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More people now want lap band vs gastric bypass?


Your surgery & sucess with it  

17 members have voted

  1. 1. Your surgery & sucess with it

    • Gastric bypass- lost expected weight & kept it off
      17
    • Lap Band-lost expected weight & kept it off
      0
    • Gastric Bypass-lost & gain some or all weight back
      0
    • Lap band- lost & gained some or all weight back
      0
    • Wish you did LB instead of GB
      0
    • Wish you did GB instead of LB
      0


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Hey everyone!

So I had my mandatory seminar today. About 30 people attended & I was the only person in the room opting for gastric bypass surgery. Even the speaker has the lap band. The seminar gave info on both surgeries, but I just felt that the speaker was more for the lap band. She said at one point, that many people feel you loose more weight & have a higher sucess rate with the gastric bypass surgery- but it doesn't have to be that way...and that if done right you can loose the same amount with lap band surgery.

I keep hearing that gastric bypass is a quick fix & you have 18 months to loose all you can. You also run a risk of the stomach stretching back to the "football size". Lap band you have for the rest of your life & can have it tightened at any time if you start to gain weight.

There were also 2 people there that has the gastric bypass, but gained most of their weight back on & are now getting lap band over their gastric bypass.

I meet with my surgeon next Thursday & shortly after will be submitting all the paper work to my insurance company. Now I'm confused on what surgery I should get...

:confused:

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What a rotten speaker that was. first of all any weight loss surgery is only a tool and if not used correctly either one can be a disaster. I was banded on october 7th 2010. I had between 129-139 pounds to lose. i always thought I would see about those last 10 pounds when i was there. Seemed a long way off for me. Everyone told me that I would only lose about 50% of my weight with the band. No way I thought. i am not doing all of this to only lose half. all or nothing for me! I decided to do the bypass at my appointment but had alot of reservations about it. I have a good friend who had it done and yes she has gained every pound back and more. She never followed the rules and does not really exercise and had twins so there you have it. Her tool did not work for her. 12 days before my surgery I changed the whole plan and reverted back to my original plan of band. For me it was the best decision of my life. I am almost 4 1/2 months out and am 72.6 pounds lighter. i have surpassed the 50% that everyone said I would lose and still going. I will reach my goal within the year. the band is not for everyone though. I have talked with many people where it did not work at all.

they did not follow the rules. it is a tool not a magic wand. Bypass will do the same too. follow the rules, stay focused and you will lose the weight and keep it off. do your own research and determine what is right for you. It is your body and you will be living with your decision for the rest of your life. Knowledge is power so use it. Let me know how everything goes for you.

debbie

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I'm not within the parameter of your poll, but I finally chose Gastric Bypass because I have Diabetes II, high blood pressure, high cholesterol, sleep apnea, morbid obesity and my age. A lap band will do nothing to help reduce those factors and I would probably die before I had significant enough weight loss.

With Gastric Bypass I may well be rid of majority of those morbidities before even leaving the hospital. Weight loss is much more dramatic and I hope to shed 150 lbs in 2 years or less. Gastric Bypass also has the added benefit of a thing called "dumping" that is enough of a threat to keep me on the straight and narrow.

A person's original stomach is the size of a football. The "pouch" is between the size of an egg and a lemon and will hold a max of 4 oz, though they say over time it could reach 6-8 ounces, but never beyond that.

I chose Gastric Bypass as a more effective and rapid tool for regaining my health, but neither method is a guarantee of success. The mental state of the person makes the final choice of success or failure. Those that think it is an easy way out or a solution to their problems will fail.

I'm curious how both people you know went from a Gastric Bypass to a lap band. That would be hard to do, though the opposite occurs fairly often.

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I'm curious how both people you know went from a Gastric Bypass to a lap band. That would be hard to do, though the opposite occurs fairly often.

Band over bypass is a fairly uncommon practice but is doable in certain situations. Not sure of the exact details but there's been at least one member here whose done it... don't remember the nick, though, sorry.

