You already know that obesity is a serious medical condition that leads to heart disease, diabetes, and other life-threatening conditions. You know that you need to do something about your weight if you want to be there for your children and grandchildren in the future. You have probably tried plenty of times to lose weight, but for some people, diet and exercise alone are not enough to lose pounds and keep them off.
It’s time to look for a real, permanent weight loss solution. If you are seriously considering weight loss surgery and are already researching the various bariatric surgery procedures, you’ve already taken a step in the right direction. LAP-BAND® weight loss surgery has already helped thousands of people finally take control of their weight, and you could be the next bariatric surgery success story.
LAP-BAND® Is the Least Invasive Option for Weight Loss Surgery
All of the bariatric procedures performed by our board-certified bariatric surgeon Dr. Shyam Dahiya can help you triumph over obesity with hard work and dedication. Compared to other bariatric surgery procedures like gastric bypass surgery, however, LAP-BAND® surgery is the least invasive option.
The LAP-BAND® system is an adjustable, removable gastric band that cinches around your stomach, creating a small pouch at the top. With the LAP-BAND® device in place, the pouch fills up quickly after eating just a small amount of food, making you feel satisfied. After your operation, your LAP-BAND® surgeon Dr. Dahiya can adjust the amount of saline in the gastric band without additional surgery, making it tighter or looser as needed. The LAP-BAND® system can even be adjusted to allow for a healthy pregnancy, and unlike gastric bypass surgery, the LAP-BAND® procedure is fully reversible.
LAP-BAND® surgery does not involve re-routing your digestive tract, which makes LAP-BAND® less painful than other bariatric procedures and allows for a faster recovery. Dr. Dahiya performs LAP-BAND® surgery through just a single, small incision using the state-of-the-art SPIDER® Surgical System, which also speeds up your recovery and reduces the risk of infection and other complications.
How the LAP-BAND® Works
Most people know that LAP-BAND® surgery helps people with obesity eat less and get to a healthy weight, but fewer know how LAP-BAND® weight loss surgery actually works. We want you to be fully informed before deciding whether the LAP-BAND® is your best bariatric surgery option.
When you come in for your LAP-BAND® surgery consultation, our board-certified bariatric surgeon Dr. Shyam Dahiya will explain everything you need to know about the LAP-BAND®, including alternatives to LAP-BAND® surgery and the risks and complications of weight loss surgery.
The LAP-BAND® Surgery Helps You Eat Less
The LAP-BAND® device cinches around the upper part of your stomach with a soft silicone ring filled with saline. This creates a small pouch at the top of your stomach, which holds only a small amount of food. When you eat, the pouch fills up quickly, sending a signal to your brain that makes you feel full.
The pouch created by the LAP-BAND® device has less than 10% of the volume of your whole stomach, so after LAP-BAND® surgery you feel full faster and longer. Since you are satisfied with such a small portion of food, you are then able to eat less and finally lose the weight you have been trying to lose for years.
One of the best things about LAP-BAND® surgery is that the LAP-BAND® device is adjustable. Your bariatric surgeon Dr. Dahiya can ensure that it remains effective and comfortable for years to come without additional surgery. Dr. Dahiya can make these adjustments by adding or removing saline solution through a port underneath your skin using a specialized needle. The goal of these adjustments is to make sure that your stomach is restricted, but food can still move smoothly through your digestive system.
The LAP-BAND® Surgery Helps You Lose Weight
LAP-BAND® surgery is remarkably effective, but it’s not magical or miraculous. In order to reach your goal weight and stay there, you must be committed to eating a healthy, nutritious diet and regular exercise. Eating smaller portions and feeling full more quickly is extremely helpful for losing a significant amount of weight, but it takes a lifelong commitment to making healthy choices to make that weight loss permanent.
Thankfully, you’re not alone. After your LAP-BAND® surgery, you’ll have monthly check-ins at our office in Lakewood so that your LAP-BAND® surgeon Dr. Dahiya can monitor your progress. Our nutrition specialist Dr. Jose Mari-Elacion will reinforce your post-operative weight loss program of exercise and healthy eating, encouraging you to keep up the good work. After years of feeling powerless against overeating and obesity, LAP-BAND® surgery can put your future back in your own hands.
If you are committed to changing your life for the better with LAP-BAND® surgery in Los Angeles, please schedule a consultation with board-certified bariatric surgeon Dr. Shyam Dahiya and come into our office near in Lakewood, California.
