Search the Community

My surgery was over 3 times longer than it should have been for a Band removal revision to RNY. I arrived at 6am, was in prep by 630 and was in the surgical suite by 730-800. I was awake and coherent before around the same time my bed made it back to the recovery room. My family was allowed in at that point (once I was awake) From there I did a little light walking, then I was wheeled up to my room within an hour or so. I was then in my room for the rest of day 1, 2 overnights and I was home before 1pm on the 3rd day of my stay.

Well it's been long journey...i had lapband for a little over 2 years and had trouble with it, I thought i was going to have revision 6 months ago,but insurance changed rule to 12. With the help of my awesome doctor, I am approved. I have friends that are trying to talk me out of it, some even saying I just need to be disciples on diet and exercise. But I still choose to do this...i am happy with my decision,and can't wait for next step Sent from my SAMSUNG-SM-J320A using the BariatricPal App

re: "I asked my doctor and he said that I could have the surgery on a Friday and go back that Monday. But the more I read on the internet I'm seeing that people take anywhere from 2-6 weeks!" My bet is the doctor estimate is right.... At 58 my surgery went so well I was headed home the same day, had a couple days recovery & by day 3 was (somewhat feebly, given) carrying a few bits of firewood in for the stove. I gladly returned to modified work by day 5. I've heard of a few folks needing as much as a week, but we are all different. IIRC, it was near the 3rd week postOp I went on a solo road trip of 4 or 5 days. Learning how to eat in mushie stage in a non-protected envionment was a challenge. Certainly read up on all options to your situation and explore any questions before you consent. Sleeve wasn't an option when I had my Band done in 2004....yet given a bit of hassle and annoyance at times, I'm satisfied it saved my life, and consider myself a Happy Bandster. Should the time come for revision, replacement or repair, certainly I would hope further advanatages were obtainable. As it is, the worst day of my PostOp Band life has been better than the Best day of the last 5 years PreBand. If anyone asks about the (small) port bulge, I tell them that's my Alien Implant. Good luck in your journey.

5 years ago I found myself 24 years old, 322 pounds, and minserable! I decided to have the lap band surgery with the help and support of my family. I successfully lost 90 pounds and my GERD, but couldnt keep up with the frequent and expensive band fills and eventually gained back 25 pounds and the GERD returned. I became demotivated and couldnt stick to a diet long enough to make much progress. Then, last year by eldest brother had the sleeve gastrectomy and went from being 280 pounds and unhappy, to an active marathon runner and happier than I can ever remember seeing him. Not to mention how handsome he looks! Needless to say, that inspired me to do my homeowork on revision surgery and reach out to my "family bariatric surgeon" Dr. James A Davidson (he complete my mother, father, brother and my surgeries). I was concerned that after my emergency gall bladder surgery 3 weeks ago that I would have to push back my surgery due to the weight loss as a side effect of the gall bladder illness. I started a protein shake diet to boost my health and it worked, Dr Davidson approved my bloodwork results and I had surgery on January 13th! The surgery was slightly longer and a bit more invasive since he had to first remove the lap band equipment, so it feels more painful than I remembered. On the bright side, the staff at Forest Park Hospital (Dallas, TX) were very compassionate and informative and the hospital itself is beautiful. I left feeling prepared to handle any issues that might arise and very optimistic. Its only 3 days post-op and I am feeling better everyday! I cannot wait to see my progess in a few weeks, months and especially in a year. I am also starting to put together an action plan. I want to participate in a marathon, learn to scuba dive, buy a bicycle and join a gym! All the things that I was either too embarrassed by my size or just too overweight to do!

I was sleeved Monday too and I got home a few hours ago. Glad you are feeling better. I bet the weight will be off really soon! Somehow, I am down one pound. That could be because I didn't have to do a pre-op because I was a revision. I think my body just didn't know what to do with a sudden drop in food. I am so excited to start this journey! Yay for us!!!

