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Band causing entrapment of the body of the stomach



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I was banded is 2011. I have lost over 50 pounds...the hard way. Whenever I get a fill that creates the restriction I need to lose weight, eventually (days, weeks, or months) the opening will close and I cannot tolerate even liquids. This has lead to many unfills and and ER visit. This past weekend, I had the second ER visit. I had been losing weight beautifully for 4 months. The band became too restrictive and fluids would not pass. The surgeon removed 2 cc's. After a week of pain in the esophagus, I felt normal again (he did an upper GI to check the band and it was fine). Three weeks later, he filled 1.25 cc's. The band became too restrictive a week later so we removed .5cc's. Two days later, I cannot keep any fluids down. The surgeon is in New York, off to the ER I go. I was very dehydrated so they gave me IV's. They loaded me up on anti-nausea meds that did NOT work. The longer I was there, I began to get a constant intense pain in my rib cage. The worst of it was in my middle back. Hours in the ER did no resolve the blockage and now the pain is so intense I am almost in tears. I was admitted to the hospital. The next morning, I received an EGD. Following is the impression right from the report: 1, Blood in the fundus. 2. Inflammation in the fundus and body of the stomach. 3. Irregular z-line. 4. Normal esophagus. 6. The gastric band appears to cause entrapment of the fundus and the body of the stomach. Inflammation and hemorrhagic mucosa occurs from the entrapment. This entrapment was relieved by the endoscopic procedure, the hemorrhogic mucosa is seen in the body and fundus. I understand this to mean that the doc pushed the stomach, that was blocking the way, back through the band. When I woke up from the procedure the pain was gone and I could tolerate liquids. This doc believes this has happened before and was likely happening at my first ER visit. Since the only way to really know would be to do the EGD once I have reported the blockage. Has anyone else had this happen? I can't find any documentation on it. He was very direct about having me see my surgeon immediately to "manage this". Thank goodness my esophagus is normal :)

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I've been reading here for years and I've not seen anyone post anything like what you're experiencing. And I would assume "manage" means having your band removed?

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I got the feeling this doc did not approve of what he saw and "manage" did indeed mean get it out! I made an appt with the surgeon yesterday and sent over the EGD report and pics. They now have asked me to get the CD of the procedure. I have a feeling this may be a first for them also.

Edited by Hamilt10

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This report is the first of it's kind I've ever seen in 10 years reading on this board.

Good luck in finding the cause and resolving the problem.

Please keep us advised of your status and procedures.

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Well found out indeed this is rare. My doc has never seen it. I was told I could have lost my stomach or worse. Only 10 pounds from goal and will likely have it removed. Thank goodness I was listening to my body! The band has served me well

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I've heard of this...with devastating consequences. It happens most frequently with a very loose band that allows the stomach to slip up through the band causing death to the entrapped tissue, my surgeons PA warned me of this at the time of my complete unfill, which is ludicrous since my band wasn't even on my stomach, lol. You're very lucky. Are you going to revise?

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I am thinking about having it removed. This, along with my GERD, has really worried me. It's depressing to think that after 4 years it has to come our. I fear I will gain all my weight back. My family is really adamant about removing it

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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.

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