Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Success rate of band vs bypass



Recommended Posts

Just wanted to clarify this since I see a number of posts where bypass is 'recommended' by surgeons because it has a higher success rate. My surgeon said that the statistics are based on how much of the excess weight is lost over a limited period of time (year?). So, yes, by that standard the bypass does have a higher rate of success because bypass patients will lose 2/3 of their excess weight through malabsorption and, in many cases, in that first year alone.

Those statistics do not show how many of those people actually ever lose the remaining weight...or even how many put the weight back on. Go into a few of the bypass forums and it's rather horrifying to see the number of people who never get below that 2/3 weight loss and are still quite obese. Even more horrifying are the number of people who have gained all their weight back and then some.

The band works by putting pressure on the vagus nerves which in turn suppresses the ghrelin hormone that makes you feel hungry. Bypass patients still have their stomachs and so, if constant intense hunger is their problem, they'll still always be hungry. According to my surgeon, the number of bypass patients getting a band is on the rise and they're getting the band to put pressure on the vagus nerves to control their hunger.

While researching the vertical sleeve, I found that removing the stomach gets rid of the production of ghrelin...but not permanently. About a year after surgery, they find the body finds another way to produce the ghrelin and that it is produced in greater quantities. Their study concludes though that by this time these people should be to a normal weight and will better be able to control that hunger. Huh? Inability to control our hunger is what got us here in the first place, isn't it?

Bottom line though is that one WLS is not 'better' than another based on some arbitrary statistics. The 'best' one is the one that works best for the individual.

.

Share this post


Link to post
Share on other sites

I remember being at a seminar and the surgeon telling us that "it doesnt matter what I do, you can undo any WLS if you want to." That reinforces to me that I still have to work at it, this is not an easy way out.

Share this post


Link to post
Share on other sites

My PCP was one that would not sign on on lapband as she thinks I should go with the gastric. I am not sold on it so I am continusing my Quest for the lapband. Mainly because the gastric is a much more invasive procedure and I do not want to be cut open.

Thanks for sharing.

Share this post


Link to post
Share on other sites

My PCP was one that would not sign on on lapband as she thinks I should go with the gastric. I am not sold on it so I am continusing my Quest for the lapband. Mainly because the gastric is a much more invasive procedure and I do not want to be cut open.

Thanks for sharing.

I would tell your PCP that you appreciate her advice but that the final decision on whether to have band or bypass should be *yours*...not hers. Control freak doctors are a PiTA.

.

Share this post


Link to post
Share on other sites

Love your post Elfie. It is so true - there is not any one size fits all solution and no WLS is magical - they all still require constant work and attention to "diet".

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Sign in to follow this  

  • Recent Topics

  • Most popular:

  • Recent Status Updates

    • SabrinaGoddess

      Banded in 2009; Unbanded 2012
      Lived life 2012-2019 struggling with weight again and massive depression
      The decision to have Gastric Sleeve made Oct. 17th, 2019
      Contacted my doc for inital consultation (Oct 30th)
      Self Pay
      Here we go....finally getting back to ME
      Created a new blog to journal ALL of my thoughts and progresses
      www.SabrinaGoddess.com
      · 0 replies
      1. This update has no replies.
    • ms.sss

      So my surgery anniversary date is on the 24th of this month, but I had my 1-year follow up early with my surgeon this morning (I have another 1-year followup at the hospital on Monday to get my bloodwork and labs done).
      Anyhoo...my surgeon was very pleased with my results (and so where the office staff apparently, because 3 of the front desk ladies came by my exam room to give me props/high fives/generally gawk at me).
      But get this: he asked if I would be willing to come in for a future photoshoot so that I could be on a poster! And I was all, ummmm....no thanks, LOL.
      · 2 replies
      1. SabrinaGoddess

        Why? You worked hard! You can do it!

      2. ms.sss

        I guess I could, but the idea of being out there for all to see just skeeves me out! Nope, not for me ;)

    • Krestel

      Today was a really tough day and I turned to food (and a watered down glass of wine). The interesting part was that I felt REALLY full after eating half my go to cheat snack, tortilla chips with cheese. So the GBP is doing its job!
      · 0 replies
      1. This update has no replies.
    • Nomorepasta

      Does anyone know how to change specific info on ur profile ex. Surgery date weight etc. ?..
      · 0 replies
      1. This update has no replies.
    • Krestel

      The only way I can tell that I'm losing weight is from the scale and my clothes "getting bigger".
      · 1 reply
      1. nenes78

        When logged in, click on your username up top then choose my surgery, from there choose your option on the left menu. Or click the link https://www.bariatricpal.com/patients/portal/?do=progress

  • Trending Topics

  • Together, we have lost...
      lbs
    ×