Laparoscopic Gastric Bypass vs. The Lapband

In general, the Lapband or any purely restrictive procedure is not as good for “sweet-eaters” as other procedures that involve a malabsorptive component. It is the safest procedure but not the most effective.  The Lapband procedure has only been performed internationally since 1993 and in the United States for since 2001.  There may be long term complications (problems) with the Lapband that don’t occur until after 12 to 15 years or longer.  Nobody knows how long it will last.  However it can easily be removed.  Frequently complications can be managed with minimally invasive surgery as opposed to the gastric bypass.  The Lapband procedure may be better tolerated in patients with many health problems who can’t tolerate long anesthesia times or in patients with multiple prior surgeries. Ultimately, the choice must be an informed decision between the patient and physician taking all relevant factors into account.