surgery and to avoid introducing solid foods too early.  In addition, the fills should not be started before 6 weeks post-operatively and these Lap band fills should be very gradual.  We also recommend that fills should be done under fluoroscopy, even if you are asymptomatic (no symptoms of lap band slippage), to be able to monitor the position of the lapband, and the size of the stomach pouch and condition of the esophagus. This will allow for early diagnosis of an enlarged stomach pouch or possible lap band slippage.

Susana González, MD

Radiologist

http://www.thebariatric.com

Originally posted 2009-02-17 13:25:15. Republished by Blog Post Promoter

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Have Lap Band Surgery for Less in Mexico

Wednesday, October 5th, 2011

Have Lap Band Surgery for Less in Mexico

Mexico has become the best location to obtain surgical operations for less money, especially in the areas of weight loss and plastic surgery. You can have lap band surgery for less in Mexico, yet still enjoy the same level of professionalism, technology, after-surgery care, and state-of-the-art medical facilities.

The Mexicans have developed numerous reputable medical schools in recent years, such as the University of Monterrey, and some of the best Mexican hospitals are located nearby with exceptionally skilled physicians and surgeons. Many American medical students have also obtained their education from this University. In addition to gastric bypass or gastric sleeve surgeries, one of the most common and widely available surgeries in Mexico is the Lapband procedure.

Lapband surgery is also known as gastric band surgery. It is minimally invasive, especially when compared to other types of obesity control methods. The surgery is much safer as well. When comparing the price of this surgery between the United States and Mexico, patients can receive the exact same Lap band procedure in Mexico for up to 70% less than in the states. Despite the lower price, patients are advised to avoid the cheapest clinics.

Blindly placing trust in the least expensive location is not the best idea. Patients should expect to pay somewhere between $7,000 and $12,000 for the lap band or gastric bypass procedure. Avoid going to clinics that quote an extremely low Lapband price. Often, the reason for the deeply discounted price is due to a lack of business, poor reputations, a lack of proper facilities, or a lack of qualified personnel.

Choosing where you will obtain your lap band surgery is a very important decision. Certainly, you can have lapband surgery for less in Mexico, yet you must still make an informed, educated choice between hospitals, clinics and doctors. It is always the best choice to choose full-fledged hospitals for any surgical procedure in Mexico, primarily because they have all the necessary medical equipment and emergency surgical backup if any complications should arise. Good hospitals, such as Christus Health, will have major facilities such as blood banks, XRAY, MRI, and ICU centers. Some of these same hospitals will also have boarding facilities in which patients can stay along with a friend or relative. Finally, large hospitals will also have staff who speak English fluently, which is an important factor when considering a surgical procedure in another country. You need to be able to communicate your desires, your feelings, your pain, and your concerns to your physician or surgeon.

Christus Hopsital Http://www.thebariatric.com

The Bariatric Team

http://www.thebariatric.com

http://www.bandstersforum.com

Originally posted 2009-01-24 22:29:40. Republished by Blog Post Promoter

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Successful Weight Loss with Lap Band Surgery

Tuesday, October 5th, 2010

Successful Weight Loss with Lap Band Surgery

Lap band surgeries are a type of restrictive procedure through which an inflatable band is surgically placed around the upper portions of the stomach, creating a small stomach pouch. This small pouch works to restrict the amount of food that can be eaten at any given time while increasing the amount of time it takes the stomach to completely empty itself. Many patients have reported successful weight loss with lapband surgery and outpatient nutritional counseling.

As a result of the lapband surgery, the patient will achieve a sustainable decrease in weight by slower digestion, reduced appetite, and limited food intake. This type of surgery is less traumatic than other types like the gastric bypass procedure. Unlike other permanent solutions to obesity, it is safe, adjustable, and reversible. The lap band provides a unique method for maintaining and achieving significant weight loss, enhancing the quality of your life, and improving your health.

During the lap band procedure, your surgeon will make a few tiny incisions into the wall of your abdomen. Using the latest laparoscopic technologies, a small adjustable silicone band is inserted and secured around the upper portions of the stomach. This lapband is then connected to specialized tubing which is then attached to an access port, which is located beneath the surface of the skin on the abdomen. This port is not visible to the naked eye, and allows the patient to make adjustments to the band as necessary.

The small pouch at the top of the stomach controls the amount of food that can be taken in at any given time. A small amount is permitted to pass through the lap band, thereby delaying the total emptying of the stomach. This process causes a sensation of fullness much sooner than normal. Eventually and over a course of time, hunger sensations decrease dramatically.

There are many advantages to lap band surgery as a method of treating obesity. Of all gastric surgery methods, lapband surgery has the lowest mortality rate. It is the least invasive surgical approach to weight loss as well. There is no stomach cutting, stapling, or intestinal re-routing. The lap band is reversible, adjustable, carries a low malnutrition risk, and has the lowest rate for operative complications among all similar procedures like gastric sleeve or gastric bypass.

