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Slip diagnosed 5+ years out



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I have the 4cc 10cm band. I've never gone over 2.5cc that I can recall. My father had the 14cc band prior to his slip & resulting gastroparesis and now has another 14cc band. 9 mos out and still no restriction for him. It might be related to band, and it might be related to surgical technique - I can't really comment on that because I haven't looked for connections outside of my own case. It will be interesting to see what the correlations end up being. Right now I don't expect anything great, and I personally (which is all I've said all along) don't see the band as a "permanent" implant.

I called last week to check on the progress of my revision case - I'm in limbo waiting for them to draft & submit my letter of medical necessity. The receptionist accidentally leaked that there was a backlog of cases because they're seeing "unprecedented" numbers of revisions, and they're backed up more than they can handle. (My surgeon handles revisions where he was not the original surgeon, so that "unprecendented" is not a reflection of any one surgeon's rates of complications).

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My band came out yesterday. I'm a little sad to see it go, but I WILL NOT miss the discomfort or reflux that came with the slip.

I wish I had known the slip symptoms for what they were, and not just assumed it was another change in my "restriction pattern." WIth 20/20 hindsight I should have put two and two together, but I just didn't. At least it was caught before anything worse could happen, or there was permanent damage to my esophagus.

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Best wishes to you without your band. Did you already have a revision to something else?

I think that the old small band has been replaced for alot of people, me included. I got band #2 almost 3 years after band #1 (small band).

Take care.

Sue

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My band came out yesterday. I'm a little sad to see it go, but I WILL NOT miss the discomfort or reflux that came with the slip.

I wish I had known the slip symptoms for what they were, and not just assumed it was another change in my "restriction pattern." WIth 20/20 hindsight I should have put two and two together, but I just didn't. At least it was caught before anything worse could happen, or there was permanent damage to my esophagus.

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I am having a bout of something that is worring me. I know i eat to fast...almost 2 years and still struggle, especially when I am with people and talking. The past few days nothing will go down. This morning my son is in from medical school and my husband wanted to fix Breakfast. I had 3 small bites of scrambled egg, two small bites of biscuit w/ gravy, one bite of bacon that I chewed up and spit out (TMI....I know) and drank about 3 ounces of pineapple juice. I have felt stuck ever since. My upper stomach hurts, I have this lump feeling in my throat, I have thrown up about 4 times (always just small amount of liquid) and I feel like I need to burp. When I do burp it is just acid like. I know other people say when they are stuck it will take 30 minutes to an hour before it goes down. Sometimes this last all day. So, I don't know if i am stuck or something else. I am just wondering if maybe I have slipped. I have lost 98 pounds and have really done well so far. Any advice???

Stagegirl

My band came out yesterday. I'm a little sad to see it go, but I WILL NOT miss the discomfort or reflux that came with the slip.

I wish I had known the slip symptoms for what they were, and not just assumed it was another change in my "restriction pattern." WIth 20/20 hindsight I should have put two and two together, but I just didn't. At least it was caught before anything worse could happen, or there was permanent damage to my esophagus.

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I'm so glad I found this thread! I had my band placed in 2004 and just discovered, after a ton of tests, that it has definitely slipped and needs to be removed. I am so grateful for the weight I have kept off, but the nausea, reflux and pain will not be missed. I'm currently waiting for a response from my insurance company to see what they cover.

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No revision yet, my surgeon requires two months between procedures. He refuses to do same day revisions. I am actually OK with that... if I had a choice it is what I would choose.

I very briefly considered rebanding, but since I do not consider the band a long term implant it seemed like I would have just been signing up for another few years. (Just MHO) I was also told, after xray of slip and again after EGD, that my surgeon would not consider me a candidate for rebanding (with just presentation of symptoms I was... but at that time it was also considered an option to keep the band and pursue fills if the dysphagia-reflux resolved.

Slip rates could be related to band size, and I would not rule out evolving surgical technique. My father's slip was on an AP 14ml (IIRC). I guess in another 2 or three years we will start being able to trend whether or not there is correlation. smile.gif

Best wishes to you without your band. Did you already have a revision to something else?

