ADVANCED LAP-BAND CENTER
Surgical Center for the Treatment of Morbid Obesity
Louis Fox, M.D., F.A.C.S.
Medical City Hospital, Dallas, Tx. 75230
phone 972.566.4560 – fax 972.566.6239 laparoscopic gastric banding
Results of Lap Band Surgery
There are many weight loss surgery options available at the present time. The Roux-en-y Gastric Bypass (RYGBP) and the Laparoscopic Adjustable Gastric Band (LAGB) are the two most popular and successful procedures presently in the United States. In Europe and Australia, Lap Band procedure numbers far exceed those of the RYGBP.
Each procedure has its own advantages/disadvantages, pros/cons, proponents/detractors, etc. Below is a graphic presentation comparing RYGBP and LAGB yearly weight loss, as published in a peer-reviewed medical journal. Up to 2 years, LAGB results in less weight loss than RYGBP; however, from two to four years there is no significant difference in weight loss between LAGB and RYGBP. This systematic review reports 56% excess weight loss (EWL) at five years for the Lap Band. In comparison, the gastric bypass is reported to have achieved a 59% EWL at five years. I do not feel that the potential risks and complications including a higher mortality rate of the RYGBP are worth this small difference in weight loss.
It is important to remember that these weight loss results are just averages. Patients may lose much more weight if they follow the post-op dietary and exercise guidelines and are compliant. Patients may lose less weight if they ‘cheat’ and are not compliant with the program.
Remember, all weight loss surgeries are just a ‘tool’ for you to use to accomplish your weight loss goals. You must use it correctly to maximize your results. The surgery itself is not a magic cure; it does require motivation and commitment by a responsible patient.