Lap band afer gastric bypass

[Jen1972 0]

Can you get a lap band after a gastric bypass?

[mattie7632 24]

OMG why would you want to? I have to assume that if gastric bypass didn't work neither will the lapband. I can't imagine a reputable doctor would even do it.....reputable being the operative word there!

[MaybeBanding26 5]

Maybe if you get gastric bypass and then stretch your stomach out until it's back to the original size....the pouch, I mean. One could conceivably get a lapband in that instance I would think, but yeah, good luck finding a reputable doctor who would do it.

[honk 780]

I have heard of doctors doing this procedure so it's not out of the realm of possibility.

Please remember people come for advice and try not be judgemental.

[MaybeBanding26 5]

I have heard of doctors doing this procedure so it's not out of the realm of possibility.

Please remember people come for advice and try not be judgemental.

really?!?! I've heard of going the other way round-band to bypass, but never bypass to band.

[mattie7632 24]

Honk I don't think in any way the comments here were judgmental. It's a surprising question. My understanding is the bypass cannot be defeated. It's a complete re-routing of the digestive system. Maybe the poster meant the gastric sleeve which I imagine could be defeated, but not sure on that.

[reverie 49]

Yes getting banded after bypass is entirely possible. It's usually known as band over bypass or BoB.

http://advancedweightlosssolutions.com/default/weight-loss-surgery/types-of-procedures/band-over-bypass

That website may help you along with Obesityhelp.com

[MaybeBanding26 5]

Honk I don't think in any way the comments here were judgmental. It's a surprising question. My understanding is the bypass cannot be defeated. It's a complete re-routing of the digestive system. Maybe the poster meant the gastric sleeve which I imagine could be defeated, but not sure on that.

oh, it can most certainly be defeated...i have seen it! ive seen quite a few people who had the bypass re-stretch their pouch til it becomes the same size as their stomach was and gain all their weight back.

[kassy_360 3]

My Surgeon called it "less then ideal" thats why I Opted for the band 1st .. so if I needed to go the gastric after I could.

[ElfiePoo 109]

Yes and it is becoming quite common according to my surgeon. The reason is that the bypass does nothing to deal with the 'hunger'. The band works by putting pressure on the vagus nerves, which then tell the stomach to stop producing ghrelin, the hunger hormone. When we get to our sweet spot, the additional pressure of food in our pouch on top of that band, sends the message to the stomach. Then we're able to go 4 hours or so until our next meal.

With bypass, the stomach is still producing ghrelin which means the person is still 'hungry'. Same with the vertical sleeve. They remove the part of the stomach that produces the ghrelin, but the they're finding that about a year after surgery, the body has found a way to start producing it again, so the hunger is back. Those with cooperative insurances are able to go in and get the band. Which tells me that the band should be the first stop in the WLS.

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[ElfiePoo 109]

Honk I don't think in any way the comments here were judgmental. It's a surprising question. My understanding is the bypass cannot be defeated. It's a complete re-routing of the digestive system. Maybe the poster meant the gastric sleeve which I imagine could be defeated, but not sure on that.

Unfortunately, it can be defeated. I hang out on another board that is a bypass board and it's frightening how many of these people only lose the weight they have as a result of surgery (2/3 is the expected) and never lose the remaining weight. Worse, how many have regained the weight plus more. From what I can tell by their posts it's because they expected the band to control how much they eat and what they ate. To a certain extent it does but self-control still comes into play.

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[mattie7632 24]

oh hmmmmm.....yet another bit of mis-information I received at the seminar. I'll just start referring to that now as the sales conference.

oh, it can most certainly be defeated...i have seen it! ive seen quite a few people who had the bypass re-stretch their pouch til it becomes the same size as their stomach was and gain all their weight back.