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Am I a Candidate? 

Lap-band® Surgery is not right for everyone.

While it can produce excellent weight loss results, the Lap-band® System is not right for everyone. Here are some of the things Dr Tony Patiniotis will consider when evaluating your candidacy for obesity surgery.

To be considered for Lap-band® Surgery you must:

  • Be least 18 years old
  • Have a BMI 35 or higher or you weigh at least twice your ideal weight or you weigh at least 100 pounds (40kgs) more than your ideal weight
  • Have been overweight for more than 5 years
  • Have made serious attempts to lose weight have had only short-term success
  • Not have any other disease that may have caused your obesity
  • Be prepared to make substantial changes in your eating habits and lifestyle
  • Be willing to continue being monitored by the specialist who is treating you
  • Not drink alcohol in excess.

The final decision to proceed with the Lap-band® program however will be the result of discussions between you and your surgeon, Dr Tony Patiniotis.

Motivation is critical

As will all weight loss regimes your motivation is extremely important. The kilojoules do not reduce by themselves! The Lap-band® System will support you in your goals by limiting food intake, reducing appetite and slowing digestion.  It is your own motivation and commitment to adopting a new way of life that is critical in your journey to good health.

Contraindications

The Lap-band® System is not right for you if:

  • You have an inflammatory disease or condition of the gastrointestinal tract, such as ulcers, severe oesophagitis, or Crohn's disease.
  • You have severe heart or lung disease that makes you a poor candidate for surgery.
  • You have some other disease that makes you a poor candidate for surgery.
  • You have a problem that could cause bleeding in the oesophagus or stomach. This might include oesophageal or gastric varices (a dilated vein). It might also be something such as congenital or acquired intestinal telangiectasia (dilation of a small blood vessel).
  • You have portal hypertension.
  • Your oesophagus, stomach, or intestine is not normal (congenital or acquired).  For instance you might have a narrowed opening.
  • You have or have experienced an intra-operative gastric injury, such as a gastric perforation at or near the location of the intended band placement.
  • You have cirrhosis.
  • You have chronic pancreatitis.
  • You are pregnant. (If you become pregnant after the LAP-BAND® System has been placed, the band may need to be deflated. The same is true if you need more nutrition for any other reason, such as becoming seriously ill. In rare cases, removal may be needed.)
  • You are addicted to alcohol or drugs.
  • You are under 18 years of age.
  • You have an infection anywhere in your body or one that could contaminate the surgical area.
  • You are on chronic, long-term steroid treatment.
  • You cannot or do not want to follow the dietary rules that come with this procedure.
  • You might be allergic to materials in the device.
  • You cannot tolerate pain from an implanted device.
  • You or someone in your family has an autoimmune connective tissue disease. That might be a disease such as systemic lupus erythematosus or scleroderma. The same is true if you have symptoms of one of these diseases.

What else do you want to know about Lap-band® Surgery?

If you want more information about how Lap-band® Surgery can help you, contact us with your questions and we can arrange a consultation with Dr Tony Patiniotis

© Dr Tony Patiniotis - Hobart Obesity Surgery Centre, Tasmania, Australia