Arturo Rodriguez, MD

January 23, 2010

Here is my Lapband Story…

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Lapband, Lapband mexico, Lapband procedure, Lapband surgery, Obesity, Obesity surgery, RYGB, Roux-n-Y, Weight loss surgery, gastric bypass — Tags: , , , , , , , , , , , , — Dr. Arturo Rodriguez @ 11:58 pm

Here is my Lap Band Story…

I was overweight most of my life.  I had tried every diet out there only to gain all the weight back. I was depressed and frustrated.  I had heard so many Weight Loss Surgery success stories and realized that Lapband surgery was my only option for permanent Weight Loss. While researching my options I ran across Dr. Arturo Rodriguez’s website and decided to call.  I was skeptical about traveling outside the U.S. but after a lot of research I was certain that Dr. Arturo Rodriguez was the right doctor for me. 

An important thing I learned in my research was that the experience of your Lap-band Surgeon plays a huge role in your success with Lap-band.  Dr. Arturo Rodriguez has performed thousands more Lap-band Surgeries than any doctor I could find in the U.S.  I decided that if I was going to have this surgery I wanted the best Surgeon to do it!

My experience in Monterrey was amazing!  I was greeted at the airport and taken directly to the hospital.  When we arrived, Dr. Rodriguez and his assistant met my husband and I.  They discussed everything that would take place.  After surgery I was taken to my hospital room.  There was always a nurse to help if I needed.  I have never received such good care in any hospital in the U.S. as I did in Monterrey.

The next day I was picked up and taken to my hotel room and later that evening, one of  Dr. Arturo Rodriguez’s staff came to check on me and take my husband and I around Monterrey.  The next day someone picked us up and drove us to the airport.  We never had to worry about a single thing the entire time we were there.

My life since Lap-band Surgery has changed dramatically. I can play with my boys and not get tired, I’m more outgoing, I wake up and my back doesn’t hurt, and I have endless amounts of energy.  It’s also taught me what true portion control is and given me the skills to lifelong Weight Loss!  I’ve learned what it takes to keep the weight off forever!  Most importantly I have eliminated my chances of acquiring obesity related illnesses. 

I have Dr. Arturo Rodriguez and the Lap-band Surgery to thank for all of this.  It changed my life so much that my Mom even decided to have Gastric Bypass Surgery (by Dr. Arturo Rodriguez of course) and she too has had amazing success losing over 100 lbs and going off many of the medications she was on prior to surgery. In fact, I was so impressed by Dr. Rodriguez and his staff that when the opportunity came to work with them and to help others see the many benefits of this surgery, I jumped at the chance.

I would love to talk to you about how much this amazing Surgery can change your life and why Dr. Arturo Rodriguez is the right Surgeon for you.

shelby

Shelby, Lapband patient, http://www.thebariatric.com

 

Shelby Hashagen

Patient Coordinator / Dr. Arturo Rodriguez

(360) 304-0610

shelby@thebariatric.com

http://www.thebariatric.com

Originally posted 2009-03-25 19:53:23. Republished by Blog Post Promoter

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November 14, 2009

My Life with the Lapband

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Lapband, Lapband mexico, Lapband procedure, Lapband surgery, Obesity, Obesity surgery, Weight loss surgery — Tags: , , , , , , , , , , , , , , — Dr. Arturo Rodriguez @ 6:07 am

Tricia

My Life with the Lapband

My Journey…

Boy how time flies! 

As I approach my 5th year Bandiversary, I started thinking how the Lapband has changed my life or how I had to change my life to live with the Lapband.

First off, I thank God every day for showing me there was an option and giving me the opportunity to have the Lapband procedure.

Like most in my situation, I tried every diet that always ended in failure. I almost got to the point where I wouldn’t want to diet because I KNEW I would gain the weight back and probably gain more. It was a horrible vicious cycle that I lived in for years.

Living with the Lapband was a continual learning process for a while. I tested foods to see what I could eat and what gave me difficulties. I tested out drinking with meals and not drinking with meals. Unfortunately, I had to learn the hard way on a lot of these issues, but the key is I learned and now the changes that I have made in living with the Lapband are part of my normal way of living. I don’t even think about it anymore.

One of the most frustrating things about the Lapband is obtaining proper restriction level. On one hand, I wish doctor’s would be a little more aggressive with the fill amounts, on the other hand, I think that working your way up to the proper restriction level is the way to go to avoid getting filled too tight which can be very uncomfortable and dangerous. I think that more discussion needs to be made about preparing one’s self for life after the lapband which includes the cost of adjustments/fills and the expectation of how many fills it may require to achieve proper restriction.

For self payers, many people use all their financial means to pay for the actual Lapband surgery and then don’t have the funds to get adjustments afterwards. This creates frustration because you just paid a lot of money and went through surgery and now want to lose the weight. Sounds reasonable……. But many feel like they wasted money when they don’t lose weight after the surgery or they feel like they can eat like they could before the surgery which is true until the band is adjusted properly.

So if someone is scheduled for lapband surgery and they ask me about the band, I make a point of preparing them for after surgery. I also try to tell them that their patience level will be tested to the max until they get their bands filled properly. I’ve heard this said by many and it’s so true “It took us a long time to become this overweight, we’re not going to lose it all overnight” It may take some time to lose weight with the Lapband, but with a little patience and following some very basic rules, you will lose weight and you will be successful.

Things that have changed for me after I was banded…

I don’t drink with meals. I found that this flushes food from my small upper pouch into my lower pouch which enables me to eat more food. This kind of defeats the band doesn’t it? I don’t want to eat more food, because this little thing called weight gain occurs if I do.  Not drinking with meals was probably the hardest thing for me to get used to, but now I don’t even think about it.

I still take small bites and have slowed down while eating. I found that taking smaller bites and slowing down while eating actually fills me up quicker. I also don’t look like I’m inhaling my food anymore, which was a very unattractive habit that I got into pre-band.

