Carnie Wilson has had Lap Band surgery, to lose the weight she regained after her gastric bypass in 1999. The Lap Band is the most popular type of adjustable gastric band, and is placed around the top of the stomach. It creates a small pouch which helps patients decrease their appetite after eating a much smaller amount of food.
Lap Band patients generally feel less hungry, and the band does not interfere with the digestive process. “Band over bypass” is a phrase which refers to using a lap band being placed in a patient who has previously had a gastric bypass procedure – like in the case of Carnie Wilson – to help the patient re-lose their weight.
Dr. Simpson has been doing Band over Bypass surgery since 2005 with great results. “When I first started doing band-over-bypass some of my colleagues thought it was crazy. We convinced others that this operation provides a great second chance, as it did for Carnie Wilson.” Some insurance companies will pay for the band-over-bypass, especially if it can be shown that the bypass operation had a failure associated with it. “The most common cause for bypass failure is the opening between the stomach and small bowel. This gets stretched. We place the Lap-Band above this opening. The band cannot be stretched out like the staples can.”
Since her surgery on January 18, 2012, Wilson has lost 30 pounds. She told People Magazine, “It was the right decision for me and I’m doing really well so far…It’s all about taking good care of myself.”
Because the lap band is adjustable, follow up is a critical component of its success. Patients see their surgeon or staff every 4 – 6 weeks for the year following surgery, and continue visits on an ongoing basis. The visits are important because the band can have fluid added to it or taken out, optimizing the patients’ weight loss.
Dr. Simpson feels this follow up is one of the most important features of the band. “So many of patients who come to us with gastric bypass tell us that they got very little follow up to change their lifestyle. They relied on the surgery to help them lose weight. One of the biggest challenges we have with band over bypass procedures is to help the patient become the master of their surgery– that is, they have control, and it is their lifestyle choices that make a difference. To put it another way, the operation is a tool- and like any tool you have to learn to use it. Just because you can lose some weight without instruction doesn’t mean you have mastered the tool.”
In addition to Band over bypass Dr. Simpson has placed bands over duodenal switch operations, band over gastric sleeve operations, and band over the old fashioned stapling operations. “The surgery is just the start,” Dr. Simpson says, “Once we have the surgery done, we start teaching them how to use their tool, and we begin our lifestyle modification program.”
Dr. Simpson’s support group is the oldest weight loss support group in Arizona. Dr. Simpson attends almost every one (he missed one after his son was born, and one when he was in China). The support groups are held every third Thursday in the hospital next to his office. To find out more, or to attend a support group, contact Dr. Simpson’s office at 602-234-SLIM.
Dr Terry Simpson
Dr. Terry Simpson is a Phoenix weight loss surgeon. He encourages his lap-band surgery patients to learn to cook and adopt healthier lifestyles. His goal is to use culinary medicine to keep patients out of his operating room. in 2017, Dr. Simpson became a Certified Culinary Medicine Specialist.