Lap Band Surgery Results

Lap band surgery results range from superior to mediocre depending on which sources are referenced. Let’s set the record straight…

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Weight Loss
Around 50% Excess Weight On Average

Weight Loss: Around 50% Excess Weight On Average

Given the wide range of reported weight loss following lap band surgery, we have to wonder about the legitimacy of some of the studies. One thing is for certain… regardless of the study source, every surgeon experiences a huge range of weight loss results from patient to patient.

While the average long-term percentage of excess weight lost is around 50% (for example, someone who is 100 pounds overweight can expect to lose 50 pounds on average), your lap band surgery results could be as good as 82% or as bad as 25% or lower of excess weight lost.

To illustrate the potential degree of variation, following are the mean percentages of excess weight lost over the short and long-term from 8 separate studies…

Studies
Studies
Study J
Study J
Study A
Study A
Study B
Study B
Study C
Study C
Study D
Study D
Study E
Study E
Study F
Study F
Study G
Study G
Study H
Study H
Study I
Study I
Studies
# of lap band
patients in study
Study J
714
Study A
405
Study B
339
Study C
823
Study D
591
Study E
31
Study F
400 total, but
138 included in year 1 results
Study G
127
Study H
195
Study I
23
Studies
Weight Loss
(% of Excess Weight Lost at…)
Study J
10+ Year Patient Average – 47%
Study A
3 Years – 41.1%
Study B
Year 1 – 43.5%
Year 3 – 57.7%
Year 5 – 49.8%
Study C
1 Year – 53.6%
2 Years – 67.9%
3 Years – 81.3%
4 Years – 82.1%
Study D
6 Months – 45.8%
1 Year – 66.7%
2 Years – 72.6%
4 Years – 75.9%
6 Years – 82.8%
8 Years – 82.3%
10 Years – 82.7%
Study E
1 Year – 40.3%
2 Years – 50.5%
3 Years – 51.9%
4 Years – 48.9%
5 Years – 46.2%
6 Years – 51.8%
7 Years – 30.2%
Study F
Year 1 – 48.2%
Study G
5 Years, 3 Months – 50.6%
Study H
1 Year – 45.7%
Study I
2 Years – 48.4%
Studies
Year
Study J
2012
Study A
2009
Study B
2008
Study C
2008
Study D
2008
Study E
2007
Study F
2007
Study G
2007
Study H
2007
Study I
2004

Results – The Good News
High Weight Loss, Improvements in Obesity Health Problems

Results – The Good News: High Weight Loss, Improvements in Obesity Health Problems

First, it is possible to lose a significant amount of weight with lap band surgery. And as one of the above studies shows, this applies to both morbidly obese patients (body mass index from 40 to 49.9) and super obese patients (BMI at or above 50).

Lap band surgery also has extremely low mortality rates. Compared to the already low mortality rate of 0.135% for all types of bariatric surgery, the lap band mortality rate is even less at around 0.09% (1) (2).

Regarding the improvement or elimination of obesity health problems (also called “co-morbidities”), lap band surgery results in…

  • Complete resolution of all co-morbidities in 24% of patients (3).
  • For patients with 3 or more co-morbidities, 100% of them reduce their number of co-morbidities to 2 or fewer (4).
  • Remission of type 2 diabetes in some patients
  • Major improvements in other co-morbidities, including (5):
    • Arthritis
    • Asthma
    • Depression
    • Gastro-esophageal reflux disease (GERD)
    • Hyperlipidemia
    • Hypertension
    • Joint and back pain
    • Sleep apnea
    • Stress incontinence
  • Large reduction in the use of medication (6)
  • Significant improvement in Quality of Life score

Despite all of the positives, there are a couple of big reasons that you might want to consider a different type of bariatric surgery…

Results – The Bad News
High Rate of Minor Complications, Rates of Removal Also High

Results – The Bad News: High Rate of Minor Complications, Rates of Removal Also High

First and foremost is the extremely high rate of minor or annoying lap band problems and lap band complications which have been shown to occur in as many as 33% of patients. Problems range anywhere from your body simply not tolerating the band (leading to vomiting or an ongoing feeling of discomfort) to band slippage that can require reoperation. This leads us to the other big negative…

The rate of lap band patients requiring gastric band removal is high.  It has been shown to occur in as many as half of all patients. Reoperation can be the result of not enough weight being lost or complications that require lap band removal.

See our Lap Band Revision Surgery page for all of your revision options.

When comparing the good and the bad lap band surgery results, it’s important to recognize the impact your actions can have.

For example, lap band patients who attend support groups lose noticeably more weight than patients who go it alone.

See our Bariatric Surgery Complications page to learn the 10 ways to minimize your risk for any type of bariatric surgery.

Vs Other Types of Procedures
Fewer Serious Complications, Reversible; Less Weight Loss, Higher Minor Complications, Might Need Revision/Removal

Vs Other Types of Procedures: Fewer Serious Complications, Reversible; Less Weight Loss, Higher Minor Complications, Might Need Revision/Removal

To sum things up, lap band surgery results in relatively fewer serious complications and has a low mortality rate compared to other procedures. It’s also reversible whereas some other procedures (generally) are not.

But lap band surgery is also associated with relatively low to moderate weight loss, a high rate of minor complications and a high rate of reoperation.

The following pages directly compare it to your other surgery options…

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References

  • DukeHealth.org. Duke Medicine News and Communications. Large-Scale Analysis Finds Bariatric Surgery Relatively Safe.  Available at: http://www.dukehealth.org/HealthLibrary/
    News/large_scale_analysis_finds_bariatric_surgery_relatively_safe. Accessed: August 10, 2009.
  • Lancaster RT, Hutter MM. Bands and bypasses: 30-day morbidity and mortality of bariatric surgical procedures as assessed by prospective, multi-center, risk-adjusted ACS-NSQIP data. Surg Endosc. 2008;22:2554–63.
  • Torchia F, DiMaro A, Rosano P, et al. Lapband system in super-superobese patients (>60 kg/m2): 4-year results. Obes Surg. 2009;19:1211–5.
  • Dixon JB, et al. Adjustable Gastric Banding and Conventional Therapy for Type 2 Diabetes. JAMA. 2008;299(3):316-323. doi: 10.1001/jama.299.3.316
  • Ahroni JH, Montgomery KF, Watkins BM. Laparoscopic adjustable gastric banding: weight loss, co-morbidities, medication usage and quality of life at one year. Obes Surg. 2005;15(5):641–7.
  • Suter M, Calmes JM, Paroz A, Giusti V (2006) A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg 16:829–835
  • Elakkary E, Elhorrr A, Aziz F, et al. Do support groups play a role in weight loss after laparoscopic adjustable gastric banding? Obes Surg. 2006;16:331–4.

[ Last editorial review/modification of this page : 12/04/2016]

* Disclaimer: The information contained in this website is provided for general information purposes and your specific results may vary depending on a variety of circumstances. It is not intended as nor should be relied upon as medical advice. Rather, it is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician(s). Before you use any of the information provided in the site, you should seek the advice of a qualified medical, dietary, fitness or other appropriate professional. Read More