LAP Band FAQ

LAP BAND FREQUENTLY ASKED QUESTIONS

Below is a long list of frequently asked questions in relation to Lap Band surgery. If you have any further questions, then please feel free to contact us during business hours.
1WILL I BE SICK A LOT AFTER THE OPERATION?

The LAP-BAND System limits food intake. If you feel nauseated or sick on a regular basis, it may mean that you are not chewing your food well or that you are not following the diet rules properly. However, it could also mean that there is a problem with the placement of the band so you should contact us if this problem persists.

Vomiting should be avoided as much as possible. It can cause the small stomach pouch to stretch. It can also lead to slippage of part of the stomach through the band, which would reduce the success of the operation. In some cases, it would also require another operation.
2HOW MUCH WEIGHT WILL I LOSE?

Weight-loss results vary from patient to patient, and the amount of weight you may lose depends on several things. The band needs to be in the right position, and you need to be committed to your new lifestyle and eating habits. Obesity surgery is not a miracle cure, and the pounds won't come off by themselves. It is very important to set achievable weight-loss goals from the beginning. The average weight loss with the Lap-Band system is 0.5 – 1.0 kg per week.

Twelve to eighteen months after the operation, weekly weight loss is usually less. Remember that you should lose weight gradually. Losing weight too fast creates a health risk and can lead to a number of problems. Your main goal is to have weight loss that prevents, improves, or resolves health problems connected with severe obesity.
3HOW DO THE RESULTS COMPARE TO A GASTRIC BYPASS?
Results vary between individual patients with LAP-BAND patients losing 50-70% of excess weight and gastric bypass 50-80% of excess weight lost.
4DOES THE LAP-BAND REQUIRE FREQUENT POST-SURGERY VISITS?
Visits to our clinic are an important part of the Lap-Band process. Patients who maintain regular visits generally have better outcomes.
5DOES THE LAP-BAND LIMIT ANY PHYSICAL ACTIVITY?
The LAP-BAND does not affect or hamper physical activity including aerobics, stretching and strenuous exercise.
6DO I HAVE TO BE CAREFUL WITH THE ACCESS PORT?
Adjustments are routinely carried out in our rooms. A fine needle is passed through the skin into the access port to add or subtract saline. This process most often takes a few minutes, and most patients say it is virtually painless.
7CAN THE LAP-BAND BE REMOVED?
Although the LAP-BAND System is not meant to be removed, it can be. In most cases this can be done laparoscopically. The stomach generally returns to its original shape once the band is removed. After the removal, though, you may soon go back up to your original weight or even gain more.
8IS IT TRUE THE LAP-BAND SEEMS "TIGHTER" IN THE MORNING?
This is a fairly common feeling, especially for people with bands that are tight or just after an adjustment. During the day the water content in the body changes and this may cause the band to feel “tighter” some of the time. Some women have also noticed that the LAP-BAND feels tighter during menstruation.
9WILL I NEED PLASTIC SURGERY FOR THE SURPLUS SKIN WHEN I LOSE WEIGHT?
That is not always the case. As a rule, plastic surgery will not be considered for at least a year or two after the operation. Sometimes the skin will mold itself around the new body tissue. You should give the skin the time it needs to adjust before you decide to have more surgery.
10WILL I FEEL HUNGRY OR DEPRIVED WITH THE LAP-BAND?
The Lad-Band works by reducing the feeling satiety (a feeling of fullness) on a smaller amount of food. If you follow the nutrition guidelines when you choose your food and then chew it well, you should not feel hungry or deprived. Remember that the LAP-BAND is a tool to help you change your eating habits.
11WHAT WILL HAPPEN IF I BECOME ILL?
One of the major advantages of the LAP-BAND System is that it can be adjusted. If your illness requires you to eat more, the band can be loosened by removing saline from it. When you have recovered from your illness and want to lose weight again, the band can be tightened by increasing the amount of saline.
12WHAT IF I BECOME PREGNANT?
Becoming pregnant can be easier as you lose weight. Your menstrual cycle may become more regular. If you need to eat more while you are pregnant, the band can be loosened. After the pregnancy, the band may be made tighter again, and you can resume losing weight.
13WILL I NEED TO TAKE VITAMIN SUPPLEMENTS?
You may. It’s possible you may not get enough vitamins from three small meals a day. At your regular check-ups, your specialist will evaluate whether you are getting enough vitamin B12, folic acid, and iron.
14WHAT ABOUT OTHER MEDICATION?
You should be able to take prescribed medication. You may need to use capsules, break big tablets in half or dissolve them in water so they do not get stuck in the stoma and make you sick. You should always ask the doctor who prescribes the drugs about this.
15WHAT IF I GO OUT TO EAT?
Order only a small amount of food, such as an appetizer. Eat slowly. Finish at the same time as your table companions. You might want to let your host or hostess know in advance that you cannot eat very much.
16CAN I DRINK ALCOHOL?
Alcohol has a high number of calories. It also breaks down vitamins. An occasional glass of wine or other alcoholic beverage, though, is not considered harmful to weight loss.
17CAN I EAT ANYTHING IN MODERATION?
After your stomach has healed, you may eat most foods that don’t cause you discomfort. However, because you can only eat a little, it is important to include foods full of important vitamins and nutrients as advised by your surgeon and/or dietitian. If you eat foods that contain lots of sugar and fat or drink liquids full of “empty” calories, such as milkshakes, the effect of the LAP-BAND may be greatly reduced or cancelled.
18WILL I SUFFER FROM CONSTIPATION?
There may be some reduction in the volume of your stools, which is normal after a decrease in food intake because you eat less fibre. This should not cause you severe problems. If difficulties do arise, let us know as soon as possible.