Lap Band Surgery in Goa offered at Low Cost for Obesity Treatment

Lap Band Surgery in Goa offered at Low Cost for Obesity Treatment


Free Online Articles Directory




Why Submit Articles?
Top Authors
Top Articles
FAQ
ABAnswers

Publish Article

0 && $.browser.msie ) {
var ie_version = parseInt($.browser.version);
if(ie_version Login


Login via


Register
Hello
My Home
Sign Out

Email

Password


Remember me?
Lost Password?

Home Page > Health > Medical Tourism > Lap Band Surgery in Goa offered at Low Cost for Obesity Treatment

Lap Band Surgery in Goa offered at Low Cost for Obesity Treatment

Posted: Jun 25, 2010 |Comments: 0
|



]]>

Lap band surgery in Goa offered for obesity treatment has benefited many international patients that too at low cost. Goa is a perfect holiday destination and now is referred as the best medical tourism destination. Surgeons performing Lap band surgery are experiencedenough for giving the best possible results.  Patients can have their treatment done at much lower costs that in western countries and can relax at beautiful beaches. Moreover it will be beneficial for their recovery. Hospitals in Goa are equipped with the latest technical gadgets required for medical procedures and amenities are well versed with the International standards. Lap band surgery in Goa is the best option for patients residing in countries like U.S and U.K because the costs of medical procedures in those countries are very high.

 

What is Lap Band Surgery?

Lap Band surgery is a form of weight loss surgery (bariatrics designed for obesity patients with a body mass index (BMI) of 35 or greater. It employs an inflatable silicone band which is implanted around the top portion of a person’s stomach via laparoscopic surgery. This Lap band surgery procedure is the safest and most appropriate means to solve your body weight problem than other weight-loss methods. Lap band weight loss surgery is invasive, harmless, effective, no risk, less pain and also you can recover in just few hours.

 

Indications for Lap band surgery:

In general, Lap band surgery is indicated for people for whom all of the   following apply:

Body Mass Index above 40, or those who are 100 pounds (45 kg). or more over their estimated ideal weight according to the1983 Metropolitan Life Insurance Tables or those between 30 to 40 with co-morbidities which may improve with weight loss (high blood pressure, diabetes, sleep apnea, and arthritis).
Age between 18 and 55 years (although there are doctors who will work outside these ages).
Failure of dietary or weight-loss drug therapy for more than one year
History of obesity (generally 5 years or more).
Comprehension of the risks and benefits of the procedure and willingness to comply with the substantial lifelong dietary restrictions required for long term success.
Acceptable operative risk.

 

Lap Band Surgery Procedur:

The Lap band surgery or gastric band creates a small pouch at the top of the stomach which fills up quickly and restricts the movement of the food into the bottom part of the stomach. This restriction creates a feeling of fullness which helps the person to eat less and therefore lose weight. The lap band or gastric band is adjustable via a subcutaneous access port. A saline solution can be injected into the band via this port to help to increase the feeling of restriction to a point known as the “sweet spot” where optimal weight loss can be reached. The ability to adjust the restriction makes this a good choice for women who wish to become pregnant afterlosing weight. The band can be unfilled to allow for more food to be eaten as necessary for a healthy pregnancy.

 

The lap band surgery or gastric band procedure, unlike traditional gastric surgeries like Roux-en-Y gastric bypass surgery (RNY), does not cut into or remove any part of the digestive system. The procedure can be reversed simply by removing the band, which can be done. With the lap band or gastric band there are also no malabsorption or dumping issues since no intestines are removed or re-routed. All nutrients are digested normally, so the rate of weight loss is somewhat slower than RNY. On average, a “bandster” loses 1-2 pounds per week in the first year. This number can vary widely depending on a person’s motivation and restriction levels.

 

The advantages of LAP-BAND Surgery include:

No stomach stapling or cutting or intestinal re-routing
Safest, least invasive surgical option
The band is adjustable
No intestinal re-rerouting
The procedure is reversible
Low malnutrition risk
No Dumping syndrome
Lowest complication rate
Lowest mortality rate
Shorter hospital stay
Quicker recovery

The goals of weight loss surgery are to improve health and eminence of life, as well as to increase natural life. Research has demonstrated that bariatric (weight loss) procedures such as Lap band surgery are more effective and successful than non-surgical treatments for weight loss and long-term control.

 

Why Goa?

Lap band surgery in Goa is the most preferred option in international patients at low cost for obesity treatment. Over the last two decades, the economic boom in India has led to the building of medical facilities & infrastructure that rival the very best that western medical care that the west has to offer. Many of the obesity surgeons that practice in these hospitals and clinics have returned (to India) from the U.S. and Europe, leaving behind successful practices. While some small countries may be viable as alternatives for minor surgical procedures, India is the only mainstream option that offers a comprehensive solution for any and all medical needs, and does this with the highest levels of service, facilities and professional skills. For more information about Lap band surgery in Goa, visit us at www.forerunnershealthcare.com or mail your queries at enquiry@forerunnershealthcare.com or call us at: +91-9371136499, +91- 9860755000 (International) / + 1-415-599-2537 (USA) / +44-20-8133-2571 (UK).

Retrieved from “http://www.articlesbase.com/medical-tourism-articles/lap-band-surgery-in-goa-offered-at-low-cost-for-obesity-treatment-2724829.html

(ArticlesBase SC #2724829)

Start increasing your traffic today just by submitting articles with us, click here to get started.
Liked this article? Click here to publish it on your website or blog, it’s free and easy!

Rohit Mehta -
About the Author:

http://www.forerunnershealthcare.com . Call us at: +91-9371136499, +91- 9860755000 (International) / + 1-415-599-2537 (USA) / +44-20-8133-2571 (UK)

Please Send Queries On:  http://www.forerunnershealthcare.com/enquiry_form.php

Watch International Patient Videos:  http://www.forerunnershealthcare.com/International-patient-videos.html

]]>
Questions and Answers

Ask our experts your Medical Tourism related questions here…

Ask

200 Characters left

How long does lap band surgery take ?
Does medicaid pay for lap band surgery ?
Who is eligible for lap band surgery ?

