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16 yrs Banded, Now May have to revise to sleeve! HELP!
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Hi all! I was banded in mexico in 2002. I started at 285lbs and over the years (I was a slow loser) I had lost just over 130lbs by 2009. I had stay steady at same weight from 2009-2014. Was filled to where I wanted and THOUGHT I was ok. I decided to just get checked out at Kaiser just because it had been so many years since I had ANY type of checkup on it. They did a flouroscopy and found my esophogus had doubled in size. My band had been overfilled all those years..my doctor in Mexico ALWAYS does fills under flouro, but eventually had started getting "blind" fills by a local doctor. This is what caused the overfill. But I lived with it over the years figured just the band quirks..my weight stayed off so it worked. So when they found the expanded esophagus they completely unfilled my band and had me weight about 3 months for improvement. My esophagus returned to normal, so they agreed to refill me slowly. I got a few fills at Kaiser, but then moved to central california from northern..and went back to surgeon I had been getting blnd fills before at his northern cali location. I was now closer to his central ca location. So in Feb 2016, his NP filled me and most likely introduced an infection when she filled me. She may have stabbed me twice. So not knowing I had an infection, I was starting to have pain shortly after. I felt a hard lump in my stomach that felt like my port but the lump was now higher than the port was always stitched. So I thought my port had become unstitched and moved up to my waistline. SO I contacted my surgeon in Mexico and he advised I head down there to get checked out, so I did. He did a flouroscopy and everything looked normal..but he decided to go in and open me up to see what was going on. He found a massive infection brewing in there. He did an endoscopy to make sure my band had not eroded. It was fine.So he cleaned me out, stitched me up and sent me home with a few heavy duty antiobiotics. After almost the full course of antibiotics, my incision wasn't healing and was still oozing. So he figured my body was attacking the port and tubing, so he had me come back to Mexico to remove the port and tubing..let me body heal and said to come back in 4-5 months to put port and tubing back in. This was May of 16. My band was filled again..and I know I need to have the port/tube in but for almost 2 years, did not go back due to time and money. I had NO issues. I had gained 50lbs quickly after that initial unfill, but have not had luck really losing this 50lbs. Admittedly had not been trying extra hard..but figured my body was adjusting to all the fill, unfill, fill activity. I was glad I had not gained ALL my weight.
So fast forward to today. About a week ago in the midst of being sick with bad flu for over 2+ weeks, developing a yeast infection and ear infection, I started having pain in my abdomen at the site of the incision from 2 years ago. I feel a lump now underneath and was feeling like it did when I had the infection before. Not sure why now..so I went to ER and they did a CT Scan. They sent to a local bariatric surgeon to review..he said he didn’t really see anything unusual..he didn’t know I didn’t have a port so I think whatever lump I have he thought was my port. Before I could get my story out, he basically said he advises to remove the band now, wait 4-5 months and revise to sleeve! I was floored. I was not expecting that AT ALL! I never really thought about the sleeve, know anything about it and know if would be successful at this point.
I am more worried about gaining back all my weight and keeping it off long term. Like I said I have 50lbs of it I still want to lose, but given it is a revision and not a brand new out of the box patient..will I still have a hard time losing it with a sleeve revision or will having a new surgery help?
I am still deciding if I want to have the surgeries local or go back to Mexico. I would have to pay out of pocket in Mexico or get it covered 100% here in town. BUT I trust my Mexican surgeon more..more experienced with bands and surgery in general. I need to decide quickly because of the infection going on.
What has been your experience if you revised from band to sleeve after a long time. Were you able to lose weight again or basically did the sleeve just help you keep off what you have lost?
I am nervous about the non reversable cutting of my stomach for the sleeve.
Any advice would help at this point!!