LAP-BAND® Surgery

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What is LAP-BAND® surgery?

You know you’re ready to lose the weight and keep it off. That’s incredible! You’ve also decided that bariatric surgery is the right solution to help you win your battle with obesity.

But now you’re wondering: which bariatric surgery is right for you? You’ve heard a lot about LAP-BAND® surgery (also called gastric banding surgery), but you have some questions. How effective is it? Is it safe? Will this surgery give you your best chance to lose weight and build the happy and healthy life that you so deeply deserve?

Because we care about you, we want to be completely honest: LAP-BAND® surgery is an outdated and ineffective weight loss surgery. It leads to less weight loss than other surgeries, and has a higher long-term risk of complications (some of which can be very serious). If you really want to lose the weight for good, then we highly recommend that you choose another weight loss surgery such as duodenal switch or sleeve gastrectomy surgery.

What is LAP-BAND® surgery?

The LAP-BAND® procedure is a surgical procedure that decreases the amount of food a patient has to eat in order to feel full.

The band is an inflatable device that is placed around the upper part of the patient’s stomach. The band is locked in place like a collar around the stomach and 3-4 stitches are placed on either side of the band to keep it in position, and to decrease the risk of band slippage. The collar is connected to a tube which has a port attached to it. This creates a closed system so that when saline is inserted via the port, it inflates a balloon inside the collar, creating a small stomach pouch. The saline amount will be adjusted over time based on how much the patient can eat and how much weight they are losing. The band also slows the emptying of food out of the pouch, causing the patient to feel full longer.

What are the risks of LAP-BAND® surgery?

Unlike other bariatric surgeries, this surgery introduces a foreign body to your system. Because of this, complication rates for this surgery are unusually high, and the surgery is widely considered to be outdated and unsafe. One study found that, within three years of having the procedure, an astounding 88 percent of patients reported at least one severe complication, such as gastroesophageal reflux, difficulty swallowing, or stomach obstruction. Worldwide, at least 25-40% of bands will need to be removed within the first 5 years due to complications experienced only with gastric banding procedures.

Doctor handing a patient a clipboard during an appointment.

One big problem with gastric banding surgery is that, even if the patient doesn’t need to have their band removed, they will likely need frequent adjustments due to problems with the band.

Patients can suffer from problems such as:

  • Band erosion (2-9% of patients)
  • Band intolerance (at least 6.9% of patients)
  • Port or band infection (1-4% of patients)
  • Gastric band slippage (up to 22% of patients)
  • Gastric pouch dilation (4-9% of patients)
  • Band or port leak (hardware failure in 1-4% of patients)
  • Port problems (up to 20% of patients)

Due to the frequency of these problems, many patients require frequent adjustments and surgical revisions. Most patients require several adjustments in the first year (estimates range from 3 to 13 per year on average), and less frequent but still common adjustments in the years afterwards. This can translate to a lot of hospital visits and surgeries.

Even more concerningly, patients who get this surgery tend to not lose very muchtend to maintain much less weight loss. Patients oOn average patients initially only lose 40-50% of their excess body weight. This is a much lower number than that offered by other bariatric surgeries. Weight regain is also a serious problem: one large study found that patients who kept their band for 14 years only maintained weight loss equal toof only 15% of their unhealthy body weight on average.

To reiterate: because we care about you, we highly recommend that you consider an alternative weight loss surgery rather than proceeding with gastric banding surgery. In fact, at the BMCC we don’t even offer LAP-BAND® surgery because it’s considered to be unsafe and ineffective.

Doctor consulting a patient about bariatric surgery options for a healthy lifestyle.
At the BMCC we don't offer LAP-BAND® surgery because it's considered to be unsafe and ineffective

What are the best alternatives to LAP-BAND® surgery?

At the BMCC, we offer three powerful alternatives to gastric banding surgery. Each of these surgeries is safe and effective, and offers you an excellent chance to lose the weight, keep it off, and get back to the wonderful life that you deserve.

If you’re not sure which of these surgeries is right for you, feel free to browse our website or give our friendly office staff a call. Many of our patients say that the decision to undergo bariatric surgery was one of the best decisions they ever made.

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Is bariatric surgery right for you?

Take our 60 second assessment to discover the best treatment plan for you.

Testimonials What our patients say

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Insurances we accept

If you have health care insurance and would like your insurance to pay for your procedure, we do accept most major insurance providers.

If you schedule an appointment with our Denver office, we are happy to discuss all of your payment options for weight loss surgery.

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Join an upcoming EDU webinar

Attend a free online webinar to become more informed about the requirements and next steps for your treatment.

Dr. Joshua Long, MD, MBA, FACS, FASMBS
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Meet your Bariatric Physician Dr. Joshua Long

MD, MBA, FACS, FASMBS

A nationally renowned and double-board-certified Denver bariatric surgeon, Dr. Long uses a partnership care model with each patient to tailor care to their individual needs. Patients routinely thank Dr. Long for his warm, compassionate bedside manner. He’s considered to be at the top of his field, having performed well over 2,000 surgeries in all places consistently throughout the site.