Rate this Article

1
2
3
4
5

vote(s)
0 vote(s)

Feedback
RSS
Print
Email
Re-Publish

0) {
ch_selected = Math.floor(Math.random()*ch_queries.length);
if(ch_selected == ch_queries.length) ch_selected–;
ch_query = ch_queries[ch_selected];
}
}catch(e){
ch_query = document.title;
}
]]>

Source:  http://www.articlesbase.com/medical-tourism-articles/lap-band-surgery-in-goa-offered-at-low-cost-for-obesity-treatment-2724829.html

Article Tags:
lap band surgery goa, lap band surgery india, obesity treatment goa, lap band surgery hospitals goa, lap band surgery hospitals, lap band surgeons goa, obesity surgeons goa, obesity treatment surgeons goa, low cost lap band surgery goa, low cost lap band

Related Videos

Related Articles

Latest Medical Tourism Articles
More from Rohit Mehta


Reaching a Desired Weight After Lap Band Surgery

Kelley shares if she has reached her weight loss goal since undergoing LAP-BAND surgery. (00:35)


Why I Underwent Two Lap Band Procedures

Kelley discusses what made her second Lap Band surgery more successful than the first. (00:37)


How Lap Band and Gastric Bypass Surgery Options Differ

Dr. Orris discusses the difference between LAP-BAND® And Gastric Bypass Surgery. (01:42)


How I Feel Three Months After Lap Band Procedure

Kelley discusses how she feels three months after her Lap Band surgery. (00:39)


Weight Loss 3 Months After Lap Band Procedure

Kelley shares how much weight she has lost since her LAP-BAND procedure. (00:41)

Lap Band Surgery in India: Weight Loss in a Short Time

There are numerous foreigners that are flying to have their lap band surgery in India. It is not to see the backwaters of Kerala or the beautiful beaches of Goa but to rid themselves of the extra flab, what binds them is their desperation to get freedom from those extra pounds through much cheaper lap band surgery in Indian metros.

By:
Healthcarel

Beauty>
Skin Carel
Jul 22, 2008
lViews: 551

Low cost Bariatric surgery India for uninsured patients of USA and UK with Modern Healthcare Facilities

Low cost Bariatric surgery India for uninsured patients of USA and UK with Modern Healthcare Facilities. Obesity one of the major medical problem faced by patients across the globe.

By:
Sanchita Kapoorl

Health>
Medical Tourisml
Jul 26, 2010

Adjustable Gastric Banding Surgery offered along with Special Holiday Package in Goa

As corporate hospitals in Goa are on par with the best hospitals in Thailand, Singapore, etc and is becoming a preferred medical destination for Adjustable gastric banding surgery at low cost. In addition to the increasingly top class medical care, a big draw for foreign patients is also the very minimal or hardly any waitlist as is common in European or American hospitals.

By:
Rohit Mehtal

Health>
Medical Tourisml
Jun 25, 2010

Lap band treatment in India: The perfect low cost weight loss solution

Get Lap band treatment in India by reputed Obesity surgeons at an affordable cost.

By:
Aadesh Shuklal
Healthl
Jan 15, 2010

Economical Obesity surgery at Indian corporate hospitals of Mumbai, Delhi and Nagpur

Economical obesity surgery in India is there with advanced medical technology at obesity surgery hospitals of Mumbai, Delhi and Nagpur.

By:
Aadesh Shuklal
Healthl
Jan 18, 2010
lViews: 105

Gastric Bypass Surgery – India

1.5 billion of the world population suffers from weight problems. People are increasingly opting for surgical procedures to tackle their obesity issues. India has emerged as a leading destination for bariatric surgery solutions such as Gastric Bypass, Lap band etc.

By:
monami mitral

Health>
Medical Tourisml
Jun 01, 2011

The Healthcare System

Healthcare system is a body that governs the provision of services geared towards the treatment of illnesses and diseases within the society. Basically, the provision of adequate and reliable healthcare services is the main focus of the healthcare system; regardless of races, ethnic groups, geographical regions and socio-economic classes among others.

By:
Risperl

Health>
Medical Tourisml
May 31, 2011

Multi Trip Travel Health Insurance

As you consider spending quality time with family and friends during holidays, you must not forget to make sure that you have all the things sorted in case any medical or health related emergency surfaces.

By:
johnmcgeel

Health>
Medical Tourisml
May 31, 2011

Ayurveda Treatment a perfect equilibrium with nature

Ayurveda is a holistic medical approach that considers both body and mind and their relationship to each other when diagnosing and treating a patient. The philosophy holds that we are all comprised of three essential abstract elements or properties, which Ayurveda refers to as doshas. The three doshas are: vata, pitta and kapha, and the degree to which each presides in us may determine our physical and mental characteristics.

By:
Mukesh Sharmal

Health>
Medical Tourisml
May 30, 2011

Medical tourism can fast-track procedures and equal savings

Thanks to global health care or medical tourism, people are now able to receive state of the art of medical care at acceptable prices. Patients with certain conditions are now able to travel to destinations round the world to receive treatment at far lower costs than in the USA or European countries.

By:
Lizettel

Health>
Medical Tourisml
May 30, 2011

Biliary Tract Carcinoma Treatment at affordable price in India

Treatment of Biliary Tract Carcinoma in India is provided by interdisciplinary teams of specialists and delivers top-quality treatment combined with an active commitment to personalized care in an ambience of comfort and convenience. Hospitals of India provide intensive care and the on-call medical, surgical and anesthetic teams and patients therefore benefit from both the advantages of private care and the reassurance and safety provided by full back-services….

By:
Rohit Mehtal

Health>
Medical Tourisml
Sep 09, 2010

information about Vulvar Cancer Treatment in India

Expert cancer surgeons have the expertise and many years of experience in performing complex Vulvar cancer treatment in India and have hands on experience with the latest technological devices used to perform the most sophisticated surgeries. Indian hospitals have its recognition in India and abroad for the world-class standards healthcare service that it provides to the patients. Hospitals providing excellent Vulvar cancer treatment in India are standardized and integrated…..

By:
Rohit Mehtal

Health>
Medical Tourisml
Sep 09, 2010

Pleural Mesothelioma Surgery in India, Pleural Mesothelioma Surgery, Lung cancer surgery in India

Patients from abroad get Pleural mesothelioma surgery in India done at excellent hospitals of Mumbai under best cancer surgeons of India having a vast experience in treating abroad patients. Pleural mesothelioma surgery in India can involve surgical removal of the cancer by chemotherapy or radiation therapy, as well as combinations of these treatments. The decision about which treatments will be appropriate for a given individual must take into account the location….

