iLAP (Imbricated Lap Band)

[HauteMama 2]

has anyone had the iLAP (Imbricated Lap Band)? My doctor said of his lap band patients 85% of them are doing the Imbricated Lap Band. The iLAP is similar to a gastric sleeve and lapband combination.

a little info......

iLAP

The imbricated Lap Band procedure is a newer concept that per the ASMBS is investigational. Although this is a new concept it has had good initial results. Many other centers around the country are incorporating the plication procedure with the Lap Band. There is very little published data about this procedure to date. The rationale for the iLap is to decrease gastric volume and to work with the band to be restrictive. The potential lack of irreversibility of this additional procedure makes it more invasive than a Lap Band alone. In addition, because this is a more invasive procedure there is a potential increased risk of complications.

This surgery is performed through a laparoscope in conjunction with your Lap Band procedure.

Sutures (stitches) will be placed about the greater curvature (the area of the stomach that forms a long usually convex curve on the left from the opening for the esophagus to the opening into the small intestine) of the stomach to create at least 1 infold along your stomach. This infold should make your stomach capacity smaller. This procedure will require a longer operative time (20 minutes estimated) than a Lap Band alone.

The plicated Lap Band (iLap) surgery is a new operation. It is not possible to estimate the exact percentage of complications, but surgeons have evaluated the risks and ongoing studies are being performed. Some risks include but are not limited to the need to change from a laparoscopic surgery to an open procedure (procedure that involves a larger incision), injury to the stomach, increased chance of bleeding, the potential for additional operative procedures, and a prolonged hospital stay.

The iLap procedure will take approximately one hour to complete. Routine post-operative care will be provided from surgery through the time of hospital discharge, usually later the same day.

After surgery it is important for you to recognize early signs of any possible problems. If you begin to run a fever, begin to have trouble swallowing, or have increasing throat, chest, or abdominal pain, let your doctor know about it promptly.

[bromo 17]

I had the lapband with plication 6 weeks ago and am loving it. I believe it is the reason I have not gone through "bandster hell" and am hardly ever hungry. My portion sizes are around a cup and I am thoroughly satisfied with that amount. I am not scheduled for a fill at this time since I am losing at a fairly steady pace. I would recommend it to anyone considering it.

[HauteMama 2]

I had the lapband with plication 6 weeks ago and am loving it. I believe it is the reason I have not gone through "bandster hell" and am hardly ever hungry. My portion sizes are around a cup and I am thoroughly satisfied with that amount. I am not scheduled for a fill at this time since I am losing at a fairly steady pace. I would recommend it to anyone considering it.

Thanks for responding. This is great news!!! I'm seriously considering having the same procedure. How is your weight loss so far?

[bromo 17]

My weight loss in 6 weeks since surgery has been 23 pounds and I am averaging 2 to 3 pounds the past couple of weeks. Although my ticker shows 33 lbs. that includes 10 pounds lost on the preop diet.

[HauteMama 2]

My weight loss in 6 weeks since surgery has been 23 pounds and I am averaging 2 to 3 pounds the past couple of weeks. Although my ticker shows 33 lbs. that includes 10 pounds lost on the preop diet.

thank you so much for this information. this is very encouraging

[healthy and happy 64]

I also had this procedure done and I am with bromo on this. I have had fantastic results, and am not hungry at all. I have had absolutely no complications so far (knock on wood). I have not been sick or had any stuck episodes either. I am feeling fantastic and my weight loss has been great. My ticker includes my pre-op liquid diet also. I was banded about 10 weeks ago, so I am very pleased. I am in the 100's now instead of the 200's and it is a great feeling. I no longer have to shop on the plus side of the store. Life is good!!

[HauteMama 2]

I also had this procedure done and I am with bromo on this. I have had fantastic results, and am not hungry at all. I have had absolutely no complications so far (knock on wood). I have not been sick or had any stuck episodes either. I am feeling fantastic and my weight loss has been great. My ticker includes my pre-op liquid diet also. I was banded about 10 weeks ago, so I am very pleased. I am in the 100's now instead of the 200's and it is a great feeling. I no longer have to shop on the plus side of the store. Life is good!!

CONGRATULATIONS!!!!!!!!

this is very encouraging!!

[HauteMama 2]

I've been thinking all night and I have a few questions for you two, if you don't mind

1. Did you have to spend a night in the hospital?

2. Were you able to drink Water pretty soon after the surgery without any problem?

3. Is it necessary to have the lapband or can you have the plication alone?

4. Have you had any lapband fills?

5. Can you give me an example of what you normally eat?

Thank you all so much. There is not a lot of information out there, I just want to know what to expect from those who have experienced it.

[Corrigan 75]

I had a similar surgery in September. I did spend a night in the hospital,

I think it's a good idea for everyone, no matter what surgery they had.

I was able to drink a limited amount for a few hours, then sip almost as

much as I wanted. Placation (stomach folding) has been done for some

time, the problem was that over time, the stitched stomach enlarged and

allowed complications. With the band, restriction can be added, eliminating most of those problems.

It is investigative, but a few insurances cover it now.

I haven't seen a downside yet.