I listen to my band. It tells me when to stop eating. Oh, I’ve tried to argue with my band in the past and tell it that I could eat more even when it warned me that I have had enough, but for some reason the band was always right. I paid a small price for trying to fight the band. I would feel horrible until the food passed through the band. Sometimes I would PB (not pleasant) and learned very quickly that it’s just not worth fighting the band. It knows best, so now I listen to it.

I try to stick to protein foods first. I’m not always good at this, but it’s something that I feel is very important for Lapbanders. I have also found that when I eat protein foods first like chicken, fish, etc… then I don’t require as much food to feel full and I stay fuller longer. Not to mention the benefits to my health for eating protein.

Since I can’t eat as much as I used to, my food choices have changed. Before the band, I would eat horribly. It’s because I could eat a lot of anything I wanted. So if I wanted to snack on chips before dinner, no problem. I would still be hungry enough at dinner to eat it, and then have enough room for dessert after wards.

I now chose quality over quantity. I do this because I know I can’t eat a lot, so what I DO eat becomes very important. I have found that if I eat chips now, I will fill up on them, and I won’t feel hungry to eat what I should be eating. Then I end up feeling awful because “foods” like chips drain my energy if I try to use them as my source of nutrition. Don’t get me wrong, I still eat things like chips, but I make a point of not eating them when I’m hungry because I know that I will fill up on them and won’t eat what I need to be eating. So I will have junk food occasionally, but usually with my meal and have very little.

I don’t eat dinner late in the evening. I have a cut off time for dinner. I make sure that I don’t go to bed for about 3 hours after I eat. I also don’t drink a lot of fluids at night and I religiously take 2 Pepsid AC chewables before I go to bed. I believe that these things have decreased my chances of having acid reflux at night.

So yes, the Lapband has totally changed my life. With 155 pounds gone I’m feeling terrific! I feel that the minor things that I have changed in my life (with eating) due to the band are so minor and so worth it to help insure that I keep this weight off. Don’t get me wrong, I don’t struggle to keep the weight off, which is fantastic, but I believe that the minor changes that I have made have contributed to this.

The Lapband won’t do it all. You’ll need to help it some, but once your band is adjusted properly, the band will work for/with you instead of you working for the band.

Life is wonderful!Tricia before Lapband
Tricia after Lapband

Starting BMI 43

Current BMI 20

Tricia
Banded July 16th, 2004
Lost 155 pounds

Dr. Arturo Rodriguez

http://www.thebariatric.com

http://www.bandstersforum.com

Originally posted 2009-03-11 18:21:38. Republished by Blog Post Promoter

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October 23, 2009

Lap Band Leaks: What You Should Know

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Lapband, Lapband mexico, Lapband procedure, Lapband surgery, Obesity, Obesity surgery, Revision Surgery, Weight loss surgery — Tags: , , , , , , , , , , , , , , , , , , , , , , , , — Dr. Arturo Rodriguez @ 4:31 pm

Lap Band Leaks: What You Should Know

A Lapband leak is suspected when a patient that previously had adequate restriction feels a change in the amount of restriction. This can happen suddenly or over a period of time, depending on the size of the leak. If there is a leak of the lap band, the band will not be able to be adequately filled and will not provide restriction, or function properly.  There are four types of lapband leaks that can occur to the lapband once it is placed, based on the location: (1) Leaks at the lapband balloon, (2) Leaks at the lapband tube connections, (3) Leaks at the body of the tube, and (4) Port membrane leaks.

(1) Leaks at the Lapband Balloon

Leaks in the lap band balloon can be unintentionally caused by needle punctures during surgery, or may occur over time in certain factory weak points of the balloon.

figure-101

Leak at Lapband balloon http://www.thebariatric.com

Figure 1.0  In the figure above, you can see the lap band (white rectangular shape), which has been filled with contrast fluid.  The arrow points to a small amount of fluid that has moved outside the band from a small leak in the balloon of the lap band (VG).   

Lapband Leak

Lap-Band Leak http://www.thebariatric.com

Figure 1.1 This is another image of a lap band balloon leak.  A thin line of contrast fluid can be seen outside of the lap band, surrounding both the band and the tube.

Lapband Leak

Lapband Leak http://www.thebariatric.com

 Figure 1.2 The lap band balloon can be seen in the centre of this image (rectangular shape, slanted to the left). In this case, there is a larger leak of contrast fluid which is more easily visible around the lap band balloon (arrow).

figure-13

Lapband leak seen during surgery http://www.thebariatric.com

Figure 1.3 In this case, there was a leak in the lap band balloon, and surgery was required to remove the band.  During surgery, the leak was very clearly seen when fluid was pushed through the lap band, to reveal the location of the leak.  (The arrow points to the line of fluid leaking from the  AMI band). 

(2) Leaks at the Lapband Tube Connection

Leaks can occur within the Lapband tube connection if there is a break or fracture of the tube next to the metal connector. Breaks or fractures may be due to physical movement over time, when considering the materials of the connections (metal and silicone).   If the “fracture” is complete, it can be easily diagnosed with an x-ray film (plain film), without needing to inject contrast fluid. 

figure-20

Lapband plain x-ray film http://www.thebariatric.com

 Figure 2.0 Above, we can see the lapband port in the lower, right corner, with the tube extending to the left in the x-ray image.  There is a complete fracture (break) in the tube.  The distal end of the tube is near the port, which means the tube may still be in the abdominal wall.

Lapband leak

Lapband Leak http://www.thebariatric.com

Figure 2.1 Above, we can see the lapband port near the bottom of the x-ray image, with a complete fracture (break) in the tube, which is curled up at the top of the image.  This shows that the tube is likely still inside the abdominal cavity.

figure-22

Port of a Lapband leak http://www.thebariatric.com

Figure 2.2 Above is a photo of the lapband port that was removed during surgery from Figure 2.1. 

