Poll: Do you let Food sit in your esophagus? Or wash it down with liquids?

[2muchfun 8,927]

If you listen to O'Brien's video he does suggest drinking while eating ...SO does Dr Simpson who follows Dr O'Brien...

Please take the time and listen to his video when he talks about this...

http://www.lapbandau...lden-rules.html

Please please research BEFORE you post.

I've been posting Dr O'Brien's video for over year now and know it well. Obviously you never watched it yourself??? He explicitly requires his patients to take a bite, then wait a minute before drinking any fluids. Wise up and read and listen to yourself before you post. Here's the video FYI, watch it 2:20 minutes in:

[NaNa 878]

I've been posting Dr O'Brien's video for over year now and know it well. Obviously you never watched it yourself??? He explicitly requires his patients to take a bite, then wait a minute before drinking any fluids. Wise up and read and listen to yourself before you post. You obviously don't know what you're talking about? Here's the video FYI, watch it 2:20 minutes in:

When did I say NOT follow this? If you really listen to my post, I think we'd be on the same page.

My ENTIRE POST WAS ABOUT eating, waiting a minute and then taking a drink of something, which IS THE SAME THING AS DRINKING WHILE EATING.

You are busy trying to mix up what I was saying until you are confusing me as well.

I am the one that posted the original study? Remember?

Also O'Brien indicates in his video';s that he NO LONGER recommends to wait 30 minutes to an hour after eating to drink liquids since he has seen this can cause esophageal dilation in many lap band patients...This is what my POST IS ABOUT DRINKING AND NOT WAITING 30 MINUTES TO AN HOUR AFTER EATING...REMEMBER?

Because in many patients the food tend to stick and stay in the esophagus and sometimes can create a new stomach ..aka esophageal dilation...long term

Good grief.

[GoingforGoal 1,734]

Wow, this thread took a nasty turn.

Time to chime in. Nana, I'm going to argue some points you've made. In no way take any of this personal. It is merely to exchange information. I just happen to disagree. I have read your article AND watched OBriens video and will cite them to further share my viewpoint.

First, anatomy. It is critical that everyone has a comprehensive understanding of basic anatomy if you want to argue anatomical semantics. I am attaching pictures (if LBT will work with me) to give visual illustrations for those not privy to GI anatomy.

If you look at your picutre:

from the article it suggests the band is on the lower portion of the esophagus opposed to the upper portion of the stomach. However, the inference is wrong for 2 reasons: 1) Do you see the lines coming from the right and left above the band. That is the line of your diaphragm. It is also the same placement of the cardiac sphincter. The cardiac sphincter is what separates the esophagus and stomach. It is what is normally responsible for the final push of food into the stomach and it closes shut to keep the contents within the stomach during digestion. Those who suffer from GERD/reflux typicaly have a lax cardiac sphincter. Additionally, in OBriens video (first video at 3:20) he says you can see inside the stomach from above the lapband. This cannot be accomplished if the band is on the esophagus.

I encourage everyone to see this real time video of a labband being placed surgically. It shows the upper stomach being pulled above the band and not simply clasped around the esophagus

With that being said, technically, the upper portion of the stomach is what is banded. The medical arena is who designated the term "pouch" to refer to the upper stomach pouch that was created by the band. This pouch, like bypass, is created and thus is appropriately labeled as such. Additionally, it a layman term that can be universally understood. I am not a fan of all the verbal semantic arguments that go on. As long as you understand the concept, call it what you will. However, there is an "area" and it is NOT JUST the esophagus. This is misinformation.

Next, if we are going to cite OBrien than we must be prepared to receive ALL of his advice and not the parts that suit our arguments. In his 2nd video (4:09) he emphasizes eating slowly. Waiting 30-60 seconds between bites to allow for food to pass before adding additional food to avoid stretching. At 1:10 he also says to take your time and recommends eating up to 20 mins but no more than 30 mins.

And to address his position on drinking while eating which you can watch in his 3rd video 2:08. He does say the old belief was that the medical community feared fluids would dilate the pouch. He says through new education they are aware the food takes only 30-60 seconds (per small bite) to pass. And therefore there is no risk to drink with meals. However, he stipulates, that if you do drink that you should wait 60 seconds after a bite to give it ample time to pass through the stoma and than have a SIP of Water.

