LAP-BAND® / Realize Gastric Banding procedures at
Chapman Medical Center in Orange County, California
presented by the Coastal Center for Obesity
for residents of Aliso Viejo, Anaheim, Anaheim Hills, Brea, Buena Park, Corona, Corona Del Mar , Costa Mesa, Cypress, Dana Point, Foothill Ranch, Fountain Valley, Fullerton, Garden Grove, Huntington Beach, Irvine, La Habra, La Palma, Ladera Ranch, Laguna Beach, Laguna Hills, Laguna Niguel, Lake Forest, Las Flores, Mission Viejo, Newport Beach, Orange, Placentia, Rancho Santa Margarita, San Clemente, San Juan Capistrano, Santa Ana, Seal Beach, Stanton, Trabuco Canyon, Tustin, Tustin Ranch, Westminster, and Yorba Linda
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our surgeon ________________ |
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Dr. Milton Owens, M.D.,
F.A.C.S., Medical Director -
Bio /
Curriculum Vitae |
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LAP-BAND® testimonials ______ |
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Click on the image to view video.
Coastal patients discuss their
LAP-BAND® success stories.
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__ locations ___________________ |
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Chapman Medical Center
Bariatric Center of Excellence
2617 East Chapman Ave. Suite 307
Orange, CA 92869
Rancho Specialty Hospital
10841 White Oak Ave.
Rancho Cucamonga, CA 91730
Call 1-888-527-5222 |
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daily news about obesity ______ |
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Surgical weight loss operations performed at Coastal Center for
Obesity Coastal Center for Obesity include the LAP-BAND® and the Realize system procedures,
Gastric Bypass and Sleeve Gastroplasty.
Adjustable Gastric Banding (LAP-BAND® / Realize System)
Adjustable gastric banding operations have been performed for the treatment
of obesity in Europe and Australia for many years with proven effectiveness
and safety . The
LAP-BAND®, a type of adjustable gastric band, was recently
approved (June 2002) for use in the United States. It is an attractive
procedure because it is less invasive than a gastric bypass, adjustable, and
reversible.
Operation
 The LAP-BAND® consists of a silicone inflatable band and an attached access
port (see picture). The band is placed around the top part of the stomach
(like a belt) to form a narrow constriction. This functionally divides the
stomach into a small (15cc) proximal gastric pouch and the large remainder
of the stomach. Eating small amounts fills the pouch and causes a feeling of
fullness. The access port is implanted under the skin of the abdomen and
connected to the band via a small tube. After surgery the tightness of the
band can be adjusted for optimal weight loss by injecting or removing saline
from the access port. The operation is performed laparoscopically using five
small incisions. The operation takes about an hour and patients can usually
go home the day of surgery or the morning after.
Results
- Long-term weight loss 40-60% of excess weight
- Weight loss 1-2 pounds per week after surgery
Risks
- Vitamin and mineral deficiencies (usually can be prevented by taking
supplements)
- Infection, bleeding, blood clots, band slippage, and band erosion
...more about the
risks of LAP-BAND®
Roux-en-Y Gastric Bypass
Operation
In the
gastric bypass procedure, a 15-20cc stomach pouch is
constructed (usual stomach approximately 1500cc or greater). The remainder of
the stomach is separated from the new stomach pouch and stapled closed. This
part of the stomach is not removed. The new stomach pouch is then connected to
the small intestine. This is done by dividing the intestine approximately 40cm
from the stomach and attaching the distal part to the stomach pouch. The
proximal part of the divided intestine is then connected to the side of the
intestine that was previously attached to the pouch. The roux limb is that part
of the intestine between the stomach pouch and the connection to the proximal
small intestine.
The difference between short limb (or proximal) and long limb (or distal)
gastric bypass is the length of the roux limb. Long limb gastric bypass results
in more malabsorption than short limb gastric bypass.
Results of Gastric Bypass
- One-two years after surgery, weight loss averages 65-80% of excess
weight.
- 10 years after surgery, weight loss averages 55% of excess weight.
- Associated medical problems, such as diabetes, hypertension, sleep apnea,
joint pain, and heartburn are improved or resolved in more than 90% of patients.
Risks of Gastric Bypass
- Vitamin and mineral deficiency (usually can be prevented by taking
supplements).
- The bypass portion of the stomach, duodenum and segments of the small
intestine cannot be easily visualized using x-ray or endoscopy if problems
such as ulcers, bleeding or malignancy should occur.
- Risks of surgery include infection, bleeding, blood clots, leaks,
strictures, and bowel obstructions. In general, the benefits of gastric
bypass outweigh the risks for people with BMI > 40, and for people with BMI
35-40 In the presence of medical problems associated with obesity.
...more about the
risks of Gastric Bypass
LAP-BAND®
- Less invasive
- Outpatient surgery
- Reversible Adjustable
- No rearrangement of anatomy
- Slower weight loss
- Not endorsed by NIH
- Less well studied in US
- More follow-up required
- More dietary compliance required
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Gastric Bypass
- More invasive Inpatient surgery
- Not easily reversible
- Not adjustable
- Anatomy rearranged
- Faster weight loss
- Endorsed by NIH
- Well studied in US
- Less follow-up required
- Less dietary compliance required
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LAP-BAND® Financing Available
Coastal Center for Obesity’s LAP-BAND® patients can now finance all costs associated with LAP-BAND®. LAP-BAND® can help you take control of your hunger, lose dangerous excess weight and keep it off.
More information:
Get more information on Weight Loss Procedure
Gastric Bypass, LAP-BAND®
and Sleeve Success Stories
LAP-BAND® Insurance Information
Gastric Bypass Insurance Information
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