Jump to content
Are you looking for the BariatricPal Store? Go now!

Conversion from lapband to sleeve - lower BMI

Recommended Posts


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!


Edited by Stella84

Share this post

Link to post
Share on other sites

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

Share this post

Link to post
Share on other sites
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

Share this post

Link to post
Share on other sites
Did you gain after band removal? How is your hunger with the sleeve revision?

Share this post

Link to post
Share on other sites

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

Share this post

Link to post
Share on other sites

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.

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Featured Surgeons

    1. Masoud Rezvani

      Woodbridge, Virginia 22191

    2. Lisa Medvetz

      Downingtown, Pennsylvania 19335

  • Recent Topics

  • Recent Status Updates

    • MonnieB

      I am in the Pre-Op stage.  I have 4 more nutrition classes to go to.  I've had my endoscopy with favorable results although I was told I had an abnormal z-line.  Everything looks good so far.  Had my team appointment with the psychologist and have my pulmonologist  this week.  I chose the sleeve
      · 0 replies
      1. This update has no replies.
    • istytehcrawk

      Friday marked my first surgiversary, so I wrote 3,000 words about it on Medium: https://medium.com/@mistyfritz/life-after-having-my-intestines-rerouted-d7baf9c8c39f?source=friends_link&sk=e24f2259918ac091cdbbb8a8f24b1f63
      · 0 replies
      1. This update has no replies.
    • WeGettingThere

      Hey all! So I went in for my weight management class. I thought that would be my last one but I actually have to wait until the nutritionist clears me. She has to decide if I'm ready. I''m not mad at it. It looks like my surgery will be happening in the summertime. So instead of focusing on the surgery date, I'm putting my energy into losing weight and making sure all these appointments are taken care of. It feels like doing mini quests on a video game before trying to fight the BIG BOSS. I'm not ready for the BIG BOSS yet. haha. Feeling pretty good! 
      · 0 replies
      1. This update has no replies.
    • Goody222  »  Dana me

      Me too! I am following the plan. How about you?
      · 1 reply
      1. Goody222

        I am. Surprised I am not hangry!

    • Jobber

      Finished my 6th and final NUT appointment yesterday.  Everything is done except the psych eval and submittal to insurance.  I did everything required of me including the 100 pages plus of food tracking, I lost 5% of my total weight, and I went to every NUT appointment.  
      Hoping for the best, things seem to be lining up well for me and in the end, I think I will be able to fully have my wife on board with this whole thing.  She says she is, but I know she doesn't think I should do it.  Just like I replied to another post earlier, i'm doing this either way, it's my decision at this point and I know I can get her to come around at some point and maybe even convince her to look into it as well.
      Also, I just started with an APAP machine a couple weeks ago and "holy sh*t" has my quality of life improved greatly so far.  I wish I had looked into this years ago.  I didn't think I had apnea until I had the study done and i stopped breathing an average of 12 times an hour.  That's nuts...
      · 0 replies
      1. This update has no replies.
  • Trending Topics

  • Magazine Articles

    1. Carbs After Bariatric Surgery?

      Posted in: Food & Nutrition
      Lisa Kaouk, RD & Monica Bashaw, RD
    2. New Year’s Resolutions

      Posted in: Support
      Alex Brecher
    3. Go With Your Gut!

      Posted in: Mental Health
      Louisa Latela, LCSW, LCADC
  • Together, we have lost...