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Revision to sleeve with plication



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I've had lap band with plication since 2012. Successful for the first 2 years losing 60 lbs. Then practically overnight started terrible acid reflux, heartburn and vomiting. Living on Prilosec. I'm going in for a revision to a sleeve in a few weeks hoping to reduce/eliminate the pain but my Dr is very concerned about the plication. He's never done a revision with one before and isn't sure if he can. Won't know till he gets in there. Another Dr flat out refused to try. Anyone else had a sleeve revision from plication? How was it?

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I had a GSP in 10/2010 with minimal results.

I am getting a sleeve.

Dr #1 said that he may not be able to do the surgery, it would depend on the condition of my stomach tissue and could possibly require two surgeries and/or NOT getting the sleeve at all. He said that the surgery would require undoing/removing the original plication sutures and if there is a lot of scar tissue, that could cause problems/leaks when doing the sleeve.??

Dr #2 said that he would do a EGD prior to surgery to take a look at the previous surgery line but that he was not concerned about the previous plication? He would leave it in tact, creating the sleeve from the inside of the stomach, removing the previous plication/sleeve with the excess stomach? He further said that as long as he could do the sleeve without having to staple over the plication sutures/scar tissue that he was not concerned about leaks or problems.

Two different doctors, two different approaches..

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