That's the best option acid reflux is the reason for my revision... Sent from my LG-D850 using the BariatricPal App

Wow! You are quick at answering! Thanks:D I think that is where I was confused about the cc's. It makes more sense to me that the larger volume of saline solution they add the tighter the restriction. Thanks for clearing that up. That's awful about the old ports! Now that you mention it, I think my surgeon mentioned that problem to me when he was showing me the Lap Band. He said something to the effect that this was the "new" kind. I didn't understand the significance of it until now. How much of a process was your port revision? Was it done as surgery or just under local anesthesia?

No regrets here either. I am just 2 months post op though. ladiesassie- Have you considered revising to the DS? I know sometimes the DS is performed in two procedures, the sleeve being the first part.

You only fail when you give up. You clearly haven't given up. So, this isn't failure, it's a set back. I felt like a failure as well, I lost a decent amount of weight, then that was it, gained and lost, over and over. For 5 years. I stopped going in for check ups, etc, because I didn't' want to be "that patient" that failed with the band. Guess what. My surgeon not only laughed off my "failure" but advised me that the band was over hyped and that my results were typical. I still have a long way to go, that's why I'm having Band to Bypass revision in a few days. Just remember not to beat yourself up over falling down. Just get back up, dust yourself off, dry your eyes and get back on the path.

Hi Cassy - Check out the new Vertical Sleeve Talk website Alex set up and just released TODAY ... Vertical Sleeve Gastrectomy (VSG) Surgery Forum Also check out the VSG forum on LBT - you can read all about the sleeve and those who have had revisions from band to sleeve and the reasons why. I haven't had the sleeve yet; however, after all of the research I have done, I am 100% certain the band is not for me. The sleeve does involve cutting away and removing part of your stomach; however, it leaves the pilori portion so you get the full feeling and you don't have any malabsorption issues; plus you don't have any foreign objects in your body. All I can say is RESEARCH RESEARCH and then RESEARCH SOME MORE before you make the decision that you believe is right for you.

I just had my revision on May 6th. With the band it starting thinning at about 4 or 5 months. It never thickened back up and now with the sleeve im nervous about losing more. I tried everything when it started to fall out with the band but nothing worked, shampoos, biotin, etc... I am now trying cologen. No one noticed mine except me and my imediate family because it didnt fall out of the top but i am really worried. Double wammy!