By:
Rohit Mehtal

Health>
Medical Tourisml
Sep 09, 2010

Pineal Parenchymal tumor, Pineal Parenchymal tumor Treatment in India

Treatment of Pineal parenchymal tumor in India is done under best medical supervision. India is becoming the leading destination for treatment because of the availability of most advanced techniques for the treatment. In India you will find many destinations where you can avail benefits of Medical Tourism, with Kerala, Goa and Delhi being the pioneer in the field. The Country offers affordable and best medical treatments to medical tourists. These treatments are offered…..

By:
Rohit Mehtal

Health>
Medical Tourisml
Sep 09, 2010

Malignant Fibrous Histiocytoma Treatment India

Treatment of Malignant fibrous histiocytoma in India is provided at Indian Hospitals by interdisciplinary teams of specialists and delivers top-quality surgery combined with an active commitment to personalized care in an ambience of comfort and convenience. Hospitals of India provide intensive care and the on-call medical, surgical and anesthetic teams and patients therefore benefit from both the advantages of private care and the reassurance and safety provided by full back-services….

By:
Rohit Mehtal

Health>
Medical Tourisml
Sep 09, 2010

Add new Comment

Your Name: *

Your Email:

Comment Body: *

 

Verification code:*

* Required fields

Submit

Your Articles Here
It’s Free and easy

Sign Up Today


Author Navigation

My Home
Publish Article
View/Edit Articles
View/Edit Q&A
Edit your Account
Manage Authors
Statistics Page
Personal RSS Builder
My Home
Edit your Account
Update Profile
View/Edit Q&A
Publish Article
Author Box


Rohit Mehta has 39 articles online

Contact Author

Subscribe to RSS

Print article

Send to friend

Re-Publish article

Articles Categories
All Categories

Advertising
Arts & Entertainment
Automotive
Beauty
Business
Careers
Computers
Education
Finance
Food and Beverage
Health
Hobbies
Home and Family
Home Improvement
Internet
Law
Marketing
News and Society
Relationships
Self Improvement
Shopping
Spirituality
Sports and Fitness
Technology
Travel
Writing

Health

Acne
Allergies
Alternative Medicine
Anti Aging
Cancer
Dental Care
Disabilities
Diseases and Conditions
Hair Loss
Hearing
Medical Tourism
Medicine
Men’s Health
Mental Health
Nutrition
Plastic Surgeries
Quit Smoking
Sleep
Supplements & Vitamins
Vision
Wellness
Women’s Health

]]>

Need Help?
Contact Us
FAQ
Submit Articles
Editorial Guidelines
Blog

Site Links
Recent Articles
Top Authors
Top Articles
Find Articles
Site Map
Mobile Version

Webmasters
RSS Builder
RSS
Link to Us

Business Info
Advertising

Use of this web site constitutes acceptance of the Terms Of Use and Privacy Policy | User published content is licensed under a Creative Commons License.
Copyright © 2005-2011 Free Articles by ArticlesBase.com, All rights reserved.

http://www.forerunnershealthcare.com . Call us at: +91-9371136499, +91- 9860755000 (International) / + 1-415-599-2537 (USA) / +44-20-8133-2571 (UK)

Please Send Queries On:??http://www.forerunnershealthcare.com/enquiry_form.php

Watch International Patient Videos:??http://www.forerunnershealthcare.com/International-patient-videos.html

Understanding Lap Band Surgery And Adjustable Gastric Band Surgery

An American company, INAMED Health, designed the BioEnterics Lap-Band Adjustable Gastric Banding System, which was introduced in Europe in 1993. Now the Swedish adjustable gastric band differs from the Lap-Band because it wasn’t designed for use with keyhole laparoscopic surgery. The lap band surgery or adjustable gastric band procedure is used in desperate situations and is performed with laparoscopic instruments, which generally means the surgery is minimally invasive with a short recovery time.


It’s usually contraindicated if the surgery or treatment represents an unreasonable risk to the patient. If one has a dependency on alcohol or drugs, they won’t be eligible for adjustable band surgery. The failure of dietary or weight-loss drug therapy for more than one year can make one eligible for the adjustable gastric band procedure.


Mentally retarded or emotionally unstable people won’t be considered for lap band surgery. The lap band surgery is usually not performed if one has an untreated glandular disease like hypothyroidism, where other measures may still be sought.


Removal of the adjustable gastric band would require a keyhole procedure and the stomach usually returns to its normal pre-banded state. Lap band or gastric band placement, unlike traditional malabsorptive weight loss surgery (Roux-en-Y gastric bypass surgery, biliopancreatic and duodenal switch) does not cut or remove any part of the digestive system. The port membrane may be sutured in place.


The placement of the adjustable gastric band creates a small pouch at the top of the stomach which holds approximately 50 ml; this pouch ‘fills’ with food quickly and the passage of food from the top to the bottom of the stomach is slowed. The surgeon uses a specialized needle is to avoid damage to the port membrane. Gastric dumping syndrome problems do not occur in lap band surgeries because no intestines are removed or re-routed.


The amount of weight lost following the months after surgery will depend on the individual and their personal circumstances, motivation, and mobility. The patient may be prescribed a diet of liquids only, followed by soft foods and then solid foods for a varied length of time; each surgeon and manufacturer will vary. During pregnancy, deflation should be considered if morning sickness is experienced.


Following surgery, adjustments, which are also called “fills”, may be performed using a fluoroscope so the radiologist may assess the placement of the band, the port and the tubing which runs between the port and the band. Weight regain can happen with any surgical weight loss procedure including the more radical procedures that initially result in rapid weight loss.


Erosion can occur where the band may wear a small area on the outside of the stomach which can lead to migration of the band to the inside of the stomach. Occasionally, the narrow passage into the lower part of the stomach may become blocked by a large portion of unchewed food.


Some mechanical malfunctions that can occur post-surgery are port leakage, cracking of the kink-resistant tubing or disruption of the tubing connection from the port to the band, port site pain and port displacement. Other complications of gastric band surgery include: ulceration and irritated stomach tissue.


Lap band and gastric banding as compared to other weight loss surgeries have shown a lower mortality rate, the stomach returns to normal if the band is removed, there is no cutting or stapling of the stomach, the band is adjustable without additional surgery and there are no malabsorption issues because no intestines are bypassed and there are fewer life threatening complications. Many factors can affect the total cost of your surgery, including the gastric surgeon you choose, where you choose to have the surgery performed, and what fees are included or not included in the price. Make sure if you’re traveling away from home for surgery consider the travel time and related travel expenses for both the surgery and follow-up appointments.

