Revising or Removing an Old Lap Band

Gastric bands were once one of the most common weight-loss procedures, and many people have lived with one for a decade or more. Over time, bands can cause problems, stop working as well or simply no longer be the best option. If that sounds like you, revising or removing an old band is a well-established path and you have more options than you might expect.

Our practice has extensive experience in complex and revision bariatric surgery, including band removal and conversion.

In this article, we cover:

• Why old gastric bands often need attention
• Signs it may be time to review your band
• Your options: band removal or conversion
• Why band revision needs an experienced surgeon
• Taking the first step

Why old gastric bands often need attention

Gastric bands (LAP bands) were popular because they were adjustable and did not permanently alter the stomach. Years on, though, some slip out of position, erode, or cause the oesophagus above the band to stretch and empty poorly. Many people also find their weight loss was never enough, or has reversed. This is common, and it is not a personal failing. It is the nature of the device over time.

Signs it may be time to review your band

It may be worth a review if you have:

• A band that has been in place for many years without review
• Reflux, heartburn or difficulty swallowing
• Food getting stuck, or frequent regurgitation
• Weight regain, or weight loss that never reached your goal

Your options: band removal or conversion

For most people, there are two broad paths. The band can be removed on its own, or it can be removed and converted to another procedure such as a gastric sleeve or gastric bypass to maintain or restart your weight loss. What suits you depends on your health, your anatomy, your goals, and whether the band has caused any changes that need addressing at the same time.olism working against you. That is the opposite of what most people want from weight loss, which is to feel and function better, not simply to see a smaller number.

Why band revision needs an experienced surgeon

Removing or converting a band means working around scar tissue and, sometimes, changes the band has caused over the years, such as a stretched oesophagus. It is more complex than the original placement, so it is worth choosing a surgeon who handles these cases regularly. Our team does this often, using robotic techniques where they help with precision and access in difficult anatomy.

Taking the first step

A proper assessment will show what is happening with your band and what your best options are. There is no pressure, just clear advice.

If you are living with an old gastric band and wondering about your options, contact our practice online or call us on (02) 9553 1120 to book an appointment with one of our bariatric specialists.