Lap Band Results - The Good, The Bad, & VS Gastric Sleeve / Bypass

Lap Band Surgery Results

Reviewed by:  

Dr. Vafa Shayani

Last Updated:  

09/26/2017

LAP-BAND® surgery results include, on average:

  • Feeling full much sooner while eating
  • Losing about 50% of your excess weight
  • Improvement or resolution of at least 15 health issues, including diabetes, hypertension, and sleep apnea
  • Ongoing interaction with your surgical team and following established guidelines closely in order to minimize the risk of problems

Read and click the sections below for everything you need to know about what to expect after LAP-BAND® surgery.

01Weight Loss
  • Up to 55% of excess weight within 2 years

lap band surgery results

Enter your height & weight, then click the button:

Enter your height & weight, then click the button:

100%

Excess Weight Remains

Procedure Done

From Day 1: Feel Full Sooner While Eating

Continued Weight Loss

Low Weight Reached Between Year 1 & Year 2

lap band surgery results

0 months

100%

Excess Weight Remains

Your Body Mass Index (BMI) is XXX.

gastric band is only available for patients with a BMI of 30 or higher.

However, you do qualify for other types of weight loss procedures.

Click here to learn your options.

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It is possible to lose a significant amount of weight with lap band surgery. This applies to both morbidly obese patients (body mass index from 40 to 49.9) and super obese patients (BMI at or above 50).

While the average long-term percentage of excess weight lostis 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

02Health Improvement
  • Cures or improves diabetes, sleep apnea, hypertension, and at least 12 other conditions

lap band surgery results

SELECT A BENEFIT

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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 (7)

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

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03Downsides
  • Moderate risk of non-serious complications
  • Removal rate ~9% when proper protocols are followed
  • Side effects may include digestion issues & sagging skin from rapid weight loss
  • Some weight regain possible

lap band surgery results
Complications
  • Very high survival rate (99.7%)
  • General anesthesia risks exist, as with any procedure
  • 3 most common are relatively rare and usually caught/treated while still in hospital: Staple line leaks (2 % of patients), bleeding (1% of patients), and stenosis/strictures (<1% of patients)
Side Effects
  • Gastroesophageal reflux disease (GERD) experienced by 20% of patients during the first year. Drops to 3% after 3 years.
  • Intolerance to certain foods may cause nausea, vomiting or indigestion. Fixed by changing diet or eating habits
  • Vitamin and mineral deficiency possible if don’t take prescribed supplements
  • Gallstone formation occurs in about half of all patients as a result of rapid weight loss
  • Sagging skin as a result of rapid weight loss
  • Weight regain possible if don’t change diet & lifestyle after balloon removal
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First, LAP-BAND® surgery 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).

However, there is a risk that you’ll eventually need to have your band removed. Historically, 30+% of gastric band patients eventually required band removal (8). However, recent studies have shown the 5-year removal rate drop to under 9% (less than 1 in 10) for patients who maintain continued interaction with their surgical team and follow established guidelines closely (9).

Problems requiring removal of the band 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.

Fortunately, there are several revision surgery options for patients who need to have their band removed. 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 (10).

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

04LAP-BAND® Vs. Other Weight Loss Procedures
  • One of the best for weight loss & health improvement
  • Weight loss varies more from patient to patient
  • One of 4 procedures that is reversible; most weight loss among reversible procedures by far
  • One of 4 procedures that results in 50%+ average excess weight loss (EWL)
  • Highest long-term ‘failure’ rate among 50%+ EWL procedures

Picture of Procedure

Video of Procedure

Avg Excess Weight Loss

Health Improvement

BMI Needed to Qualify

Covered by Insurance?

Financing Available

Avg Total Cost With Insurance (U.S.)

Avg Total Cost Without Insurance (U.S.)

Procedure Type

Years of Peer-Reviewed Research

Device Placed In Body?

Reversible?

Time Until Removed

Path of Digestion

Procedure Time (Approx)

Complication Rate

Survival Rate

Hospital Stay (Avg)

Recovery Time
(Avg Back to Work)

Difficulty Swallowing?

