The Lapband procedure conducted by a skilled surgeon where an adjustable ‘restrictive band’ is placed around the top of the stomach. This adjustable gastric band’ works by reducing the amount of food that can be eaten in a sitting & by helping you feel ‘full’ more quickly. Ultimately, you feel more satisfied more quickly & the urge to overeat is removed. The Lapband System is a clinically proven medical device to aid with long-term weight loss. Studies have shown an average excess weight loss of 47.1% maintained at 15 years,with either complete control or improvement in obesity related diseases such as type 2 diabetes, sleep apnoea, heart disease, asthma and hypertension, among others. 2
Watch this animated video of the Lapband Procedure:
Advantages of Lapband
The Lapband System is adjustable & reversible
The surgery is performed through small incisions & with long-shafted instruments
There are no major cuts to the abdomen
The gastric band, like a belt, is fastened around the top of the stomach
Unlike other bariatric surgery, the stomach & intestines are not cut or re-routed
The band presses on the stomach creating sensations of fullness. The band can be adjusted to increase or decrease hunger sensations
Only small amounts of food can be eaten at once because of the tiny pouch above the band
Even though weight loss surgery patients often have many other serious illnesses, the comparable risk is about the same as for a laparoscopic cholecystectomy (gallbladder removal)
Cost for the Lapband
Lapband Cost - With Private Health Insurance
Lapband Management Fee: $4500*
This includes:Surgeon, Surgical Assistant, Lifetime band adjustments, Lifetime follow-up care with Dr Adib, Dietitian program post-op (6 months)
Please note you will require an initial Dietitian appointment $145 which is claimable through health fund extras cover. You will also require an Anaesthetist for the procedure which vary from $500 up to $1400.
Lapband Cost - Without Private Health Insurance
Lapband Management Fee:$4,900*
This includes: Lifetime follow up & Lapband Adjustments, 6 months Dietitian program post-op, surgical assistant
Additional fees to be expected: Anaesthetist $1400, Initial Dietitian Consultation$145, Wesley Hospital Fee & Pharmacy $10,600, Pathology & Radiology $500
Total out of pocket cost:$17,545
Both Insured and Uninsured Patients can access their superannuation to cover their out of pocket expenses. For more information click here
For further pricing information please click on the links below:
During the 30-45minute laparoscopic procedure, the Lapband is placed around the top of the stomach; this applies a constant, gentle pressure, and increases a feeling of satiety (a feeling of fullness) on a smaller amount of food, therefore patients eat less.7
Attached to the Lapband is an access port. The access port sits beneath the skin on the abdomen, and allows the Lapband to be adjusted to the patients’ individual needs. For optimal weight loss, we work with you on a regular basis to ensure you are in the ‘Green Zone’. These adjustments do not require any additional surgery, are done in our clinic, and usually taking only a few minutes.
How much weight will I lose?
Patients generally lose around 0.5-1kg on a weekly basis depending on their metabolism and eating & exercise habits, while a recent large Australian study from CORE, the Centre for Obesity Research & Education of Monash University, showed that patients maintained an excess weight loss of 47.1% long-term at 15 years.
Current wait time for the Lapband
There is currently no wait time for Lapband surgery for patients who are wanting their procedure done as soon as possible. Patient's will only need to allow enough time to commence their mandatory pre-surgery diet, this is usually of 2 weeks duration and varies according to BMI.
Is it safe?
The Lapband System has been a proven tool for weight loss since 1994, with over 850,000 patients’ worldwide.8
Of the current procedures offered worldwide, the Lapband System is the safest procedure due to it being a minimally invasive procedure, as it doesn’t require any removal or re-routing of the stomach or anatomy.
The Lapband is intended to be implanted as a long-term device, however if required it can be removed at any time.
Who qualifies for the Lapband?
Patients with a BMI of 35, or 30 with 1 or more obesity related diseases, qualify for the procedure, which usually indicates around 20kg or more to lose.
Dr Reza Adib does perform the Lapband on insured and uninsured patients.
What is made from?
The Lapband System is a prosthetic device made from medical grade silicone which is used in many other medical devices such as hip prosthesis components.
How long is recovery time?
The procedure is usually performed as day-surgery, and recovery time is around 1-2 weeks.
At Brisbane Obesity Clinic, your long term health and weight loss goals are our priority; and following your LAPBAND procedure your follow-up with us is key to success. Patients who have a Lapband will require ongoing band adjustments to keep the band tight. The surgeon will advise the patient of how regular the adjustments need to be made as they vary from patient to patient. Patients will receive a 6 month Dietitian program post operation.
How to get the best from your Lapband - understanding the zones
As with any surgical procedure there are risks however most patients are in hospital for one or two nights & are well recovered by the end of week one.
Complications are the same as for any surgery & include:
Clots in leg veins
Depending on the other illnesses you may have at the time of surgery, anaesthetic risks can vary, so particular attention is paid to the pre-operative assessment & during the surgical period to ensure that any potential complications are minimised.
If you suffer from sleep apnoea or have breathing difficulties of any sort you may be asked to undergo a sleep study prior to surgery & have a special treatment regime established.
There are some specific complications peculiar to the Lapband. These are uncommon but may require repeat surgery. They include:
Erosion of the band (breaking down of the band)
Prolapse of the band (where the band slips down)
Port infection (skin infection where the tubing exits the body)
Device failure (such as a tubing fracture)
Kimberly lost 22kg with the LAP-BAND® System. Watch her story here
Jason lost 31kg with the LAP-BAND® System. Watch his story here
Melinda lost 133kg with the LAP-BAND® System. Watch her story here
Stephen lost 36kg with the LAP-BAND® System. Watch his story here
Mary-Anne lost 31kg with the LAP-BAND® System. Watch here story here
O’Brien PE et al. Long-term outcomes after bariatric surgery: Fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg 2013; 257:87-94
Dixon JB et al. Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. JAMA 2008;299(3):316-323
Dixon JB, Schachter LM, O’Brien PE. Sleep disturbance and obesity: changes following surgically induced weight loss. Arch Intern Med. 2001;161:102-106.
Dixon JB, Chapman L, O’Brien PE. Marked improvement in asthma after Lap-Band surgery for morbid obesity. Obes Surg. 1999;9:385-389.
Dixon JB, O’Brien PE. Gastroesophageal reflux in obesity: the effect of LAP-BAND placement. Obes Surg. 1999;9:527-531 .
Hutan Ashrafian CW et al. Effects of bariatric surgery on cardiovascular function. Circulation 2008;118:2091-2102
Paul E O’Brien. Mechanisms of Bariatric Surgery, 2010
Apollo Endosurgery, Data on File; 2015
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