Distinctions need to be made:

1) He is not encouraging drinking with the food but between food bites. The inference is if you drink WITH your bite that you could risk stretching just like he infers the same if you take too big of a bite. Volume is volume and if you put too much of it in the pouch you put yourself at risk for complications

2) He does not mention anything about 'washing' the food away after a meal to decrease the risk of dilatation. Again, I refuse to take contradicting doctor's opinions and than personally select which advice most suits my life plan or my preference with living with the band. It's not appropriate.

Now, personal notes-

When I drink w/ meals I have a tendency to not feel satiated longer. The waiting 30 mins business helps my stomach churn on solids and it takes it longer to do so thus keeping me satiated longer. If I drink too readily with my meals I also never get feedback that I am full (or what others call satisfied because that's another vocab semantic argument).

I think if you have a true comprehension of how the band works, your anatomy and how the GI system works (banded or not) you can make informed educated decisions on which 'rules' you can be modified. But it is very important to recognize, that we have a very large BANDED community who demonstrate on a daily basis that they do not have that knowledge. To subject them to this kind of information, without first educating them, can be negligant. I encourage everyone has a partnership with their physician. When you receive contradicting advice, don't follow it blindly. Rather, bring it to the doc for clarification. They are not as uneducated or inexperienced as one may think.

And on a most personal note, Nana, Dr. Amir Moazzez was my doctor as well. I was banded 4, opposed to your 8, years ago and his education is the same. This man literally saved my life and his program is demonstrated through my success that his information is sound and good. Call me protective, but I just cannot allow for you to sabotage his good name inadvertently because you have adopted new practices or a new physician. I am in no way telling you to not live with your band the way you please, it's everyone's perogative. But he is NOT one of the bad ones and whether you see it or not there's almost an inference he was. Not so

Now, I am not being hasty, I am not criticizing. So I won't entertain personal **** slinging. But this is MY rationale for myself as to why I am NOT endorsing or adopting your practices

[GoingforGoal 1,734]

Here are the visuals I referred to. I didn't dare risk uploading them after such a long response to have it all come crashing down on me

[lisacaron 5,075]

I watched the video, and he is really saying it's OK to have a drink "with" your meal not while eating. There is a difference and while it might be a play on words here, with and while...I think doctors tend to say not to do it and wait until you are finished eating to prevent patients from turning their bites of food into Soup and swallowing a drink of Water or other beverage while still chewing and/or swallowing food.< /p>

He is also not saying to clear your band and drink after eating, he is saying if your thirsty OK drink, and to listen to your body's signals for hunger and/or thirst.

The best advice for everyone is to read and listen to all the information that's out there and then talk to their surgeon's or doctors and follow their rules as they are the ones caring for you. If you don't agree with them, speak up ask questions challenge your doctor directly don't take it in your own hands to change the rules your given for success by your surgeon.

[Kitt3000 757]

Standing on my head singing Yankee Doodle dandy... LMAO!

[GoingforGoal 1,734]

Standing on my head singing Yankee Doodle dandy... LMAO!

I wish I could stand on my head

[ChicagoRose 650]

hmmm...yeah...no, mine is on my stomach creating a funnel where the food (1 cup servings recommended) gather when we are eating the right foods and then trickle down into the lower stomach. Not sure why I'm still reading this thread or arguing with anyone here. ...

[NaNa 878]

Wow, this thread took a nasty turn.

Time to chime in. Nana, I'm going to argue some points you've made. In no way take any of this personal. It is merely to exchange information. I just happen to disagree. I have read your article AND watched OBriens video and will cite them to further share my viewpoint.

First, anatomy. It is critical that everyone has a comprehensive understanding of basic anatomy if you want to argue anatomical semantics. I am attaching pictures (if LBT will work with me) to give visual illustrations for those not privy to GI anatomy.

If you look at your picutre:

from the article it suggests the band is on the lower portion of the esophagus opposed to the upper portion of the stomach. However, the inference is wrong for 2 reasons: 1) Do you see the lines coming from the right and left above the band. That is the line of your diaphragm. It is also the same placement of the cardiac sphincter. The cardiac sphincter is what separates the esophagus and stomach. It is what is normally responsible for the final push of food into the stomach and it closes shut to keep the contents within the stomach during digestion. Those who suffer from GERD/reflux typicaly have a lax cardiac sphincter. Additionally, in OBriens video (first video at 3:20) he says you can see inside the stomach from above the lapband. This cannot be accomplished if the band is on the esophagus.