For more information on lap band weight loss surgery and lap band surgery complications visit http://www.Lap-Band-Surgery-Info.com a nurse’s website offering tips and information on lap band surgery, adjustable gastric band surgery, medical travel for low cost lap band surgery and cost of lap band surgery

Incoming search terms for the article:

Lap Band Surgery – What To Know Before You Commit

When you choose to undergo any weight loss surgery it’s important to know that you’ve exhausted all your other options first, because it isn’t only an important medical decision but a significant financial decision as well. And if your lap band surgeon approves you for lap band surgery after having an extensive consultation, you’ll be required to undergo pre-op exams and lab tests before you can be medically cleared for surgery. The LAP-BAND System received its approval from the FDA (Food and Drug Administration) for use in the United States in June of 2001.


Having inflammatory diseases of the gastrointestinal tract like ulcers, esophagitis or Crohn’s disease does not make a person a good candidate for lap band surgery. The lap band surgery is usually not performed if someone has an untreated glandular disease such as hypothyroidism, where other measures may still be undertaken. A possible allergic reaction to materials in the band or for anyone who has exhibited pain intolerance to medically implanted devices are contraindications for lap band surgery.


People who are eligible for lap band surgery are between the ages of 18 and 55 years, although there are bariatric doctors who will work outside of these ages, some as young as 12 years old. And mentally disabled or emotionally unstable people cannot be considered for lap band surgery.


How it works – the band is inflated and adjusted by way of a small access port placed just beneath the skin subcutaneously, then radiopaque isotonic solution or saline solution is introduced into the band through the port. The adjustable gastric band or Lap Band is an inflatable, silicone, prosthetic device that is placed around the upper portion of the stomach and using keyhole laparoscopic surgery. And the port membrane may be sutured in place.


The placement of the adjustable gastric band creates a small pouch at the top of the stomach which holds about 50 ml. The pouch fills with food quickly and the passage of food from the top to the bottom of the stomach is slowed down. Gastric dumping syndrome problems don’t occur in lap band surgeries because none of the intestines are removed or re-routed. When the upper part of the stomach believes it is full the message is sent to the brain that the stomach is full. This sensation helps the person eat smaller portions and thus lose weight over time.


The initial weight loss in gastric banding is slower than with Roux-en-y gastric bypass surgery but the statistics indicate that over a five-year period the weight loss outcome is very similar. The World Health Organization recommendation for monthly weight loss is about 1.1 to 2.2 pounds a week. An average gastric-banded patient may lose this amount of weight.


Following the surgery, adjustments, which are also called ‘fill’s may be performed using a fluoroscope so the radiologist can assess the placement of the band, the port and the tubing, which runs between the port and the band. Some patients may find that before their first fill they’re still able to eat fairly large portions of food. And also regarding ‘fill’s, some weight loss doctors are more aggressive than others, but most appear to require a two to four week wait between the ‘fill’s.


Slippage can happen. Slippage is an unusual occurrence where the lower part of the stomach prolapses over the band and cause an obstruction. Some of the mechanical malfunctions that can occur after surgery are leakage from the port, cracking of the kink-resistant tubing or a disruption of the tubing connection from the port to the band, port site pain and port displacement.


Some of the complications of adjustable gastric band post-surgery are nausea, vomiting, gastroesophageal reflux, stoma obstruction, constipation, dysphagia, diarrhea, and abnormal stools. A common occurrence for lap band patients is regurgitation of some of the non-acidic swallowed food from the upper pouch, which is commonly known as productive burping. This should not be considered normal.


One should be aware that some people have died while undergoing adjustable gastric band surgery. Some post-surgical weight loss surgery teams do offer support groups, but some of them mix gastric bypass surgery patients with the gastric banding patients. If you undergo this surgery and would like to join a group, try to find a support group for gastric banding only. All in all it’s important to find a weight loss team with a good post-surgical plan because the follow-up recommendations can vary dramatically.

For more information on lap band weight loss surgery and lap band surgery complications visit http://www.Lap-Band-Surgery-Info.com a nurse’s website offering tips and information on lap band surgery, adjustable gastric band surgery, medical travel for low cost lap band surgery and cost of lap band surgery

Thinking About Lap Band Surgery For Weight Loss? Know The Pros and Cons

Adjustable gastric banding, including Lap Band surgery, is a form of restrictive weight loss surgery designed for obesity patients with a body mass index (BMI) of 40 or greater or between 35 and 40 for those patients who have conditions that are reportedly known to improve with weight loss. The Swedish adjustable gastric band system differs from the LAP-BAND because it wasn’t designed to be used with keyhole laparoscopic surgery. One important difference in the early days between the LAP BAND system and the Swedish adjustable lap band is SAGB didn’t have a self-closing mechanism and had to be closed with sutures.


Lap band surgery is usually not performed if the patient has an untreated glandular disease such as hypothyroidism, where other measures may still be sought out. Any prospective surgical patient must be an acceptable operative risk. If someone is alcohol or drug-dependent they won’t be eligible for any type of weight loss or adjustable band surgery.


In general terms, gastric banding, including the Lap Band procedure and weight loss system is indicated for people for whom their Body Mass Index is above 40, or for those who are 100 pounds (45 kg) or more over their estimated ideal weight according to the still-used-today 1983 Metropolitan Life Insurance Tables or for those between 30 to 40 who have co-morbidities that may improve with weight loss (high blood pressure, diabetes, sleep apnea, and arthritis). The surgery cannot be performed on patients when severe cardiopulmonary diseases or other conditions are present which make them poor surgical candidates in general.


The adjustable gastric band or Lap Band is an inflatable silicone prosthetic device which is placed around the top portion of the stomach using the minimal incision keyhole laparoscopic surgery. Then when fluid is introduced into the stomach the lap band expands, placing pressure around the outside of the stomach which in turn decreases the size of the passage in the stomach and restricts the movement of food.


As the upper part of the stomach detects fullness the message to the brain is that the stomach is full and this sensation helps the patient eat smaller portions and lose weight over time. Removal of the adjustable gastric band would also require a keyhole procedure and the stomach then usually returns to its normal pre-banded state. The placement of the adjustable gastric band creates a small pouch at the top portion of the stomach which holds approximately 50 ml. This pouch then fills with food quickly and the passage of food from the top to the bottom of the stomach is slowed down.