 If the “fracture” is incomplete, it is necessary to inject contrast inside the system in order to diagnosis the problem.

figure-23

Figure 2.3 This shows an incomplete fracture, with the tube in place.

figure-24

Port of a Lapband leak http://www.thebariatric.com

 

Figure 2.4 This is the port removed from the above case (Figure 2.3).

l

Port of a Lapband leak http://www.thebariatric.com

 Figure 2.5 In this plain x-ray film, the port can be seen in the bottom right corner. There is a slight bend in the tube at the connection point (upper right corner of the film).

lapband leak

 Figure 2.6  As a leak was suspected, contrast fluid was passed through this lapband port.  A large amount of contrast fluid is seen at the bend, in the top right (the connection point).

In some cases, it is not possible to indentify a leak with x-rays. Therefore, the diagnosis of a leak may need to be done at the time of surgery.

Lapband leak

Lap-Band Leak http://www.thebariatric.com

Figure 2.7 In this x-ray with contrast fluid, there is no evidence of a leak.

Tube leak near the port

Tube leak near the port http://www.thebariatric.com

Figure 2.8 This leak was not demonstrated with x-rays.  As the leak was suspected, surgery was required to find the location of the leak.

(3) Leaks at the Body of the Tube

These lap band leaks are usually iatrogenic. This means that the leak was caused by an unintentional needle puncture, during a fill that was done without using fluoroscopy to guide the needle. These kinds of leaks are very common in office fills. Even in the best hands, there is always a risk of puncturing the tube during a lap band adjustment. This is one of the reasons that we always recommend fills to be done under fluoroscopy.

Lapband tube puncture

Lapband tube puncture http://www.thebariatric.com

  Figure 3.0  A leak can be seen in the body of the tube, close to the connection. This leak was made with a needle at the time of an adjustment (office fill).

Lapband tube puncture

Lap-band Tube puncture http://www.thebariatric.com

Figure 3.1  The leaking portion of the tube was removed during surgery.

(4) Port Membrane Leaks

This type of leak usually occurs when the patient has received many fills, or when the adjustment was done using a standard needle. Only Huber (non-coring) needles (Figure 4.2) should be used to perform fills or adjustments.  The silicone membrane of the port may be damaged if any other type of needle is used.

figure-40

Lap-band Port Leak http://www.thebariatric.com


      Figure 4.0 The lapband leak is just in front of the port, where contrast can be seen.     

Port Membrane Leak

Lap-band Port Membrane Leak http://www.thebariatric.com

Huber Needle

Huber Needle http://www.thebariatric.com

 Figure 4.1 During surgery, we can see a leak at the port membrane as seen by the bubbles that are produced when the port is placed in water.                                

Figure 4.2 Huber (non-coring) needle.

Final Thoughts

Every day, the lap band manufacturers are improving the design and functionality of the gastric bands in order to prevent complications such as leaks. However, there is always a small risk of leaks over time. Many types of lap band leaks can be avoided by careful handelling the gastric band at the time of the surgery and by doing the lap band fill or adjustment under the fluoroscopy guide, and finally by using the right non-core  needle. 

Arturo Rodriguez, MD
Bariatric Surgeon
Susana González, MD
Radiologist
http://www.thebariatric.com

Originally posted 2009-03-07 23:31:38. Republished by Blog Post Promoter

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October 17, 2009

Lapband Slippage: Causes & Prevention

Filed under: Gastric Band surgery, Gastric Banding, Gastric Sleeve Mexico, Gastric band Procedure, Lap Band procedure, Lap band surgery, Lapband, Lapband mexico, Lapband procedure, Lapband surgery, Obesity, Obesity surgery, Revision Surgery, Weight loss surgery, gastric sleeve — Tags: , , , , , , , , , , , , , , , , , , , — Dr. Arturo Rodriguez @ 2:21 am

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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October 2, 2009

Successful Weight Loss with Lap Band Surgery

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Lapband, Lapband mexico, Lapband procedure, Lapband surgery, Obesity, Obesity surgery, Weight loss surgery — Tags: , , , , , , — Dr. Arturo Rodriguez @ 10:24 pm

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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September 25, 2009

Have Lap Band Surgery for Less in Mexico

Filed under: Gastric Band surgery, Gastric Banding, Gastric Sleeve Mexico, Gastric band Procedure, Lap Band procedure, Lap band surgery, Lapband, Lapband mexico, Lapband procedure, Lapband surgery, Obesity, Obesity surgery, Plastic surgery after weight loss, RYGB, Roux-n-Y, Weight loss surgery, gastric bypass, gastric sleeve — Tags: , , , , , , — Dr. Arturo Rodriguez @ 9:41 pm

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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July 20, 2009

Lap Band Diet – After Surgery

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Lapband, Lapband mexico, Lapband procedure, Lapband surgery, Obesity, Obesity surgery, Weight loss surgery — Tags: , , , , , , , , , — Dr. Arturo Rodriguez @ 10:09 am

Lap Band Diet – After Surgery

How should I Eat After Surgery?

You need to pay attention to what you eat and how you eat it during the first three weeks following your lap band surgery.  Your diet should be limited mostly to liquids and soft food. The reason for this is that the body needs time to heal and develop tissue around the gastric band or lap band, to maintain the band in its correct position.  If you eat solid food too soon after lap-band surgery , you may run the risk of dislocating the band, or developing an enlarged upper gastric pouch. Therefore, it is very important to chew your food well in order to decrease the risk of blockages or dislocation of the band.

How Much Can I Eat?

Right after Lap-Band surgery the stomach can not hold more than 4 to 6 ounces per meal (3/4 cup). Therefore, one should be particular about the nutritional value of the food with every bite. I have written about the lapband diet since we started doing lap band surgeries thirteen years ago.  You can find detailed information on my website: http://www.thebariatric.com/lap-band/postoperative.html

What´s Happening?

People seem to think that nothing will happen if they “cheat” during the liquid phase and eat solid foods.   However, The truth is that solid food may cause increased pressure and may result in lapband dislocation, and the increased pressure over the “New Stomach” or Pouch at this time could be an early cause of lapband slippages.  Eating solid foods in the early stages after surgery has also been known to cause enlarged pouches which can occur after a period of time.

