Band to Sleeve?

[Edward 30]

Banded in 2008 new band 2014 now it's not doing anything so we are going to sleeve.

Nervous to say the least, my doctor is great but wants to do 2 surgery's. Removal then wait 2- 3 months and Sleeve.

385lbs in 2008 lost 100lbs first yr then blow it out and removed. Banded again in 2014 only lost 35-40lbs, now 390lbs.

I know these are tools but how different will the Sleeve be then the Band.

My understanding is that they do cut the part of stomach that sends hungry signal to brain.

What should I expect in terms of the feeling between the two?

[ChunkCat 729]

Did your surgeon discuss Gastric Bypass or the SADI or Duodenal Switch with you? With your starting weight, you might want something that gives you more than the restriction of the sleeve. Especially if you only lost 100 lbs with the band... All three of those surgeries have varying degrees of malabsorption which help you lose weight for longer and the SADI and DS are usually used in patients with a high BMI. But, not every surgeon is trained to do these surgeries. If your surgeon didn't offer them to you, I'd highly recommend finding a surgeon that will. The convo is worth it.

Unfortunately I can't comment on how the sleeve feels vs the band, since I never had the band. I have a sleeved stomach (as well as rerouted small intestines) and for the most part it feels normal. Do NOT believe anyone who tells you that you won't be hungry post op. Some are lucky enough to lose their hunger for the first year, a few lose it permanently, but some of us never lose it at all. I woke up in recovery hungry and boy was I mad! LOL But my surgeon had warned me that not everyone loses hunger. The portion of the stomach that is cut out contributes to a number of hormones that can affect hunger and satiety... The rerouting of the intestines that the Gastric Bypass, SADI, and Duodenal Switch do controls a whole host of hormones too, some different than the ones in the stomach, this is why these surgeries are more effective at helping with comorbidities like diabetes and high blood pressure, and why they are a bit more effective for higher BMI patients.

[Edward 30]

Great information! I will ask again since surgery was delayed for 2 months. I was concerned about certain limitations with other procedures with medications I take and other negative side effects. Back in 2008 I was so opposed to even the band at that time and wanted the least evasive procedure.

I will do a little more research and ask, I do have some time due to having 2 procedures, (1) Removal and heal (2) ? sleeve, SADI, GB etc.

To be honest if I loss 100lbs I will be so happy and just pray I can keep it off, it's a realistic number and my doctor agrees. Of course we all want to be at ideal weight but to loss 100lbs off my knees would be great. I'm 59 and 6'1 so I can live with that number.

Thanks so much.