I encourage everyone to see this real time video of a labband being placed surgically. It shows the upper stomach being pulled above the band and not simply clasped around the esophagus

With that being said, technically, the upper portion of the stomach is what is banded. The medical arena is who designated the term "pouch" to refer to the upper stomach pouch that was created by the band. This pouch, like bypass, is created and thus is appropriately labeled as such. Additionally, it a layman term that can be universally understood. I am not a fan of all the verbal semantic arguments that go on. As long as you understand the concept, call it what you will. However, there is an "area" and it is NOT JUST the esophagus. This is misinformation.

Next, if we are going to cite OBrien than we must be prepared to receive ALL of his advice and not the parts that suit our arguments. In his 2nd video (4:09) he emphasizes eating slowly. Waiting 30-60 seconds between bites to allow for food to pass before adding additional food to avoid stretching. At 1:10 he also says to take your time and recommends eating up to 20 mins but no more than 30 mins.

And to address his position on drinking while eating which you can watch in his 3rd video 2:08. He does say the old belief was that the medical community feared fluids would dilate the pouch. He says through new education they are aware the food takes only 30-60 seconds (per small bite) to pass. And therefore there is no risk to drink with meals. However, he stipulates, that if you do drink that you should wait 60 seconds after a bite to give it ample time to pass through the stoma and than have a SIP of Water.

Distinctions need to be made:

1) He is not encouraging drinking with the food but between food bites. The inference is if you drink WITH your bite that you could risk stretching just like he infers the same if you take too big of a bite. Volume is volume and if you put too much of it in the pouch you put yourself at risk for complications

2) He does not mention anything about 'washing' the food away after a meal to decrease the risk of dilatation. Again, I refuse to take contradicting doctor's opinions and than personally select which advice most suits my life plan or my preference with living with the band. It's not appropriate.

Now, personal notes-

When I drink w/ meals I have a tendency to not feel satiated longer. The waiting 30 mins business helps my stomach churn on solids and it takes it longer to do so thus keeping me satiated longer. If I drink too readily with my meals I also never get feedback that I am full (or what others call satisfied because that's another vocab semantic argument).

I think if you have a true comprehension of how the band works, your anatomy and how the GI system works (banded or not) you can make informed educated decisions on which 'rules' you can be modified. But it is very important to recognize, that we have a very large BANDED community who demonstrate on a daily basis that they do not have that knowledge. To subject them to this kind of information, without first educating them, can be negligant. I encourage everyone has a partnership with their physician. When you receive contradicting advice, don't follow it blindly. Rather, bring it to the doc for clarification. They are not as uneducated or inexperienced as one may think.

And on a most personal note, Nana, Dr. Amir Moazzez was my doctor as well. I was banded 4, opposed to your 8, years ago and his education is the same. This man literally saved my life and his program is demonstrated through my success that his information is sound and good. Call me protective, but I just cannot allow for you to sabotage his good name inadvertently because you have adopted new practices or a new physician. I am in no way telling you to not live with your band the way you please, it's everyone's perogative. But he is NOT one of the bad ones and whether you see it or not there's almost an inference he was. Not so

Now, I am not being hasty, I am not criticizing. So I won't entertain personal **** slinging. But this is MY rationale for myself as to why I am NOT endorsing or adopting your practices

First of all why are you ARGUING WITH ME? and Using all of these silly words like criticizing and mud slinging? And what do you mean you've reviewed MY ARTICLES? These are Dr. O'Brien's article, NOT MINE. -- I am just repeating what he said.

The reason I posted the article is that MANY credible lap band surgeons in the US follow Dr.O'Brien green zone recommendations and his protocol.

My post was to simply ask if anyone else still followed the old 30/30 rule and some surgeons's had 60/60 rule of not drinking liquids before 1 hour or 1 hour after eating.

I am NOT SUGGESTING ANYTHING...Dr O'BRIEN said in his VIDEO that he no longer suggest to wait 30 minutes after eating because they learned over time that it can cause esophageal dilation long term...-- THIS IS NOT OUT OF MY MOUTH, so why are you arguing with me about what Dr. O'Brien and Dr. Simpson recommends?