I try to tell people that their stomach is moving and churning (inside) while trying to digest solid food.  Solid foods are also pushed down to the restricted area and we want to keep the stomach as still as possible for that first week “liquid phase” after lapband surgery. So even though they don’t “feel” like it’s hurting anything, they could be.  Let’s reiterate that the purpose of the diet is not for starting weight loss but for healing after the Lapband surgery.  This way you will avoid stretching the pouch and it will also help you by letting the sutures become firmly attached and to hold the lapband in the right place.

Which Diet Should I Follow?

I recommend that my patients strictly follow the liquid phase for one week post-operatively.  During this time, they can eat clear liquids (water, Gatorade, broth, tea, apple, grape or cranberry juice, fruit popsicles) and full fluids (vegetables juices, cream soups,  low-fat milk and yogurt, and pudding).  There is no concern about malnutrition or low sugar intake during this time.  The diet slowly allows the patient to “graduate” to soft foods in the second and the third week post-op.

There are some foods that should be avoided or limited in order to decrease the risk of irritation or band dislocation.  Stomach irritants such as coffee, alcohol, carbonated beverages like coke, concentrated orange juice, vinegar, spicy food, etc, maybe cause discomfort or inflammation of the stomach lining, and vomiting might occur which may cause lapband dislocation.  Fruits such as oranges or grapefruits should have both the skin and seeds removed before eating them, in order to avoid blockages in the stomach or esophagus.  Vegetables such as cucumbers should also be peeled.

Other foods which need to be avoided are high fiber vegetables like celery, sweet potatoes, spicy foods, fried foods, spices (like cinnamon) pepper or soy sauce. If one is unable to tolerate milk, then calcium and protein rich foods such as cottage cheese and dry milk can be added to foods for proper protein intake.

Lap-Band patients should intake at least fifty to sixty grams of protein every day to avoid protein deficiency, but protein shakes or vitamins are not required. Include adequate sources of protein in your diet such as eggs, low-fat cheese, and fish such as salmon or tuna.  Lack of protein causes hair loss, edema, fatigue, muscle weakness, and a delay in wound healing. It also causes depression, anxiety, irritability, apathy, as well as gallstones, colds, headaches, low blood pressure, anemia, irregular heart rates. The amount of protein can be monitored by your doctor with a serum albumin blood test.

For more information, visit: http://www.thebariatric.com/lap-band/postoperative.html

 

Arturo Rodríguez, MD

http://www.thebariatric.com

http://www.bandstersforum.com

Originally posted 2009-01-10 22:59:33. Republished by Blog Post Promoter

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Losing Weight During The Holidays

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Lapband, Lapband mexico, Lapband procedure, Lapband surgery, Obesity, Obesity surgery, Weight loss surgery — Tags: , , , , , , , — Dr. Arturo Rodriguez @ 10:09 am

Losing Weight During the Holidays

Holidays are a time to enjoy family and friends, and get-togethers almost always center around good food and conversation.  Everyone brings delicious foods and desserts to numerous parties and gatherings, and life can get very busy and hectic, leaving little time for your regular exercise routine. For someone who is trying to lose weight, the temptations can be overwhelming. 

Diet and exercise are the most important methods of losing weight. However, this may not always be possible or practical during holiday times. Either someone is staying at a hotel, where exercise options are limited, or they might be staying with friends or family where it is hard to get away. As well, it almost seems rude to refuse any food offered at these special occasions. However, the holidays is a time to focus on positive thinking.  Focus on ways to eat healthy and maintain your weight. For example, if you stay in a hotel, why not take the stairs to your room instead of the elevator, or check out the swimming pool? If you are staying with friends or relatives, start a game of soccer with the family or take a walk around town. When the food is on the table, choose your favorite vegetables and fruits first – and enjoy sharing a colorful, healthy meal. If the cake is calling your name, chose a smaller piece.

For people that have had a hard time losing weight, and have had little success with fad diets or “easy” solutions, you may have considered different options such as lap band surgery.  A lap band is a silicone device that is surgically placed around the stomach, and manually shrinks the size of the stomach so that the person is able to feel full with smaller amounts of food. Lap bands produce the best results when used in conjunction with a healthy diet and proper, moderate exercise. This is mostly because too much unhealthy foods can slow the results that the lapband is designed to give.  Combining the surgery with healthy diet and active living will soon results in a healthier person. If that isn’t a great holiday gift then nothing is!

For anyone who has been struggling with the idea of getting lap band surgery, or for anyone who really wants to lose weight, don’t think it is too late for you. Lapband surgery may be just the thing to put your life back on track.

The Bariatric Team

http://www.thebariatric.com

http://www.bandstersforum.com

Originally posted 2009-01-04 11:42:56. Republished by Blog Post Promoter

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Why My Weight Loss Procedure Can Fail?

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, RYGB, Revision Surgery, Roux-n-Y, Weight loss surgery, gastric bypass, gastric sleeve — Tags: , , , , , , , , , , , , , , — Dr. Arturo Rodriguez @ 10:09 am

Why My Weight Loss Procedure Can Fail?

The first and most important step to minimize the chances of failure from a Bariatric procedure and to increase your success rate is to be well informed about each one of the surgeries before you choose any of them.

What should you know about Weight Loss Surgery?

  • How does each procedure work? How will they assist in weight loss?
  • What should you expect from the Lap Band, Gastric Sleeve, or Gastric Bypass procedures, in terms of weight loss and/or Type 2 Diabetes
  • The difference in short and long-term benefits for each procedure
  • The operative risks and complication rates for each procedure
  • How much follow-up and support will you need for each procedure
  • How much of the Total Patient Care (TPC) program services will you need
  • What kind of adjustments will you need following surgery?
  • What kind of commitment is expected from you, for each procedure
  • What should you expect from the Doctor or Bariatric Group that you choose
  • The surgical options you have for each of the procedures in case of a failure
  • Finally, the cost of each procedure

What should you know about the Doctor or Bariatric Group?

You have to be well informed about the Doctors and medical team performing the Lap Band, the Gastric Sleeve or the Gastric Bypass.  Choose your surgeon and medical team wisely in order to ensure the best results for your weight loss success.

