Lap-Band

MCALLEN / HARLINGEN LAP-BAND SURGEON – DR. MARIO DEL PINO

Dr. Mario del Pino and the team of South Texas Lap-Band are regarded as some of the leading providers of Lap-Band surgery in McAllen, Brownsville and Harlingen. Over the years, they have completed numerous Lap-Band procedures that have helped thousands of patients lose their excess pounds in a safe, controlled manner. In order to reduce the recovery time and risk of complications, Dr. del Pino usually performs Lap-Band surgery laparoscopically. This approach eliminates the need for large incisions and extensive recovery times. Please explore the paragraphs below to determine whether you might be a Lap-Band McAllen / Harlingen patient, and what you should expect after surgery.

Lap-Band Surgery: What Is It?

The first gastric banding procedure was performed in Sweden in 1986. It was introduced in the United States after earning the FDA's approval in 2001. Several studies have shown that Lap-Band can achieve results similar to the gastric bypass surgery but with lower mortality rates.

The Lap-Band system is the most commonly used gastric band in the country. The placement procedure is done laparoscopically (through little incisions) under general anesthesia, and it usually takes less than an hour to perform. Most of the time, our McAllen gastric banding patients go home the same day, soon after surgery. However, sometimes the patient may have to stay in the hospital overnight. The pre-operative workup is identical to the workup done for the laparoscopic gastric bypass procedure.

Lap-Band in McAllen: How Is It Performed?

It involves implanting a device around your stomach that is connected with a thin tube to a reservoir or “port” that is placed under the skin. The device around your stomach is inflatable and adjustable and we call it the band. The Band is adjusted once a month and the first adjustment is done 4 to 6 weeks after surgery. The adjustment can be done in the office without x-rays or in the hospital under x-ray guidance. It involves accessing the reservoir with a needle and injecting fluid to inflate the band.

The fluid can also be withdrawn to deflate the band. Without adjustments no weight loss can be achieved. It takes an average of 5 to 6 adjustments before you can start to lose weight in a steady fashion. The goal is for you to lose 1-2 pounds per week. Weight loss is much slower than with the gastric bypass and it usually takes between two to three years to achieve the results seen with the Roux Y Gastric Bypass. The Lap Band ® is a restrictive procedure. It makes you lose weight by restricting or limiting the amount of solid food that you can eat. It does not restrict liquid calories. Therefore some specialists do not recommend it for “sweet eaters”, people who like sweet high calorie containing liquids or dissolvable foods.

Lap-Band Surgery: Advantages and Disadvantages

Advantages of the procedure are that the Lap-Band is completely reversible and the stomach returns to normal after the band is removed. There is no cutting or stapling of the stomach, with no possibility of leaks. The hospital stay is short and recovery is quick. Most of our McAllen / Harlingen Lap-Band patients are back to work the same week of surgery. There are no malabsorption issues because there is no re-routing (bypass) of the intestines but daily multivitamins are still recommended. Life-threatening complications are much less common than with gastric bypass; the mortality rate after Lap-Band is only 1 in 2,000 versus 1 in 200 for the gastric bypass.

However, with Lap-Band the rate of re-operation is higher than with gastric bypass. Complications include obstruction if the band is adjusted too tight, which can be solved by deflating the band. Slippage occurs when the band slides up or down and it can no longer be adjusted and the restrictive effect is lost. It is solved by removing the band. Erosion of the wall of the stomach has also been described but it is very rare. There can also be problems with the port or the tubing system. They can break or become infected, requiring replacement.

Advantages

  • Fully reversible, stomach returns to normal if the band is removed
  • No cutting or stapling of the stomach
  • Short hospital stay
  • Quick recovery
  • Adjustable without additional surgery
  • No malabsorption issues (because no intestines are bypassed)
  • Fewer life threatening complications
  • Laparoscopic
  • Outpatient or Overnight stay
  • Less than one hour procedure
  • 1st adjustment after 6 weeks
  • 4-5 adjustments are needed on average
  • Weight loss is 1-2 lbs/week

Disadvantages

  • Involves placing device
  • Risk of re-operation
  • Slippage
  • Obstruction
  • Erosion
  • Need for monthly follow-up
  • Does not restrict intake of liquid or dissolvable food

Schedule Your Lap-Band Consultation Today

Dr. del Pino and his team encourage you to schedule your Lap-Band appointment today by calling their offices at (956) 631-8155, or by clicking here.