Question...is it possible?
It seems that most of the folks that have opted for banding have around 100 or so pounds they would like to lose. I have closer to 200.....is that amount of weight loss possible using the band? Are there any really "bigger" losers out there that can share some insight to their journy for me please?
Thanks
Robin
Thanks
Robin
The band is really not a good option for people who have more to lose than 100 pounds. Read the data available and you will find the success rates and failure rates on them as well. If I were you I would be looking into the Duodenal Switch, which has the best results for people with a BMI over 50 or the RNY.
Jennifer
Jennifer
Here are some studies to show what I was trying to say.
http://www..springerlink.com/content/07454q216735420h/
http://jcem.endojournals.org/cgi/content/full/91/11/4223
http://www.obesityhelp.com/forums/amos/action,replies/board_ id,4856/cat_id,4456/topic_id,3538116/a,messageboard/
http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmc entrez&artid=1356846
This study is long, but it clearly states the facts at the bottom of the study.
http://www.medicalnewstoday.com/articles/47541.php
this study discusses the ineffectness of the lapband for the SMO
Hope you find this information helpful in making your decision.
Jennifer
http://www..springerlink.com/content/07454q216735420h/
http://jcem.endojournals.org/cgi/content/full/91/11/4223
http://www.obesityhelp.com/forums/amos/action,replies/board_ id,4856/cat_id,4456/topic_id,3538116/a,messageboard/
http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmc entrez&artid=1356846
This study is long, but it clearly states the facts at the bottom of the study.
http://www.medicalnewstoday.com/articles/47541.php
this study discusses the ineffectness of the lapband for the SMO
Hope you find this information helpful in making your decision.
Jennifer
Hl, ROBlN!
l WElGHED 404 POUNDS WHEN l GOT SERlOUS ABOUT WLS AROUND 09/01/2008 AND l DlD A WHOLE LOT OF RESEARCH ON THE VARlOUS PROCEDURES. BY MY CONSULT ON 10/18/2008 l WAS DOWN TO 386 AND HAD DEClDED THAT VSG WAS THE BEST CHOlCE FOR ME. BY SURGERY ON 11/19/2008, l HAD LOST AN ADDlTlONAL 22 POUNDS (WElGHT 364) BECAUSE l WAS ABLE TO FOLLOW A VERY STRlCT PRE-OP DlET (l'VE NEVER HAD PROBLEMS FOLLOWlNG DlETS: lT WAS THE FACT THAT NONE EVER WORKED FOR ME LONG-TERM FOR A VARlETY OF REASONS, SOME PHYSlCAL/MEDlCAL AND OTHERS PSYCHOLOGlCAL, THAT LED TO YEARS OF YO-YO'lNG AND DlETlNG MY WAY TO SUPER MORBlD OBESlTY). l HAVE LOST 10 POUNDS lN THE 8 DAYS SlNCE SURGERY (CURRENT WElGHT 354) FOR A TOTAL WElGHT LOSS SlNCE 09/01/2008 OF 50 POUNDS. MY GOAL WElGHT lS 185 POUNDS WHlCH MEANS THAT l NEED TO LOSE 219 POUNDS JUST TO GET TO A BMl OF 29.8 WHlCH lS STlLL AT THE HlGH END OF THE "OVERWElGHT" CATEGORY. BASED ON MY RESEARCH, KNOWLEDGE OF MYSELF (BOTH PHYSlCAL AND MENTAL), AND THE OPlNlON OF MY SURGEON, l AM CONFlDENT THAT VSG lS THE TOOL l NEED TO REACH THAT GOAL AND AM VERY HAPPY THAT l STlLL HAVE A TlNY, BUT STlLL FULLY FUNCTlONlNG, TUMMY AND AN ENTlRE lNTESTlNAL TRACT lNTACT.
