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Lap Band Eroded - Possible Revision To Gastric Sleeve

I have had my band since February 2007. Yesterday, I went in for an upper GI to check and make sure my pouch hadn't stretched. I haven't had any pain or discomfort, no vomiting, or acid reflux. My only complaint was that despite having an almost full band, I could at times eat much more than I thought I should be able to. Hence the decision by my doctor to do the upper GI. As reference, I began at 277 before my lapband surgery. I got down as low as 183, bounced back up to 223 and am now sitting at 211 with a BMI of 32. My goal weight is about 165. This is in a period of almost four years.

When I drank the contrast liquid, we watched as the Fluid went down the esophagus, into the pouch, and through the stoma. We also watched as some of the liquid went AROUND my band! The only way that can happen is if a portion of the band is now INSIDE of my stomach. Preliminary diagnosis is band erosion. Next week I will be scheduling an endoscopy to determine the extent of the erosion and see how much damage has been done to my stomach.

In the brief conversation I had with my doctor after the discovery, he stated that the only option for treatment is removal of the band. You could have knocked me over with a feather. I have become dependent on my band and to think of not having restriction is a scary thought for me. Like others, the thought of going back to the weight I was at before is not an option.

My doctor has indicated that once the band has been removed and I have healed from that surgery (after about four months), I can either be re-banded (I don't think so), or I can do a revision to either bypass or gastric sleeve. I am not keen on the idea of bypass. It just seems so extreme and there's no where to go after that surgery. So I am leaning towards the sleeve. From everything I have read, the majority of people who have had this procedure are very happy with it.

Yesterday was spent trying to wrap my head around the prospect of having two surgeries next year. Talking with my family and trying to understand my options. I am fortunate in that my situation is not an emergency. There is no infection and I can eat properly. (The doctor did deflate my band completely). I also have insurance through my company and the enrollment period is coming up in the next couple of weeks so I can make decisions accordingly knowing that I am going to have these surgeries. It is still yet to be determined if my insurance company (BCBS AL) will cover either surgery (scary thought), but I'm willing to fight for it. I was self pay for my band so I don't know if that will impact their decision or not. I know they do cover WLS and have the typical six month waiting period (not sure I would have to do that given the circumstances).

I will be posting here with my progress and experience for the benefit of others who may encounter similar complications and decisions. I would very much like to hear from others who have had band erosion and have done the revision to the sleeve or those who have the sleeve and what their experience has been with that type of surgery.

I can't believe I'm at this point again. Ugh.

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Well after many months and many ups and downs I finally have a date to have my eroded lap band removed. March 29th is the big day!!!!!!!!!!! I will have my surgery VERY early in the morning and will stay overnight to make sure there is no leaking from the repaired area of my stomach. Hopefully, if all goes well, in two months I will revise to either the sleeve or banded plication. There is much to consider with both of these procedures and the positives and negatives are pretty well balanced. I have read good and bad things about both procedures.

Right now though, I'm just going to focus on getting the band removed and see what kind of damage it's done. So far I have felt no effects other than an occasional pull or tug or momentary pain in the area just below my sternum. I still have some minimal restriction due to there being a plastic ring in the middle of my stomach but I can pretty much eat anything I want and have been. I figure that eventually I will have the tool necessary for me to succeed so I might as well enjoy myself while I can even though the weight gain is making me feel miserable physically. I can't wait to be thin again. Weird how the mind justifies things. If I couldn't eat another cheeseburger tomorrow it wouldn't bother me, but since I can I do! Ugh.

I'm definitely ready to get back on track. Let's get this party started!

  • 3 weeks later...
  • Author

Had my lap band removed on Thursday, March 29th. My procedure seems to have gone pretty smoothly. I wasn't nervous at all. Didn't have any nausea. My surgeon said that everything looked the way he anticipated it would look. He placed a drain in my stomach which was a bit of a surprise. I wasn't expecting that. He said it was a last minute decision on his part. Now I have to figure out how to deal with that while at work.

They took me down on Friday morning for my leak tests. They said everything looked fine but it took until 7:00 for my surgeon to let me know it was okay for me to drink. Then I had to drink a certain amount within a couple of hours before he would let me go home. I drank what I was supposed to, was discharged around 11:00, then we had to run around getting perscriptions filled. I was really tired by the time I got home. My only real complaint is the dry mouth I get while I'm sleeping. I don't have a lot of pain, just soreness.

Oh, I gained 10 lbs in the hospital!!!!!! It's beginning to go down slowly but they really kept me hydrated! LOL So basically, the band removal seems to have been a lot easier than having it placed. Now I need to work towards getting my sleeve. My surgeon has said that if I had another band placed that I would more than likely erode again and I certain don't want to have to do this again.

Onward and upward!

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