What is Lap Band Removal?
Lap band removal is a surgical procedure that involves taking out an adjustable gastric band (lap band) that was previously placed around the upper part of the stomach to help with weight loss. The band is removed if it’s no longer effective or is causing complications. While it’s a relatively simple procedure, patients may need further surgery for long-term weight management, such as transitioning to another weight loss surgery like sleeve gastrectomy, gastric bypass, or duodenal switch (DS).
Indications for Lap Band Removal
Lap band removal is recommended when patients experience problems such as band slippage, erosion into the stomach, or infection. Other reasons include difficulty swallowing, persistent nausea or vomiting, severe acid reflux, or inadequate weight loss or weight regain. Some patients may also opt to remove the lap band if they find it uncomfortable or inconvenient to maintain.
Preparation for Lap Band Removal
Before surgery, patients meet with their bariatric surgeon to discuss their symptoms and assess the condition of the lap band. This might involve imaging studies, such as an X-ray or endoscopy, to evaluate the position of the band. In preparation for surgery, patients may be advised to follow a preoperative diet and stop smoking to reduce complications. If a conversion to another procedure is planned, further evaluations may be required.
Lap Band Removal Procedure
Lap band removal is usually performed laparoscopically, meaning it’s done through small incisions with minimal invasion. Using special surgical tools, the surgeon removes the band and any surrounding scar tissue that has formed over time. If there is significant damage to the stomach, additional repair may be needed. The procedure typically takes about one hour, and most patients go home the same day. If a conversion to another weight loss procedure is planned, the surgeon may perform it at the same time or in a separate surgery.
Recovery after Lap Band Removal
After the procedure, patients can expect a short recovery time, typically resuming normal activities within one to two weeks. Initially, patients may be on a liquid diet before gradually returning to solid foods. If no further surgery is planned, patients should focus on maintaining a healthy diet and lifestyle to avoid weight regain, as they will no longer have the restriction the lap band provided.
Risks associated with Lap Band Removal
As with any surgery, there are risks, including infection, bleeding, and complications from anesthesia. Additionally, if the stomach was damaged by the lap band, there may be a risk of leaks or scarring that could affect digestion. Weight regain is a common concern after band removal if another weight loss method is not introduced. Some patients may also experience temporary digestive issues as their body adjusts to the absence of the band.
Benefits of Lap Band Removal
The main benefit is relief from the discomfort or complications caused by the lap band, such as acid reflux, nausea, or band slippage. For many, it improves quality of life and eliminates the need for band adjustments or fills. If a conversion to another weight loss surgery is performed, patients may achieve more sustainable and effective weight loss than what the lap band provided. It also removes the risks associated with a foreign object in the body, which could cause erosion or other complications over time.