Gastric Sleeve after failed Lap Band?

[Aznavour 0]

I am new here...looking to share experiences with people who have been sleeved as a revision surgery following failed LapBand. My surgeon told me (post op) that those who have been previously banded lose weight at a slower pace, although they don't know exactly what the mechanism is. Any experiences?

[Matt Z 4,138]

I am a Band to Bypass revision. My Surgeon advised against Band to Sleeve due to the increased potential for staple line issues due to the scaring caused by the band. There were others surgeons in her office that would do it, but she won't do them. I trusted her inputs and went with the bypass. And yes, logically you will lose weight at a slower pace, simply because you are already used to the restriction. Now, that's not to say it's not going to be amazing or "slow" by any means. But you have the potential to not lose as quickly. Going from no restriction and no malabsorption to both is clearly going to be more of an impact than going from some restriction and just adding malabsorption.

But, either way, it's still worth it. My band was not causing issues, but it took them WAY longer to get it out than it should have because it was totally encapsulated in scar tissue.

Now, revision to sleeve, you are not going to get any of the malabsorption, just a different type of restriction. From what I read when I was researching Band to Sleeve, it can be rather slow.

Whatever you chose, Good Luck!

Edited May 24, 2018 by Matt Z