Digestion & Bowel Movement Problems

Diet Risks

Food Cravings Decreased

Lifelong Vitamins Required

Qualified Surgeons

Patient Guides

Gastric Band surgery has highly variable results, with excess weight loss after 2 years ranging from 45% to 70%.
Gastric Band surgery improves or cures at least 15 obesity-related health problems, including diabetes, hypertension, sleep apnea, and many others.
35 - 39.9 with health problems; 40+ without
For policies that cover weight loss surgery, Gastric Band is included
Gastric Band financing is available, subject to credit approval

$3,500

Actual out of pocket costs depend on your insurance plan.

$15,000

Costs vary by surgeon and hospital.
Most Gastric Band procedures are performed laparoscopically.
Gastric Band surgery is backed by a significant amout of long-term research.
A silicone and silastic band is left around the top of the stomach, and a balloon around the inside of the band connects to a tube that leads to a round half-dollar-sized port just below the skin.
The Gastric Band can be removed.
Gastric Band removal is not required unless the patient develops a device-related complication.
The path of digestion is unchanged with the Gastric Band.
Gastric Band surgery usually takes about 1 hour to perform.
Non-severe complications are much more common than severe complications Learn Risks & How to Minimize
Gastric Band mortality risk is equal to that of any other routine surgical procedure.
Most Gastric Band patients leave the hospital the same day or the day after the procedure.
Most Gastric Band patients are able to return to work within 2 weeks.
Can be caused by eating too quickly, too much or not chewing food enough and can usually be fixed by avoiding these issues.
Reflux and vomiting common if band too tight (can be adjusted). Some patients experience constipation.
Potential problem foods: Dairy. Should not drink anything within 30 minutes before or after eating
Food cravings will remain the same after Gastric Band surgery.
Lifelong vitamins will need to be taken to compensate for patients eating less food as a result of the smaller stomach pouch created by the band.
The gastric balloon is a temporary procedure. Depending on the balloon type you choose, it must be removed 3 months, 6 months, or 1 year after insertion.
Gastric balloon patients are more likely to see health improvements than people of similar weight who do not have the procedure.
Between 30 & 40 in U.S. (above 27 elsewhere)
Gastric balloon is not usually covered by insurance
Gastric balloon financing is available, subject to credit approval

$8,150

Gastric balloon is usually not covered by insurance.

$8,150

Costs vary by surgeon and hospital.
Gastric balloon requires no incisions.
The gastric balloon is a relatively new procedure so long-term studies are limited.
An inflated silicon balloon remains in the stomach for 6 months.
The balloon must be removed after 6 months (Orbera and ReShape balloons).
The balloon must be removed after 6 months (Orbera and ReShape balloons).
The path of digestion is unchanged with the gastric balloon.
Gastric balloon usually takes about 30 minutes to perform.
Non-severe complications are much more common than severe complications. Learn Risks & How to Minimize
Gastric balloon survival rate is very high since the procedure requires no incisions and since complication risks are very low.
Most balloon patients leave the hospital the same day as the procedure.
Most balloon patients are able to return to work within a few days.
Can be caused by eating too quickly, too much or not chewing food enough and can usually be fixed by avoiding these issues.
Vomiting possible (but often avoidable with proper habits). “Feeling bloated” reported by some patients.
Potential Problem Foods: Pasta and other foods that might stick to balloon in stomach.
Food cravings will remain the same with the gastric balloon.
The balloon must be removed after 6 months (Orbera and ReShape balloons), so lifelong vitamins are not required.
The average gastric sleeve patient loses between 65% and 75% of their excess weight within 2 years and has kept most of the weight off after 5 years.
Gastric sleeve surgery improves or cures at least 15 obesity-related health problems, including diabetes, hypertension, sleep apnea, and many others.
35 - 39.9 with health problems; 40+ without
For policies that cover weight loss surgery, gastric sleeve is included
Gastric sleeve financing is available, subject to credit approval

$3,500

Actual out of pocket costs depend on your insurance plan.