ALL WElGHT LOSS SURGERlES ARE MERELY TOOLS AND ALL OF THEM CAN BE SABOTAGED lF THE PERSON lS NOT COMMlTTED TO A CHANGE THAT NECESSARlLY HAS TO BE LlFELONG. THAT SAlD SOME TOOLS WORK BETTER FOR CERAlN GROUPS OF PEOPLE, AND THAT'S TRUE OF THE SUPER MORBlDLY OBESE. l LOATHE WHEN PEOPLE PURPORT TO KNOW WHAT lS THE BEST ROUTE FOR ANYONE OTHER THAN THEMSELVES. HOWEVER, l WlLL ADMlT THAT lT lS MY PERSONAL OPlNlON THAT GASTRlC BANDlNG lS NOT A GOOD OPTlON FOR PEOPLE WHO NEED TO LOSE MORE THAN 100 POUNDS. HAVE SOME OF US GOTTEN BANDED AND BEEN SUCCESSFUL? YES...BUT GlVEN THE OTHER OPTlONS AVAlLABLE, THE SUPER MORBlDLY OBESE WHO CHOOSE BANDlNG NOW ARE SETTlNG THEMSELVES UP FOR, AT THE VERY BEST, A LONG, HARD, AND SLOW JOURNEY WHlCH MAY NOT BE lN THElR BEST lNTERESTS, ESPEClALLY lF OTHER HEALTH CONDlTlONS EXlST THAT NECESSlTATE SlGNlFlCANT WElGHT LOSS QUlCKLY.
FOR MANY YEARS, THE DUODENAL SWlTCH (DS) HAS BEEN CONSlDERED THE GOLD STANDARD FOR THE SUPER MORBlDLY OBESE. DS lS A GREAT PROCEDURE...BUT lT'S NO LONGER THE ONLY GAME lN TOWN FOR THE SUPER MORBlDLY OBESE. MORE AND MORE SUPER MORBlDLY OBESE PEOPLE ARE CHOOSlNG VSG AND THE EVlDENCE THUS FAR SHOWS THAT FOR THE RlGHT TYPE OF PERSON, THE LONG-TERM RESULTS CAN RlVAL ANY BYPASS PROCEDURE. SEE THE FOLLOWlNG FOR PRlMARY MEDlCAL RESEARCH SUPPORTlNG VSG FOR PEOPLE LlKE US:
l WElGHED 404 POUNDS WHEN l GOT SERlOUS ABOUT WLS AROUND 09/01/2008 AND l DlD A WHOLE LOT OF RESEARCH ON THE VARlOUS PROCEDURES. BY MY CONSULT ON 10/18/2008 l WAS DOWN TO 386 AND HAD DEClDED THAT VSG WAS THE BEST CHOlCE FOR ME. BY SURGERY ON 11/19/2008, l HAD LOST AN ADDlTlONAL 22 POUNDS (WElGHT 364) BECAUSE l WAS ABLE TO FOLLOW A VERY STRlCT PRE-OP DlET (l'VE NEVER HAD PROBLEMS FOLLOWlNG DlETS: lT WAS THE FACT THAT NONE EVER WORKED FOR ME LONG-TERM FOR A VARlETY OF REASONS, SOME PHYSlCAL/MEDlCAL AND OTHERS PSYCHOLOGlCAL, THAT LED TO YEARS OF YO-YO'lNG AND DlETlNG MY WAY TO SUPER MORBlD OBESlTY). l HAVE LOST 10 POUNDS lN THE 8 DAYS SlNCE SURGERY (CURRENT WElGHT 354) FOR A TOTAL WElGHT LOSS SlNCE 09/01/2008 OF 50 POUNDS. MY GOAL WElGHT lS 185 POUNDS WHlCH MEANS THAT l NEED TO LOSE 219 POUNDS JUST TO GET TO A BMl OF 29.8 WHlCH lS STlLL AT THE HlGH END OF THE "OVERWElGHT" CATEGORY. BASED ON MY RESEARCH, KNOWLEDGE OF MYSELF (BOTH PHYSlCAL AND MENTAL), AND THE OPlNlON OF MY SURGEON, l AM CONFlDENT THAT VSG lS THE TOOL l NEED TO REACH THAT GOAL AND AM VERY HAPPY THAT l STlLL HAVE A TlNY, BUT STlLL FULLY FUNCTlONlNG, TUMMY AND AN ENTlRE lNTESTlNAL TRACT lNTACT.
