I was reading that it is possible to do a band over bypass. Does this really work? I have a friend who is too chicken to get on here but really needs help.

What is your exerience with this? Does it work? Do you wish you would have opted for the band over an RNY instead in the first place?

There ARE people who that have the BOB....and, it does work, to a certain degree.

But, you need to be aware that people who fail at Bypass always seem to have some LARGER issues. "head" issues that would suggest that some serious pyschotherapy be incorporated into the program.

People do regain weight with the bypass. But it's actually quite rare. And you almost have to make a conscious decision that you are going to do it. So, when you consider that the band is the MOST "defeatable" of the WL Surgeries, and the fact that the Bypass is DIFFICULT to defeat, well, you're going to see that the BOB is an "iffy" solution.

Having said that, for SOME people adding the Band into the Bypass "mix" has been the answer for them. But the individual really needs to have the counseling to go along with it. And I mean a Psychotherapist that really SPECIALIZES in Bariatric issues, not just someone who has some heavy clients.

if your friend has failed bypass, then it is certainly worth a try.

HH

...and, have your friend come over here and join.

It will be interesting hear their experience if they decide to get a band!

HH

My friend also has this question. Thanks for posting.

There ARE people who that have the BOB....and, it does work, to a certain degree.

But, you need to be aware that people who fail at Bypass always seem to have some LARGER issues. "head" issues that would suggest that some serious pyschotherapy be incorporated into the program.

People do regain weight with the bypass. But it's actually quite rare. And you almost have to make a conscious decision that you are going to do it. So, when you consider that the band is the MOST "defeatable" of the WL Surgeries, and the fact that the Bypass is DIFFICULT to defeat, well, you're going to see that the BOB is an "iffy" solution.

Having said that, for SOME people adding the Band into the Bypass "mix" has been the answer for them. But the individual really needs to have the counseling to go along with it. And I mean a Psychotherapist that really SPECIALIZES in Bariatric issues, not just someone who has some heavy clients.

if your friend has failed bypass, then it is certainly worth a try.

HH

I agree. My mom had bypass in 2003 and has regained around 25-30 lbs and keeps on gaining. She talks about eating healthy and exercising and all she eats are sodium and carb filled Soups, Cookies, chocolate, ice cream, milk shakes, wendys chili, etc and just won't stop. Then instead of getting out and walking like she says she lays in bed on her laptop all night. Our surgeon doesn't do band over bypass yet but my mom is considering it. I try to tell her that the band will not stop her from eating like that and she needs therapy, doesn't seem to get through.

I'm not sure where you are located, but my surgeon does perform BOB's and ROSE. I accidentally attended their free webinar on BOB & ROSE when I was checking them out for banding.

More BOB info from their site Advanced Weight Loss Solutions :: Weight Loss Surgery :: Types Of Procedures :: Band Over Bypass

I'm not sure where you are located, but my surgeon does perform BOB's and ROSE. I accidentally attended their free webinar on BOB & ROSE when I was checking them out for banding.

More BOB info from their site Advanced Weight Loss Solutions :: Weight Loss Surgery :: Types Of Procedures :: Band Over Bypass

What is ROSE?

What is ROSE?

Restorative Obesity Surgery, Endolumenal and they go through your mouth so no external incisions.

Your stomach pouch or stoma (the connection between the pouch and small intestine) may have stretched in the years since your original surgery, reducing the feeling of fullness after you eat. This incisionless surgical procedure restores the size of the pouch and stoma similar to the original post-surgery proportions. Using a new advanced and specialized technology called EOS (EndoSurgical Operating System) that uses very precise surgical instruments, we can create and suture folds into the pouch to reduce its size (in volume) and at the stoma to reduce its size (in diameter). We perform the procedure entirely through the mouth without making any skin incisions. Because of the lack of external incisions, the ROSE procedure is expected to provide significant advantages to the patient including:

• Less risk than more invasive traditional open or laparoscopic surgery
  
• No postoperative abdominal pain
  
• No significant recovery time
  
• Absolutely no scarring
  
• Outpatient surgery (patients go home the same day)
  

BOB and ROSE.....That is too cute. :biggrin:

They are both good "add-ons" to the Bypass. I'ts been my thought for a while that ROSE (and some other procedures like it) will be the big winner in solving the problem of weight re-gain with the bypass.

But, the psychological issue absolutely HAS to be addressed, or NOTHING will help.

I cannot emphasize enough how big of a step it is to be able to FAIL at Bypass. You need to have some REAL problems to be able to do that.

However, part of it might lay at the feet of the surgeons; there ARE surgeons that simply do a POOR job. They make the pouch TOO big. That does happen, and poor restriction does make it possible for the patient to feel comfortable when eating TOO much. Thus, the pouch stretches and weight is regained.

But the real problem lies in the mind of the patient.

Psychotherapy HAS to be a part of the protocol. I have said this for a long time, and it does not simply apply to Bypass patients, it applies to EVERYONE having WLS.

We all know that Weight Loss is a "Mind Game", at least a very large part of it.

Some doctors/surgeons require a "psych eval" for all WLS patients. I think it needs to go further than this. I think a 5 or 6 month series of therapy sessions should be REQUIRED prior to surgery. But, in most cases THAT will never happen. Successful Psychotherapy might reduce the income for some of these Surgeons!

I have a LOT of sympathy for these folks who have failed WLS. It must be a horrible thing to endure. I understand it, because my first WLS was failure. It feels like it's the end of the world. But my WLS failure was because I chose the wrong procedure, which is why I am so adamant about people making the RIGHT choice the first time.

For people choosing the bypass, and then failing, well,....that is heartbreaking, because there is not much that they can move onto from there.

BOB and ROSE, however, DO offer some hope to those people, and they need to be made aware of those procedures. And, they need to begin working the "mind" element as well, ASAP.

I hope this discussion will continue. It's important information, and should be an integral part of the WLS "Matrix".

HH

Edited July 28, 200917 yr by Headhunter