$19,000

Costs vary by surgeon and hospital.
Most gastric sleeve procedures are performed laparoscopically.
Gastric sleeve surgery is backed by a significant amout of long-term research.
No external device is used (other than materials for "sealing" the smaller stomach).
Not usually reversed
not applicable (gastric sleeve is not usually reversed)
The path of digestion remains the same after gastric sleeve (although part of the stomach is removed).
Gastric sleeve surgery usually takes about 2 hours to perform.
Non-severe complications are much more common than severe complications. Learn Risks & How to Minimize
Gastric sleeve mortality risk is equal to that of any other routine surgical procedure.
Most gastric sleeve patients remain in the hospital for 2 to 3 days.
Most gastric sleeve patients are able to return to work within 2 weeks.
Can be caused by eating too quickly, too much or not chewing food enough and can usually be fixed by avoiding these issues.
GERD (reflux) in ~1 out of 5 patients after 1 year, drops to 1~ out of 33 patients after 3 year. Some patients experience diarrhea.
Potential problem foods: Dairy
Food cravings may be reduced after gastric sleeve surgery due to fewer hunger-causing hormones being released by the smaller stomach.
Lifelong vitamins will need to be taken to compensate for patients eating less food as a result of a smaller stomach.
The average gastric bypass patient loses between 65% and 75% of their excess weight within 2 years and has kept most of the weight off after 5 years.
Gastric bypass surgery improves or cures at least 15 obesity-related health problems, including diabetes, hypertension, sleep apnea, and many others.
35 - 39.9 with health problems; 40+ without
For policies that cover weight loss surgery, gastric bypass is included
Gastric bypass financing is available, subject to credit approval

$3,500

Actual out of pocket costs depend on your insurance plan.

$24,000

Costs vary by surgeon and hospital.
Most gastric bypass procedures are performed laparoscopically.
Gastric bypass surgery is backed by a significant amout of long-term research.
No external device is used (other than materials for "sealing" the smaller stomach pouch and establishing the new intenstinal route).
Not usually reversed
not applicable (gastric bypass is not usually reversed)
Part of the small intestines are bypassed after gastric bypass surgery.
Gastric bypass surgery usually takes about 4 hours to perform.
Non-severe complications are much more common than severe complications. Learn Risks & How to Minimize
Gastric bypass mortality risk is equal to that of any other routine surgical procedure.
Most gastric bypass patients remain in the hospital for 2 to 3 days.
Most gastric bypass patients are able to return to work within 2 weeks.
Can be caused by eating too quickly, too much or not chewing food enough and can usually be fixed by avoiding these issues.
Dumping syndrome occurs in ~80% of patients who eat sugar, refined fats, or carbs.
Potential problem foods: Sugars, Refined fats, Carbs, Dairy. Malabsorption will require life-long vitamin supplementation.
Food cravings may be reduced after gastric bypass surgery due to fewer hunger-causing hormones being released by the smaller stomach pouch.
Lifelong vitamins will need to be taken to compensate for patients eating less food as a result of a smaller stomach and for the lack of absorption resulting from the rerouted intestine.
The average duodenal switch patient loses between 65% and 90% of their excess weight within 2 years and has kept most of the weight off after 5 years.
Duodenal switch surgery improves or cures at least 15 obesity-related health problems, including diabetes, hypertension, sleep apnea, and many others.
35 - 39.9 with health problems; 40+ without (but more common for 50+)
For policies that cover weight loss surgery, duodenal switch is included
Duodenal switch financing is available, subject to credit approval

$3,500

Actual out of pocket costs depend on your insurance plan.