For me, I chose bypass because I didn't want to be dependent on getting fills/unfills, and playing around with that, plus I didn't want to be concerned about the band malfunctioning. After seeing the number of people converting from band to bypass, I'm glad I changed my mind and go the RNY but there are a few posters I'd point you to if you wanted to be successful with the band as they are what I'd consider TT's shining stars for bandsters. (Sassy, Suebry and Band groupie are the top three that spring to mind right off the bat)

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I'm only aware of a situation where the area just below the pouch becomes weakened and stretches so a band is put around it to prevent further stretching. Sorry I don't know the technical name for it. I would not consider that converting a GB to a lap-band, but I'm always wanting to learn something new.

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When I discussed this all with my surgeon, on a scale of 1-10 where weightloss and issues were weighed out he rated the bypass as a 10 with the sleeve as a 9 and the lapband as a 4.

He said that the lapband has a fairly high revision rate and also that it is really hard on the stomach. Also, typically lap bands need to be replaced after 10 years or so. I'm not sure if all of this is true since I had no intention of getting a lapband to begin with.

Honestly, I think the reason that a lot of people opt for the lapband is because it seems less invasive to their body. They feel like it's just a minor change as opposed to rerouting their innerds or forever cutting out most of their stomach. And I think that's a valid choice. Honestly, the idea of a foreign object sitting inside of me with a port just under my skin gives me the willies. I also didn't want to have to deal with the inaccurate practice of fills/unfills.

To each their own. I don't think there is a one size fits all surgery. Think about the results you want and the time frame you are looking at. Also think about long term changes you would have to make and what you are willing to live with. Don't just choose a surgery because it's what someone tells you is the best, find the one that is best for you. :)

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I'm only aware of a situation where the area just below the pouch becomes weakened and stretches so a band is put around it to prevent further stretching. Sorry I don't know the technical name for it. I would not consider that converting a GB to a lap-band, but I'm always wanting to learn something new.

It's not technically a conversion since the RNY is still there it's just that they add a lapband over the pouch itself. There does not seem to be much about it other than on forums and I did find something on it on one lapband doctors website, where he says if they'd just started with lapband in the beginning there wouldn't be any problems. (massive eyeroll there.. we've seen enough revisions come through from lapbanders to know that he is seriously over-stating that one)

I'm not sure if what you're thinking about is the stomaphyx, perhaps? Though that isn't a ring, it's where they use a chemical to 'burn' the connections to cause them to heal to a smaller opening. (though I was with the impression that was above the pouch, not below, so maybe not?)

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I don't fit in that poll I'm only 2mths out from LB. MCNERD is incorrect about LB not helping those health issues. It does the same things just at slower rate since most of the issues are weight related... That's what I've been told through university of michigan hospitals as well as my surgeons office. I was told that my sleep apnea will more than likely go away as I drop weight and in fact the sleep specialists brought the whole surgery up a few years ago. I don't have diabetes but have learned that LB can make that go away as you lose weight but with gbs it's almost immediate.

I think that your speaker should have been less biased but that is hard to do since whatever surgery you have and have success with you're gonna back it up. Also, since you have whatever surgery you just learn more about it as time goes by. Just do whatever you feel is right for you. Best of luck :)

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I don't fit in that poll I'm only 2mths out from LB. MCNERD is incorrect about LB not helping those health issues. It does the same things just at slower rate since most of the issues are weight related... That's what I've been told through university of michigan hospitals as well as my surgeons office. I was told that my sleep apnea will more than likely go away as I drop weight and in fact the sleep specialists brought the whole surgery up a few years ago. I don't have diabetes but have learned that LB can make that go away as you lose weight but with gbs it's almost immediate.

Tabby.. I think you're correct.. it is that with the RNY, it is typically a more immediate change in the blood sugars so the RNY is a bit more of a "guaranteed" improvement on diabetes, vs. the lapband which is no guarantee and is dependent on one really working their band. But the band can and does improve all of those things if used correctly. So in a way, you're both correct :)

I think that your speaker should have been less biased but that is hard to do since whatever surgery you have and have success with you're gonna back it up. Also, since you have whatever surgery you just learn more about it as time goes by. Just do whatever you feel is right for you. Best of luck :)

I agree... the speaker needs to be less biased.. what worked for her may not necessarily work for someone else. The reasons why one person chooses a surgery vs another needs to be made without someone else putting their biases on them.. it's such a personal decision!