Hello... I thought I would post this must read article by the surgeon who invented the "Green Zone" and how the band should "ideally work".... http://bariatrictime...1/#comment-2133 Gastric Banding and the Fine Art of Eating BT Online Editor | September 22, 2011 by Paul O’Brien, MD Dr. O’Brien is from the Centre for Obesity Research and Education (CORE), Monash University, Melbourne, Australia. Bariatric Times. 2011;8(9):18–21 Funding: No funding was received for the preparation of this article. Financial Disclosure: Dr. Paul O’Brien is the Emeritus Director of the Centre for Obesity Research and Education (CORE) at Monash University, which receives a grant from Allergan for research support. The grant is not tied to any specified research projects and Allergan has no control of the protocol, analysis and reporting of any studies. CORE also receives a grant from Applied Medical toward educational programs. Dr. O’Brien has written a patient information book entitled The Lap-Band Solution: A Partnership for Weight Loss, which is given to patients without charge, but some are sold to surgeons and others for which he receives a royalty. Dr. O’Brien is employed as the National Medical Director for the American Institute of Gastric Banding, a multicenter facility, based in Dallas, Texas, that treats obesity predominantly by gastric banding. Abstract The author reviews the physiology of eating and what the adjustable gastric band does to the function of the distal esophagus and upper stomach of the patient. The author also provides the “Eight Golden Rules” on proper eating habits for patients of laparoscopic adjustable gastric banding, including what, when, and how they should eat, in order to achieve optimal weight loss results. Introduction Laparoscopic adjustable gastric banding (LAGB) has been shown to enable patients with obesity to achieve substantial, durable, and safe weight loss,[1,2] which can help reduce or resolve multiple diseases,[3] improve quality of life, and prolong survival in patients with obesity.[4] LAGB is a weight loss surgical procedure performed solely for the purpose of affecting a key physiological function in weight loss, appetite control. In 2005, we conducted a randomized, blinded, crossover trial that showed that the LAGB controls the appetite.[5] However, if the LAGB is not placed properly or if the patient does not eat properly, it will not perform at an optimal level. For example, if the band is placed too loosely, then it will not provide the proper level of reduced satiety and appetite, and likely will have little effect on the patient’s weight and health. If the band is placed too tightly or if patient eats too fast or takes large bites of food, slips and enlargements can occur, leading to reflux, heartburn, vomiting, and sometimes the need for revision. Optimally, the band should be adjusted so that it squeezes the stomach at just the right pressure. If the patient eats correctly and the band is placed correctly, the LAGB should adequately control the patient’s appetite, resulting in optimal weight loss. The Physiology of LAGB Dr. Paul Burton, a bariatric surgeon at the Centre for Obesity Research and Education, Melbourne Australia, has studied the physiology and the pathophysiology of the LAGB closely. He used high-resolution video manometry, isotope transit studies, endoscopy, and contrast imaging to understand what happens during eating in normal controls, eating in patients who are doing well after LAGB, and eating in patients who have symptoms of reflux, heartburn, and/or vomiting after LAGB.[7–15] In Burton’s series of articles, he concluded that in LAGB, it is not the band that fails, but rather the patients who receive the band and, more importantly, the doctors who care for them. Many years ago at the Centre for Obesity Research and Education (CORE), my colleagues and I developed the Green Zone chart, a conceptual way of identifying the optimal level of band restriction (Figure 1). When a patient is in the yellow zone, it is an indication that the band is too loose. When in the yellow zone, a patient may be eating too easily, feeling hungry, and not losing weight. When a patient is in the green zone, he or she does not feel hungry, is satisfied with small amounts of food, and is achieving weight loss or maintaining a satisfactory level of reduced weight. When a patient is in the the red zone, it is an indication that the band is too tight. The patient experiences reflux, heartburn, and vomiting. The range of food the patient in the red zone can eat after undergoing LAGB is limited and he or she may start to eat abnormally (so-called maladaptive eating), favoring softer, smoother foods like ice cream and chocolate. While in the red zone, patients will not lose weight as effectively and they may even gain weight. Burton measured the pressure within the upper stomach beneath the band in numerous patients when they were in the green zone. He found the optimal pressure was typically 25 to 30mmHg. The art of adjustment is to find the level of Fluid in the band that achieves that pressure range. That level of pressure generates a background sense of satiety that persists throughout the day. The patient, when correctly adjusted, normally will not feel hungry upon waking in the morning, and throughout the day should feel much less hungry than he or she did before band placement. In my experience, it is common for LAGB patients to have no feeling of hunger in the morning. Then, during the day, a modest level of hunger will develop, which a small meal should satisfy. One of the key lessons learned from Burton’s studies was that each bite of food should pass across the band completely before another bite is swallowed. There is no pouch or small stomach above the band and there should never be food sitting there waiting. The esophagus is a powerful muscular organ that typically generates pressures of 100 to 150mmHg, but it is capable of generating pressures above 200mmHg. Esophageal peristalsis squeezes the bite of food down toward the band and then progressively squeezes that bite across the band. Each bite must be squeezed across the band before the next bite starts to arrive. Figure 2 shows a bite in transit across the band. A single bite of food, chewed well until it is mush, will move down the esophagus by peristalsis. At the level of the band, the esophageal peristalsis will squeeze that bolus of food across the band. It takes multiple squeezes (usually 2–6 squeezes or peristaltic waves) to get that bite of food across in a patient with a well-adjusted band (Figure 2). Those squeezes generate a feeling of not being hungry and stimulate a message that passes to the hypothalamus to indicate that no more food is needed. If a single bite of food is able to generate between two and six waves of signal, a meal of 20 bites may generate 100 or more signals. This is enough to satisfy a person and is enough to signal him or her to stop eating. We recognize two terms for appetite control, satiety and satiation. Satiety refers to the background control of hunger that is present throughout the day regardless of eating. In the LAGB patient, satiety is generated by the band exerting a constant compression on the cardia. Satiation is the early control of hunger that comes with eating. In the LAGB patient, satiation is generated by the squeezing of the bolus of food across the band during a meal. Each squeeze adds to the satiation signal. There are sensors in the cardia of the stomach that detect this squeezing. The exact nature of these sensors is still to be confirmed but they must be either hormonal or neural. We know that satiety and satiation are not mediated by one of the hormones currently known to arise from the upper stomach.