Most patients that elect to have lap band surgery will not have to be hospitalized. In fact, the majority of all lap band patients go home the same day of their surgery. Normal activity can be resumed in as little as one week, while full recovery from lapband surgery takes about two to three weeks.

The Bariatric Team

http://www.thebariatric.com

http://www.bandstersforum.com

Originally posted 2009-02-02 12:30:05. Republished by Blog Post Promoter

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John Daly and the Realize Band

Monday, July 5th, 2010

 John Daly and the Realize Band

From when John Daly began playing golf at the age of 4 he showed a remarkable ability to play all aspects of the game. People around him knew that someday he would be one of the great golfers of history. In 1991, John was named by the PGA as the Rookie of the Year, and the following year became the youngest player to win the most difficult and competitive course, The British Open at St. Andrews.
Along with the fame and fortune for this young golfer was also the darker side. The alcohol, the women, the gambling and his personal behavior caused him problems with the PGA and as a result he was suspended on several different occasions.

john-daly-before-lapband-golfer.jpg1 
John’s life changed dramatically from the ups and downs. With his health deteriorating and his weight increasing, John got to the point that he could hardly finish a round of the game that he was once the master of.
It took a call from his 17 year old daughter to start him on the path to reclaim his life. At now 370 lbs, John knew that his weight was an urgent need to get under control. Diets weren’t working for him, so he began to seek advice on what else could be done.
He had a picture of a Gastric Bypass patient and decided that he wanted more control over the speed and the quantity of weight loss. He also was resistant to the idea of taking medications for life to counteract the malnutrition aspect of bypass surgery.
He also looked at a relatively new procedure called a Gastric Sleeve, but decided that he couldn’t be assured of the results he was looking for. He also learned that while the Gastric sleeve procedure has been shown effective as a metabolic procedure, there aren’t long term results as a weight loss procedure.
The Lapband procedure is a very low risk, simple procedure with a very quick recovery time that would allow John to be back in the golf course and also been in control of the amount and speed of his weight loss.
John Daly took the right decision for himself, got the Lap Band AP, and now that he has returned to the game he has finished at the top 5 in 3 events in Europe and is ready for the PGA Tour again.

john-daly-Realizeband-golfer 
I am hoping he can make it to our next Get-Together the first weekend in December and play a round of golf at “La Herradura” with a bunch of fan-banded patients.

 

 

Arturo Rodríguez, MD

http://www.thebariatric.com

http://www.bandstersforum.com

Originally posted 2009-06-24 23:12:13. Republished by Blog Post Promoter

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Talking About Several Lap Bands? The Hidden Story Behind the Lap Band…PART I

Saturday, January 16th, 2010

Talking about SEVERAL Lap Bands? The hidden story behind the Lap Band…PART I

You find yourself searching through Doctors or Promoters websites and you don’t find information about the existence of different Lap Bands.  How come?  Why is this information so hard to find?  How long have there been different Lap band Models?

When you visit message boards and forums and find little information about different models of the Lap Band, the information you do find usually comes from someone with misinformation (even when they think they are informed and write with some kind of authority because they have had the Lap Band surgery done) and their contribution to this subject is manipulated by comments by others.

Why is this not discussed PROPERLY on the message boards and forums?  It is difficult to believe that nobody cares about this.  Why is there little interest in this? Is it important to know that there are several different kinds of Lap Bands? Or does it matter at all?

Why is the market distracted by the Lap Band price and not the quality of the Lapband, the patient’s satisfaction with the Lap Band procedure or the doctor’s service?  Why hasn’t anyone questioned Allergan’s practices of flooding the border town’s market with Lap bands that have been stolen from the factory?   Why is Allergan letting this happen?  What does Allergan gain from this practice?

Other important questions to ponder:

  • Can weight loss be affected by the design or size of the Lap Band?
  • Does the design of the lapband have anything to do with complications?
  • Why is this information about the lapband not on the Doctor’s websites?
  • Why is this information about the Lap band not on the Promoter’s websites?

 Is anyone going to be responsible for hiding this important information about the lapband to the patients?  Are there any legal aspects, corners or sides involved with these behavioral practices or with these different lapband models?   Why do Lap Band doctors in the U.S. say nothing about the existence of many different Inamed-Allergan models and say nothing about their results with each of them?

Why do Lap Band doctors outside the States say nothing about this on their websites and the other kind of bands they commonly use to make the Lap Band procedure cheaper?  How can you be alerted about a poor quality lapband before having Lap Band Surgery?  What should you ask about the Lap band before having surgery?

To find the Answers to these questions, read on in Part II – “Talking About Several Lap Bands…”

TO BE CONTINUED…

 

Arturo Rodríguez, MD

http://www.thebariatric.com

http://www.thebariatric.com

Originally posted 2008-09-20 20:38:20. Republished by Blog Post Promoter

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