  • Ask about their education and training credentials if you are planning to go to a Latin Country. Look for Medical Degrees in Private Colleges like Monterrey Tech, University of Monterrey, or LaSalle School of Medicine, or other reputable medical universities.
  • Ask about where they received their Surgical Training. There can be a big difference in the treatment you will receive between doctors trained in well-known Private Hospitals, rather than in the Social Governmental Health Care System.
  • Ask about their Diplomas. Did they have to write a Medical Tests to join the Medical Society or Surgeon group, or did they just pay a subscription fee to become a member?
  • Check the number of Revision Surgeries they have been involved with. This may give you an indication of the quality of their work.
  • Check their Surgical Staff for credentials and experience. Consider the Anesthesiologist and any other assistant surgeons. It is important that they have experience in Bariatric surgery.
  • Double-check the Ethics and Professionalism of their Promoters or Coordinators.
  • Finally, check the Follow Up and Support they would provide you after your surgery.

Diet Rules to Follow (Regardless of the Weight Loss Procedure you Choose)

For any weight loss method to be successful and effective, you have to make some healthy lifestyle choices regarding the foods that you eat.  Bariatric surgery is an effective way to increase the rate of weight loss, but the best results can only happen when you make healthy choices.  After Bariatric surgery, you will feel full with a smaller amount of food – make sure to choose foods with the most nutritional value to help you on the journey to a new, healthier you!

  • Follow the Diet Steps recommended by your Doctor or the Nutritionist after surgery.
  • Chewing very well will help to maintain the pouch size, preventing stomach stretching and decreasing the risk of blockages and reflux in the esophagus or stomach.
  • Eat 6 small meals a day.
  • Eat slowly; take your time at the table.
  • Preferably, hydrate or drink beverages between meals.
  • Avoid Gastric Irritants like Alcohol, Coffee, Hot or Spicy, Vinegar, Soy Sauce or other Acid Beverages.
  • Limit high calorie foods like chocolate, cream and full-fat dairy products.

Failure Features Characteristically observed with Bariatric Procedures

These “failures” can be a result of a number of different circumstances or actions, or may develop slowly over time.  Therefore, it is important to have regular follow-ups to monitor your weight loss and the status of your lap band, sleeve or gastric pouch.  Remember: If you have any concerns, don’t be afraid to ask your doctor.

  • Big Gastric Pouches
  • Mega- esophagus
  • Wide Gastric Sleeve
  • Excessive tightness of the Gastric Band
  • Wide outlet of the Bypass Gastro-Yeyuno
  • Very Short common limb of the Gastric Bypass

 

Arturo Rodríguez, MD

http://www.thebariatric.com

Originally posted 2008-07-10 23:25:31. Republished by Blog Post Promoter

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Is the Lap Band Procedure for Anyone?

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, Weight loss surgery — Tags: , , , , — Dr. Arturo Rodriguez @ 10:09 am

Is the Lap Band Procedure for Anyone?

Almost 95% of individuals with a BMI of 30 or more are unable to lose weight using only diet, exercise or drugs. Actually, all individuals with a BMI lower then 35 are not accepted into any Bariatric Program and those with BMI between 35 to 40 are only accepted if they have co-morbidities such as Type 2 Diabetes, Hypertension, Heart Disease, Sleep Apnea, Asthma, etc.

The question is if we want the patients to wait 5 to 10 years until they have gained such a weight and also to wait for high risk co-morbidities to show up in order to accept them for a Lap Band, which is a surgical procedure that takes 30 minutes and has proven to be the safest surgical technique to treat obesity and overweight.

I strongly believe that Lap Band Surgery is a good option for those individuals considering losing weight on a long-term basis, to improve their overall health and well-being.  Gastric Banding or a Lap band can be used to safely treat morbid obesity, and can also be a preventative measure for morbid obesity by individuals with a family history of Obesity, Diabetes, High Cholesterol, or other co-morbidities.

 

Arturo Rodriguez ,MD

Bariatric Surgeon

http://www.thebariatric.com

Originally posted 2008-04-23 18:43:22. Republished by Blog Post Promoter

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Lap Band Surgery in Mexico

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, Weight loss surgery — Tags: , , , , , , , , — Dr. Arturo Rodriguez @ 10:09 am

Lap Band Surgery in Mexico

When most people go away on vacation, it is to soak up the sun, see new things, meet new people, and to relax and “get away from it all.”  However, more and more people are going away to experience a different kind of tourism: medical tourism. This involves a person traveling away from their native country to have a health care procedure done in a different country.   People have all sorts of medical procedures done abroad: everything from joint replacement to cosmetic surgery is performed on such medical-based trips. Mexico is a country many people go to for such procedures In fact, having lap band surgery in Mexico is becoming more and more popular.

Lapband makes restriction to food intake

Lapband makes restriction to food intake

Many people are going to Mexico for lap band surgery. This surgery is something many believe will change their lives. Lap band surgery helps people who suffer from obesity to work towards returning to a more normal or healthy weight. Because of the price, many people are forced to have the surgery done in different countries, especially since some insurance companies will not cover the procedure.

As a person usually has to pay out of pocket for a surgery that they believe will save their life, they will head to countries where the procedure is less expensive.  For many people, lap band surgery is their last shot at being healthy.  Thus, for people who do not have insurance or a regular doctor, going to Mexico is a logical choice.

After all, once the surgery is done, they can then relax in a new or exotic location where no one has to know about their surgery. Privacy is a major reason for why people choose to have surgery and other medical procedures done abroad. They may not want their friends, family members, coworkers, or doctors to know that they had a little work done. This could be because they do not want to worry the people in their life, or it could be because they want to appear refreshed at all times.

There are a number of things to take into account when considering LapBand surgery - make sure you are well informed before making the decision to have the procedure.  Many Mexico based doctors have set up support forums and telephone consultations so that you can get the information you need to make a decision.  Here’s a testimonial from a patient of Dr. Arturo Rodríguez, who practices in Monterrey, Mexico:

Lapband success

“My name is Linda Pearce I’m 58 years old. I found Dr. Rodriguez’s web site and after much research I knew he was the Doctor for me.  I had my lap band surgery  Oct. 2005. I have loss 85 lbs.  My  whole life has changed because of Dr. R and his team. The hospital and care in Monterrey Mexico was awesome, better than some of the hospitals in the States. Everything went just as they told me it would from being pickup at the airport to going to the hospital and back. Thank you Dr. Rodriguez and your team. You guys are the best. My life has changed forever.”