Common Questions about the LAP-BAND® Surgery
Below are some frequently asked questions about LAP-BAND® surgery. If you have any more questions please contact our surgeon Dr. Shyam Dahiya.
How much does LAP-BAND® surgery cost?
Actually, almost every LAP-BAND® surgery we perform is covered by Medicare or by the patient’s health insurance, so the cost you pay for LAP-BAND® surgery depends on your health insurance policy. Some insurance companies do have extra requirements, however, so come to our office in Lakewood, California and we will do whatever we can to help you get insurance coverage for weight loss surgery. If you do not have health insurance or a very high deductible, you can get financing for weight loss surgery through CareCredit.
How long does LAP-BAND® surgery take?
Maintaining a healthy weight is a lifelong commitment, but the LAP-BAND® surgery itself usually only takes about an hour. At your LAP-BAND® surgery consultation, our Los Angeles LAP-BAND® surgeon Dr. Shyam Dahiya will explain how LAP-BAND® surgery works and the steps you’ll need to take in the weeks before your LAP-BAND® procedure.
After your LAP-BAND® surgery, you should expect to miss at least a week or two of work as you recover from the operation. Because Dr. Dahiya uses the minimally invasive SPIDER® Surgical System, your recovery after LAP-BAND® surgery may even be faster and less painful than you expect.
How fast will I lose weight after LAP-BAND® surgery?
The speed of your weight loss after LAP-BAND® surgery depends on several characteristics that are unique to your body. In particular, the genetic and physiological influences that contributed to your obesity problem in the first place significantly affect your ability to shed pounds quickly after LAP-BAND® surgery. In general, the better you are at sticking to your post-surgery weight loss program of diet and exercise, the faster you should reach your weight loss goals. Because your LAP-BAND® device is adjustable, Dr. Dahiya can make your LAP-BAND® device more restrictive if you are not losing weight fast enough.
What are the risks of LAP-BAND® surgery?
All major surgery involves some degree of risk, and LAP-BAND® surgery is no exception. However, Dr. Dahiya performs LAP-BAND® surgery using a single incision with the SPIDER® system to significantly reduce these risks. Complications from LAP-BAND® surgery are extremely rare, but can include ulcers, gastritis, infection, bleeding, and problems with the LAP-BAND® device. Gastric banding surgery like the LAP-BAND® and REALIZE® Band do not rearrange your digestive system, which avoids the nutritional difficulties that can sometimes occur with gastric bypass surgery.
LAP-BAND® Surgery Side Effects
As with all major surgical procedures, LAP-BAND® surgery does come with the risk of certain complications. After a thorough examination and consultation, Dr. Dahiya will help you determine if you are an ideal candidate for LAP-BAND® surgery, or if there is an alternative weight loss surgery that would be a better option for you.
When Dr. Dahiya performs LAP-BAND® surgery, he makes a single incision using the SPIDER® Surgical System to reduce the risks involved with invasive surgery. Because LAP-BAND® surgery does not require any rearrangement of your digestive system like gastric bypass surgery, complications are usually quite rare, and your body is still able to normally absorb important nutrients.
Below are some of the possible side effects that have been associated with LAP-BAND® surgery.
Nausea and Vomiting
Because of how small your new stomach pouch is after surgery, you will not be able to digest certain foods as well as you once did. Certain raw vegetables and fruits – such as broccoli or apples – will be difficult for your new stomach to handle, along with fatty meats. If you consume these foods too early in your dietary plan, or simply take in more than your body can handle, you may experience nausea.
Your smaller stomach size also means that fluid intake is sometimes neglected, leading to dehydration, which is another cause of nausea and vomiting. These side effects can be avoided by carefully following your post-surgery diet plan and following up with Dr. Dahiya to make sure you are meeting your goals.
Gastritis is an inflammation of the stomach lining that can occur along with indigestion. The symptoms of gastritis include a burning ache or pain in your upper abdomen, feeling full in your upper abdomen, and nausea. Most cases of gastritis are short-lived and won’t require medical attention, but if you experience prolonged symptoms, speak with Dr. Dahiya.
Problems with the LAP-BAND® Gastric Band
On rare occasions, issues can arise with the adjustable gastric band itself. The band could slip out of place, begin to erode, or saline solution could leak out of the band into your body. Leaked saline can contribute to nausea in patients, or simply a general feeling of discomfort and malaise. Dr. Dahiya will monitor the adjustable gastric band through follow-up appointments to ensure it is in the right position and in good working order.
