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Band vs sleeve??



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My daughter dropped a bombshell and I'm worried

My daughter called tonight to tell me she is scheduled on June 18th for gastric sleeve surgery in San Antonio, TX. I asked why the sleeve and she said because her surgeon no longer does lapband surgery because of the high failure he had with patients. He only does bypass surgery and the gastric sleeve only. My late husband's. mother died of stomach cancer as did her Aunt on her father's side die from stomach cancer last year. My daughter said she wants a permanent fix because she can't be bothered going back for fills. I'm really worried about her but thrilled that she is doing something about her weight.

Has anyone heard of a doctor not wanting to do the band because of a high failure rate? I haven't.

Also, she is self pay because her insurance does not cover gastric sleeve surgery. Her surgeon is charging her $4500 for the surgery plus she has to stay 3 days in the hospital which she also has to pay. She is putting it all on Care Credit.

I'm very concerned for my daughter as she has never had major surgery and she has a little 1 yr old to take care of as well.

Sorry for rambling on but I'm concerned about my daughter getting the sleeve.

The very first bariatric surgeon I consulted told me he no longer did lapbands, and said "they now take out more lapbands than they put in."

So I found another surgeon. That surgeon told me he refused to do the Sleeve, based on the lack of longterm data (the procedure is still considered "new", certainly when compared with the Lapband), and (more importantly, at least to me), that he currently had several sleeved patients on his ward in the hospital, being treated for leaks along the staple line. And that is one long hospital stay, when those leaks happen, with bad consequences for the pouch.

In the end, I choose the lapband because cutting out part of my stomach? Um, no. Just the thought makes me squeamish.

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There is a lot of misinformation about the band vs sleeve. For a long time I wondered why. Finally my doctor explained to me that many surgeons dissuade their patients from doing the band and pump up the sleeve procedure because it's easier for them- they don't worry about fills, support, nutritional counseling, developing a relationship with the patient etc.

Not having to do fills allows them more time in the operating room which is where the big bucks are made. They see you for a preop visit, do the surgery, then once more for a post-op, and then they're done with that patient forever!

Does this mean that the sleeve is a BAD surgery?? NO! I have a friend who has had success with it (so far), but, when a doctor so strongly dissuades the band, you should probably get another opinion, because the reality is that there is 2x the amount of data of LB surgery than there is on the sleeve surgery

Just my 2 cents

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My concern is when I speak to people on the sleeve side there are like 80% of them that did the sleeve after they had major issues with the band . Today I'm leaning way more to the sleeve but I might change my mind

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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.
      · 0 replies
      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.

    • CaseyP1011

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