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How do surgeons pick band sizes?



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I am curious as to how the surgeon decides whether to use a large or a small band. It seems to me that there would be advantages/disadvantages to both, and I'm curious as to how my band will be different from someone else's.

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Good question I would like to know that too.

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I dont know how they decide , but in my case the picked the the wrong one.They thought I was small enough to use the 10cc but I was back in surgery 6 days later to have it removed and replaced with a 14cc.I was so tight I could not even swallow my spit.

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I have a 9.75cm 4cc band, I got banded in 2005 when this was a current model.

My surgeon told me after the surgery that that's what he had chosen. I was/am quite pear shaped and carried the weight on hips and thighs and lower belly. I didnt have a lot of fat actually inside my abdomen (yet) and I apparently dont have very large organs either, not surprising as I've turned out to much less "big boned" than I thought. So he chose this smaller band for me becuase he anticipated problems with restriction with too big a band. I must say, I've had restriction from day dot, and never struggled to find it.

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It appears I've been looking at this backward. All along I've been thinking that if you have a bigger band, you will get more cc's and therefore more restriction, but that does not appear to be the case. Now I'm curious to see what my surgeon will use for me! Thanks for the replies, very helpful.

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My surgeon went with the 14cc Large AP band based on the size of the stomach structure he had to work with. I am glad he did because I'm at 10.4 cc fill level now and still working on losing and if I had a 10cc band I would have maxed out by now.

Definitely go with what your surgeon recommends since he will be the one to see the size of stomach to band.

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My surgeon told me that she thought my stomach might be too small for a Realize band. Never in my life has my stomach been too small for anything. I almost kissed her for that one!

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I was told that because I have a larger esophogus (sp) that the bottom of it was a larger opening is the reason she went with the larger band.

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soooo glad someone asked this question. i too was wondering how the choose the size. i figured give me the larger band cuz i dont wanna max out on fills and still need to loose. good to know it is based on the size of my stomach and not how much weight i need to loose. thanks guys for the info!:D

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Hello,

I see you have a 4cc band. What manufacture is it? I think you are in Australia right? I got an 8 cc band in May and it is obviously too big. I have virtually no band effect at all. No different than before the band. I am in SA and I am going to go tot he states and get a smaller band. I just need to find out who makes and who can replace this one.

Thanks for you help!!!

I have a 9.75cm 4cc band, I got banded in 2005 when this was a current model.

My surgeon told me after the surgery that that's what he had chosen. I was/am quite pear shaped and carried the weight on hips and thighs and lower belly. I didnt have a lot of fat actually inside my abdomen (yet) and I apparently dont have very large organs either, not surprising as I've turned out to much less "big boned" than I thought. So he chose this smaller band for me becuase he anticipated problems with restriction with too big a band. I must say, I've had restriction from day dot, and never struggled to find it.

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I was looking at my operating room report and it said that he went with the 14 cc band due to the fact there was a larger fat pad in that area and was afraid after he buckled the 10cc one it would be too tight. As far as restriction goes he said it may take a few more fills than a 10cc band for me to hit my sweet spot. I have my first fill on Tuesday so we shall see :)

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I was told the band size has to do with the amount of fat around your stomach??? not sure, and as you lose the fat where the band is, that is why you need fills to keep it tight

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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