[16] Ghrelin is a hormone that stimulates appetite. A number of hormones that can be derived from the cardia of the stomach are known to reduce appetite. None of these hormones are found to be raised in the basal state after gastric banding and none can be shown to rise significantly after each meal.[16] Vagal afferents are plentiful in the cardia, and one group of afferents has a particular structure that lends itself to recognizing the compression of the gastric wall associated with squeezing of the bite of food across the band. In my opinion, the intraganglionic laminar endings, better known as IGLEs, are the most likely candidate as mediator of the background of satiety throughout the day and the early satiation after a meal. The IGLEs lie attached to the sheath of the myenteric ganglia and are known to detect tension within the wall of the stomach. They are low-threshold and slowly adapting sensors and therefore are optimal for detecting continued compression of cardia of the stomach over a 24-hour period. The several squeezes that go with the transit of each bite stimulate the IGLEs further. The signal passes to the arcuate nucleus of the hypothalamus and the drive to eat is reduced. The lower esophageal contractile segment. Burton developed the concept of the lower esophageal contractile segment (LECS). It is made up of four parts: the esophagus, the lower esophageal sphincter, the proximal stomach (including the 1cm or so above the band and the 2cm of stomach behind the band), and the band itself (Figure 3). As the esophagus squeezes the bolus of food down toward the band, the lower esophageal sphincter relaxes as this peristaltic wave approaches. It then generates an after-contraction, which can maintain some of the pressure of the peristaltic wave as a part of the food bolus is squeezed into that small segment of upper stomach. The upper stomach, including the area under the band, is sensitive to these pressures. It generates signals to the hypothalamus. These signals may be hormonal but are more likely to be neural. A correctly adjusted band will generate a basal intraluminal pressure of 25 to 30mmHg, providing a resistance to flow. The segment of the bolus that is squeezed through generates more signals from that area. Keeping the LECS intact is a key requirement for success with the gastric band. Bad eating habits (e.g., insufficient chewing, eating too quickly, taking bites that are too large) hurt the LECS. If those bad habits go on for long enough, stretching occurs and the power of peristalsis is lost, leading to the return of hunger (Figure 4).[11,12] The Fine Art of Eating A quality aftercare program is essential to successful weight loss in patients after LAGB. Before making the decision to proceed with LAGB in patients, I promise my patients three things: 1) to place the band in the optimal position safely and securely, 2) that they will have permanent access to a skilled aftercare program, and 3) that I will give them the information they need to obtain the best possible weight loss from the band. In return, I ask for three commitments from my patients: 1) that they follow the rules regarding eating after undergoing the procedure, 2) that they follow the rules regarding exercise and activity, and 3) that they always come back for follow up no matter how many years have passed.[6] The “Eight Golden Rules.” At my facility, we summarized guidelines for eating after LAGB into what we call the “Eight Golden Rules” (Table 1). These rules are included in a book and DVD given to every patient who undergoes LAGB at the facility.[6] The rules are also posted on www.lapbandaustralia.com.au and are reinforced at most aftercare visits. These eight golden rules must become part of each patient’s life. The effect of the LAGB procedure on hunger facilitates a patient’s adherence to the rules, making it more likely that he or she will follow them. However, achieving positive results with LAGB requires a working partnership between the physician and patient. Adhering to these rules is the patient’s part of the partnership, and he or she ultimately is responsible for the success or failure of weight loss following LAGB. What to eat. After undergoing LAGB, patients should eat small amounts of “good food,” meaning food that is Protein rich, of high quality, and in solid form. Each meal should consist of 125mL or 125g (i.e., about half of a cup of food). This measure of “half a cup” is a concept rather than a real measure of food, as some foods, such as vegetables and fruit, are composed largely of Water and this has to be allowed for in some way. Thus, I allow exceeding the “half a cup” limit a little for vegetables and fruit. We instruct patients to put each meal on a small plate and to use a small fork or spoon. The patient should not expect to finish all of the food on the plate, but rather he or she should plan to stop when he or she is no longer hungry. Any food left on the plate should be discarded. Protein-rich foods. Protein is the most important macronutrient in the food a LAGB patient eats. At our clinic, we recommend that our patients consume approximately 50g of protein per day. We have measured protein intake of our patients (Table 2) and have monitored their blood levels. We have not seen any protein malnutrition after LAGB, indicating that a daily intake of about 50g a day is sufficient. Table 2 shows the energy and macronutrient intake of 129 consecutive patients measured before and at one year after LAGB. Note the mean energy intake is reduced by approximately 1500kcals.[17] The best source of protein is meat; however, red meats, such as beef and lamb, tend to be difficult to break up with chewing in order to be sufficiently turned into mush. It is much easier to break up fish with chewing, and many fish are high in protein, including shellfish. chicken, duck, quail, and other birds can also be cooked to be easily chewed to mush before being swallowed. eggs and dairy, including cheese and yogurt, are also excellent protein sources. For nonanimal sources of protein, a patient should consider lentils, chickpeas, and Beans. Half of the “half a cup” allotment per meal should comprise protein-rich food. The other half should be made up of vegetables and/or fruits. I recommend to my patients that they eat more vegetables than fruit because vegetables have less sugar. Any space left in the “half a cup” can be used for the starches, (e.g., bread, Pasta, rice, cereals, potatoes), though I recommend to my patients that they eat a minimal amount from this group of foods as they tend to provide no important nutritional benefit. High-quality foods. High-quality food are foods that are minimally processed, natural, and whole. We encourage our patients to look for quality over quantity—for example, they might try