Study Shows Encouraging Results for Lower BMI Patients

The surgical weight loss procedure, laparoscopic adjustable gastric banding (Lap-Band), should not be reserved only for people who are very severely obese, suggests a new study.

Lap-Band Criteria

In 2001, adjustable gastric banding was approved for use in patients with a body-mass index (BMI) of 40 or higher, and for patients with a BMI of 35–39.9 who have an obesity-related condition such as high blood pressure or diabetes. However, research was done showing the procedure is safe and effective in people with a lower BMI, and in 2011, the FDA expanded the criteria. Lap-Band is now also approved for people that have a BMI of 30-35 (about 35-75 pounds overweight), with one or more obesity related medical condition.

The Study

The study results were encouraging: Participants had an average excess weight loss of 65 percent at one year post-surgery, with as much as 85 percent of the group shedding at least 30 percent of their excess weight.  All of the participants were considered lower BMI patients, with either a BMI of 35–39.9 without an obesity-related condition or a BMI of 30–34.9 with at least one obesity-related condition.  In addition to the encouraging weight loss results, the study reported improvement in obesity-related conditions for many of the patients. Eighty-five percent of patients with diabetes saw improvement at one year, 64 percent of those with high cholesterol and 59 percent of those with high blood pressure. Side effects were minimal to moderate and were resolved within a month. The results were maintained or improved at 2 years post-surgery, suggesting that the band is a safe and effective weight loss tool for patients who are moderately obese.

About Lap-Band Surgery

Laparoscopic Adjustable Gastric Banding is the second most common type of bariatric surgery. It’s a less invasive operation than to gastric bypass, the most common procedure. Lap-Band surgery does not require a reconfiguration of the digestive tract. Instead, an inflatable silicone gastric band is placed around the upper portion of the stomach to help manage food intake. The tightness of the band is later adjusted in the doctor’s office, without need for further surgery.

You can learn more about the Lap-Band and whether it is a good option for you by calling 858-457-4917 to schedule a consultation with Dr. Sunil Bhoyrul.

: (858) 457-4917