Regarding Dr. Moazzez.....I loved him in the beginning, he actually saved my life when I had a life threatening bowel obstruction that liked to ended my life in 2008, I still wonder if this was not caused by my band, but I will never know.

However, when I went to him back in 2009 and I could never get my restriction right WITHOUT reflux I changed surgeons to Dr. Pinnar --- Dr. Pinnar's office SAVED ME...they started to fill my band correctly -- Dr. Pinnar is retiring, so they could not repair a hiatal hernia and fix my band issue.

By the way -- MANY complained about not getting restriction with Dr. Moazzez, and they ended up changing to Dr. Pinnar -- who was/is still a very popular lap band surgeon in northern, va.

So Dr. Pinnar office, sent me to a specialist and from then I had an EGD, and found that I had a pretty big hiatal hernia, then I sought out a very experienced lap band surgeon to help me, I had to go out of state and someone recommended Dr. James Ku in PA, I went to see Dr. Ku on a Tuesday last year and and I had had a band revision the next week, Dr. Ku was able to fix my hiatal hernia, remove my old band and replace my new band ALL in one surgery and I've had NO PROBLEMS SINCE, compared to my first band placement.

Dr. Ku did not blow smoke up my nose, and try to KEEP his complication rate (spotless like Dr. Moazzez tries to do) he actually HELPED Me in a critical time of need...---Dr. Moazzez did NOT OR COULD NOT.

My situation was complex-ed and I needed a VERY SKILLED SURGEON TO FIX ME. My new surgeon Dr. Ku told me that my first BAND, my hiatal hernia was NOT REPAIRED DURING BAND SURGERY....I have nothing against Dr. Moazzez afterall, I referred MANY LAP BANDERS TO HIM OVER 8 YEARS AGO -- AND most of my friends have revised to other procedures.

Would I recommend him today? After 8 years -- NO.

I am not bad mouthing I am being HONEST AND TRUTHFUL...I don't recommend people to BAD surgeons -- if your band is doing great after a few years -- GREAT, but keep in mine you are NOT long term yet, you are not 5 years post op, I wish you well and hope you have great lap band health long term.

No surgeon can just install a lap band on me and if I have a problem years later be kicked to the curb - in order for me to say good things about a surgeon long term they have to keep their long good standing with me, through good times and complications.

By the way, if you go to Obesity help.com right now and click on the lap band forum, I have a post about me referring someone to Dr. Ku from who SAVED THEIR BAND because NO OTHER surgeon in the northern VA area was skilled enough or cared enough to help them. Dr Ku was able to repair their hiatal hernia without removing their bands, the ONLY reason my old band was removed was because I had the old 4cc band and they don't unbuckle without destroying the lap band system, otherwise I could have kept my old band too.

Here is the private email that the person is thanking me for referring them to Dr Ku.

Date Sent: September 28, 2013 - 7:13pm From: Blown_away Subject: You gave me awesome advice

Dear NanaB,

I don't know if you recall writing to me last Febuarry. I had developed a hietal hernia that was underminiing the effectiveness of my Lap Band. My band was done by Robert Pinnar and his PA, Paul, was doing my fills. But Dr. Pinnar retired and the doctor that Paul joined refused to repair my hernia. Instead he wanted to revise me to a VSG despite lack of long term evidence about the safety and effect of the procedure. He simply felt that the hernia repair would fail.

You pushed me strongly to consider seeing Dr. Ku at Lancaster General Hospital.

I thought you might like to know that I am at home now recovering from the Hietal hernia repair that Dr. Ku performed on me Wednesday afternoon. You were absolutely right. He is great: he did the repair ( the hole was the size of a tea saucer - his word "huge"), he unbuckled my band to get he surgery done, actually had to remove the sutures creating the overlap, re buckled my original band, and re sutured the flesh. He said the repair and the old Lap Band look great and he feels I will do well.

In the end, Paul looked into Dr. Ku as well and recommended that I go to him for my procedure. The hole was so big, I am quite sore, but I am feeling better everyday. And already back to losing weight.

i just wanted you to know that your advice was welcome and valuable and I am SO glad you wrote to me.

God Bless!

[NaNa 878]

I watched the video, and he is really saying it's OK to have a drink "with" your meal not while eating. There is a difference and while it might be a play on words here, with and while...I think doctors tend to say not to do it and wait until you are finished eating to prevent patients from turning their bites of food into Soup and swallowing a drink of Water or other beverage while still chewing and/or swallowing food.< /p>

He is also not saying to clear your band and drink after eating, he is saying if your thirsty OK drink, and to listen to your body's signals for hunger and/or thirst.

