What is a fobi

does anyone know what a fobi is and how it differs from the others tried to look it up but couldn't find any good discripitions with illistrations and the pros and cons

I believe ir's like both proceedurers the gastric bypass as well as the band I think they use it so that in the long term you can't stretch the stomach for future weight gain

• I copied this from www.webmd.com
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• In a traditional stomach bypass procedure, surgeons create a smaller stomach by stapling off a large section. The new stomach is called the "stomach pouch" because of its tiny size (about a heaping tablespoon), Fobi explains. When food is eaten, whatever doesn't fit into the pouch bypasses the upper part of the intestines, and thus cannot be absorbed into the body. Excess food goes straight through the gastrointestinal system and is eliminated.
• A problem with the traditional procedure is that the staples can break down, causing the stomach to regain its original shape -- and patients to start gaining weight again. Also, the stomach opening that leads into the intestines, which in surgery is made smaller to allow less food to pass through, often stretches as the years go by.
• With his technique, Fobi has eliminated the staples; he cuts the stomach into two parts, then hand-sews them to maintain the separation. He also adds a synthetic band around the stomach opening, to keep it from stretching.

^ this sums it up pretty well. he has also developed a new band / ring that reduces stretching further, and does a couple of small modifications to reduce the risk of complications down the road. my procedure has been very successful so far as weight loss is concerned (about 127 pounds lost almost 6 months post op) and i've had no problems.

Can the Fobi band also erode and slip as the lapband does?

From my surgeon of choice's website:  http://www.lgbsurgery.com/fobi_pouch.html The Fobi technique is performed in exactly the same manner as our laparoscopic Roux-en-Y gastric bypass except for the addition of a nonadjustable silastic ring that is placed just above the connection between the new stomach pouch and the Roux-en-y limb of the small bowel.

One of the concerns about gastric bypass surgery has been the potential for weight regain as years go by. One of the mechanisms that may be responsible for weight regain is the stretching of the connection between the pouch and the small bowel. If this opening stretches over time the potential for allowing more food to be eaten increases and the feeling of fullness may be decreased. The purpose of Dr. Fobi's band is to stabilize the diameter of the opening that leads out of the stomach pouch and to prevent its stretching. The band is made from a silastic material and is placed around the pouch and secured in a very loose fashion. The purpose of the band is not to increase weight loss but rather to prevent long-term weight regain. Because the band is made out of an artificial material, it has a risk of erosion into the stomach pouch. The risk of this erosion is thought to be approximately 1.89% however new studies are yielding a lower percentage. When erosion occurs the results can be varied. It is possible that the erosion may go unnoticed entirely and the band will pass through the gastrointestinal tract without incident. On other occasions the band may cause discomfort, bleeding, or other gastrointestinal distress and may require removal. In some cases the removal can be performed endoscopically, in other cases a second operation may be required. There is statistical evidence suggesting that the band can prevent weight regain significantly. The option of adding the silastic band is in most cases entirely up to the patient.