[THENEWME2012 0]

I am having this procedure done ..Im actually doing the dreaded 6 month diet for BC/BS.. I am so excited and I think that this procedure is really a great choice. Goodluck and I would say go for it if you have the opportunity..

has anyone had the iLAP (Imbricated Lap Band)? My doctor said of his lap band patients 85% of them are doing the Imbricated Lap Band. The iLAP is similar to a gastric sleeve and lapband combination.

a little info......

iLAP

The imbricated Lap Band procedure is a newer concept that per the ASMBS is investigational. Although this is a new concept it has had good initial results. Many other centers around the country are incorporating the plication procedure with the Lap Band. There is very little published data about this procedure to date. The rationale for the iLap is to decrease gastric volume and to work with the band to be restrictive. The potential lack of irreversibility of this additional procedure makes it more invasive than a Lap Band alone. In addition, because this is a more invasive procedure there is a potential increased risk of complications.

This surgery is performed through a laparoscope in conjunction with your Lap Band procedure.

Sutures (stitches) will be placed about the greater curvature (the area of the stomach that forms a long usually convex curve on the left from the opening for the esophagus to the opening into the small intestine) of the stomach to create at least 1 infold along your stomach. This infold should make your stomach capacity smaller. This procedure will require a longer operative time (20 minutes estimated) than a Lap Band alone.

The plicated Lap Band (iLap) surgery is a new operation. It is not possible to estimate the exact percentage of complications, but surgeons have evaluated the risks and ongoing studies are being performed. Some risks include but are not limited to the need to change from a laparoscopic surgery to an open procedure (procedure that involves a larger incision), injury to the stomach, increased chance of bleeding, the potential for additional operative procedures, and a prolonged hospital stay.

The iLap procedure will take approximately one hour to complete. Routine post-operative care will be provided from surgery through the time of hospital discharge, usually later the same day.

After surgery it is important for you to recognize early signs of any possible problems. If you begin to run a fever, begin to have trouble swallowing, or have increasing throat, chest, or abdominal pain, let your doctor know about it promptly.

[bromo 17]

I've been thinking all night and I have a few questions for you two, if you don't mind

1. Did you have to spend a night in the hospital? Yes. My surgery was about 5pm and I was out by 11am the next day. I was glad I spent the night though for the extra attention and meds(pain, nausea and antibiotic) for right after surgery

2. Were you able to drink Water pretty soon after the surgery without any problem? At first I had ice chips, 1 oz every 15 minutes. After that I had Water and even juice.

3. Is it necessary to have the lapband or can you have the plication alone? Plication alone is available, however the advantage to having it with the band is that when the time comes, and it will, that you have lost all the weight possible with the plication you can begin working with the adjustments of the band thereby having an advantage over either alone.

4. Have you had any lapband fills?No, I am not hungry and will not have any fills as long as I am losing weight without them.

5. Can you give me an example of what you normally eat?Breakfast is usually a Protein shake of some sort, often mixed with a Starbucks ligh frappaccino. yummy.

lunch is varied, a turkey or chicken wrap, leftovers from last night's dinner, scrambled or boiled eggs, or anything that strikes my fancy that day and usually some sort of small salad.

Dinner is so varied, from fish, chicken, pork loin chop, filet mignon, most any meat I wish. A veggie such as squash, carrots, greens, Beans or whatever and maybe a bit of salad.

I have a snack most days of a small greek yogurt, babybel light cheese, watermelon or a tablespoon of low sugar Peanut Butter on a wasa crackercrisp, or something similar.

Thank you all so much. There is not a lot of information out there, I just want to know what to expect from those who have experienced it.

You are welcome.

[HauteMama 2]

Thank you Bromo!!! My doctor said he can do the surgery as an outpatient. I have more questions I need to ask him. I'm paying out of pocket and do not want to be hit with any unforeseen fees. I can see why an overnight stay would be beneficial.

[healthy and happy 64]

Heres to your questions....

1. I was scheduled to stay overnite, but I was up walking around in the recovery room and was doing so well that my doc let me go on home.

2. I have had no problems drinking Water. I actually drink a lot of Water everyday.

3.I am not sure about plication without banding. My doc never really talked about that as an option.

4. My doc put 4 cc;s in on the day of surgery, I have not had any fill since. I have been losing weight at a very consistent rapid pace and have not been hungry so there hasnt been a need to yet.

5. Breakfast- I have an egg almost everyday, (fried, scrambled, or boiled). I accompany that with either a piece of lean sausage or a fruit cup or a half of a sandwich thin toasted.

Lunch= usually a leftover from dinner the nite before (typically a piece of grilled chicken and vegetable or some of my other faves are tuna salad and a few special k chips or I make a pizza with a half of a sandwich thin and pizza sauce and fat free cheese and some ground beef. and a fruit cup

Dinner- chicken, fish or lean ground beef with a vegetable or fruit side.

I also have a snack every nite usually a sugar free choc. pudding with some extra powders?utm_source=BariatricPal&utm_medium=Affiliate&utm_campaign=CommentLink" target="_ad" data-id="1" >unjury Protein powder in it. I too love Starbucks hot chocolate so I occasionally treat myself to the Skinny version of that.

[HauteMama 2]

Thanks Healthy and Happy !! Congratulations on your success so far, keep up the good work!!! I have decided to have the iLap. I have a few steps this week before I am scheduled for surgery. I'm having blood work, psych exam, nutrionist, upper GI and abdominal exam. I'm guessing I should have the surgery the first week of December. *crosses fingers*

[SkinnyMiniMe 63]

My doctor still doesn't do this procedure. he MAY start trials of it by the time we have surgery in December. My husband wants it and I am on the fence with it. With the regular lap band it's completely reversible. With this procedure you can take out the lap band but the plication is permanent. It is still being investigated so no sure what the outcomes are or complications.