pearlgirl,
I feel like I could have written your post. We are in exactly the same position--I am at the approval/waiting for date stage. And I have done my research and understand the risks/possibilities. You and I have the same starting weight, too. But in the last 2 weeks or so, I feel all I have heard about are the one who "don't lose" or for whom it "didn't work." It also feels like my whole team--at the University of Michigan--discourages folks from the band and moves them toward the RnY. Drives me crazy. They are of course a high-risk specialty and take those who others won't take. I am going to them because for me they are local and work well with my insurance. I feel it's a little like the c-section rates for pregnancy--if you have a surgeon then they feel more in control with a more extreme surgical option. And of course, it does work well--but it does so at a big cost: malabsorption and inability to eat some things, and the permanent rearrangement of your guts. In many ways it takes the control away from the patient.
And those are the exact reasons I *want* a LAP-BAND® and not a bypass. The fact that a lap bander *could* still sit and drink soda all day or eat ice cream with impunity is, I'd bet, the reason the excess weight loss percentages are so much lower than for the more drastic options. I want to be in control of my choices—like I am now. I asked my surgeon why his numbers in MI/America were “success” numbers were so much lower than those studies I’ve read in medline and other places. He said that obesity in America is most likely because of sugar, and in Europe obesity is more often because of fat. This makes sense to me—and also makes me feel more secure in the band.
But I, too, am worried that I may go through all of this and be one who does everything well and still not have the results I'm hoping for.