What is the Lapband?

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 weightloss. 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.

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(Gastric band) Cost – With Private Health Insurance

Lapband Management Fee: $5,500

This will include:

  • Surgeon
  • Surgical Assistant
  • Lifetime follow-up care (lapband adjustments) with Dr Reza Adib*
  • Dietitian program post-op (12 months)

Additional fees to be expected: 

  • Initial Dietitian Consultation: $145 which is claimable through health fund extras.
  • Anaesthetist: $500
  • Hospital Excess
  • Pathology and Radiology: $280

Lapband (Gastric Band) Cost – Without Private Health Insurance

Lapband Management Fee: $5,500

This will include:

  • Surgeon
  • Surgical Assistant
  • Lifetime follow-up care (lapband adjustments) with Dr Reza Adib*
  • Dietitian program post-op (12 months)

Additional fees to be expected: 

  • Initial Dietitian Consultation: $145 
  • Anaesthetist: $1,200
  • Wesley Hospital Fees & Pharmacy: $13,050
  • Pathology and Radiology: $500

Total Cost: $20,130

Patients can expect some Medicare refunds.

* Please note that it is the patients responsibility to ensure that they have a current GP referral for all of their follow up appointments with Dr Reza Adib.

 

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:

How is the procedure performed?

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 weightloss, 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 takes 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 weightloss 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 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.

Uninsured?

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 a one night stay in hospital, and recovery time is around 1-2 weeks.

Aftercare

At Brisbane Obesity Clinic, your long-term health and weightloss 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 12-month Dietitian program post operation. 

How to get the best from your Lapband – understanding the zones

Are there any risks with the Lapband?

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:

  • Infection
  • Bleeding
  • Wound complications
  • 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)

Success Stories

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 her story here

Disclaimer: Results may vary from person to person

References

  1. 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
  2. Dixon JB et al. Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. JAMA 2008;299(3):316-323
  3. Dixon JB, Schachter LM, O’Brien PE. Sleep disturbance and obesity: changes following surgically induced weight loss. Arch Intern Med. 2001;161:102-106.
  4. Dixon JB, Chapman L, O’Brien PE. Marked improvement in asthma after Lap-Band surgery for morbid obesity. Obes Surg. 1999;9:385-389.
  5. Dixon JB, O’Brien PE. Gastroesophageal reflux in obesity: the effect of LAP-BAND placement. Obes Surg. 1999;9:527-531 .
  6. Hutan Ashrafian CW et al. Effects of bariatric surgery on cardiovascular function. Circulation 2008;118:2091-2102
  7. Paul E O’Brien. Mechanisms of Bariatric Surgery, 2010
  8. Apollo Endosurgery, Data on File; 2015

Find out about more information on the obesity services provided: