The Lap Band® - Laparoscopic Band Surgery / Weight Loss Surgery
(WLS)
The health of millions of people worldwide is being threatened by
an obesity epidemic. Despite the growing obesity awareness, there
has been a considerable increase in the number of seriously
overweight, or severely obese, people all over the world. The
adjustable gastric band (Lap Band) is a safe and effective way to
lose weight in conjunction with a sensible life style.
Obesity, Its Health Risks, and Common Weight-Loss Methods
Obesity is an excess of total body fat, which results from
caloric intake that exceeds energy usage. A measurement used to
assess health risks of obesity is the Body Mass Index (BMI). BMI
is calculated by dividing body weight (lb.) by height in inches
squared (in2) and multiplying that amount by 704.5. The metric
calculation for BMI is kg/m2.
The ideal Body Mass Index (BMI) is between 19 and 25. If you
have a Body Mass Index of between 25 and 30, you are considered
to be overweight. At a BMI of 30 or over, you are considered
obese. A BMI of 40 or more indicates severe or "morbid" obesity.
Click here to find out your BMI.
Obesity (Body Mass Index of 30 or higher) substantially
increases the risk of serious health problems such as
hypertension, type 2 diabetes, heart disease, stroke,
gallbladder disease, osteoarthritis, sleep apnea, respiratory
problems, as well as endometrial, breast, prostate and colon
cancers. Losing excess weight is very important for improving
health and well-being.
Popular weight-loss methods such as exercising, dieting, and
appetite-suppressing drugs, can work for some people in the
short term. But over the long term, these methods don't work for
everyone. Some people quickly regain the weight they lose on a
diet, and some end up weighing even more. Drugs that make you
feel less hungry do not usually produce weight loss that lasts.
According to the American Obesity Association, over 125 million
American adults are overweight - they have a Body Mass Index
(BMI) of 25 or more. Of these, 60 million American adults are
obese (BMI of 30 or more) and 9 million are morbidly obese (BMI
of 40 or more, also known as severe obesity).
People who are obese are at higher risk for developing several
weight-related health problems. Excess weight is associated with
high blood pressure and high cholesterol, conditions that can
also increase the risk of heart disease, congestive heart
failure, or stroke. Overweight people are twice as likely to
develop type 2 diabetes, and may have more difficulty
controlling blood sugar levels. Obesity is associated with an
increased risk for several types of cancer, such as cancer of
the breast, uterus, colon, gallbladder, and kidney. Excess
weight increases the risk of certain respiratory conditions,
such as asthma, decreased lung volume, and sleep apnea. Some
other medical complications of obesity include: gallstones,
gout, osteoarthritis in the weight-bearing joints, reflux,
stress incontinence, back pain, and infertility. The estimated
direct health care costs of obesity were $102.2 billion in 1999.
Surgery for Severe Obesity: Laparoscopic Banding Obesity is most
commonly caused by eating too many calories and not getting
enough exercise. Therefore, the standard treatment for obesity
is diet and exercise. For many people, however, traditional
therapies are ineffective in either losing the weight or keeping
it off. Weight loss medications are available, but must be used
cautiously and can't be taken by everyone.
Another treatment for severe obesity is surgery. There are
several different types of surgery for obesity. One method is
laparoscopic banding. LAP-BAND® Adjustable Gastric Banding is a
minimally invasive procedure that closes off a large portion of
the stomach. Using tiny incisions, the surgeon places an
inflatable band around the upper portion of the stomach. Once in
place, a saline solution is injected into the band, which causes
the ring to inflate and squeeze around the stomach. The
procedure creates a small stomach pouch and limits the amount of
food the stomach can hold at any one time. The LAP-BAND® also
controls the flow of food from the stomach to the rest of the
digestive tract. As a result, patients feel fuller faster and
for a longer amount of time, thus, consuming much less food.
Weight loss with the LAP-BAND® appears to be slower than that
achieved with gastric bypass (where doctors surgically bypass a
large portion of the intestines to inhibit the absorption of
nutrients). But over the long term, weight loss between the two
procedures is about equal. However, patients undergoing gastric
bypass are at risk for nutritional deficiencies due to bypassing
a large portion of the intestines. On the other hand, with
LAP-BAND, food still passes naturally through the digestive
system, allowing patients to absorb all the important nutrients
in their food.
There are some risks with LAP-BAND® surgery. Other than the
general risks of surgery, there is a chance the band will slip
out of place or erode into the stomach wall. Doctors say these
complications are relatively rare and, most often, can be fixed
laparoscopically. Obesity surgery is only recommended for
patients who are severely overweight (have a BMI of 40 or more),
and for those with a BMI of 35 or higher who have serious
weight-related medical conditions.
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