Banding surgery with ITP/Low Platelets?

[eriadne 6]

Hello everyone. I've been overweight my whole life and recently have started seriously considering starting the process to see if I can be banded.

I've definitely got both the BMI and co-morbidities to make me a good candidate for the surgery. However, when I was first diagnosed with PCOS & insulin resistance about 7 years ago, I was also diagnosed with idiopathic thrombocytopenic purpura (ITP), which is a fancy way of saying my body is currently allergic to my platelets and destroys them for no known reason. It's an autoimmune disorder and there is no "cure". It can supposedly come and go at a whim, but in my case I've persistently had low to very low platelet counts since my diagnosis.

Has anyone been able to undergo the surgery despite having a low platelet count or specifically ITP? It is the only thing I can foresee keeping me from being able to get banded. Before I go in even for a consult, I was curious to know if anyone else had a similar issue and whether or not it could be dealt with and how.

When I had to have oral surgery to get my wisdom teeth out (all 4 impacted, yay...) my dentist literally would not touch me, he only took x-rays and referred me to an oral surgeon. We all consulted together along with my hematologist to figure out if and how I could get my wisdom teeth out. My hematologist was prepared to put me on steroids to try to boost my platelet count in case the oral surgeon was uncomfortable with the risk of performing the extractions when my platelets were so low, but fortunately it did not come to that. Obviously I survived the ordeal without bleeding out (it was horrendously painful for other reasons, but at least my platelets weren't the issue!)

My ITP hasn't caused any life-threatening problems so far and my hematologist has never seen any reason to try to treat it. Other than having a persistently low platelet count, bruising easily and bleeding a bit longer from wounds than is normal, I've not had any major health problems or life-threatening occurrences because of it yet.

I'm sure I could get my hematologist's cooperation to try to raise my platelet count with steroids or whatever else might work so I could undergo surgery, but my concern is that a surgeon might not even want to consider me as a candidate in the first place or that insurance might deny approval for the surgery citing the ITP as a contraindication for treatment.

If anyone has had any experience either way, I'd be grateful to hear about it. I just want to be prepared, whether to advocate strongly for myself in case I run into some resistance or prepare for disappointment if my ITP is too big of a red flag. Thanks.

[KittyKatt 3]

Hello everyone. I've been overweight my whole life and recently have started seriously considering starting the process to see if I can be banded.

I've definitely got both the BMI and co-morbidities to make me a good candidate for the surgery. However, when I was first diagnosed with PCOS & insulin resistance about 7 years ago, I was also diagnosed with idiopathic thrombocytopenic purpura (ITP), which is a fancy way of saying my body is currently allergic to my platelets and destroys them for no known reason. It's an autoimmune disorder and there is no "cure". It can supposedly come and go at a whim, but in my case I've persistently had low to very low platelet counts since my diagnosis.

Has anyone been able to undergo the surgery despite having a low platelet count or specifically ITP? It is the only thing I can foresee keeping me from being able to get banded. Before I go in even for a consult, I was curious to know if anyone else had a similar issue and whether or not it could be dealt with and how.

When I had to have oral surgery to get my wisdom teeth out (all 4 impacted, yay...) my dentist literally would not touch me, he only took x-rays and referred me to an oral surgeon. We all consulted together along with my hematologist to figure out if and how I could get my wisdom teeth out. My hematologist was prepared to put me on steroids to try to boost my platelet count in case the oral surgeon was uncomfortable with the risk of performing the extractions when my platelets were so low, but fortunately it did not come to that. Obviously I survived the ordeal without bleeding out (it was horrendously painful for other reasons, but at least my platelets weren't the issue!)

My ITP hasn't caused any life-threatening problems so far and my hematologist has never seen any reason to try to treat it. Other than having a persistently low platelet count, bruising easily and bleeding a bit longer from wounds than is normal, I've not had any major health problems or life-threatening occurrences because of it yet.

I'm sure I could get my hematologist's cooperation to try to raise my platelet count with steroids or whatever else might work so I could undergo surgery, but my concern is that a surgeon might not even want to consider me as a candidate in the first place or that insurance might deny approval for the surgery citing the ITP as a contraindication for treatment.

If anyone has had any experience either way, I'd be grateful to hear about it. I just want to be prepared, whether to advocate strongly for myself in case I run into some resistance or prepare for disappointment if my ITP is too big of a red flag. Thanks.

[KittyKatt 3]

Hey there...i know this is quite an old post but ive been browsing many sites for anyone with this same question. You are the first and only I've actually came across of. I literally thought it was my own post because I've went through that exact experience including the dentist. Im considering getting the vsg done before the end of this year. What was your outcome, if you dont mind me asking? I've been diagnosed with ITP since 11yr old and and 27yrs old but it has been much better with me for the past 8yrs now..please do share with me as im desperately seeking an asnwer here. Thanks! =)