Pre-Operative Education Class
There will be an additional information seminar to learn what to expect from the LAP-BAND and provide you with the tools necessary to be successful. We have a full support staff to cover nutrition, emotional issues, guidelines for avoiding problems, exercise and additional support options if needed. Most of the support staff have LAP-BANDs themselves and know what it is like having been through the process themselves. Our program is unique in this aspect for the number of our staff who have the band. Our primary program director has the most experience in the region. The Pre-operative class information will be available once you have completed your registration.
Consult with Dr. Hansen
Prior to surgery you will meet with Dr. Hansen who will perform an exam and answer any final questions you may have prior to surgery. Prescriptions for after surgery will be given to you at this visit with the request to fill these and bring them with you to your surgery. A final list of key principles at this point in the process will be reviewed with you and are listed below.
- Don’t drink with meals and wait 2 hours before drinking again.
Start this one week after surgery. This is the most difficult responsibility you have to help the band work for you. Drinking with meals will allow food to slide down through the band instead of holding it back where it can stretch some of the stomach wall to send a signal back to the brain to “turn off the hunger.” Because it is a tool it will help you to feel satisfied on smaller portions and to not feel so hungry. Your part is that when you are not hungry—don’t eat in between meals. It is also “OK” to skip some meals if you are not hungry. Eat the smallest portion of food until you don’t feel hungry then quit eating.
- Limit vomiting.
Because a restriction has been placed on your stomach to create an hour glass shape with only a small upper pouch if you:
- Eat too fast
- Don’t chew food enough
- Eat too much
Food will back up into your esophagus ( the “No Loitering” organ of the body) and it will come back up. This will happen. You want to limit this as much as possible. Repeated vomiting contributes to getting a “Slip” where the stomach slides up through the band making it too tight and then usually has to be revised. Learn what causes you to vomit and avoid this.
- Goal for weight loss…
Our average is 52% of excess weight loss after two years so we ask you to set a goal to loose 66% or (2/3′s) of the excess weight above your ideal body mass.
- Cost of the surgery.
Self pay. For those paying out of pocket without insurance, the office fees cover everything it takes to care for you for the first year related to the LAP-BAND, i.e. adjustments, office visits, or service provided by my office due to any complications such as the unlikely event of a re-operation. It does not include any facility, extra personnel, or laboratory fees associated with any problems or complications.
Insurance. Each insurance has individual policies. There will be an office consult fee and the operation charge. After ninety days from the surgery date, each office visit will be charged and paid by insurance however your plan covers it. In the event you loose insurance coverage we have package plans for follow up. Please call if there is any questions.
- Follow up visits.
You should have a 2 week appointment after your surgery with Dr. Hansen. Subsequent visits will usually be with the nurses on a monthly basis and occasionally more frequently if needed.
Your success is our goal. Follow the program and it will work. Please let us know if you have any questions. We want you to feel well informed as much as possible about your LAP-BAND procedure.
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