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I too have not had surgery yet, but like you have done much research before making my decision. After doing research, attending seminars, and talking to others, I have chose to have gastric bypass. For me, gastric bypass offers the best chance of success long term, and that is what I am looking for - A lifetime of health. Neither surgery is less invasive - generally both are laprascopic. One reduces the size of your stomach by stapling and reroutes your intestines. The other reduces the size of your stomach by placing a plastic ring around the top of the stomach and attaches a port under your skin to adjust the restriction of the ring. . With so many people there for lap band, I would question how many gastric bypass procedures he/she does. When I attended the seminars, I did not have one surgeon claim the lap band was a gold standard weight loss surgery. I assume your seminar gave you the statistics of each surgery; however, I found a study that is posted on this site to be very insightful. The study was conducted in Switzerland (Europe has been doing Gastric Banding much longer than the U.S.).

Lap-Band Complications | Lap Band (aka adjustable lap band surgery) | Weight Loss Surgery

I think no matter what your choice is, you should make it for you. There is no one size fits all with this surgery and it should be a choice that you are comfortable with.

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Hey everyone!

So I had my mandatory seminar today. About 30 people attended & I was the only person in the room opting for gastric bypass surgery. Even the speaker has the lap band. The seminar gave info on both surgeries, but I just felt that the speaker was more for the lap band. She said at one point, that many people feel you loose more weight & have a higher sucess rate with the gastric bypass surgery- but it doesn't have to be that way...and that if done right you can loose the same amount with lap band surgery.

I keep hearing that gastric bypass is a quick fix & you have 18 months to loose all you can. You also run a risk of the stomach stretching back to the "football size". Lap band you have for the rest of your life & can have it tightened at any time if you start to gain weight.

There were also 2 people there that has the gastric bypass, but gained most of their weight back on & are now getting lap band over their gastric bypass.

I meet with my surgeon next Thursday & shortly after will be submitting all the paper work to my insurance company. Now I'm confused on what surgery I should get...

:confused:

I'm not gonna lie, the first week after I came home from the hospital, eating/drinking were so wierd to me, that all I could think was "I should've got the band" Lol but as each day goes on i feel better and better, and am glad with my decision, and the 21 lbs I lost since the surgery date solidifies my choice!

I was always for the bypass, I considered the lapband at one point, but after learning about how some people experience slippage and erosion, that freaked be out more than the possible complications of bypass! And the revision rate of "Band to Bypass" is pretty high, and I've read it a million times on this site! I have over 150 lbs to lose, and I just wasn't sure if the band would do that for me.

I think the band is preferable for patients who are on the lower end of the BMI scale. I don't mean to sound biased, but since you're 390 lbs, I think I would go with the bypass if i were you.

As everyone has said before though, both are tools, and both have the ability to change a persons life, a hammer alone isn't going to build a house, ya know?

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I'm a nurse, so you know us............research, research, research..............I read the clinical studies, studied the revision and complication rates, failure rates, etc. etc. etc. etc.

I chose bypass............the right decision for me.

Good luck!

Nancy:)

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Thank you everyone for the feed back! You have all reassured me to go with my original choose- GB.

I have over 200 lbs to loose, & I'd love to reach that goal in 2 years, especially since I would love to have a baby soon!

Also the thought of getting refills..not for me. Well, wish me luck, I will be submitting all the paperwork to the insurance company within a few weeks & hope I get approved on the first shot! :)

Still curious how people vote on the poll- your continued feedback is welcomed!

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I think no matter what your choice is, you should make it for you. There is no one size fits all with this surgery and it should be a choice that you are comfortable with.

