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oops, now I see that you haven't had surgery yet. So let me revise that to say if you find a new PCP, let them know you are in the process of getting approved for surgery. If you have other medical issues, or are on meds, it's a good idea to have your PCP involved, I think, but if you don't you may as well go to a new one the next time you need an annual and let them know then.
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Vertical Sleeve Gastrectomy... it's the first part of a Duodenal Switch operation. Basically, they shape your stomach around a thin tube, called a bougie. They staple it off into a banana shape... leaving the pyloric sphincter in tact, so no dumping. It's restrictive only... no malapsborption. Has only been done as a stand alone for about 4 years... but results seem to be as good or better than the Band. No fills... no PBing. It's becoming very popular both as a primary operation as well as a revision for Bandsters. You can find a bunch of Bandsters talking about it on the Obesity Help VSG forum... also there's a post by an ex-Bandster in the Band Removed thread. I think his name is Andrew? Laparoscopic Associates - Weight-Loss Surgery San Francisco, Bariatric Surgery is one group of doctors that do a lot of them I really really don't want surgery again... but if I can't get my Band to work, I'll have to. When I first had surgery, I had no kids... was single. Now I have three little people under four that need me. Totally changes the risk profile, KWIM?
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Anyone have a sugically repaired slip and still lost weight after?
JACKIEO85 replied to luvzpitbullz's topic in LAP-BAND Surgery Forums
I'm sorry that your going through this,I'd hope that things can be resolved but the reality is that it probably Won't. I'd get the band removed rather than risk more complications. Reflux, and aspiration are NOT NORMAL. And you don't HAVE to have ANY other WLS, just because your surgeon does a particular surgery. And yes I know about the emotional roller coaster ride you'll be on if you choose not to revise. BUT I believe your STRONG enough to do what is needed. Don't risk your health further. I've copied some literature about slips. Complications associated with adjustable gastric banding for morbid obesity: a surgeon’s guide Anterior slip results from upward migration of the anterior wall of the stomach through the band. This can be due to insufficient anterior fixation and disruption of the fixation sutures. The second cause may be related to increased pressure in the pouch due to early solid food, vomiting, overeating or early (< 4 wk) band fill Posterior slip is defined as a herniation of the posterior wall of the stomach through the band. This is usually related to the surgical technique but is less frequent now with adoption of the pars flaccida approach instead of the perigastric approach In both types of slip, the patient usually presents with dysphagia, vomiting, regurgitation and food intolerance. The diagnosis is made by upper gastrointestinal series. Complications related to band slip include gastric perforation, necrosis of the slipped stomach (type-V prolapse), upper gastrointestinal bleeding and aspiration pneumonia. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038361/ -
Has anyone gone from the lapband- sleeve?
2muchfun replied to tegz's topic in Tell Your Weight Loss Surgery Story
There's an entire forum dedicated to band to sleeve: http://www.bariatricpal.com/forum/394-band-to-gastric-sleeve-revisions/ -
Quite a different Pre-op diet this time around
Tomo replied to Tomo's topic in PRE-Operation Weight Loss Surgery Q&A
If anyone else gets a diet like this, I found out it is for stomach issues. Makes sense, I have gerd/esophagitis and am awaiting a revision to RNY for that reason. Sent from my SM-N986U using BariatricPal mobile app -
Got my surgery date!! September 17th!!
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Sleeve to bypass revision
1Day1Life4Now replied to justhere4theshow's topic in Revision Weight Loss Surgery Forums (NEW!)
I am also having a revision to RNY and my tentative date is Oct 10th. I had the sleeve done in February of 2014 but have suffered with severe reflux ever since. I am so nervous about this. Do you know anyone else who has had this done already? I'm anxious about what to expect. -
New here, getting sleeve Feb. 1
Tiffykins replied to Sabrina's topic in Tell Your Weight Loss Surgery Story
Yeah, vacation may be a little bland without the martini, but I bet you'll not even be in the mood for drinking by that time. I had 3 abscesses develop 6 weeks after my revision that landed me in the hospital again for 7 days. I had drains, and antibiotics and all that fun stuff all over again. They think little microscopic bacteria was stuck in my abdomen from the leak, and they formed pockets. It was a pain in the butt, and very exhausting. I was my surgeon's first leak. Not really proud of it, but he did an amazing job saving my life. I know in my heart of hearts (after reviewing pics/xrays/video from surgery) that my stomach was damaged by the band. It really wasn't my surgeon's lack of experience or "fault". -
Varying Degrees of Restriction?
Babbs replied to BrisvegasGirl's topic in Gastric Sleeve Surgery Forums
I don't know this for a fact, but I've heard that revisions sometimes don't feel as much restriction as a strait up sleeve...but if those of you revisions want to chime in and let me know if that's true or not that would be great... But with me, who is not a revision, it varies from day to day. Some days I feel like I can eat so much and barely feel restriction, and other days I eat 3 bites and I'm stuffed. It's really weird! -
I have bcbs of mn and mine was submitted yesterday! I hope it works, I was denied within 3 days last time because of miss info from ins to doc they said I needed 3-4 pre op req visits I actually needed 6 for the sleeve, so I'm done now and should be no fight but ins is ins so who knows! They have 10 days or so he said to approve or deny. I'm a revision and on the books for June 10 pending approval!
