Lapband in combo w. Gastric Plication?? anyone else had this procedure?
I was on the O.R. table getting ready to be plicated then last minute right before the Anestetic went in, I changed my mind and I am glad I did. I don't get how placing a band over an already compromised stomach makes sense. The plication itself is supposed to offer restriction! I'd be happier with the effects of an RNY.
Glad you are happy and I hope you never have one single complication. The thing is I believe these surgeons are becoming too bold with their experiments.
Check this out:
Glad you are happy and I hope you never have one single complication. The thing is I believe these surgeons are becoming too bold with their experiments.
Check this out:
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Zanthina's Blog Zanthina's Blog Regarding Gastric Sleeve Plication on January 23, 2011 12:17 am Hi! I had the plication procedure done in July 2010. Everything was going well and as of mid-december I'd lost about 60 lbs. Then in December I experienced a very unusual and unexpected complication. I'm going to cut and paste an email I composed to one of the patient experience managers at Angeles Health in response to her asking what happened and how I am doing now. "On December 21 I went to my local emergency room (Capital Region Medical Center in Jefferson City, MO) with abdominal pain, pain in my left shoulder when I breathed in, and dry heaving. They did an xray and ct scan and found what they referred to as free air in my abdominal cavity. They also found that the contrast fluid I drank for the procedure was leaking from my stomach into my abdominal cavity. At that time the attending physician told me I was being transported to the University Hospital in Columbia. I was transported by ambulance to the University of Missouri Hospital. I was met there by a surgical team from the bariatrics department. I explained the procedure I had received from Dr. Corvala. The surgeons told me that I needed surgery immediately to repair a perforation in my stomach that was allowing air and fluids to pass into my abdominal cavity. After I woke up from the surgery I was told that the perforation occurred because part of my stomach was not receiving adequate blood flow and perforated as a result. The surgeons explained that, in order to attempt to prevent future occurrence, the surgeons had loosened plication stitching. The surgeons put a tissue patch over the hole to prevent leakage and to allow the hole to heal. They told me and my family that the portion of the stomach where the hole had formed was white in color from being cut off from adequate blood flow for so long and that they had almost decided to resect that part of the stomach rather than repair it. They told me and my family that, in their opinion, it's very possible this will happen to me again in the future because of the damage to my stomach and other areas that hadn't been receiving proper blood flow. I was in the hospital from 12/21-12/26, spending my Christmas there. It took 4 days to rehydrate my body, because the hole that had formed in my stomach had let all the fluids I drank into my abdominal cavity. I had a tube coming out of my left side abdomen to drain the fluids for the duration of my stay. I had a tube coming up from my stomach and out of my nose to drain any fluids from my stomach for the first 3 days I was there. It was a horrific and traumatic experience for me and my family. At my follow-up appointment on January 7th I spoke with one of the bariatric surgeons at the University of Missouri Hospital in Columbia, MO about what happened. He explained to me that, due to a technical error that occurred during my plication surgery, the plication stitching had not allowed portions of my stomach to get adequate blood flow. This caused a part of the stomach to start dying and a hole formed. Also on Jan 7 I had another xray with contrast to see if there was any further leakage. The results of this test show no further leakage but that my stomach is very swollen at this time. I am continuing to be monitored through Missouri Bariatric Services, a University of Missouri Hospital Clinic. I believe this to be a dire complication. I was told when I came to the ER that, due to the severity of my condition I was about 24 hours from sepsis and death. It is very important that Dr. Corvala, his team, and potential patients know about this possibility. This was not mentioned to me as a possible complication of the plication surgery. In fact, I had asked about the possibility that that folding and stitching could harm the stomach and had also asked about cutting off blood flow to the folded portion of the stomach. I was told plication procedure was done in such a way as to retain the health of the stomach and that blood continues to flow regularly to the folded part of the stomach. I was also told that the plication procedure was much safer because there was no risk of leaks because no portion of the stomach is cut away and there is no staple line. Potential patients thinking of getting the plication procedure should know the possibilities. Please let me know if you need anything further." It should be noted that I asked my surgeons here in Missouri if there was anything I did that could have caused this complication. They have informed me that this complication was not at all my fault, but due to an error committed by the surgeon during my surgery. If you decide you're interested in the plication procedure and go through Dr. Corvala I would suggest you ask him about my case. As far as I know his rate of success is very high and he's never had anything happen like what happened to me. HOWEVER, one of the questions I specifically asked him/his staff before I got the plication was if the plication stitching cut off blood flow to the stomach and I was told that wasn't possible. Apparently, for me, it was possible. To be perfectly honest, I'm happy with the results of my surgery. My restriction is great, my weight loss has been what I expected. However, as noted above, I almost lost my life. Feel free to ask me questions. |
3/30/2005 Lap Band installed 12/20/2010 Lap Band REMOVED
6/6/2011 Vertical SLEEVE Gastrectomy
This was a horific experience for this poor patient to say the least. And from the statistics I've read, these extremes happen in less than 2% of the 1% of life threatening problems that may occur with this procedure. As with any bariatric surgery, there are risks, mine were spelled out clearly on the consent forms when I signed on the dotted line.
NtheGame
(deactivated member)
on 5/27/12 4:25 am
on 5/27/12 4:25 am
On March 21, 2011 at 7:18 PM Pacific Time, NtheGame wrote:
I had this combo procedure with great success and I've been reading some blogs about the Lapband combined w. Gastric Plication. My surgeon is an extremely reputable experienced Dr. at Duke University Medical Center, one of the worlds leading Medical Centers and his patients have hadl success with this procedure. It allows band patients to lose at a rate more like the RNY patients, but without the usual side effects of RNY. I have had no complications whatsoever, not even a hint. No pain meds, no stomach pain, no esophogeal spasms, no extreme post surgery gas pain, etc. Don't you imagine that the first Bariatric surgery patient was thought to be insane by the general population? I know I was even as little as 5 years ago. But modern technology and medical advancements are allowing bright medical providers to figure out what works. I thank God evey day for my combo surgery and the man who was insightful enough to give it to me. The only thing I dislike about Duke is their basketball team. GO HEELS!!!!Sorry, never heard of your doctor.
Most surgeons decline to do this procedure because of the long term risks. The risks are usually something that happens months or years down the road. Not weeks.
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