For more information on the lapband and Realize band procedure, visit The Bariatric Group

http://www.thebariatric.com

http://www.bandstersforum.com

Originally posted 2008-12-12 21:44:47. Republished by Blog Post Promoter

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10 Ways to Succeed with the Lap Band

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, Weight loss surgery — Tags: , , , , , , , — Dr. Arturo Rodriguez @ 10:09 am

10 Ways to Succeed with the Lap Band

Here are some helpful tips to help you succeed with the Lap-Band on a long-term basis.

Before you have the Gastric Lap Band:

1. Search for the Right Doctor for You
Many companies or groups claim to be the Best Experts in Lap Band surgery.  However, it is important to check the qualifications and experience of your surgeon before making your decision.  Find out whether the doctor is a member of any medical organizations and whether they have any experience in bariatric surgery.  Make sure to research the company and the Doctor´s credentials, and look into the facilities and medical team.  You can also check with the companies that manufacture the lap band products, like Allergan or Johnson & Johnson, to find more recommendations.  It is very important to be in the right hands when you have surgery.  The experience of your surgeon can make a big difference in your weight loss outcome.  Surgery can be life-changing – Don´t play with your health.  Look for the right doctor, and not just the cheapest deal.

2. Double-check the Doctor´s Coordinators
Some coordinators will say anything to convince you that their team and services are the best. The personality of the coordinators or the medical team can tell you a lot about the kind of work they do.  When talking on the phone, check for signs of aggressiveness, or whether they speak poorly of other bariatric teams or surgeons.  If they tell you that they know “everything” about Lap Bands or bariatric surgery, this is probably not true.  Take your time to analyze their ethics and professionalism, and keep your ears and eyes open.  Be cautious of coordinators that seem too pushy or don´t respect your requests.  These coordinators are not looking out for your best interests – they are just looking for your money.  Instead, look for coordinators that demonstrate clear communication and professionalism, honesty, friendliness and a helpful and caring attitude.

3. Avoid companies that are just “moving patients through the border”
Some “coordinators” may contact you to promote weight loss surgery without an actual connection to a qualified bariatric surgeon.  They may not even work for the Doctor that they are promoting, and are just looking to make money.  They do not have your best interests in mind – you are a merchandize for them.  They might make promises that they can´t follow through with, and may get any Doctor for your surgery as long as they get paid for arranging things for you.  When researching into the company, find out as much as you can about all the details, including any hidden costs or fees.  Be sure that you feel confidant and comfortable with the people that you are working with before you make your final decision.

4. Communicate with other Banded Patients
Often, the best source of information is someone that has already gone through the experience before.  You can find out answers by asking other people that have had the lap band procedure.  Search for online forums, chat rooms, or message boards.  Some questions you might ask could be:

  • What kind of surgical weight loss procedure did they receive?
  • Was the surgery what they expected?
  • How did the Doctor and his medical team treat them?
  • Did they have any complications after surgery?
  • How long did the surgery process take?
  • How have they adjusted to life with the lap band?
  • Did they see the results that they were expecting or hoping for?
  • How soon did they see results?
  • Would they recommend their doctor to someone else looking for the same surgery?

After you have the Gastric Lap Band Procedure:

5. Begin the Journey: Develop Good Habits
After Lap Band surgery, you will need to make some changes to your diet and activity.  Small actions can results in big changes and lead to successful weight loss with your new lap band.  Make sure that you learn about what foods to eat and what foods to avoid after your surgery, and determine if you can make these changes.  You will also see better results if you include physical activity in your daily routine.  If you are always used to driving in the car or riding the bus, try going for a short walk or getting off the bus earlier. If you do walk, try walking faster.  Park your car farther away from where you are going so you can get some extra steps into your day. Use any excuse to move your body, like taking the dogs out or doing some gardening. Do anything that will help you to develop new, healthy habits.

6. Your Lap Band Expectations
Imagine yourself at the end of the “Lap Band Road” and keep Focused on that image. The vast majority of banded patients expect the band to work alone by itself, without changing any of their old habits. But the truth is that you do need to put a lot of energy into yourself and encourage yourself to improve your eating habits and activities in order to each your weight loss goals. The Lap Band is a tool to help you, but it won’t do the job alone. For the best results, you need to be committed to positive change.

7.  Find the optimum Lap Band Fill
My advice is to reach a “fill point” where you can keep enjoying the foods you like, while still being able to lose or maintain your weight. Too much tightness or restriction will have you at the border line for being de-banded, and stomach erosion can happen frequently in patients with large fills. Do not compete with the Lap Band by trying to force food to pass through the band. If you feel excessive restriction, visit your doctor to have your band adjusted. 

8. Maintain Good Communication with your Doctor
This is the most important of the 10 “keys for success.”  Make sure you can reach your Doctor whenever you need him or her.  The Bariatric Surgeons and Doctors are different than General Surgeons in the follow-up care.
Don’t hesitate to call your Doctor if you have any of the following symptoms: Heartburn, pain at the port area or in the abdomen, frequent vomiting, difficulty swallowing or reflux.  

9. Have a Barium Swallow or an Endoscopy atleast once a year
This can help to indicate the condition of your stomach, esophagus, and the lap band system, including the positioning of the band and port.  This may also help to detect any problems earlier, which can allow for more time to solve the problem. 

10. Have your Fills done under Fluoroscopy as often as possible
Office fills do not detect early, easily-correctable problems until it may be too late.  Slippage and erosion are more frequently seen in patients that have never had follow-ups under fluoroscopy.  Check with your Doctor to find out their process for lap band fills – if they only do office fills, ask your Doctor to recommend someone that can provide fills under fluoroscopy for you.