Post-surgery weight regain can happen with any this and any surgical weight loss procedure including the more radical procedures that initially result in rapid weight loss. Following surgery the patient should consider eating less, eating more slowly and chewing food thoroughly.


The doctor must use the proper and sensitive adjustment of the gastric band because it’s imperative to weight loss and the long term success of the lap band procedure. The amount of weight that is lost in the months after surgery will depend on the individual and their personal circumstances, motivation, and mobility.


Other complications of gastric band surgery can include the ulceration and irritated stomach tissue. And erosion can occur where the band wears a small area on the outside of the stomach which can lead to migration of the band to the inside of the stomach.


Some of the adjustable gastric band surgery complications that involve the band itself and the port include: band slippage, pouch dilation, esophageal dilatation or dysmotility and erosion of the band into the gastric lumen. It’s not common but slippage can occur, which is an unusual occurrence where the lower part of the stomach may prolapse over the band and cause an obstruction. It’s not a pleasant thought but be aware that some people have died while undergoing adjustable gastric band surgery.


If you decide to go ahead, it’s important to find a weight loss team with a good post-surgical plan because recommendations can vary dramatically. The amount you have to pay for your surgery will vary, there isn’t one set price for lap band surgery. Some people travel to other countries, such as Mexico, where it’s cheaper if they have to pay for the cost of adjustable gastric banding surgery themselves. Post-surgical visits will be necessary but it’s possible that can be arranged in your local area.

For information on lap band weight loss surgery and lap band surgery complications go to http://www.Lap-Band-Surgery-Info.com a nurse’s website for tips on lap band surgery, adjustable gastric band surgery, medical travel for low cost lap band surgery and cost of lap band surgery

Incoming search terms for the article:

Is Lap-band Surgery Right for You?

Lap-Band surgery is a reversible outpatient procedure that has helped many obese patients shed their excess weight after years of struggling to slim down. But is Lap-Band surgery right for you? To make a decision, you need to understand what Lap-Band surgery is, and what it can and cannot do for you. You also need to be able to accept the costs and limitations of the surgery.

What is Lap-Band surgery?

Lap-Band surgery is a minimally invasive method of weight-loss surgery. The procedure, which is performed through four or five small incisions in the patient’s abdomen, involves wrapping a silicone band around the upper part of a patient’s stomach to create a small pouch. The band narrows the passage to the rest of the digestive system, causing patients to feel fuller much faster when they are eating.

The tightness of the band can be adjusted during a simple outpatient procedure, or can be removed entirely if the patient desires.

Lap-Band’s typical results

As long as patients stick with the lifestyle guidelines prescribed by their doctor and dietitian, they can expect to lose 1-3 pounds a week during the year after Lap-Band surgery. During this year, patients typically shed half of their excess weight.

Compared to other forms of weight loss surgery such as gastric bypass, Lap-Band surgery leads to gradual weight loss. However, Lap-Band surgery patients are less likely to regain their excess weight compared to patients who underwent gastric bypass surgery, and there is less of a risk of nutritional deficiencies.

Lap-Band surgery will also ease the medical problems associated with obesity. Patients suffering from diabetes, sleep apnea, high blood pressure, joint problems, and other obesity-related difficulties typically see these problems fade as they lose weight.

What Lap-Band surgery cannot achieve

Seeing results after Lap-Band surgery is wholly dependent on how well a patient follows their surgeon and dietitian’s advice regarding exercise and diet. Lap-Band surgery cannot make you lose weight if you are not motivated to eat slowly, choose healthy foods, exercise, and avoid excess use of alcohol.

Lap-Band surgery helps patients lose weight by limiting their food intake, reducing their appetite, and slowing their digestion. It is not a miracle cure.

Who is a candidate for Lap-Band surgery?

Typical Lap-Band surgery candidates include adults who are at least 100 pounds overweight and have struggled with their weight for at least five years. To be a candidate, you must also have tried numerous non-surgical methods of weight loss and meet standards for physical and psychological health. In addition, you must be highly motivated and willing to commit to a healthy lifestyle for the rest of your life.

Before surgery, patients can expect comprehensive physical and psychological evaluations, including an examination of the emotional factors that may contribute to your obesity.

Some medical conditions, including alcoholism, may disqualify a patient from Lap-Band surgery. In addition, if a disease is the root of your obesity, you are not a candidate for Lap-Band.

Cost considerations

Lap-Band is an expensive procedure that costs anywhere from $15,000 to $35,000. The cost is generally covered by insurance carriers, however, so check with your plan administrator.

However, some patients incur extra costs by undergoing body lift surgery a year or two after Lap-Band surgery.

Cosmetic Body Lift Surgery

Some Lap-Band surgery patients find that even a year or two after their surgery, they are left with flaps of excess skin that hang off their newly slimmed frame. Plastic surgeons can make your skin conform to your new body using a procedure called a total body lift.

Body lift surgery is considered cosmetic, so the costs are not covered by insurance. The costs of this procedure vary from $10,000 to $50,000, depending on the surgeon and geographic area. However, many patients express that the surgery is priceless because it lets them enjoy and show off their new bodies.

Conclusion

Though Lap-Band has marked advantages over other, more invasive types of weight loss surgery, it is not without its risks and limitations. Lap-Band surgery is not a quick fix or a miracle cure, and it takes long-term dedication for the surgery to help you shed your excess pounds. With proper motivation, though, Lap-Band surgery can help you achieve a new standard of health and slimness.

For more information

UCSD Medical Center in La Jolla, California offers Lap-Band surgery to adults seeking a solution to chronic obesity. UCSD’s Center for the Treatment of Obesity features Dr. Santiago Horgan, an expert surgeon who was one of the first trained in the use of the Lap-Band Adjustable Gastric Banding System. To find out if you qualify for Lap-Band surgery, visit http://health.ucsd.edu/specialties/lapband/

What You Should Know About Lap Band Surgery And Weight Loss

One difference in the early days between the Lap Band system and the Swedish adjustable lap band is that the SAGB didn’t have a self-closing mechanism and had to be closed with sutures. An American company, INAMED Health, designed the BioEnterics Lap-Band Adjustable Gastric Banding System, which was introduced in Europe in 1993. The Swedish adjustable gastric band differs from the Lap-Band because it wasn’t designed for use with keyhole laparoscopic surgery.