I agree with this! While I haven't had the surgery yet, either, I did my research and decided on the gastric bypass. For me, the thought of having a foreign object (band) in my body didn't appeal to me. Also, I know myself well enough to know I'd figure out a way to "work around" the band. :) But again, that's my choice, and what's going to work for me. :)

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Thank you everyone for the feed back! You have all reassured me to go with my original choose- GB.

I have over 200 lbs to loose, & I'd love to reach that goal in 2 years, especially since I would love to have a baby soon!

Also the thought of getting refills..not for me. Well, wish me luck, I will be submitting all the paperwork to the insurance company within a few weeks & hope I get approved on the first shot! :)

Still curious how people vote on the poll- your continued feedback is welcomed!

I wanna participate in the poll, but it's worded for more long-term post op, Lol!

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Nothing mentioned about VSG in the poll so I declined participation also.

FYI - as I was deciding which of the FOUR procedures to have (band, VSG, RnY, or DS duodenal switch), a local female physician died of sepsis three weeks after having the band. That pushed me to have VSG.

It is true there is no "best" procedure to have, for me VSG was perfect.

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FWIW, they have 'banned the band' (not officially I don't think -- it's not outlawed, but they just won't do it anymore) here because of all the complications and problems with it vs the success rates. (That is their research and opinion, not mine -- I never really looked into it at all, as it wasn't an option. That's just what I was told by the doctor and surgeon.)

They mostly push GB here as the gold standard, and VSG somewhat less so, but that's definitely on the increase (and it's no longer considered experimental), offering DS as a dual-stage procedure (usually) and only in cases of very high BMI.

I am going the VSG route due to just liking the approach, having ruled out GB for myself years ago -- and also due to not getting anywhere near my intestines. :D (I'm a wimp. Full stop.)

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This was on Katie Couric this evening re: band v. bypass Study: Gastric bypass better than Lap-Band - CBS News Video I know there are people who will do better or worse with each surgery, but I hope this makes you confident in your choice! :)

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Thank you everyone for the feed back! You have all reassured me to go with my original choose- GB.

I have over 200 lbs to loose, & I'd love to reach that goal in 2 years, especially since I would love to have a baby soon!

Also the thought of getting refills..not for me. Well, wish me luck, I will be submitting all the paperwork to the insurance company within a few weeks & hope I get approved on the first shot! :)

Still curious how people vote on the poll- your continued feedback is welcomed!

I think you're making the right choice. All the best to you.

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This was on Katie Couric this evening re: band v. bypass Study: Gastric bypass better than Lap-Band - CBS News Video I know there are people who will do better or worse with each surgery, but I hope this makes you confident in your choice! :)

Good video! Thank you. I feel more confident in my choice.

I have to say, I intially leaned more towards GB because my aunt lost over 100 lbs , 8 years ago & kept it off. She says it's the best decision she has ever made for herself.

My Dad had LB done 6 years ago. Lost 75 lbs and after a year & half, starting putting weight back on. He had 2 refills & still gained most of the weight back. He said that he did not feel a differance when he had the refills done.

He chose LB because it was less invasive & was scared to go under the knife. I feel sad for him, because he is still obese, has diabetes, high blood pressure & sleep apnea, amoung many other things...

I asked if he would go back & have GB, but he is scared to go through a voulentary operation again.

I can't say 100%, because only he knows, but I feel his "tool" only helped him to a certain extent & then it stopped working too soon.

Maybe watching me go through this journey will inspire him to give it another shot with GBS.

Edited by michscala
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Good video! Thank you. I feel more confident in my choice.

I have to say, I intially leaned more towards GB because my aunt lost over 100 lbs , 8 years ago & kept it off. She says it's the best decision she has ever made for herself.

My Dad had LB done 6 years ago. Lost 75 lbs and after a year & half, starting putting weight back on. He had 2 refills & still gained most of the weight back. He said that he did not feel a differance when he had the refills done.

He chose LB because it was less invasive & was scared to go under the knife. I feel sad for him, because he is still obese, has diabetes, high blood pressure & sleep apnea, amoung many other things...