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reversal from lapband to gastic sleeve
Travelher replied to dlwil39's topic in Gastric Sleeve Surgery Forums
lots of people revise to the sleeve. I'd caution you though, that if you have any reflux with the band (as many do) your best revision option will be bypass. -
Problems eating a yr after post op
James Marusek replied to Missmfp's topic in POST-Operation Weight Loss Surgery Q&A
That does not sound normal. If you are 18 months post-op, you should be able to consume a cup of food per meal; not just 2 forkfuls of food. I threw your symptoms into the internet and what seemed to pop out was "late dumping syndrome". http://www.bariatric-surgery-source.com/dumping-syndrome.html I am not sure I believe this. It is possible that you might be experiencing problems relating to revisions. One individual in our bariatric support group meeting went from a lap band revision to RNY gastric bypass. Because of the scaring associated with the erosion caused by his band, his new pouch was constructed much smaller than typical. As a result, he was somewhat limited in the volume he could consume at each meal. I have personally found out that softer foods such as chili and Soups go down much easier than harder foods such as steaks. -
Port Revision Surgery
hotsexyrunnerchick replied to AFmom's topic in Revision Weight Loss Surgery Forums (NEW!)
That sucks .. my port is sideways so the surgeon has to do my fills directly. My 1st fill is on September 15th so I am hoping everything goes ok. Let us know how your revision goes. -
Got my date, 6/8/15!!! I'm a teacher so summer works best. I am 28 years young but have had bad diabetes since I was 18. The band worked at first, lost 80lbs from my highest weight...but I hate it now. Gained almost all weight back and didn't help my diabetes like I was promised. Was looking at the sleeve revision but my Dr recommended RNY instead...I am hoping RNY helps. Anyone else diabetic with some encouraging words?
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I have two friends who also went bypass and did well. I researched everything but the sleeve and still came up with the band. For me, I felt like all I needed was something to help with the satiety and help me to eat less food. Also, I liked the idea that it was adjustable and if it didn't work out I could have it removed or revised to bypass or sleeve. Keeping my stomach intact was important to me. You have to decide what's important for you. WLS may be what you need but only you know what the right choice can be? tmf
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Port revision booked
kah1213 replied to gowalking's topic in Revision Weight Loss Surgery Forums (NEW!)
Hey did you have your revision surgery? Mine is booked for 9/30. -
There's been some patients that had part of the hospital bills from complications covered by insurance, but others have had complete exclusion of any complication bills being paid by insurance that do not cover the initial procedure. It seems it's all in how the hospital bills the charges, and how the doctor handles the complications. It's a tough situation to be in as I would not want bypass, and I would have self-paid for my revision if insurance would not have come through for me.
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Might they have said, "esophageal dysmotility?" See, when we eat something, the esophagus--unlike the pictures we see in cartoons--isn't just a tube the food drops through. The esophagus massages the food on down to the stomach, where it can be digested. When the esophagus doesn't massage the food correctly, it's call "esophageal dysmotility." (There's a test for this...manometry.) In my case, the band CAUSED esophageal dysmotility. Food and beverages just sat, trapped in the esophagus, moving up a little...moving down a little, until the esophagus FINALLY moved them through. Meanwhile, my trainer was going insane because I could not get in a reasonable position for most exercises. And we'd go out to dinner and the ONE-THIRD of a cup of Soup would get jammed in there and then I couldn't eat dinner. It was miserable and the band caused it. When I had the band removed and was revised to the DS, the situation changed and all was well. So...most GOOD band doctors will not band someone who, going out the gate, already has this condition because it will probably only get worse. The manufacturer of the band says it's not a good idea. Scroll down to #6 at the bottom. http://www.allerganandinamed.com/products/obesity/us/clinician/lapband/risk.html
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Port revision surgery is a breeze. Mine flipped a couple of months ago and I had to have revision surgery. I was in and out in under 30 minutes and got a fill during that time as well. I went home within an hour after the surgery, felt great and went back to work the next day. The recovery is minimal and there is very little pain involved. I didn't even take tylenol. As for why they flip, no one knows. It just happens sometimes, thats all.
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Welcome! I too had my heart originally set on the Sleeve. However, my insurance and my doctor wouldn't approve it. My surgeon knew I had a history of heartburn and gerd - said that if you have that the sleeve may complicate it. In addition I was a revision to RNY from the band and it had higher complication rates.... I had my surgery back in August (revision) and original band surgery in April 2008. I honestly wish I would have had RNY originally I was scared of the malaborption as well as "re-routing'. However, I neded up with many complications from the band and ended up going through a tough revision surgery due to my fears. My original surgeon always pointed out that "band was reversable". Hindsight, why would I want to be fat again? and removing the band would do that. Iended up gaining back all of my weight plus some after band surgery. I'm down 47 pounds in two months (today is my anniversary - woot) and couldn't be happier! Good luck with your decision...let me know if you have any questions.