The best advice for everyone is to read and listen to all the information that's out there and then talk to their surgeon's or doctors and follow their rules as they are the ones caring for you. If you don't agree with them, speak up ask questions challenge your doctor directly don't take it in your own hands to change the rules your given for success by your surgeon.

He CLEARLY states that in the earlier days they thought that 'waiting to drink" after 30 minutes to an hour was good, but now they are suggesting NOT to do this because of long term issues like esophageal dilation.

Did you read that part as well?

My post was not about telling others what to do with their bands, -- it was just REPEATING WHAT DR. O'BRIEN SAID.... people SHOULD follow their surgeons protocols even if they cause long term complications, because their surgeons in the end will have to fix their issues or end up removing their bands.

[NaNa 878]

Wow, this thread took a nasty turn.

Time to chime in. Nana, I'm going to argue some points you've made. In no way take any of this personal. It is merely to exchange information. I just happen to disagree. I have read your article AND watched OBriens video and will cite them to further share my viewpoint.

First, anatomy. It is critical that everyone has a comprehensive understanding of basic anatomy if you want to argue anatomical semantics. I am attaching pictures (if LBT will work with me) to give visual illustrations for those not privy to GI anatomy.

If you look at your picutre:

from the article it suggests the band is on the lower portion of the esophagus opposed to the upper portion of the stomach. However, the inference is wrong for 2 reasons: 1) Do you see the lines coming from the right and left above the band. That is the line of your diaphragm. It is also the same placement of the cardiac sphincter. The cardiac sphincter is what separates the esophagus and stomach. It is what is normally responsible for the final push of food into the stomach and it closes shut to keep the contents within the stomach during digestion. Those who suffer from GERD/reflux typicaly have a lax cardiac sphincter. Additionally, in OBriens video (first video at 3:20) he says you can see inside the stomach from above the lapband. This cannot be accomplished if the band is on the esophagus.

I encourage everyone to see this real time video of a labband being placed surgically. It shows the upper stomach being pulled above the band and not simply clasped around the esophagus

With that being said, technically, the upper portion of the stomach is what is banded. The medical arena is who designated the term "pouch" to refer to the upper stomach pouch that was created by the band. This pouch, like bypass, is created and thus is appropriately labeled as such. Additionally, it a layman term that can be universally understood. I am not a fan of all the verbal semantic arguments that go on. As long as you understand the concept, call it what you will. However, there is an "area" and it is NOT JUST the esophagus. This is misinformation.

Next, if we are going to cite OBrien than we must be prepared to receive ALL of his advice and not the parts that suit our arguments. In his 2nd video (4:09) he emphasizes eating slowly. Waiting 30-60 seconds between bites to allow for food to pass before adding additional food to avoid stretching. At 1:10 he also says to take your time and recommends eating up to 20 mins but no more than 30 mins.

And to address his position on drinking while eating which you can watch in his 3rd video 2:08. He does say the old belief was that the medical community feared fluids would dilate the pouch. He says through new education they are aware the food takes only 30-60 seconds (per small bite) to pass. And therefore there is no risk to drink with meals. However, he stipulates, that if you do drink that you should wait 60 seconds after a bite to give it ample time to pass through the stoma and than have a SIP of Water.

Distinctions need to be made:

1) He is not encouraging drinking with the food but between food bites. The inference is if you drink WITH your bite that you could risk stretching just like he infers the same if you take too big of a bite. Volume is volume and if you put too much of it in the pouch you put yourself at risk for complications

2) He does not mention anything about 'washing' the food away after a meal to decrease the risk of dilatation. Again, I refuse to take contradicting doctor's opinions and than personally select which advice most suits my life plan or my preference with living with the band. It's not appropriate.

Now, personal notes-

When I drink w/ meals I have a tendency to not feel satiated longer. The waiting 30 mins business helps my stomach churn on solids and it takes it longer to do so thus keeping me satiated longer. If I drink too readily with my meals I also never get feedback that I am full (or what others call satisfied because that's another vocab semantic argument).