 

Arturo Rodriguez, MD
http://www.thebariatric.com
http://www.bandstersforum.com

Originally posted 2008-05-31 20:39:08. Republished by Blog Post Promoter

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Lap Band Surgery and Exercise

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Lapband, Lapband mexico, Lapband procedure, Lapband surgery, Obesity, Obesity surgery — Tags: , , , , , , , , , — Dr. Arturo Rodriguez @ 10:09 am

Lap Band Surgery and Exercise

Exercise plays an important role in weight management after Lapband surgery, as well as overall fitness. It is important to put the emphasis on physical activity for both weight control and health.

“Weight Maintenance” rather than weight loss should be your primary focus.  We encourage people personally and at our FORUM to increase their exercise activity and reduce their sedentary activity, to lose or maintain a certain weight after Lapband surgery.  It is recommended that a minimum of 30 minutes of daily moderate to intense exercise is needed to maintain a healthy lifestyle.

The day after Lapband Surgery, you should start walking as usual.  Two weeks after Lapband surgery you can do any kind of exercise.  You can start full exercise 2 weeks after Lapband surgery.

It has been determined that there are direct links between weight gain, health risks, and obesity. With the Lapband Procedure there is a direct link between exercise and successful weight loss. One of the only factors that reduces the risks associated with obesity is exercise. After Lapband surgery, exercise is the most important factor in losing weight or at least in maintaining weight loss.

Planning an exercise program after the Lapband should be based on personal goals as well as on individual capabilities. The most important element to be considered is to think long-term and make exercise a permanent part of your life. There are several types of alternative exercise programs that are available today. It doesn’t mean that you have to join a gym or a fitness center after Lap-band surgery.  But if you join a gym or fitness center, the key is to be consistent.  You can make sensible fitness choices that are more desirable or fit your lifestyle.

Here are some examples:

Moderately Intense Activities:

  • Brisk walking (3-4 mph)
  • Cycling (10 mph)
  • Swimming or calisthenics
  • Racket sports or table tennis
  • Golf (without a cart)
  • Housecleaning, general*
  • Raking leaves*
  • Dancing*
  • Playing actively with children*

*Considered moderate only if they are performed at intensity comparable to brisk walking. (Source: Journal of the American Medical Association 273:402:1995.

Arturo Rodriguez, MD

http://www.thebariatric.com

http://www.bandstersforum.com

Originally posted 2008-12-16 20:16:40. Republished by Blog Post Promoter

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Lap Band Trials – Reviewing the Results

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, Stomach erosion, Weight loss surgery, gastric bypass — Tags: , , , , , , , , , , , , , , — Dr. Arturo Rodriguez @ 10:09 am

Lap Band Trials – Reviewing the Results

I would like to review an issue that was recently presented to me the other day regarding lap band trials.   As a number of companies produce the Lap Bands used for the surgical procedure, comparisons have been made in the past between different brands.   Testing trials were held by Inamed (in the late 90’s) and by Johnson & Johnson (three years ago) and reports have attempted to compare these two bands.  However, the information obtained is being manipulated with results that favor the use of one band over the other.

Under the marketing competition, the comparison focuses specifically on the Lap Band explantation (or de-banding) during these trials.  The huge difference shown between the two brands of lap bands is now being used to manipulate doctors and patients into using a particular brand.  The problem is that the trials were not done under the same circumstances and cannot fairly be compared.

To correctly interpret the results of the trials, we need to look at the difference in circumstances.  The Lap Band trials were all done by surgeons, and placed in obese patients in both trials.  However, the comparison between trials does not include details about the surgeons’ experience in placing the band. The main difference between the trials is the surgeon’s ability and knowledge of the Lap Band.  At the time of the Inamed trial, the doctors were Gastric Bypass surgeons and had little to no experience with lap bands, while the Johnson & Johnson Realize Band trial was done by surgeons with more experience in Gastric Banding.  Therefore, it is likely that the famous “learning curve” adversely affected the Inamed trial.

It is also true that the first three Inamed models had many factory disadvantages.  Proof of this is that they have been pulled out slowly from all world markets, and Inamed has changed those first models for two different improved devices with fewer design problems.

Regardless of this last statement, we can conclude that the trials can not be compared, as the factors involved differ.  I believe there is more to do to improve the lap bands and that we will see changes on this matter in the near future.  I am placing the result of both trials for you to review and make your own conclusions.

Johnson & Johnson’s Realize Band trial

Realize Band – U.S. Clinical Trial  N=276
Key Serious Adverse Events
Band slippage

9 (3.3%)17
Band erosion

1 (0.4%)17
Port displacement

7 (2.5%)17
Band explantations

417
Port revisions/replacements

2717

 Inamed’s Lap-Band trial

Lap-Band® - U.S. Clinical Trial  N=299
Key Serious Adverse Events
Band slippage

11 (3.7%)18
Band erosion

1 (0.3%)18
Port displacement

18(6.0%)18
Band explantations

75
Port revisions/replacements

26

 

Arturo Rodriguez, M.D

http://www.thebariatric.com

Originally posted 2008-08-13 07:55:28. Republished by Blog Post Promoter

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De-Banding the LapBand Can be Complicated

Filed under: Lap Band procedure, Revision Surgery, Stomach erosion, gastric sleeve — Tags: , , , , , , — Dr. Arturo Rodriguez @ 10:09 am

De-Banding the Lap Band Can be Complicated

Today I want to share some concepts that frequently are misunderstood by Doctors starting a bariatric program, and by Banded Patients.  There are several reasons for De-Banding a Lap-Band patient. Today I would like to focus on EROSION.  The incidence of Stomach Erosion ranges from 2 to 15% of the patients who underwent a Lap Band Procedure .  The occurence of erosion depends on the Surgeons learning curve, and various patient actions such as the consumption of alcohol, spicy or hot food, frequent vomiting or the use of some medications like Aspirin.

The concept I want to strongly point out is that De-banding due to stomach erosion could be much more challenging and difficult than the initial LAP BAND procedure itself, and requires a lot more experience and skills to do it safely and properly without having complications like leaking, intra-abdominal abscesses or infection at different levels.