I asked if he would go back & have GB, but he is scared to go through a voulentary operation again.

I can't say 100%, because only he knows, but I feel his "tool" only helped him to a certain extent & then it stopped working too soon.

Maybe watching me go through this journey will inspire him to give it another shot with GBS.

I can relate to this a little. My mom at first was going to get the surgery with me, but after about 2 years, somewhere in that time it became just about me and she just didn't follow through, she's about 300 lbs now, and has diabetes, and neuropathy from the diabetes, and a whole bunch of other health problems[anemia, benign tumors, insomnia, "situational"depression(my grandpa died last year), high cholestoral, high blood pressure, plus some!]. She had the gastric stapling way back when, and she lost 170 lbs, but gained it back after having twins, and then my brother. I just want her to be healthy! But I'm not sure that I want her to get the bypass, with all her health problems and being over 40, the risks tend to get higher. Idk, I just wish she would get healthy with me, maybe the band would work for her...idk, it sucks watching your family members suffer like this.

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I just want her to be healthy! But I'm not sure that I want her to get the bypass, with all her health problems and being over 40, the risks tend to get higher.

Thanks for the vote of confidence for us "old" people. <laughing> I will be 67 when I have GB and I have 5 morbidity factors, yet age is not a restriction anymore with current medical advances. I believe there are a couple people here in their 70's that have recently had their surgeries and came through it fine.

If your mother had some form of stapling years ago, it would probably be some kind of revision surgery to modify what she already had. It would be worth it to check it out.

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Yes I want to challenge the over 40 comment. I was over 55 the day of surgery which was a Wednesday, and was back at work the following Tuesday.

I had absolutely no complications. Two years post op, all my co morbidities have gone away: blood pressure, hyperlipidemia, slope apnea, joint pain.... All gone.

At some point one realizes it's about managing risk. One must honestly assess: is it riskier to have the surgery and subject oneself to one set of short term risks but gain long term health benefits; or maintain status quo with all it's attendant co-morbidities and lifestyle restrictions?

The day you begin to think you're too old for something, you probably are. Think, "skydiving, rocky mountain climbing, 8.7 seconds on a bull named Fu man Chu....."

Edited by Aviator
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I am scheduled to get a bypass. My understanding from research and seminars... the band is the least effective, but it works only if you follow the rules exactly. With the band, it is basically just like you doing it on your own, because that is how hard you have to work at it. For me, going back and forth to the doctor for fills/unfills and adjustments are a little to much for me. I wasn't looking for a quick fix, but something to help me stay on track and focus more. The bypass is the most effective, but it is still a tool, and you will have to do what the surgeon and nutritionist tell you to be successful for life. The people that has gained their weight back went back to their old habits, and in my opinion, why would you go through with the surgery and sacrifices, just to go back to your old habits and risk the chance of regaining all of your weight plus some? That's crazy to me! My advice to you is to do your research and sit down and choose what is best for you. Only you know what you are able to do, only you know what you will or won't do....It is your choice regardless of anyone else opinion!

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Yes I want to challenge the over 40 comment. I was over 55 the day of surgery which was a Wednesday, and was back at work the following Tuesday.

I had absolutely no complications. Two years post op, all my co morbidities have gone away: blood pressure, hyperlipidemia, slope apnea, joint pain.... All gone.

At some point one realizes it's about managing risk. One must honestly assess: is it riskier to have the surgery and subject oneself to one set of short term risks but gain long term health benefits; or maintain status quo with all it's attendant co-morbidities and lifestyle restrictions?

The day you begin to think you're too old for something, you probably are. Think, "skydiving, rocky mountain climbing, 8.7 seconds on a bull named Fu man Chu....."

Think my Dad is just afraid because he developed blood clots which traveled into his lungs and he almost died.

Yes, I do think it is more safe now. My surgeon told a story how an 84 year old women came to him for lb surgery just so she can go dancing again and enjoy the remaining years she had left. Surgery was a sucess with Jo complications and she lost 70 lbs.

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