My dietician said that there is evidence that people who go from a band to a sleeve are less successful at weight loss as those who go straight to sleeve. Anyone else heard this?

I've not heard that before. Did your dietician say why?

I've heard this too, and it does frighten me a bit, but so did living at 200+ lbs, so I'm willing to take my chances. I've read that revisions are less likely to loose their total amount, but haven't been able to tell if that's to "normal" (i.e., chart) weight or some other chosen weight. I'm already past 50% now, and while I'm happy, I don't have plans to settle for 165.

Nope, any research to support this "conclusion"?

I asked him about research and he couldn't point me to any. I think it's something that doctors are just starting to notice. He also says that some surgeons don't report it as they don't want to admit they gave patient a useless first surgery with the band :-) But I'm glad I'm not the only one who's heard it

_{I was told that my weight loss MAY be slower, with a revision. I had my revision May 8th, and today I am only 18 pounds from my goal. I have gone from a size 22 to a 12 in 4 1/2 months.}

I know I am able to "eat around my sleeve" by knowing which foods go down easier where I don't feel the restriction. It took me awhile (at least 6 months) to learn which foods did not give me restriction. Perhaps revisionists have already learned how to eat around their band and carry the habit earlier into their sleeve life.

I don't know, but that would be my guess if it were true. I believe our success in reaching our goals, assuming we were sleeved correctly, are directly related to how close we follow the guidelines.

I was told that on average revisions have poorer results due to a couple of reasons:

1. May not be able to get a good tight pouch/stomach due to scar tissue

2. Bad habits learned with the band - eating sliders etc

flip side - I spent alot of time thinking about what I could have done better... my part of the deal. I like to think I learned those lessons well and I did reach my goals. I have lost 155 since my revision.

Ask to see the data, the population sampled for this conclusion to be said. I do not believe anything unless I see data and verify the population samples was appropriate to make that statement.

According to some of the responses on this thread..it is more how you comply with your eating program and following an exercise program than whether or not you were banded. From what I just read there is testimony you can reach your weight loss goals even if u were banded. I am looking forward to my revision on nov 13.....

whether or not you were banded before.

My dietician said that there is evidence that people who go from a band to a sleeve are less successful at weight loss as those who go straight to sleeve. Anyone else heard this?

Like many others said, I would ask to see the data. My doctor said that since I was pretty successful with losing with the band before it slipped & malfunctioned, I will do fine. I think a lot of people learned how to "cheat" with the band by eating/drinking high calorie things that aren't restricted by the band making their choices a big part of the failure & I think people who then are revised to the sleeve; but carry that attitude with them, will fail with the sleeve also. Like the band, it is a tool. I believe a better tool, but still only a tool that must be used properly to succeed

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i was told by my doctor that people successfull with the band tend to be successfull with the sleeve. the "cut" is also different with a revision versus a straight sleeve. the surgeon cuts around the scar from the band and not through it, leaving a "pouch" at the top. my surgeon denies this has any effect on weight loss. I had aband to sleeve on 9/16 but still on liquids. I get really full and feel stuffed, if I drink my protein drink a little too fast. So far so good. I like the idea of the sleeve and felt it was 100% of what I needed to be successfull.I don't think it is for everyone. Just weigh your options and good luck.

That's just crazy. People with bands can't even eat right.

I have not seen people not be successful with the sleeve who were banded first. Quite the opposite. I've seen people become successful sleeved who tried their best with the band but had nothing but problems with it, so they ate sliders and gained weight.

Once they had their bands removed, and knew what it felt like to get full on small portions of a variety of foods, they lost weight and wished they had heard about the sleeve first.

I had my revision on May 6th. I was 165 pounds and I am now 139 pounds 4 1/2 month later. I feel 100 times better than I did with the band. I can't eat as much but there is no pain, vomitted only once, and I feel great. I went from a size 18/20 to a size 8. I have stopped loosing for about 5 weeks now, but I am happy where I am and anything more I would consider a gift. Best of luck!

The information from my surgeon was not based on a study, but rather their own observations. It is true that SOME people take their bad habits learned from life in hell (lapband) into life with the sleeve. I spent alot of time reflecting on that before my surgery and retrained myself. I know these things will cause failure with ANY weight loss surgery:

1. grazing; eating small amounts all the time - you never really get satiated

2. eating slider type foods that allow you to get too much food in without feeling restriction. I am quite sure i could eat a whole bag of cheetos, so I don't even go there.

3. consistently eating too large of portions - over time causes you to lose that feeling of restriction and increases your capacity

People who have not been banded do not really understand this - but for me the band trained me to eat poorly because I was avoiding pain! Dense Proteins often hurt! With the sleeve, I do not have that experience AT ALL. I need to keep my portions small and eat high quality food - Protein and green veggies with limited amounts of fruits, high carb veggies and other low nutrient/high sugar/carb food.

I don't believe that information to be true. The sleeve is all what the band promised to be but could not deliver. I revised from the band to sleeve on May 22nd and it was the best thing I could have ever done for myself. For years I suffered with trying to eat properly with the band and ended up in pain and vomiting almost at every meal. That is no way to live. I went to my surgeon here in the states about a revision and he told me that he no longer suggest the band to anyone due to the chronic failure his patients were having and suggested that I move forward in revising to the sleeve. He didn't do my revision but that was due to insurance. In 4 months I have lost 35 pounds which is way more than I lost in that amount of time with the band. My dr removed as much scar tissue as he possibly could so that he could give me a proper sleeve. I have not had any issues and wish I would have gotten the sleeve in the first place.