An allergic reaction to materials contained in the band or for people who have exhibited pain intolerance to implanted devices are contraindications for lap band surgery. Failure of dietary or weight-loss drug therapy for more than one year can make one eligible for the adjustable gastric band procedure. In order to be considered one must have the comprehension of the risks and benefits of the gastric band procedure and willingness to comply with the substantial lifelong dietary restrictions required for long term success.


Inflammatory diseases of the gastrointestinal tract like ulcers, esophagitis or Crohn’s disease don’t make one a good candidate for lap band surgery. It’s usually contraindicated if the surgery or treatment represents an unreasonable risk to the patient.


As the upper part of the stomach believes it’s full the message to the brain is that the stomach is full and this sensation helps the person to eat smaller portions and lose weight over time. The surgeon uses a specialized needle is to avoid damage to the port membrane. When fluid is introduced into the stomach the lap band expands, placing pressure around the outside of the stomach; this decreases the size of the passage in the stomach and restricts the movement of food.


The band is inflated and adjusted by way of a small access port placed just under the skin subcutaneously; then radiopaque isotonic solution or saline is introduced into the band via the port. Lap band or gastric band placement, unlike the traditional malabsorptive weight loss surgery (Roux-en-Y gastric bypass surgery, biliopancreatic and duodenal switch) does not cut or remove any part of the digestive system. The adjustable gastric band or Lap Band is an inflatable silicone prosthetic device which is placed around the top portion of the stomach using keyhole laparoscopic surgery.


Post surgery the patient should consider eating less, eating more slowly and chewing food thoroughly. The patient may be prescribed a liquid-only diet, followed by soft foods and then solid foods for a varied length of time; each surgeon and manufacturer will vary. The lap band may remain deflated during pregnancy and once breast feeding or bottle-feeding is completed the band may be gradually re-inflated to help with postpartum weight loss if essential.


The World Health Organization recommendation for monthly weight loss is approximately 1.1 to 2.2 pounds per week and an average gastric banded patient may possibly lose this amount. Weight regain can happen with any surgical weight loss procedure including the more radical procedures that initially result in a rapid weight loss.


Complications of gastric band surgery include: ulceration and irritated stomach tissue. Some mechanical malfunctions that can occur post-surgery are port leakage, cracking of the kink-resistant tubing or disruption of the tubing connection from the port to the band, port site pain and port displacement.


Some of the adjustable gastric band post-surgery digestive complications are nausea, vomiting, gastroesophageal reflux, stoma obstruction, constipation, dysphagia, diarrhea, and abnormal stools. Occasionally, the narrow passage into the lower part of the stomach may become blocked by a large portion of unchewed food.


The amount you pay for your surgery will vary; there is not one set price for lap band surgery. It’s important to discuss post-surgical care and diet plans with your weight loss doctor if you are considering adjustable gastric band or lap band surgery. Mexico is one of the top destinations for adjustable gastric band surgery outside of the United States, where the cost for lap band surgery is usually about $8,000 to $10,000.

For more information on lap band weight loss surgery and lap band surgery complications visit http://www.Lap-Band-Surgery-Info.com a nurse’s website offering tips and information on lap band surgery, adjustable gastric band surgery, medical travel for low cost lap band surgery and cost of lap band surgery

Helpful Information About Lap Band Surgery And Adjustable Gastric Band Surgery

The adjustable gastric banding surgeries, including Lap Band surgery, is a form of restrictive weight loss surgery designed for obesity patients with a body mass index (BMI) of 40 or greater or between 35 and 40 for those who have conditions that are known to improve with weight loss. The Swedish adjustable gastric band differs greatly from the Lap-Band because it wasn’t designed for use with keyhole laparoscopic surgery. An American company, INAMED Health, designed the BioEnterics LAP-BAND Adjustable Gastric Banding System, which was originally introduced in Europe in 1993.


If someone has a dependency on alcohol or drugs, they won’t be eligible for adjustable band surgery. And mentally disabled or emotionally unstable people won’t be considered for lap band surgery. However failure of dietary or weight-loss drug therapy for more than one year can make one eligible for the adjustable gastric band procedure.


Inflammatory diseases of the gastrointestinal tract like ulcers, esophagitis or Crohn’s disease do not make someone a good candidate for lap band surgery. In general, gastric banding, including the Lap Band procedure and weight loss system, is indicated for people whose Body Mass Index is above 40, or those who are 100 pounds (45 kg) or more over their estimated ideal weight according to the 1983 Metropolitan Life Insurance Tables or those between 30 to 40 with co-morbidities which may improve with weight loss (those are: blood pressure, diabetes, sleep apnea, and arthritis).


During surgery the surgeon uses a specialized needle to avoid damage to the port membrane. Compared to other weight loss surgeries gastric dumping syndrome problems do not occur in lap band surgeries because no intestines are removed or re-routed. When fluid is introduced into the stomach the lap band expands, placing pressure around the outside of the stomach and this decreases the size of the passage in the stomach and restricts the movement of food.


Lap band or gastric band placement, unlike the traditional malabsorptive weight loss surgery (called Roux-en-Y gastric bypass surgery, and the biliopancreatic and duodenal switch) does not cut or remove any part of the digestive system. There are many port designs and they may be placed in various positions based on the preference of the lap band surgeon. Unlike those who have procedures such as Roux -en -y gastric bypass surgery, duodenal switch or biliopancreatic diversion, it’s unusual for gastric band patients to experience nutritional deficiencies or malabsorption of any micronutrients.


Many doctors make the first adjustment between six to eight weeks after surgery to allow for the stomach – time to heal. After that the ‘fills’ are performed as needed. The patient may be prescribed a liquid-only diet, followed by soft foods and then solid foods for a specified length of time. Each surgeon and manufacturer will have their own orders and specifications. And during pregnancy, deflation should be considered if morning sickness is experienced.


The initial weight loss in gastric banding is slower than with Roux-en-y gastric bypass surgery but statistics indicate that over a five year period the weight loss outcome is very similar. The amount of weight lost during the months after surgery will depend on the individual and their personal circumstances, their motivation, and mobility.


Other complications of adjustable gastric band surgery include ulceration and irritated stomach tissue. A common occurrence for lap band patients is regurgitation of the non-acidic swallowed food from the upper pouch, which is commonly known as productive burping. And this is not normal.


Occasionally, the narrow passage into the lower part of the stomach may become blocked by a large portion of food that has not been chewed. Other adjustable gastric band post-surgery complications that can occur are: abdominal pain, loss of strength, infection, fever, hernia, pain, chest pain, incisional infection, incision pain, and even death.


