Below is an edited version from 3 weeks ago when I was conceivably talking about getting a bypass with the medical group. Now the Doctor Thinks a Sleeve Would be Better Then a Bypass.

With battling weight most of my life 10 years ago I got a lap band put in. I am now 57 years old, 15 years ago I was diagnosed with type two diabetes At the time my Lap Band was put in my weight was 230 pounds. That might not sound like a lot of weight but for a male 5’8 it was a lot for me. In addition to having type two diabetes I have also had two neck surgeries and three back surgeries over the years. The Lap Band gave me significant weight loss. I got down from 230 to 160-165. I also lowered my Metformin from 1000 mg to 500 mg. I lost approximately 70 pounds of weight and maintained this weight for about nine years. To say that it was an easy road for me would be lying, I was constantly having the band loosened tightened loose and tightened like being on a roller coaster. I had problems with the Lap Band being so tight that I was having major acid reflux problems. In addition to that I had some small ulcers around my esophagus next to my Lap Band. Last year I decided I had enough of this and had a lot of Fluid taken out of my band. The major acid reflex went away immediately however, I still have some ongoing small minor heartburn and a small cough because the Lap Band is still in place but a lot of the fluid has been taken out. Because of that removal of fluid I have gained back for the first time in 10 years 35 pounds. Now I am back up to taking the same amount of diabetic medicine Metformin 1000 mg because of the 35 pound weight gain. The bariatric center in Los Angeles is now recommending that I conceivably switch to a Sleeve. This decision is not completely final yet and the acid reflex problems I’ve had for so many years which only really developed soon after getting the Lap Band 10 years ago. As in all surgeries there are risk concerns for changing the body anatomy, any advice or opinions from anyone that has been down this same kind of road would be much appreciated. Thank you for your time and concern. Hopefully one day I can help someone else.

1 hour ago, Hope to Resolve said:

Below is an edited version from 3 weeks ago when I was conceivably talking about getting a bypass with the medical group. Now the Doctor Thinks a Sleeve Would be Better Then a Bypass.

With battling weight most of my life 10 years ago I got a lap band put in. I am now 57 years old, 15 years ago I was diagnosed with type two diabetes At the time my Lap Band was put in my weight was 230 pounds. That might not sound like a lot of weight but for a male 5’8 it was a lot for me. In addition to having type two diabetes I have also had two neck surgeries and three back surgeries over the years. The Lap Band gave me significant weight loss. I got down from 230 to 160-165. I also lowered my Metformin from 1000 mg to 500 mg. I lost approximately 70 pounds of weight and maintained this weight for about nine years. To say that it was an easy road for me would be lying, I was constantly having the band loosened tightened loose and tightened like being on a roller coaster. I had problems with the Lap Band being so tight that I was having major acid reflux problems. In addition to that I had some small ulcers around my esophagus next to my Lap Band. Last year I decided I had enough of this and had a lot of Fluid taken out of my band. The major acid reflex went away immediately however, I still have some ongoing small minor heartburn and a small cough because the Lap Band is still in place but a lot of the Fluid has been taken out. Because of that removal of fluid I have gained back for the first time in 10 years 35 pounds. Now I am back up to taking the same amount of diabetic medicine Metformin 1000 mg because of the 35 pound weight gain. The bariatric center in Los Angeles is now recommending that I conceivably switch to a Sleeve. This decision is not completely final yet and the acid reflex problems I’ve had for so many years which only really developed soon after getting the Lap Band 10 years ago. As in all surgeries there are risk concerns for changing the body anatomy, any advice or opinions from anyone that has been down this same kind of road would be much appreciated. Thank you for your time and concern. Hopefully one day I can help someone else.

I didnt ever have band and the surgeon pretty much laughed about the statistical data on band being bad and it is. GERD could get worse w sleeve. You could develop it permanently. Bypass is the gold standard for the diabetes resolving! I do want to say here that we dont know all your micro deets that your doctor does that might influence their suggestion. I’d suggest a second opinion on the side from another surgeon instead of the internet so they can really review your stuff. Bypass has an ulcer issue which may be why they r pushing sleeve but ppi can help w prevention. Get another surgeon opinion if unsure is best advice

I would suggest asking your surgeon for the exact reason why they feel that the sleeve is the better option for you. While it is not a guarantee that GERD will get worse with the sleeve, it happens frequently enough that it is considered a risk. As part of your current situation is trying to end the issues with GERD, you have every right to know why your doctor is advocating for VSG over RNY.

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