Doing the De-Banding properly also means that the Surgeon has to keep in mind that the patient may require a Revision Surgery after six months, for a Re-banding, a Gastric sleeve or a Gastric Bypass Procedure.

In cases of infection or leaking during the De-Banding, the revision surgery will be very difficult, and prone to more frequent complication rates (5 to 30%), or may almost be impossible to be done because of heavy adhesions at the operatory site.  As a matter of fact, the so called “learning curve” among Doctors when doing a De-Banding procedure requires a larger number of “supervised surgeries” than with the initial lap band, and the supervisions are usually done by an experienced Surgeon teaching the new bariatric surgeons or the General Surgeons under these conditions, to provide an opportunity for those patients to receive a new bariatric procedure.

If you require De-banding, be sure to inform yourself and look into finding the most experienced and qualified surgeon.  Your health is important.

Dr. Arturo Rodriguez
Bariatric Surgeon

http://www.thebariatric.com

Originally posted 2008-04-28 13:27:42. Republished by Blog Post Promoter

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The Laparoscopic Journey: Past and Future

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, gastric sleeve — Tags: , , , , , , , , , , , — Dr. Arturo Rodriguez @ 10:09 am

The Laparoscopic Journey: Past and Future

Our History

The knowledge that we have today about laparoscopy has developed through the patience, hard-work and determination of dedicated doctors and individuals. When we started doing laparoscopic surgery, many doctors without laparoscopic training argued that open surgery had a better view through the large incision, than from the tiny camera’s panoramic view. They also thought that the sense of touch was lost by using instruments instead of fingers tips. They stated we were introducing unnecessary risks to any procedure by doing so. However, over time we have discovered that laparoscopic surgery is a very safe method.  The view is much better with the cameras moving in all possible directions, and the tip of the instruments act as well as finger tips do after you have been trained to use the instruments.

We also were discouraged from performing laparoscopic surgery in the elderly, in the young and in the morbidly obese patients. The patients under this category were unable to have laparoscopic procedures of any kind in all major hospitals.  However, time and experience have also demonstrated the safety of this technique for higher-risk patients.  Now, everyone recognizes the laparoscopic method as the best option for many surgical procedures, and many people are now are surprised when procedures are not done using laparoscopy.

Advancement in the quality of lap band products has continued over the past 30 years.  The first lap band model in the United States was the Inamed Lap Band, approved by the FDA in 2001.  Doctors in the States began using this band as it was the only approved model in the US.  We initially promoted another type of Lap Band that was developed in Europe, with a softer ring, and a bigger, low-pressure balloon to adjust to any stomach size.  This type of Lap Band was approved by the FDA in 2006, and has now become the most widely used type of lap band in the world.  A few years ago, this band was purchased by Johnson and Johnson and is now known in the US market as the Realize Band.  Inamed (Now Allergan) has five different models of the Lap Band, which have been designed to emulate many of the characteristics of the Realize band.

What´s Next?

Initially, there was much resistance against treating patients with a BMI less than 35, with bariatric procedures such as the Lap Band.  The medical community now supports preventative medicine, by encouraging patients to be pro-active rather than waiting five or tens year and developing co-morbidities before they treat the medical problem.  Today, there are various procedures acceptable for patients with a BMI of less than 35, including the Gastric Band, as well as more drastic procedures such as the Gastric Bypass, Duodenal Bypass, Gastric Sleeve and Duodenal Exclusion.  These procedures are also helpful if you are looking for your patient to obtain the Metabolic Effect from these procedures, and to improve blood sugar control for patients with Type2 Diabetes, High blood pressure and High Cholesterol (Metabolic Syndrome).

 

Arturo Rodríguez, MD
http://www.thebariatric.com
http://www.bandstersforum.com

Originally posted 2008-06-02 00:35:50. Republished by Blog Post Promoter

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Getting to Know You…

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, Lap Band procedure, Lap band surgery, Obesity, Obesity surgery, Weight loss surgery — Tags: , , , , , , , , , , , , , — Dr. Arturo Rodriguez @ 10:09 am


Getting to Know You…

Learn More About your Bariatric Surgeon

Dr. Arturo Rodríguez is a highly skilled, compassionate surgeon with more than 13 years of surgical experience. He is a member of the American Society for Metabolic and Bariatric Surgery and Johnson & Johnson Proctor. He has performed more than 6,500 weight loss surgeries for patients from Mexico and the United States.

Dr. Arturo Rodríguez understands the life-changing effect that Bariatric Surgery can have on an individual, and he is committed to providing long-term support for his patients as they embark on their journey to healthier and happier lives.  Dr. Rodríguez specializes in minimally invasive laparoscopic Gastric Banding Surgery-Lap Band, Gastric Sleeve and Gastric Bypass which greatly reduces scarring and postoperative recovery time.  He is highly skilled in placing and monitoring both the Lap Band and the Realize band, and he personally consults with each one of his patients to determine which procedure best suits their needs. His extensive experience and education also allows him to help patients who suffer from complications of morbid obesity.

Dr. Rodríguez and his professional medical team are dedicated to providing expert care and compassionate support from the first consultation through years of follow-up.  Patients also receive long-term support through follow-up consultations, interaction with Dr. Rodríguez in the online forum and patient reunions held in Monterrey.

To schedule an in-person or online consultation with Dr. Rodríguez and learn more about your weight loss options, you can contact him at: 

ArturoRodriguez, MD

md@thebariatric.com

http://www.thebariatric.com

http://www.bandstersforum.com

Phone: 011-52-81-8378-3177.

Originally posted 2008-11-23 15:04:20. Republished by Blog Post Promoter

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June 24, 2009

John Daly and the Realize Band

Filed under: Gastric Band surgery, Gastric Banding, Gastric band Procedure, J & J Band, Lap Band procedure, Lap band surgery, Lapband, Lapband mexico, Lapband procedure, Lapband surgery, Obesity surgery, Realize Band, Weight loss surgery — Tags: , , , , , , , , , , , , — Dr. Arturo Rodriguez @ 11:12 pm

 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

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