Debt, pain and more surgery: The true cost of gastric band procedure hyped as weight-loss fix

BarbLitt, 49,decided to have gastric band surgery at a private clinic in Toronto two years ago because she'd hit a low point in her life. She was depressed, unemployed and desperate to lose weight.

But rather than shedding a few pounds, the mother of two ended up gaining a $12,000 debt she can't shake and a shooting pain in her side that ultimately required a second operation in hospital to remove the silicone band around her stomach that was supposed to shrink her appetite.

A newMarketplace investigation revealsLitt'spainful experience is hardly unique.

The clinic that performedLitt'ssurgery,Slimband, no longer offers the procedure. Its former chief surgeon had his licence temporarily suspended by the Ontario College of Physicians and Surgeons lastApril, following years of complaints from clients.

But the financing company linked to the clinic, Credit Medical, is still busy collecting money from clients likeLitt, who took out high-interest loans to pay for the procedure.

Because ofthe many complications with gastric bands, includingerosion, bleeding, slippage and blockages, 2,363 of the devices have had to be surgically removed in public hospitals across Canada, excluding Quebec, since 2010, according to the Canadian Institute for Health Information.

Each removal costs between $3,000 and $14,000, meaning taxpayers are on the hook for up to $33 million.

Loans for $16K surgery

Littwishes she knew all that back in 2015, when a flashySlimbandcommercialcaught her eye.

I believed my life was going to change the day I had surgery.- Barb Litt

It featured former clients offering glowing testimonials.

"Say goodbye to plus sizes. Say goodbye to diet pills, fat burners and meal replacements," one woman says. "Say goodbye to every diet under the sun."

Another woman's testimonial said of the procedure: "You're in, you're out and you're shopping what could be better?"

Littdecided to giveSlimbanda call. She spoke to a representative namedAviva, who claimed shewasn't just aSlimbandemployee but a former client who lost 79 pounds.

Aviva's before-and-after photos were posted on the clinic's website.

"And she was like ... 'Oh yeah, it was the best thing I ever did.' She got me all pumped up,"Littsaid. "I believed my life was going to change the day I had surgery."

The big catch was the cost: nearly $16,000. Litt didn't have the money. But Slimband quickly arranged for a loan through Credit Medical, which loans money to Canadians for cosmetic and bariatric surgeries at private clinics andshares the same director as Slimband, Michael Scot-Smith.

Litt showed up for the day surgery at the Toronto clinic with her sisters. It takes about an hour to implant the band, which is placed around the top of the stomach.

After her surgery,Littsaid she had very little post-op support from the clinic. There were no followup visits to discuss her health or weight-loss progress, she said.

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She lost about 25 pounds initiallybut gained 15 pounds back within a year and a half. And during that time, she started to experience intense pain in her side where the band was implanted.

IfLittleaned on something, or bumped into something, she'd be "doubled over in pain," she said.

Finally, in August 2016, her family doctor referred her to a publicly fundedbariatricclinic at St. Joseph's Health Centre in Hamilton, where she was approved for a gastric bypass operation, a surgery that divides the stomach and re-positions the small intestine.

The surgeon also removed her gastric band.

'They've got enough out of me'

Meanwhile,Littwas still expected to make monthly payments on her loan for the Slimbandprocedure, with its interest rate of 12.5per cent. She still owes Credit Medical more than $12,000, but she stopped making payments last spring.

She says she refuses to pay for a program that failed her.

"I've paid $8,000. I'm done. I think they've got enough out of me."

Marketplacehas found nearly 100 complaints aboutSlimbandfrom clients across Canada onwebsitessuch asRateMDs, Yelp and the Better Business Bureau. There are two recurring themes: the gastric band failed, and clients felt they received no support fromSlimbandor its medical director and chief surgeon, Dr. PatrickYau.

At least four official complaints were filed aboutYauspecifically to the Ontario College of Physicians and Surgeons, the independent organization that oversees doctors' conduct across the province, dating back as far as 2010.

One of thecomplaintsis from a mother whose diabetic son died of bacterial meningitis two days after surgery. The college's findings say her son's blood sugar and glucose levelsweren't properly monitored following the operation and prior to discharge, which led to him developing diabeticketoacidosis, a contributing factor in his death.

The college launched an investigation intoYau's conduct in 2012.

In 2014, while the investigation was ongoing,Slimbandsent a memo to patients sayingYauwas no longer a part of the team. And yet, Marketplace discovered that he continued to perform gastric band surgeries at the Toronto clinic after that.

In April 2017, the college foundYauguilty ofprofessional misconduct. His medical licence was suspended for three months. He's now back practising general surgery at the Scarborough Hospital and works out of his general practice clinic in northeast Toronto.

'I'm sorry they feel that way'

Maxine Jeffrey, 25, a former patient ofYau's, says "it's disgusting" he's still practising medicine.Yauinstalled Jeffrey's gastric band in 2014, but she found shecouldn't keep food down.

Yauperformed a second band operation about a year later that failed to solve the problem. It got so bad Jeffrey went 48 hours without being able to even drink water. That led to an emergency surgery atToronto'sHumberRiver Hospital in November 2016 to remove the band.

When Jeffrey calledYau, she says hewasn't very helpful. "He was like, 'This bandisn't failing you;you're failing the band.'"

Jeffrey says she broke down in tears after the call.

We suspect that nearly all the bands that are placed, at some point, will need to be removed for one reason or another.- Dr. DavidUrbach, chief of surgery at Women's College Hospital in Toronto

Marketplacecaught up withYauat his office late last year to ask if he has anything to say to his patients who believe he failed them. His response: "I'm sorry they feel that way." He refused to answer any more questions.

On its website, theSlimbandclinic says it's no longer accepting new patients but is providing support to existing ones.

SinceLittstopped paying her outstanding bill, she's been bombarded with registered letters andemailsfrom Credit Medical threatening her credit rating.

Credit Medical andSlimbanddirectorMichael Scot-Smithis a former developer who was convicted of real estate fraud and sentenced in 1993 to two years in jail. In 2000, he was convicted ofobtaining bank loans under falsepretenses. Hedidn't respond toMarketplace's requests for comment.

Litthas a warning for others considering weight loss surgery: Don't do it through a private clinic. Go through the public system, if you can.

Bariatricsurgery in public system not cosmetic

Dr. DavidUrbach, chief of surgery at Women's College Hospital in Toronto, performs gastric bypass surgeries, which he considers to be the gold standard ofbariatricoperations.

"We really apply surgery not for cosmetic purposes, but for health purposes," he said."And we offer surgery to people whose life expectancy would be shortened by their obesity."

He says he removes one to two gastric bands every month.

"We suspect that nearly all the bands that are placed, at some point, will need to be removed for one reason or another," he said.

The public system has strict criteria for weight loss surgery, which include a very high body mass index along with other pre-existing health conditions such as diabetes or sleep apnea. Private clinics are not as selective,Urbachsays, which can lead to all kinds of problems.

"When problems do arise, they're typically not able to deal with those complications, especially if they're severe or require hospitalization," he said.

For people who are significantly obese,Urbachsuggests getting a referral through a family doctor to a publicly funded obesity surgery program. And for those who don't meet the qualifications, he says the good news is they're actually otherwise healthy and should talk to their family doctor about a balanced approach to managing both their weight and overall health.

"There's no rule that everybody has to be a certain body weight."