Preventing LAP-BAND® Side Effects
Most of the side effects discussed above can be avoided through careful monitoring of your diet and close follow-up with Dr. Dahiya. Nausea and vomiting can especially be prevented by eating smaller portions, chewing your food slowly, and learning which foods your stomach can tolerate easily. If you are experiencing post-surgery side effects, Dr. Dahiya can help you determine the cause and develop a solution. A significant benefit of LAP-BAND® surgery is that it can easily be reversed if severe side effects start occurring.
LAP-BAND® Recovery Process
Following Lap-Band surgery, you may feel sore and your mouth will be extremely dry. Immediately after the surgery you will most likely only be able to take a sip of water or chew on some ice chips to help alleviate the dry mouth you may be experiencing.
What to Expect During LAP-BAND® Surgery Recovery
Pain medication can help to manage any discomfort that you are experiencing while your body recovers from the surgery. Dr. Dahiya and the medical staff will help to advise you on certain over the counter medications that are safe for you to take. Once you have been checked out and released from the hospital, it will be required for someone to drive you home.
Dr. Dahiya will also provide you with a list of postoperative instructions and provide you with a potential list of complications that may arise.
A diet composed primarily of liquids should be used for a few weeks following the weight loss surgery until softer foods such as purees or shakes can be tolerated by your stomach. After a longer period of time, typically 4-6 weeks, solid foods are gradually re-introduced to the stomach and will be digested normally.
Potential Risks & Complications of Surgery
Once you have arrived back at home or wherever you will be recovering from your surgery, it is important to rest as much as possible. This will help to increase your circulation and may also reduce the risk of developing potential blood clots in your lower extremities.
Any heavy lifting or exercise is not permitted in the initial weeks after the procedure. Dr. Dahiya and his medical staff will advise you when it is safe to resume any exercise routine. Most patients can return to work within a week of the surgery, unless the employment is a physically demanding job in which case it is best to chat with a member of the medical staff before doing so.
After the weight loss surgery procedure, patients must make several follow-up visits with their surgeon to ensure no complications have arisen from the surgery as well to adjust the band. On average, approximately 50 percent of excess weight is lost in the first two years following the procedure. Additional plastic surgery may be necessary depending on the amount of weight lost.
History of the LAP-BAND®
Approved by the FDA a decade ago in 2001, the LAP-BAND® device has helped more than a hundred thousand patients worldwide get a new start at combating obesity with surgery.
Early Beginnings of Gastric Banding Weight Loss Surgery
Before LAP-BAND® surgery was available, bariatric surgeons had fewer options for helping people with obesity restrict their food intake. Gastric bypass surgery and sleeve gastrectomy were the most common bariatric surgery procedures, but surgeons wanted an option that was reversible and led to fewer side effects.
In the late 1970s and early 1980s, bariatric surgeons in the US, Norway, Sweden, and Australia developed gastric bands, meshes, and clips made from various materials, including Gore-Tex® and the same plastic used to make Hula Hoops®. These early gastric banding surgery attempts were not adjustable and had very high rates of failure, but surgeons did learn from these failures that silicone worked best as a gastric band material.
The First Adjustable Gastric Bands
Lubomyr Kuzmak, an important pioneer in adjustable gastric banding surgery, began using non-adjustable silicone gastric bands for obesity surgery in 1983. Three years later, this Ukrainian-American surgeon modified his design to include a portion that was adjustable. Kuzmak found that his adjustable gastric band provided better weight loss results with fewer complications, so he shared his findings with the surgical community.
Around the same time, Dr. Dag Hallberg developed and patented the Swedish Adjustable Gastric Band (SAGB) in his native country of Sweden. Because laparoscopic surgery was still uncommon at the time, both the Kuzmak band and the SAGB were initially implanted with open abdominal surgery.
Laparoscopic Gastric Banding Surgery and the LAP-BAND® System
The increasing use of laparoscopic surgery techniques in the 1990s truly transformed the practice of bariatric surgery, making weight loss surgery safer and less invasive. Soon, Kuzmak’s design was modified again to make the device easier to implant with laparoscopic surgery. In addition, bariatric surgeons nationwide began performing laparoscopic gastric bypass surgery and laparoscopic sleeve gastrectomy surgery to combat obesity.
