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iLAP (Imbricated Lap Band)



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I was told that my Dr **MAY** be approved to do it at my hospital starting in December. I've been researching this as an option, and discussed it with my nutritionist/surgery coordinator at my last appointment. IF he is able to perform it by my surgery date, and IF my insurance will approve it, I will have to decide whether I want it or not. I'm still on the fence. I am definitely not willing to put off my surgery for it though. I need to get started as soon as I possibly can!

My doctor still doesn't do this procedure. he MAY start trials of it by the time we have surgery in December. My husband wants it and I am on the fence with it. With the regular lap band it's completely reversible. With this procedure you can take out the lap band but the plication is permanent. It is still being investigated so no sure what the outcomes are or complications.

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My thought EXACTLY!

I was told that my Dr **MAY** be approved to do it at my hospital starting in December. I've been researching this as an option, and discussed it with my nutritionist/surgery coordinator at my last appointment. IF he is able to perform it by my surgery date, and IF my insurance will approve it, I will have to decide whether I want it or not. I'm still on the fence. I am definitely not willing to put off my surgery for it though. I need to get started as soon as I possibly can!

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From what my doctor told me, the plication can be unsewn. Not that I would ever want that, but he did say it was possible. I had a checkup today and the doc and I both decided on no fill. With the plication I am not hungry and am losing weight, so I am just going to let this do its job as long as I can. He said as long as I stay within recommended portion sizes there should not be a problem with stretching the stomach and it should continue to work as it has been. I am totally happy with the choice I made to have this along with the lapband and would do it again in a heartbeat. I have not suffered through "bandster hell" as others have waiting to find the green zone. I have no real hunger and so it is easy to stay in the guidelines of how to eat. I love my plication and band!

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From what my doctor told me, the plication can be unsewn. Not that I would ever want that, but he did say it was possible. I had a checkup today and the doc and I both decided on no fill. With the plication I am not hungry and am losing weight, so I am just going to let this do its job as long as I can. He said as long as I stay within recommended portion sizes there should not be a problem with stretching the stomach and it should continue to work as it has been. I am totally happy with the choice I made to have this along with the lapband and would do it again in a heartbeat. I have not suffered through "bandster hell" as others have waiting to find the green zone. I have no real hunger and so it is easy to stay in the guidelines of how to eat. I love my plication and band!

thats great news!!! have you lost any more weight lately?

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I am steadlily losing around 2 pounds a week.

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I am steadlily losing around 2 pounds a week.

thank you! that is very good and inspirational. I'm hoping to have the surgery in December and I would like to lose at least 40lbs by May. *crosses fingers*

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Well this has been very eye opening for me. I am meeting with my surgeon on the 16th and I am going to ask a few more questions about. If he is ready in December (which he said he would be) I may go that route. My husband already told him that he definitely wants it.

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SkinnyMini- I am a fan of the procedure for sure. Just as Bromo talks about in her posts, I have not experienced the hunger that others talk about and have not had a single fill yet other than what he put in my band on the day of surgery. I attribute that to the fact that I have the plication in addition to the band.

Good luck with whatever you decide to do!

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I think the worry I have is ....I am not sure if is it reversible? I have to speak to my surgeon on wednesday about it but from what I see on the internet it is reversible. Since its investigational and not all the data is out I would like to know if complications do arise if it is fixable. It seems that my doctor will be ready to do the procedure in December because I spoke to the office manager yesterday and she new that we were considering this "new procedure". In fact my husband and I will probably be his first. I am just hoping that he knows what he is doing. I have to ask him if he has done plications in the past. He is in a Center of Execellence and I hear excellent things about him. In fact he is extremely cautious about starting new procedure without all the information etc., I think that is why he hasn't started yet. I know with the band I am required a 23 hour stay in the hospital but I am not sure if this changes when we add the plication. I know the sleeve is a 2 day stay. Also I am not sure if my insurance will cover that or he will just do it for the price of the band. I guess I will know more Wednesday.

SkinnyMini- I am a fan of the procedure for sure. Just as Bromo talks about in her posts, I have not experienced the hunger that others talk about and have not had a single fill yet other than what he put in my band on the day of surgery. I attribute that to the fact that I have the plication in addition to the band.

Good luck with whatever you decide to do!

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I did have to stay overnight but was released from the hospital in under 24 hours. I do think my doctor included my plication with the price of the lapband, as there was no difference in the price getting one or the other.

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I'm planning on having this done in January. I was excited when I found out about this surgery since it seems to have all of the benefits of both procedures and they seem to cancel out some of the drawbacks that each procedure has on it's own.

It's encouraging to see that more doctors are starting to offer it. I live in Maryland but at the time I was looking to having this done the most convenient doctor for me was located in FL (I can stay at my parent's home to recover)

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I really like the idea that the imbrication of the stomach would help you through those first months when you are getting filled. Might end up needing less fill later on also. We'll see.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

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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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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