sashimi-grade tuna, smoked salmon, duck breast, lobster, or even a simple poached egg. It is also important to remind your patients that there is no limit to the amount of herbs and spices that can be used to enhance the flavors of their foods. Solid foods. The patient should choose solid foods over liquids whenever possible. Liquids pass too quickly across the palate and, more importantly, too quickly across the band. There is no need for the esophagus to squeeze liquid, and without the squeeze, there is no stimulation of the IGLEs and no induction of satiety; therefore, eating calorie-containing liquids may negatively impact a patient’s weight loss. When to eat. After undergoing LAGB, a patient should eat three or less times per day. If the patient is in the green zone, meaning that the band is adjusted correctly, there should be no need for him or her to eat between meals. In fact, even three meals a day may be more than needed for satiety. In my experience, patients have little interest in eating in the morning. By late morning or early afternoon, patients may start to notice some hunger, which indicates that it is time to have a first small meal. In the evening, patients may have another meal. Most importantly, patients should be instructed that a meal missed is not to be replaced later on. The typical human body is satisfied with a maximum of three meals per day but often is happy to accept two or even one meal per day. Patients should be reminded that there should be no snacking between meals. If a patient finds that he or she is hungry by late afternoon, encourage him or her to eat something small and of high quality, such as a piece of fruit or some vegetables, just to tide him or her over until the evening meal. The patient should then visit the clinic to check whether or not he or she is in the Green Zone. It is important that the patient adhere to the aftercare program to monitor whether or not he or she is in the green zone. If not in the green zone, the patient will need to have fluid in the band increased or decreased. How to eat. Take a small bite and chew well. The “half a cup” of food should be placed on a small plate. The patient should use a small fork or a small spoon to eat. A single bite of food should be chewed carefully for 20 seconds. This provides the opportunity to reduce that bite of food to mush. It also provides the important opportunity for the patient to actually enjoy the taste, the texture, and the flavor of the food. Encourage your patients to enjoy eating more than they ever have. After chewing the food until it is mush, the patient should swallow that bite. Swallow, then wait a minute. The patient must wait for that bite to go completely across the band before swallowing another bite. Normally, it will take between two and six peristaltic waves passing down the esophagus, which can take up to one minute. This is probably the biggest challenge of educating the patient who has undergone LAGB. You must instruct the patient to eat slowly—chew well, swallow, and then wait one minute. A meal should not go on for more than 20 minutes. At one bite per minute, that is just 20 small bites. The patient probably will not finish the “half a cup” of food in this time. In this case, the patient should throw away the rest of the food. After undergoing LAGB, the patient should always expect to throw away food and to never eat everything on the plate. If it takes between two and six squeezes to get a single bite of food across the band and each squeeze generates satiety signals, then 20 bites should be generating 40 to 120 signals. The actual number will depend on the consistency of the food, the tightness of the band, and the power of the esophagus. With good eating practices and optimal band adjustments, the patient should not be hungry after 20 bites or less. As soon as the patient is no longer hungry, he or she should stop eating. After undergoing LAGB, the patient should never expect to feel full. Feeling full means stasis of food above the band and distension of that important part of the LECS above the band. This destroys the LECS, the mechanism that enables optimal eating behavior and appetite control. A patient should always keep this process in mind. If the patient finds that after eating the “half a cup” of food he or she is still hungry, he or she should review his or her eating practices, correct the errors, and consider the need for further adjustment of the band. If this is occurring, it is usually an indication that the patient is not in the green zone. Eat a small amount of good food slowly. These eight words are the key to success. Small amount refers to small bites, the small fork (e.g., oyster fork), and a total meal size of half a cup. Good food refers to protein-rich, high-quality, and solid food. Slowly refers to chewing well, swallowing, and waiting a minute. Try to repeat these eight words to every patient every time you see them. Get them to repeat it at every meal. The failure of the gastric band can almost always be traced to failure of this process. Addressing the Challenges The two principal challenges after LAGB are weight loss failure and the need for revisional surgery due to proximal enlargements above the band. Weight loss failure will occur if the band is not placed or adjusted correctly or if the patient does not adhere to the guidelines of proper eating and exercise. When a patient is not achieving results after his or her LAGB operation, the doctor should check to ensure that the band is correctly and safely placed. The most common reason for weight loss failure is poor eating behavior, which leads to enlargement above the band. There are three common eating errors: 1. The patient is not chewing the food adequately. Food must be reduced to mush before swallowing. If it cannot be reduced to mush, it is better for the patient to spit it out (discreetly) than to swallow it. 2. The patient is eating too quickly. Each bite of food should be completely squeezed across the band before the second bite arrives. 3. The patient is taking bites that are too big to pass through the band. Each of these errors leads to a build up of food above the band where there is no existing space to accommodate it (Figure 4). Space is then created by enlargement of the small section of stomach or by enlargement of the distal esophagus, both of which can compromise the elegant structure of the LECS. If the LECS is stretched, it cannot squeeze. Without the squeezing, satiation is not induced. When satiation is not induced, hunger persists, more eating occurs, and stretching continues. If our patient continues this each day for a year, it is inevitable that chronic enlargement will occur, the physiological basis for satiety and satiation is harmed, and stasis, reflux, heartburn, and vomiting supervene. The doctor should continually review the Eight Golden Rules for proper eating and exercise with each patient. For optimal weight loss following LAGB, the patient should have access to a comprehensive long-term aftercare program for clinical support and optimal band adjustments and he or she must follow the guidelines regarding eating and exercising for the rest of his or her life. “Eat a small amount of good food slowly” is the key to optimizing the gastric band.