Finally, in 2001, the US Food and Drug Administration (FDA) approved the LAP-BAND® for weight loss surgery in the United States. The LAP-BAND® device can be readjusted without surgery and comes in five different sizes to ensure a proper fit. This removable, adjustable gastric band has become extremely popular, helping thousands of people with obesity achieve their weight loss goals.
In addition to the LAP-BAND® device, the FDA also approved the latest version of the SAGB as the REALIZE® Adjustable Gastric Band in 2007. The REALIZE® Band is a one-size-fits-all alternative to LAP-BAND® surgery.
For many patients, LAP-BAND® surgery is an attractive option for weight loss surgery because it is minimally invasive and reversible. However, LAP-BAND® is not the best bariatric surgery procedure for every patient. Our LA LAP-BAND® surgeon Dr. Shyam Dahiya will go over all your weight loss surgery options in detail at your first bariatric surgery consultation, but it’s a good idea to be aware of the alternatives to LAP-BAND® surgery beforehand.
REALIZE® Band Weight Loss Surgery
The most similar alternative to LAP-BAND® surgery uses another type of adjustable gastric band called the REALIZE® Band. FDA-approved since 2007, the REALIZE® Band has been in use outside the United States for over 20 years and is known as the Swedish Adjustable Gastric Band (SAGB). The REALIZE® Band is one-size-fits-all, unlike the LAP-BAND®, and uses a suture-free injection port for adjustments. The REALIZE® Band also has a slightly lower maximum fill volume, but a wider range of adjustments.
Laparoscopic Gastric Bypass Surgery
Instead of using an implanted device like the LAP-BAND®, laparoscopic gastric bypass surgery actually separates a small part of the stomach and seals it shut. The new, smaller stomach pouch is then directly connected to the smaller intestine. Our board-certified bariatric surgeon Dr. Dahiya has perfected a particular technique for gastric bypass that has actually been named after him—The Dahiya Vertical Micropouch™.
While gastric bypass surgery is slightly riskier than LAP-BAND® surgery and is not reversible, gastric bypass may generate greater weight loss than gastric banding surgery like the LAP-BAND® and REALIZE® Band. Gastric bypass surgery is also known as gastric Roux-en-Y surgery.
Laparoscopic Sleeve Gastrectomy
Unlike gastric banding surgery and gastric bypass, laparoscopic sleeve gastrectomy does not involve creating a stomach pouch. Instead, Dr. Dahiya shrinks the stomach using a surgical stapling device, leaving a tube-like stomach with a capacity of about 200 ml. Laparoscopic sleeve gastrectomy can be done as the first stage of weight loss surgery for patients with a very high BMI, followed by gastric bypass surgery. Sleeve gastrectomy generates less weight loss than other bariatric surgery procedures, but requires less follow-up care and nutritional supplements.
LAP-BAND® Surgery in Los Angeles, CA
To learn more about the LAP-BAND® surgery, please schedule a consultation with our board-certified Los Angeles bariatric surgeon Dr. Dahiya to discuss your weight loss surgery options.
so grateful for my doctor and his well coordinated staff! they have helped me change my lifestyle and Amelia is always a text away any question she has always been there!
Our family has been with Shyam Dahiya Medical Group since it's started and we cannot express our gratitude enough to all medical and non-medical staff of the clinic. Everyone is always happy to serve and always goes beyond and above especially when dealing with elderly members of our family. The efficiency of the doctors always save us trouble when it comes to proper care for my dad and grandmother. The professionalism of all its non-medical staff is way beyond our expectations and always make us want to come back. Thank you all for your service and Kudos for Shyam Dahiya MD family.
Just saw Dr. Shyam Dahiya at his Lakewood office today for my Grandmothers' follow up visit after her surgery. I assumed that he would just tell us the basis of the results, but I was so impressed with the service and how he explained in detail the result of her exams. We are all very happy with the service we got from this office
Amazing people. So helpful. Love the way they have treated my mom and family. Truly grateful to entire staff.
We would like to give our special thanks to Dr.Dahiya and Ms. Amelia for doing extra miles to help our family. My mother felt their genuine care and respect as they helped and treated her. This medical group is highly recommended for people who are looking for family-oriented and highly hospitable care and services. We also would like to give thanks to the rest of their medical staff for being efficient and always ready to help us out.