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Conversion from lapband to sleeve - lower BMI



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Hello,

I am seeking advice from anyone who converted from lapband to sleeve and especially if with a lower BMI. I scoured the forum but didn’t see any similar stories):

Also looking for anyone who had band removed because of esophageal dysmotility.

Here is my history, briefly(:

I had lapband 12 years ago (self pay in Mexico) and was successful. I had reached my goal weight and 24 BMI! (with some ups and downs along the way).

That was until three months ago when I had a severe food poisoning and the associated vomiting. I was very sick and violently vomited at least 20 times. This left my band very irritated and I was barely able to drink two weeks later. I thought the band was slipped. When I had a fluoroscopy/esophagram there was no slip, but it did reveal esophageal dysmotility. Apparently this is a common complication with long term use of lapband. Although I have no symptoms (typically reflux and/or difficulty swallowing) my doctor suggests removing the band. He also will not refill the band which I do agree with considering the risks.

So, three months ago I had a total unfill. Yesterday I had another esophagram and I still have the esophageal dysmotility. Sadly, I have already gained from 137 to 165.

I feel like a total failure and really wished I could maintain on my own. But now I am considering the sleeve. Twelve years ago I would have never considered a surgery to remove part of my stomach. But the descriptions of the way the sleeve works sounds like the way the band worked (when perfectly filled:)

I have not checked into it but likely insurance will only pay for removal of band and I will have to self pay for sleeve. This seems extreme considering my current weight but I don’t want to wait until I weigh 232lbs again. But I did restart weight watchers today.

So my questions are as follows:

1) has anyone converted from LB to Sleeve with lower BMI. What were you experiences?

2) Anyone with esophageal dysmotility? Did it improve after band removal?

Thank you and apologies for the super long post!

Stella

Edited by Stella84
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My surgeon has also told me that the chances of oesophageal dysmotility are very high and it is better to take the band out before the oesophagus fails completely . I am revising from band to RNY on thursday. There is generally a very high risk of reflux going from band to sleeve and a lot of people end up going band sleeve RNY.

Good luck with your decision

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I had the band, lost 90 pounds, had a slip, had repositioning surgery, and then never able to get a good fill. Had the band removed in aug 2018 and then sleeved dec 2018 at 209 pounds. I’m only a month out, so I don’t have a lot of experience, but I did lose 16 pounds since sleeve surgery

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Did you gain after band removal? How is your hunger with the sleeve revision?

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I gained about 8 pounds between Band and sleeve. I'm not on solids yet, so I'm hungry a lot, but 4oz does satisfy me for an hour or two

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I went to Dr. Yau, for a Lap Band in July 0f 2009, weighing in at 312 lbs, as of now I am 200-210 lbs. Never had a moments problem with it until last Novemeber, he took out another 1 1/2 CCs in Scarborough. I found he was rude and arrogant when I went in. If I had of known he was going to talk to me like that I would have told him where to go and how to get there. My gf heard him talking he was that loud. Obviously his work is going into the toilet as he really doesn't car about the patients he has anymore. So, those of you that are suing him...good luck. I paid $16,000.00 cash at the time of my surgery. I had to go to the bank for a lone. THIS SHOULD HAVE BEEN COVERED BY OHIP.

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