Well you two it took me a bit to google and translate kilos into pounds lol, but I think I got the gist of the weight gains and losses. Like Chilo said there are many band to sleeve revisions on this site and they will be able to give you the low down on that idea. I was just curious though, I heard the port and metal on the bands were titanium like the staples used for the sleeve. If this is so you may need to go with a physician that uses threaded sutures and glue vs the staples if this is possible or maybe go with the gastric plication which is not excising the stomach only folding it within itself and suturing it up, to avoid the titanium. Hmmm

At my seminar, the surgeon also discouraged the band. He said one of them are being taken off the market. At the time of the seminar, 2 weeks ago he said he is taking bands out and revising them to the sleeve. As far as the blood thinner, I think you would have to stop them before any surgical procedure. Sent from my iPhone using the BariatricPal App

It would be good to start looking at it as a type of surgery Alex Brecher. The biggest issue with a RNY to DS revision is that it IS the most complicated of all revisions and is only done by a handful of surgeons in the US. You can't go to just any revision surgeon. Just because a surgeon says that they do revisions, does not automatically mean that they can do THIS surgery. It is VERY IMPORTANT for individuals thinking about this revision to get an experienced surgeon. And, like I said, there are only a handful... Dr. Keshishian, located in California Dr. Rabkin, located in California Dr. Simper, located in Utah Dr. Elariny, located in Virginia Dr. Roslin, located in New York Dr. Buchwald, located in Minnesota