Before you undergo any lap band weight loss surgery or adjustable gastric band procedure, get fully informed by your doctor or lap band or gastric band surgeon. Make sure if you’re traveling away from home for surgery to consider the travel time and related travel expenses for both the surgery and follow-up appointments. Please be aware that lap band surgery or adjustable band surgery can have some serious adverse effects and complications. You may want surgery closer to home in the event you need to make numerous trips due to these complications.

For more information on lap band weight loss surgery and lap band surgery complications visit http://www.Lap-Band-Surgery-Info.com a nurse’s website offering tips and information on lap band surgery, adjustable gastric band surgery, medical travel for low cost lap band surgery and cost of lap band surgery

Lap Band Surgery – Know The Facts, Costs And Travel Options

If you choose to have weight loss surgery, it’s clearly an important life-changing medical decision and a significant financial decision too. There have been significant changes in the lap band type of surgeries. One difference is in the early days of the surgeries between the LAP BAND system and the Swedish adjustable lap band is that the SAGB didn’t have a self-closing mechanism and had to be closed with sutures. If the bariatric or lap band surgeon gives you approval for lap band surgery after an extensive initial consultation, you’ll then be required to have pre-op exams and lab tests before you can be medically cleared for surgery.


If any candidate for surgery has a dependency on alcohol or drugs, they won’t be eligible for adjustable band surgery. Mentally disabled or emotionally unstable people also can’t be considered. In general, gastric banding, including the Lap Band procedure and weight loss system can be indicated for people for whom their Body Mass Index is above 40, or for those who are 100 pounds (45 kg) or more over their estimated ideal weight according to the still-used-today 1983 Metropolitan Life Insurance Tables. Or for those with a BMI between 30 and 40 with co-morbidities, which may improve with weight loss. Co-morbidity examples include: high blood pressure, diabetes, sleep apnea, and arthritis.


The failure of dietary treatment or weight-loss drug therapy for a year or more can make someone eligible for the adjustable gastric band procedure. The lap band surgery is usually not performed if the patient has an untreated glandular disease such as hypothyroidism, where other measures may still work.


If after surgery, the adjustable gastric band patient is considering pregnancy, ideally he or she should be in the best nutritional condition prior to the conception. Deflation of the band may be required prior to the planned conception. There are many port designs and they may be placed in a variety of positions based on the preference of the weight loss surgeon. The band is inflated and adjusted by use of a small access port placed just under the skin subcutaneously. Radiopaque isotonic solution or saline is then introduced into the band via the placed port.


The surgeon uses a special needle to avoid damage to the sensitive port membrane. And calcium supplements and Vitamin B12 injections are not usually ordered following gastric banding as they are with Roux-en–Y gastric bypass surgery and other weight loss surgeries. When fluid is ingested into the stomach the lap band expands, placing pressure around the outside of the stomach. This then decreases the size of the passage in the stomach and restricts the movement of any food.


The initial weight loss in gastric banding is slower than with the permanent Roux-en-Y gastric bypass surgery but statistics indicate that over a five year period the weight loss outcome is very similar. The weight loss surgery patient may be prescribed a liquid only diet, followed by soft foods and then solid foods for a prescribed length of time.


Each surgeon and manufacturer will vary in their post-surgery instructions. To allow time for the stomach to heal, many doctors make the first adjustment between six to eight weeks after surgery. After the surgery, adjustments, which are also called ‘fills’, may be performed using a fluoroscope so the radiologist can assess the placement of the band, the port and the tubing, which runs between the port and the band. Then after that the ‘fills’ are performed only as needed.


For moms-to-be, the lap band may remain deflated during pregnancy and once breast feeding or bottle-feeding is completed the band may gradually be re-inflated to help with postpartum weight loss if it’s necessary.


Regarding complications, some of the mechanical malfunctions that can happen after surgery include port leakage, cracking of the kink-resistant tubing or disruption of the tubing connection from the port to the band, port site pain and port displacement. On occasion, the narrow passage into the lower part of the stomach can become blocked by a large portion of food that is not chewed.


And some of the adjustable gastric band after-surgery digestive complications include nausea, vomiting, gastro-esophageal reflux, stoma obstruction, constipation, dysphagia, diarrhea, and abnormal stools. Erosion can occur. This is where the band may wear a small area on the outside of the stomach which can lead to the migration of the band to the inside of the stomach.


The amount you pay for your surgery will vary. There isn’t an established cost or price for lap band surgery. Your surgery may or may not be covered under your current health insurance plan. If not, travel to other countries for weight loss surgery has become more popular. Travel to Mexico is just one way to get a low cost lap band surgery. There are many countries offering cheap or low cost weight loss surgery or lap band surgery. Compare costs of surgery along with all travel expenses.


Make sure if you’re traveling away from home for surgery though, to consider the travel time and related travel expenses for both the surgery and the follow-up appointments. Do not underestimate the number of follow-up appointments you might need and find out if you can do those in the US or your country of residence. Many factors can affect the total cost of lap band surgery, including the gastric surgeon you choose, the country you choose to have the surgery performed in and what fees are included or not included in the total price.

For information on lap band weight loss surgery and lap band surgery complications go to http://www.Lap-Band-Surgery-Info.com a nurse’s website for tips on lap band surgery, adjustable gastric band surgery, medical travel for low cost lap band surgery and cost of lap band surgery

Lap Band Surgery – What Are The Risks Of Lap Band Surgery?

No doubt you’ve been reading a lot more about lap band surgery, adjustable gastric band surgery and gastric bypass surgery in the past few years than ever before. Although weight loss surgery has been around for many years, newer procedures and techniques have made it safer and more common. However there are many risks of lap band surgery, complications and side effects to be aware of.


If you’ve been thinking about a gastric banding procedure to lose weight, such as lap band surgery, which is a safer alternative than permanent gastric bypass surgery, you may be wondering what the health risks are or what possible complications can develop from this procedure.


When doing your research online you’ll no doubt read on the lap band websites that are promoting lap band surgery some of the risks and complications but you need to find out all of the risks and possible complications. You’ll also want to know what side effects to expect and if you can handle these. And will you lose weight and if so at what pace?


Of course one of the best ways is to read articles like this and to go to lap band forums where you can discuss your concerns. You particularly want to find forums that are comprised of people who have had lap band surgery and see what they have to say, good and bad, and what testimonials you can find.