$27,000

Costs vary by surgeon and hospital.
Most duodenal switch procedures are performed laparoscopically.
Duodenal switch surgery is backed by a significant amout of long-term research.
No external device is used (other than materials for "sealing" the smaller stomach and establishing the new intestinal route).
Not usually reversed
not applicable (duodenal switch is not usually reversed)
Part of the small intestines are bypassed after duodenal switch surgery.
Duodenal switch surgery usually takes about 4 hours to perform.
Non-severe complications are much more common than severe complications Learn Risks & How to Minimize
Survival rate may be lower than other procedures because DS surgery tends to be performed on heavier patients who have higher risk.
Most DS patients remain in the hospital for 2 to 3 days.
Most duodenal switch patients are able to return to work within 2 weeks.
Can be caused by eating too quickly, too much or not chewing food enough and can usually be fixed by avoiding these issues.
Might be significant, including frequency, diarrhea, and/or foul-smelling stools/flatulence.
Malabsorption will require life-long vitamin supplementation.
Food cravings may be reduced after duodenal switch surgery due to fewer hunger-causing hormones being released by the smaller stomach.
Lifelong vitamins will need to be taken to compensate for patients eating less food as a result of a smaller stomach and for the lack of absorption resulting from the rerouted intestine.
The average vBloc patient loses 25% of their excess weight within 1 year. Longer-term studies are not yet available.
While studies are limited, vBloc Therapy has been found to improve hypertension, diabetes, and several obesity-related health factors.
35 - 39.9 with health problems; 40 - 45 without (none over 45)
vBloc Therapy is not usually covered by insurance
vBloc Therapy financing is available, subject to credit approval

$18,500

vBloc Therapy is not usually covered by insurance.

$18,500

Costs vary by surgeon and hospital.
Most vBloc procedures are performed laparoscopically.
vBloc Therapy is a relatively new procedure so long-term studies are limited.
The vBloc Therapy device is placed below the rib cage just under the skin. Leads (wires) connect the device to the vagal nerve, just above the stomach.
The vBloc Device can be removed.
vBloc device removal is not required unless the patient develops a device-related complication.
The path of digestion is unchanged with vBloc Therapy.
vBloc implant usually takes less than 90 minutes to perform.
Non-severe complications are much more common than severe complications Learn Risks & How to Minimize
vBloc mortality risk is equal to that of any other routine surgical procedure.
Most vBloc patients leave the hospital the same day as the procedure.
Most vBloc patients are able to return to work within a few days.
Most vBloc patients do not have any issue with swallowing.
Most vBloc patients do not experience digestion or bowel movement problems.
No medical risks, but healthier eating recommended for better results.
The vBloc device was specifically designed to control how often hunger impulses reach the brain.
vBloc device settings should be such that enough food will be eaten to provide the right amount of vitamins and minerals. Your doctor should monitor your vitamin levels.
AspireAssist studies are currently limited, but one study showed 31.5% excess weight loss after 4 years.
Early AspireAssist studies indicate a positive impact on diabetes, hypertension, and hyperlipidemia, but more reasearch is needed to confirm.
35 - 55, regardless of health problems
AspireAssist is not usually covered by insurance
AspireAssist financing is available, subject to credit approval

$10,500

AspireAssist is not usually covered by insurance.

$10,500

Costs vary by surgeon and hospital.
The AspireAssist procedure passes a tube through the mouth and down into the stomach. The tube is then pulled through the abdominal wall through a small incision.
AspireAssist is a relatively new procedure so long-term studies are limited.
A silicone “A-tube” connects the stomach to the Skin-Port™ located on the outside of your abdomen. The Skin-Port™ is the opening between your external device and the tube leading to your stomach. An Emergency Clamp component prevents any leakage of stomach contents if the A-tube and Skin-Port become disconnected.
The AspireAssist device can be removed.
AspireAssist removal is not required unless the patient develops a device-related complication.
The path of digestion is unchanged with AspireAssist (although some food is routed out of the body directly from the stomach).
The AspireAssist procedure usually takes about 15 minutes to perform.
Non-severe complications are much more common than severe complications. Learn Risks & How to Minimize
Available studies to date have shown zero deaths as a result of having the AspireAssist procedure.
Most AspireAssist patients leave the hospital the same day as the procedure.
Most AspireAssist patients are able to return to work within a few days.
Most AspireAssist patients do not have any issue with swallowing.
Low risk of vomiting (17% of patients), constipation (4.5% of patients), or diarrhea (4.5% of patients)
Potential malabsorption will require some monitoring and may result in a vitamin regimen
Food cravings will remain the same with the AspireAssist device.
Whether vitamins are required depends on each patient and how they are using the device. Your doctor should monitor your vitamin levels.
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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…

05Find a Top LAP-BAND® Surgeon
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  • Schedule a phone or in-person consultation

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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.

* 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