There are lots of chair based exercises you can do. A quick Google search should turn up quite a few. Arm raises, calf raises, bicep curls, etc. Good for you for wanting to start out with good habits! Lap band 10/2007 revised to RNY 12/22/2017 HW 270 SW 263 CW 253

We don't look at revision as a "type" of surgery. You "revise" from one surgery to another surgery. We plan on adding a feature in the near future which will allow you to list all your WLS surgeries on your profile. In the interim, members should select the latest surgery type they revised to.

I agree that revising from one surgery to another can be quite difficult. You really need a master surgeon when dealing with a revision to DS. Once the surgeon completes the revision, you're left with a DS. Technically your first surgery was an RNY and you revised to a DS. Please correct me if I'm not understanding you. I'm familiar with all the surgeons on your list. They're the best of the best when it comes to DS.

Challenge Starting weight: 200.4 Current weight lost: 0 Losing or maintaining weight: LOSING Fitness/exercise goal: NOT RELEASED YET JUST JOINING. REVISION RNY 10/25/18 Revision 10/25/18 Kattrax421B.Com Don't meddle in the affairs of dragons, for you are crunchy, and taste good with catchup!

Just an updater my breast lift surgery is scheduled for March 23rd 2013 .. the final piece of the puzzle for me, I cannot wait to get rid of these saggy lumps on my chest ! at the moment i am a 36/38 DD I am hoping for a C cup. My other surgeries have all healed really well, i need a small revision to the sagging skin still remaining around my knees after my thigh operation, but am really looking forward to finishing having to have all these operations. I never imagined that when i had a lap band fitted i would end up with 23 hours worth of plastic surgery too !

Hi Guys- Sorry. I did start a new thread and I have been so consumed with work I haven't been here in a few weeks. I had revision surgery on my slipped band and I got to keep it- YAY!! I can actually eat now and it is wonderful, but I am keeping tabs on myself since I have gained three pounds. I think I did a number on my metabolism from being on liquids for a month and my body was just crying out for solid food. But I can live with three pounds. I will not get a fill anytime soon- I need to let my system rest and I still feel moderate restriction without one. I am almost 100% 3 weeks after my surgery and I absolutely implore you all to get help IMMEDIATELY if you have the same symptoms I had. And for the record my gall bladder is fine- phew!

Oh my, where to begin. If there is a problem with the sleeve, (IOW, if restrictive alone does not work JUST like the band) then one can revise to RNY or DS. Education, it's a good thing. It's not on Google Cache. Funny how that works with drug companies that have unlimted pockets.

I don't think it's fair to present an all or none picture of this thread. I have had the band and revised to a sleeve after 3 years of band intolerance. I know several people who have the band and continue to do well with it. You stated you might have had the sleeve if more were known at the time that you had your band placed. I agree with you as I would have also. Knowing how much better the VSG surgery is for ME and having had the band and some of it's associated complications, my desire is to let those considering the band that it's NOT the only WLS option. Bottom line? Figure out what type of eater you are, talk to surgeons who perform various types of WLS, do independent research, and make an informed decision for YOURSELF.

I totally like and respect Wasabubblebutt! she knows that and I want you to know it too. I think she does good research. Having said that, I want to see the studies that back up her statistics. What I found, like the link below , lists MUCH lower repairs/revisions/replacement. The only other person I know besides me who has the lap band has had it since 2003 and loves it still, no issues. That is an admittedly SMALL sample, of 1. LAP-BAND: Statistics subframe and another, http://www.medicalnewstoday.com/articles/63973.php Again I say ask your surgeon for stats and get the sources of those stats, review, decide. Wasa may be right and I know she thinks she is or she wouldn't post that but until I can see those figures and consider the source myself, I have to kindly say ... well, maybe, or maybe not.

I’m scheduled for bypass revision from sleeve on May 3rd. I don’t see a May group hope you don’t mind me tagging along !