I think if you have a true comprehension of how the band works, your anatomy and how the GI system works (banded or not) you can make informed educated decisions on which 'rules' you can be modified. But it is very important to recognize, that we have a very large BANDED community who demonstrate on a daily basis that they do not have that knowledge. To subject them to this kind of information, without first educating them, can be negligant. I encourage everyone has a partnership with their physician. When you receive contradicting advice, don't follow it blindly. Rather, bring it to the doc for clarification. They are not as uneducated or inexperienced as one may think.

And on a most personal note, Nana, Dr. Amir Moazzez was my doctor as well. I was banded 4, opposed to your 8, years ago and his education is the same. This man literally saved my life and his program is demonstrated through my success that his information is sound and good. Call me protective, but I just cannot allow for you to sabotage his good name inadvertently because you have adopted new practices or a new physician. I am in no way telling you to not live with your band the way you please, it's everyone's perogative. But he is NOT one of the bad ones and whether you see it or not there's almost an inference he was. Not so

Now, I am not being hasty, I am not criticizing. So I won't entertain personal **** slinging. But this is MY rationale for myself as to why I am NOT endorsing or adopting your practices

And one more thing regarding Dr. Moazzez...I sought help for a few years before finally changing surgeons, Dr. Moazzez's office no longer helped after 5 years post op, his words were, your band has done its job, there is nothing they could do....

I refused to take that as solid advice, I grabbed my personal records and changed surgeons and that changed my banded life.

I got rebanded last November I am almost 1 year post with my new band and I am just tickled to death to have GOOD restriction and NO reflux or heartburn and I am losing weight again. That is a great feeling.

I can't thank Dr. Ku enough for fixing me....I've learned that your experienced long term greatly depends on the surgeon that you have.

[Christina.Rose 287]

Wow. Angry people! My surgeon, Dr Milton Owens was scum and if anyone posted negative things about him I would emphatically agree, so there ARE a**hole bad surgeons out there. I think NaNa is just trying to raise our awareness on different perspectives from different professionals and let us do as we may with the information. Lapband surgery has been around a long time, but not forever. That's why 4cc bands were basically pulled due to ineffectiveness and safety issues. Things change, information is upgraded and outdated sometimes. I cant eat without little sips occasionally, I have tried but just can't, but since I started getting fills I am still full (when I.have a good fill) Anyways, it just looks like NaNa got jumped on like a starved man on a Christmas ham, lol. I think I understand that she wasn't telling us to ignore our doctors, but to be informed. Just my thoughts.

[NaNa 878]

Wow. Angry people! My surgeon, Dr Milton Owens was scum and if anyone posted negative things about him I would emphatically agree, so there ARE a**hole bad surgeons out there. I think NaNa is just trying to raise our awareness on different perspectives from different professionals and let us do as we may with the information. Lapband surgery has been around a long time, but not forever. That's why 4cc bands were basically pulled due to ineffectiveness and safety issues. Things change, information is upgraded and outdated sometimes. I cant eat without little sips occasionally, I have tried but just can't, but since I started getting fills I am still full (when I.have a good fill) Anyways, it just looks like NaNa got jumped on like a starved man on a Christmas ham, lol. I think I understand that she wasn't telling us to ignore our doctors, but to be informed. Just my thoughts.

May I bow down to you Christinia....I've NEVER SEEN SO MANY MEAN AND NASTY LAP BANDERS...whew!!

They act as if they are "complication" or problem immune....but if you can see NONE of the nasty one's are greater than 5 years post op...LOL...

Heck, my new band is PERFECT...so perfect it scares me...compared to my old band....but I am not stupid enough to believe it may be perfect forever, I sure hope so....

It's always better to be INFORMED with information and KNOW FACTS instead of being blind and dumb...again thank you for seeing the light.

We need to be proactive with OUR OWN BAND HEALTH...surgeons get paid the same for fixing a complication or removing the band just as well as installing it.

Gee...I was just making it AWARE that Dr. O'Brien suggest the old 50/50 rule of waiting to drink after a meal is out dated...

People here should PRAISE ME....lol I am over 8 years post op and I have a lot of valuable info to tell..I don't post stupidity I post what I've seen over the years backed up with studies....

When I got banded over 8 years ago...the down side was there was not enough clinical study about the long term effects of the lap band in the US ...KNOW WE KNOW...LOL.

