
The adjustable gastric band (AGB) is not right for everyone. Here are some of the things we will consider when evaluating your candidacy for obesity surgery.
Indications
The adjustable gastric band may be right for you if:
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Your BMI is 30 or higher
Your serious attempts to lose weight have had only short-term success.
You do not have any other disease that may have caused your obesity.
You are prepared to make substantial changes in your eating habits and lifestyle.
You are willing to continue being monitored by the specialist who is treating you.
You do not drink alcohol in excess. |
Contraindications
The adjustable gastric band is not right for you if:
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You have an inflammatory disease or condition of the gastrointestinal tract, such as ulcers, severe esophagitis, or Crohn's disease. You have severe heart or lung disease that makes you a poor candidate for surgery. You have some other disease that makes you a poor candidate for surgery. You have a problem that could cause bleeding in the esophagus or stomach. This might include esophageal or gastric varices (a dilated vein). It might also be something such as congenital or acquired intestinal telangiectasia (dilation of a small blood vessel). You have portal hypertension. Your esophagus, stomach, or intestine is not normal (congenital or acquired). For instance you might have a narrowed opening. You have or have experienced an intra-operative gastric injury, such as a gastric perforation at or near the location of the intended band placement.
You have cirrhosis. You have chronic pancreatitis. You are currently pregnant.
You are under 18 years of age (will be evaluated on a case-by-case basis).
You have an infection anywhere in your body or one that could contaminate the surgical area.
You are on chronic, long-term steroid treatment.
You cannot or do not want to follow the dietary rules that come with this procedure.
You might be allergic to materials in the device.
You or someone in your family has an autoimmune connective tissue disease. That might be a disease such as systemic lupus erythematosus or scleroderma. The same is true if you have symptoms of one of these diseases. |
Your Motivation
While the adjustable gastric band is an effective treatment for morbid obesity, the pounds do not come off by themselves. It is an aid/tool to support you in achieving lasting results by reducing appetite, limiting food intake and slowing digestion. However, your motivation and commitment to adopt a new lifestyle are extremely important for successful long-term weight loss. New eating habits need to be cultivated for the rest of your life. Exercise is an equally important component of a changed lifestyle.
Warnings: The AGB is a long-term implant. There is potential that Explant (removal) and/or replacement surgery may be required at some time. Patients who become pregnant or severely ill, or who require more extensive nutrition may require deflation of their bands. Patients should not expect to lose weight as quickly as gastric bypass patients (but results are virtually equal at 3 years), and band inflation should proceed in small increments. Anti-inflammatory agents, such as aspirin, should be used with caution and may contribute to an increased risk of band erosion.
Adverse Events: Placement of the AGB is major surgery and, like any surgery, death can occur (mortality rate of 0-0.05% or 0-1/2000). Possible complications include the risks associated with any surgical procedure.
Band slippage (1-3% risk), erosion (less than 1% risk), obstruction of the stomach, dilation of the esophagus, port problems, infection, or nausea and vomiting may occur. Reoperation may be required to treat such complications.
Rapid weight loss may result in complications that can require additional surgery. Deflation of the band may alleviate excessively rapid weight loss or esophageal dilation.
Not all contraindications, warnings or adverse events are included in this brief description. More detailed risk information is available at www.LAP-BAND.com or www.REALIZEBAND.com.