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De-Banding the “Lap-Band” is very Easy! Nothing can be so FALSE!

Today I want to share some concepts that frequently are misunderstood by Doctors starting a bariatric program and by Banded Patients.

The reasons for De-Banding a Lap-Band patient can be several but I want to focus on EROSION.

The incidence of Stomach Erosion ranges from 2 to 15% of the patients that underwent a Lap Band Procedure and is dependable on Surgeons learning curve, patient’s bad habits as alcohol, spicy or hot food, frequent vomiting and the use of some medications like Aspirin.

The concept I want to strongly point out is that De-banding due to stomach erosion could be much, much more challenge and difficult than the initial LAP BAND itself and requires a lot more experience and skills to do it safely and properly without having complications like leaking, intra-abdominal abscess or infection at different levels.

Doing the De-Banding properly means also that the Surgeon has to keep in mind always leaving the operatory area ready for offering a Revision Surgery after six months for a Re-banding or Gastric sleeve or for a Gastric Bypass Procedure.

 In cases of infection or leaking during the De-Banding, the revision surgery will be very difficult, prone to face more frequent complications rates (5 to 30%) or almost to be impossible to be done because of heavy adhesions at the operatory area.

As a matter of Fact, the so called “learning Curve” among Doctors when doing a De-Banding Procedure requires much more number of “supervised Surgeries” then with the lap Band and the supervisions are usually done by an experienced Surgeon teaching the New Bariatric surgeons or the General Surgeons under this conditions to give a chance for those patients for a new bariatric procedure.

Dr. Arturo Rodriguez
Bariatric Surgeon

     

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