[GoingforGoal 1,734]

First of all why are you ARGUING WITH ME? and Using all of these silly words like criticizing and mud slinging? And what do you mean you've reviewed MY ARTICLES? These are Dr. O'Brien's article, NOT MINE. -- I am just repeating what he said.

The reason I posted the article is that MANY credible lap band surgeons in the US follow Dr.O'Brien green zone recommendations and his protocol.

My post was to simply ask if anyone else still followed the old 30/30 rule and some surgeons's had 60/60 rule of not drinking liquids before 1 hour or 1 hour after eating.

I am NOT SUGGESTING ANYTHING...Dr O'BRIEN said in his VIDEO that he no longer suggest to wait 30 minutes after eating because they learned over time that it can cause esophageal dilation long term...-- THIS IS NOT OUT OF MY MOUTH, so why are you arguing with me about what Dr. O'Brien and Dr. Simpson recommends?

Regarding Dr. Moazzez.....I loved him in the beginning, he actually saved my life when I had a life threatening bowel obstruction that liked to ended my life in 2008, I still wonder if this was not caused by my band, but I will never know.

However, when I went to him back in 2009 and I could never get my restriction right WITHOUT reflux I changed surgeons to Dr. Pinnar --- Dr. Pinnar's office SAVED ME...they started to fill my band correctly -- Dr. Pinnar is retiring, so they could not repair a hiatal hernia and fix my band issue.

By the way -- MANY complained about not getting restriction with Dr. Moazzez, and they ended up changing to Dr. Pinnar -- who was/is still a very popular lap band surgeon in northern, va.

So Dr. Pinnar office, sent me to a specialist and from then I had an EGD, and found that I had a pretty big hiatal hernia, then I sought out a very experienced lap band surgeon to help me, I had to go out of state and someone recommended Dr. James Ku in PA, I went to see Dr. Ku on a Tuesday last year and and I had had a band revision the next week, Dr. Ku was able to fix my hiatal hernia, remove my old band and replace my new band ALL in one surgery and I've had NO PROBLEMS SINCE, compared to my first band placement.

Dr. Ku did not blow smoke up my nose, and try to KEEP his complication rate (spotless like Dr. Moazzez tries to do) he actually HELPED Me in a critical time of need...---Dr. Moazzez did NOT OR COULD NOT.

My situation was complex-ed and I needed a VERY SKILLED SURGEON TO FIX ME. My new surgeon Dr. Ku told me that my first BAND, my hiatal hernia was NOT REPAIRED DURING BAND SURGERY....I have nothing against Dr. Moazzez afterall, I referred MANY LAP BANDERS TO HIM OVER 8 YEARS AGO -- AND most of my friends have revised to other procedures.

Would I recommend him today? After 8 years -- NO.

I am not bad mouthing I am being HONEST AND TRUTHFUL...I don't recommend people to BAD surgeons -- if your band is doing great after a few years -- GREAT, but keep in mine you are NOT long term yet, you are not 5 years post op, I wish you well and hope you have great lap band health long term.

No surgeon can just install a lap band on me and if I have a problem years later be kicked to the curb - in order for me to say good things about a surgeon long term they have to keep their long good standing with me, through good times and complications.

By the way, if you go to Obesity help.com right now and click on the lap band forum, I have a post about me referring someone to Dr. Ku from who SAVED THEIR BAND because NO OTHER surgeon in the northern VA area was skilled enough or cared enough to help them. Dr Ku was able to repair their hiatal hernia without removing their bands, the ONLY reason my old band was removed was because I had the old 4cc band and they don't unbuckle without destroying the lap band system, otherwise I could have kept my old band too.

Here is the private email that the person is thanking me for referring them to Dr Ku.

Date Sent: September 28, 2013 - 7:13pm From: Blown_away Subject: You gave me awesome advice

Dear NanaB,

I don't know if you recall writing to me last Febuarry. I had developed a hietal hernia that was underminiing the effectiveness of my Lap Band. My band was done by Robert Pinnar and his PA, Paul, was doing my fills. But Dr. Pinnar retired and the doctor that Paul joined refused to repair my hernia. Instead he wanted to revise me to a VSG despite lack of long term evidence about the safety and effect of the procedure. He simply felt that the hernia repair would fail.

You pushed me strongly to consider seeing Dr. Ku at Lancaster General Hospital.