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Waiting is so hard!
losing_the_band replied to losing_the_band's topic in Gastric Bypass Surgery Forums
Had my consultation, and I'm glad I decided to find another surgeon. I didn't meet the surgeon this time, but I really liked his staff. I didn't feel like the place was a bariatrics mill, either, and they took my concerns about my band seriously. They did a complete unfill, and I've got an appointment for an upper GI series with barium. Hopefully, we'll be able to document a slip so I can get a revision. -
More support can't hurt!
elli'smommy replied to elli'smommy's topic in PRE-Operation Weight Loss Surgery Q&A
Truly, not very long. But, I have a lap-band that was ruptured during a fill. So after a failed four year stent w the band I seen a new Bariatric doc and discussed removing the band. He suggested rny. That was in December. I drug my feet for a while and did some research and soul searching. Then seen the doc again in Late march. Paperwork was submitted in April and approved a week later. I had to attend a revision class. A week later after that I had my may 10 & 14 appts. If all goes well, ill have a surgery date by the end of may or early June. So I started attending the support groups last night. I'm seeing the dietician next week as well. Moving right along! -
so i asked my dr where he learned to do the sleeve. he said he taught himself after watching his partner do them and by also watching videos of other dr's who had done them. i guess he really learned while being in the operating room with his partner (who is the head of the bariatrics unit). my dr has done over 300 rny's, 100's of lapbands and 6 sleeves. he says he only had 1 leak ever, and that was in an rny patient. i also asked him if there were any deaths and he said 1, but that was a person who was getting a revision of a revision. he seems very honest and straightforward in all his answers. his 6 sleeve patients are all doing well. my dr works on one of the best bariatric teams in new york, which is the st lukes hospital bariatric unit, which is also a bariatrics center of excellence and a leading research center for bariatric surgery. their team is headed by dr julio teixeira, who has done thousands of wls and teaches other dr's. dr teixeira is also well known to do surgeries that many other dr's wont touch because theyre being done on patients at high risk and/or with complications. apparently hes that good. i dont know how many sleeves he has done. my dr is the no. 2 on his team and his name is dr james mcginty. my insurance has dr mcginty on my plan, but no other dr from that hospital is on my insurance as different dr's there take different insurance companies. im confident in my dr and he was the best and most experienced from all the dr's that were accepted by my insurance. what do you think about him saying he was self taught? im not really worried about him only having done 6 sleeves (this was discussed in a prior thread), im just concerned about what is considered the normal way for a dr to learn how to do the sleeve? any replies would be appreciated. ps - i did ask my dr a ton of questions about the sleeve and his procedure, including bougie size, how far from the pyloric valve does he start, leak testing and so on, and he answered them all to my satisfaction. and ive researched the sleeve so throughly that i knew what answers i should of gotten. he really seems to know what he is doing and i am very confident in using him, but i guess him saying he was self taught is making me think. ps - i edited this ps in later. i just found out my dr operated on james gandolfini (tony soprano) back in 2008 (see link below). so if hes good enough for tony soprano, hes good enough for me http://showhype.com/story/news_james_gandolfini_hospitalized / -
Removing Band and going to Sleeve
ribearty replied to Mel1976's topic in Gastric Sleeve Surgery Forums
If you go by band standards, I was a success. More than 50% EWL and kept it off for more than three years. I was not where I wanted to be. I think you had great results with 85 pounds in 4 months. For the past three years plus I have been on rx meds for heart burn due the band. The med that was the most effective to treat it started to not work in April of this year. Even with no Fluid in my band right now, if I don't take my medicine I get terrible heart burn. My doctor said it is better for the patient to get both surgeries at one time. I have seen both opinions on the forum. Pretty typical. You also see different pre and post-op diets and lengths of time before introducing different foods for patients. My biggest fear is how much scar tissue is there from the band. I don't think there is a way to know until they actually do the surgery. My doctor said that a revision normally takes about 2 hours to perform. -
Slippage from auto accident...I need to vent!
isaviolinist replied to Dawn Abbott's topic in LAP-BAND Surgery Forums
Oh my goodness I'm so sorry for what happened to you. Car accidents are horrible without complications like this, but this just makes it really terrible :-( It definitely would depend on your circumstance but I would revise to the sleeve. For me, dumping syndrome is just so unappealing that I wouldn't consider RNY. I really like my sweets and I want to be able to enjoy them (but normally, in normal portions as opposed to an ENTIRE cake or the WHOLE container of Ben and Jerry's) without having to run to the restroom every time. If I ever revise, I think I will revise to the sleeve (or plication, depending on how that procedure fairs). Sorry for your situation and good luck with your decision!