Any surgery can be risky and many have more risks than others. In any event elective surgery is always something that should not be taken lightly. As a nurse I’ve been present at many surgeries and although most of the surgeries go well, there are those that have complications. If a patient is obese or overweight or are carrying a lot of extra fat tissue, there can be some serious health problems present that may or may not be evident or known about and may have serious health consequences regardless of the type of surgery the patient is having.


Some of the risks to be concerned about are those that are general to any surgery and are influenced by your age, weight, how you react to the anesthesia and what diseases you may have and whether they’re related to your weight problem or not. I won’t go into all the risks of general surgery here but focus on the specifics risks and complications for lap band surgery.


The biggest risk of lap band surgery is the possibility of gastric perforation during the surgery, which happens in about one percent of the surgeries. Gastric perforation is a tear in the wall of the stomach.


Following lap band surgery there are numerous complications that can develop over the next few months or so. These can range from the lesser mild to more serious. Directions after surgery must be followed closely, as solid food eaten too early can cause a medical emergency. This mistake is made if the weight loss surgery patient eats solid food in the day or two after surgery or if they have traveled to Mexico or another country and fly home soon after surgery and think it’s okay to indulge a little. Make sure you understand the lap band diet and understand liquid food and solid food restrictions.


Side effects can affect many patients such as nausea and vomiting and some will experience regurgitation. Some patients will find that the band has slipped and it’ll need to be adjusted and some find that the passage is blocked between the two sections of the banded stomach.


The extended list of risks include ulceration, gastritis, which is irritated or inflamed stomach tissue, GERD (gastroesophageal reflux), which is regurgitation, heartburn, bloating from flatulence (gas), difficulty swallowing, dehydration, constipation, regaining of weight and rarely death but needs to be mentioned. If the surgery is done laparoscopically rather than a full open surgery then there are other problems that can develop such as liver damage or spleen damage (requiring removal of the spleen), damage to the blood vessels, lung problems, blood clots, the rupture of the incision and perforation of the esophagus or stomach during surgery.


Following surgery there are problems that can develop with the lap bad system type of gastric banding and they include: a deflating of the band causing leakage, which can come from the tubing band or the reservoir, slippage of the band or stomach, an enlargement of the pouch and the stomach outlet can be blocked, or the band can erode directly into the stomach.


Be aware that the cost of lap band surgery may rise if you have after-surgery and ongoing complications that are not fully covered under your health insurance plan or affect your pocketbook if you are paying cash out of your pocket. So you want to research this also.


Although lap band surgery is typically done laparoscopically, in some cases the surgeon may have to switch to a more open method of surgery, which has happened in about 5% of the cases as reported in a U.S. clinical study.


Make sure that you completely understand all the risks of lap band surgery and adjustable gastric banding and discuss them fully with your bariatric or weight loss surgeon before undergoing this surgery. Although safer than the more permanent gastric bypass surgery it does come with risks, possible complications and side effects. What is not known are the long term effects of this surgery. This is true whenever you tamper with nature. So it’s better to be safe than sorry. Make sure you do plenty of research before you commit.

For more nurse’s tips and info on lap band weight loss surgery and lap band surgery risks go to http://www.Lap-Band-Surgery-Info.com for tips on lap band surgery, adjustable gastric band surgery, medical travel for low cost lap band surgery and cost of lap band surgery

Gastric Banding for Weight Loss

If your obese and are looking to lose weight and have tried diet and excerise then Restrictive surgery could be the answer. In a restrictive surgery e.g. gastric banding, the surgeon uses one of a variety of techniques to reduce the size of the stomach. After restrictive surgery, a person feels full faster, eats less, and hence will lose weight.

The full names for the two types of restrictive surgery for weight loss are:

Laparoscopic adjustable gastric banding which id the most common form of restrictive surgery, and Vertical banded gastroplasty Laparoscopic Adjustable Gastric Banding

Laparoscopic gastric banding is often called gastric banding or lap banding and is the second most common weight loss surgery, after gastric bypass.

Gastric Lap band surgery will involves the following:

Using laparoscopic tools, the procedure will place an adjustable silicone band around the upper part of the stomach. Squeezed by this silicone gastric band, the stomach becomes a pouch with about an inch-wide outlet. After banding, the stomach can only hold about an ounce of food, so you will feel full alot faster. A plastic tube runs from the silicone gastric band to a circluar device just under the skin. Saline (sterile salt water) can be injected or removed through the skin, flowing into or out of the silicone band. By adding the saline the band can be tightened or loosened as needed.

Laparoscopic adjustable gastric banding can help to reduce your weight by about 40%  on average. So someone who is 200 pounds overweight could expect to lose an average of 80 pounds after gastric banding. However, these results vary widely depending on the person.

Gastric banding is considered the least invasive form of weight loss surgery and is also the safest too. The procedure can be reversed if necessary and the stomach generally returns to its normal size.

Gastric Lap banding surgery has a low complication rate. The most common problems after lap banding surgery include:

Nausea and vomiting. Can by reduced by adjustment of the banding. Minor surgical complications occur less than 10% of the time. These include problems with the adjustment device, wound infections, or minor bleeding. The risk of death due to lap banding surgery is about 1 in 2,000.

Unlike gastric bypass surgery, gastric banding does not interfere with food absorption but just the quanitiy of food thats taken.So vitamin deficenceny for people who had Gastric banding is rare.

Vertical Banded Gastroplasty (VBG)

Vertical banded gastroplasty also involves a similar plastic band placed around the stomach. In addition to the band the surgeon will staple the stomach above the band into a small pouch.

Vertical banded gastroplasty results in less weight loss, compared with other surgeries and also has a higher complication rate. Therefore due to this vertical banded gastroplasty is less common today as approx. only 5% of bariatric surgeons still perform this surgery.

Mixed Surgeries (Restrictive and Malabsorptive)

Restrictive surgery is an important part of nearly all weight loss surgeries. In the most common weight loss surgery, gastric bypass surgery, restrictive surgery is first done on the stomach. This “stomach stapling” creates a small stomach pouch.

The new stomach pouch is reconnected to a part of the small intestine further down. This leads to less food eaten (restrictive) and less food absorbed (malabsorptive).

If your considering Gastric Banding Surgery in the UK click here.

For your Complete guide to Gastric Banding and Gastric Banding for Weight Loss

Page 1 of 212