I thought you might like to know that I am at home now recovering from the Hietal hernia repair that Dr. Ku performed on me Wednesday afternoon. You were absolutely right. He is great: he did the repair ( the hole was the size of a tea saucer - his word "huge"), he unbuckled my band to get he surgery done, actually had to remove the sutures creating the overlap, re buckled my original band, and re sutured the flesh. He said the repair and the old Lap Band look great and he feels I will do well.

In the end, Paul looked into Dr. Ku as well and recommended that I go to him for my procedure. The hole was so big, I am quite sore, but I am feeling better everyday. And already back to losing weight.

i just wanted you to know that your advice was welcome and valuable and I am SO glad you wrote to me.

God Bless!

Uhhhhhhhh, are we having the same conversation?

I think the intro to my post makes it abundantly clear that I am not arguing. I am merely countering your facts that you shared throughout the thread. You can choose to filter this their the "I" perspective and see this as a personal attack, or you too can learn from others. Your choice, and I could care less which you choose.

However, having a band for 4 years is long term. It's insulting to say that I have to be 5, 8, 15 or however many years YOU deem "long term" to be educated and experienced enough to understand how to live with my band. I do not expect many changes over the next 1 or 4 or 10 years I have my band in respects to my food choices, my portions or my overall healthy respect I have for the band and the rules I implement on a daily basis.

How about I take my 10 years of medical experience, add that to my 4 years of being banded and tell you that I trump your mere 8 years with not citing other peoples articles but with my own degree that actually permits me to speak intelligently on the matter.

Your last post where it says you should be praised for having the band for 8 years and everyone should listen to what you have to say is the most arrogant snobbish down-right comical comment I have yet to see on this site and that says alot...that tops the gal who wanted sympathy for eating tacos hours after her surgery. Good on ya!!!

PEACE OUT

[NaNa 878]

Uhhhhhhhh, are we having the same conversation?

I think the intro to my post makes it abundantly clear that I am not arguing. I am merely countering your facts that you shared throughout the thread. You can choose to filter this their the "I" perspective and see this as a personal attack, or you too can learn from others. Your choice, and I could care less which you choose.

However, having a band for 4 years is long term. It's insulting to say that I have to be 5, 8, 15 or however many years YOU deem "long term" to be educated and experienced enough to understand how to live with my band. I do not expect many changes over the next 1 or 4 or 10 years I have my band in respects to my food choices, my portions or my overall healthy respect I have for the band and the rules I implement on a daily basis.

How about I take my 10 years of medical experience, add that to my 4 years of being banded and tell you that I trump your mere 8 years with not citing other peoples articles but with my own degree that actually permits me to speak intelligently on the matter.

Your last post where it says you should be praised for having the band for 8 years and everyone should listen to what you have to say is the most arrogant snobbish down-right comical comment I have yet to see on this site and that says alot...that tops the gal who wanted sympathy for eating tacos hours after her surgery. Good on ya!!!

PEACE OUT

Hazel

Dear, I am still confused and your post is not really coherent..LOL...

Bless your heart, I know you mean well, I don't know what you are talking about regarding your medical degree..you don't have to have a medical degree to be very knowledgeable about the lap band.

I have a degree in computer science and I work as an independent consultant...my own business and develop software applications for private industry...I use to do it for Federal Government but got sick and tired of BS.

But anyway...my private profession has nothing to do with JUST REPEATING...O'Brien's study...I really don't know what you are talking about...

If you got a problem with HIS study please write to him personally,...

My original post was Polling people here if they are NOW following O'Brien's drinking rule since he suggested that the old 30/30 rules are no longer recommended....

And P.S. if you HONESTLY think you got your lap band down pat and it will be honky dory FOR EVER..you are more naive than I thought.

Please log into Obesity help NOW ...there is a poster right now 10 years post op, that has developed reflux and heartburn and seeking a revision....

Also I post about what I've seen over the years too and not only cited material...I just use cited material to back up what I have to say in an articulate way...

You have NO clue of what your future holds with your band...we all wish everyone does well forever, but that is just not being realistic.

Edited to add:

You made me remember you made a post RECENTLY about you had NO idea that a lap band port could be removed with the band still intact.....remember that post? Or do you need me to post it here to refresh your memory?

Now please don't embarrass yourself with all of your so called lap band knowledge and long history in the medical field in Nursing...PLEASE.