I think that the old small band has been replaced for alot of people, me included. I got band #2 almost 3 years after band #1 (small band).

Take care.

Sue

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Hi stagegirl, with my 20/20 hindsight, the best piece of advice I can give you is to call your surgeon. I believe I know when my band slipped - roughly. Things had been going fine for a few years and then I had a fairly sudden change in the way things worked. Part of it was prolonged discomfort with stuck food. My previous "routine" had been to feel icky (and actually for me, stuck food was very painful) but bring it up within about 45 minutes, and once it was up I would have complete/immediate relief. One of the (then unrecognized) earliest (likely) indicators was that even after I brought food up, I no longer had the immediate relief I used to have. I would still hurt for a while, though it wouldn't be as bad. I would also feel nausea, and also had an incident where I could taste acid in what came up. That had NEVER happened before with my band. Also after food would come up (or when it would be stuck, but not need to come up yet) I would slowly develop an increasingly intense pain in my left side that would last sometimes 2 - 4 days. During that time, I could swallow saliva, but could not comfortably eat or drink, or burp, and would "gurgle" quite a bit. This didn't last very long, but when it sort of went away, there was another change. This is all pretty hard to describe, especially with any sense of coherence or chronology.

See my message (#32) here: http://www.lapbandta...82#entry1583482

That may help. My points "A" and "B", and the last paragraph in that post, pretty much encompass what ended up being the physical symptoms of my slip, I just didn't see them as such at the time. I had been through a few pretty drastic changes in band routines, so at the time I was grouping those symptoms into "another change" because they weren't adding up to what I was expecting to experience with a slip, or what I had been to watch out for, or what most people seem to experience (e.g. the "gold standard" symptoms like slips... the reflux is, but since it was so intermittent (at the time, it definitely got more and more frequent, and more severe) I didn't really piece it together for a while).

Hope this helps.

I am having a bout of something that is worring me. I know i eat to fast...almost 2 years and still struggle, especially when I am with people and talking. The past few days nothing will go down. This morning my son is in from medical school and my husband wanted to fix Breakfast. I had 3 small bites of scrambled egg, two small bites of biscuit w/ gravy, one bite of bacon that I chewed up and spit out (TMI....I know) and drank about 3 ounces of pineapple juice. I have felt stuck ever since. My upper stomach hurts, I have this lump feeling in my throat, I have thrown up about 4 times (always just small amount of liquid) and I feel like I need to burp. When I do burp it is just acid like. I know other people say when they are stuck it will take 30 minutes to an hour before it goes down. Sometimes this last all day. So, I don't know if i am stuck or something else. I am just wondering if maybe I have slipped. I have lost 98 pounds and have really done well so far. Any advice???

Stagegirl

My band came out yesterday. I'm a little sad to see it go, but I WILL NOT miss the discomfort or reflux that came with the slip.

I wish I had known the slip symptoms for what they were, and not just assumed it was another change in my "restriction pattern." WIth 20/20 hindsight I should have put two and two together, but I just didn't. At least it was caught before anything worse could happen, or there was permanent damage to my esophagus.

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OMG I was feeling so alone until now. I just scheduled my removal today due to a slip. A slip that I believe has been there for a couple years :( So sad I didn't see the signs (nor did anyone else). I will miss my band for sure, but as for the reflux - nope!

I'm so glad I found this thread! I had my band placed in 2004 and just discovered, after a ton of tests, that it has definitely slipped and needs to be removed. I am so grateful for the weight I have kept off, but the nausea, reflux and pain will not be missed. I'm currently waiting for a response from my insurance company to see what they cover.

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OMG I was feeling so alone until now. I just scheduled my removal today due to a slip. A slip that I believe has been there for a couple years :( So sad I didn't see the signs (nor did anyone else). I will miss my band for sure, but as for the reflux - nope!

The surgeon I finally got referred to see said I had a million dollar work up! I am still waiting to hear what my insurance company's decision is.

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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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      1. This update has no replies.
    • 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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