ALL WElGHT LOSS SURGERlES ARE MERELY TOOLS AND ALL OF THEM CAN BE SABOTAGED lF THE PERSON lS NOT COMMlTTED TO A CHANGE THAT NECESSARlLY HAS TO BE LlFELONG. THAT SAlD SOME TOOLS WORK BETTER FOR CERAlN GROUPS OF PEOPLE, AND THAT'S TRUE OF THE SUPER MORBlDLY OBESE. l LOATHE WHEN PEOPLE PURPORT TO KNOW WHAT lS THE BEST ROUTE FOR ANYONE OTHER THAN THEMSELVES. HOWEVER, l WlLL ADMlT THAT lT lS MY PERSONAL OPlNlON THAT GASTRlC BANDlNG lS NOT A GOOD OPTlON FOR PEOPLE WHO NEED TO LOSE MORE THAN 100 POUNDS. HAVE SOME OF US GOTTEN BANDED AND BEEN SUCCESSFUL? YES...BUT GlVEN THE OTHER OPTlONS AVAlLABLE, THE SUPER MORBlDLY OBESE WHO CHOOSE BANDlNG NOW ARE SETTlNG THEMSELVES UP FOR, AT THE VERY BEST, A LONG, HARD, AND SLOW JOURNEY WHlCH MAY NOT BE lN THElR BEST lNTERESTS, ESPEClALLY lF OTHER HEALTH CONDlTlONS EXlST THAT NECESSlTATE SlGNlFlCANT WElGHT LOSS QUlCKLY.
FOR MANY YEARS, THE DUODENAL SWlTCH (DS) HAS BEEN CONSlDERED THE GOLD STANDARD FOR THE SUPER MORBlDLY OBESE. DS lS A GREAT PROCEDURE...BUT lT'S NO LONGER THE ONLY GAME lN TOWN FOR THE SUPER MORBlDLY OBESE. MORE AND MORE SUPER MORBlDLY OBESE PEOPLE ARE CHOOSlNG VSG AND THE EVlDENCE THUS FAR SHOWS THAT FOR THE RlGHT TYPE OF PERSON, THE LONG-TERM RESULTS CAN RlVAL ANY BYPASS PROCEDURE. SEE THE FOLLOWlNG FOR PRlMARY MEDlCAL RESEARCH SUPPORTlNG VSG FOR PEOPLE LlKE US:
ANSURG RNY vs. VSG on Appetite Suppression and EWL 03/2008
SURGTODAY VSG and the role of Gherlin 05/2008 http://www.ncbi.nlm.nih.gov/pubmed/18516524ordinalpos=10&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum OBESSURG VSG for morbid obesity 07/2007
http://www.ncbi.nlm.nih.gov/pubmed/17894158ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_Discovery_RA&linkpos=1&log$=relatedarticles&logdbfrom=pubmed
SURGTODAY VSG vs. LAGB for BMI > 60 04/2008
http://www.ncbi.nlm.nih.gov/pubmed/18560961ordinalpos=6&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum
AMY
Well I will share my opinion here too. Please don't let me offend anyone with my opinions. That is not my intentions at all.
First and foremost the choice of surgery is a personal decision for each and every individual.
Now we just had a new person post here that had lap band which helped them successfully lose well over 100 pounds if not even closer to 200. So there is no rule of thumb that with the dedication a lap band wouldn't be successful for you as well.
Now I will share with you what and why I choice for myself. When I embarked on my journey to WLS I thought about RNY, lap band, and DS. I didn't look into VSG just because I didn't know much about it. For me personally lap band was out of the question because I felt that I needed something malabsorptive and I also considered dumping to be a positive thing to keep me on the right track.
That left me to RNY and DS. I thought initially that RNY was exactly what I needed then at the last minute had a panic attack thinking I was making a mistake. So upon my final consultation with my doctor after having a date and everything I brought it up. When I discussed it one on one with him I knew that RNY was the right option for me. Because of that I will obviously rave about RNY and negatively about DS. RNY has the most data compiled over the most years and is if I am not mistaken the most common and oldest procedure for WLS. Statistically speaking my doctor felt that I should be able to get very near the same weight with RNY as with DS but minus any dependency on vitamins supplements etc. Another thing is that until recently DS was not considered an option by insurance companies and people were hard pressed to even find a doctor that would do it. Ironically I have a friend that I was talking to and I didn't kwow her sister in law had DS and has horrible complications. WLS as a whole is not meant to be reversed but RNY can be. Since her remnant stomach was removed she is in very poor condition for unknown reasons. Now clearly that is a very isolated incident but more of less secured the fact that I wanted to go with what was more common.
I don't in any way intend to offend anyone with my opinions about RNY vs DS. It is an age old issue amongst the WLS world as a whole.
I do know that there are multiple members of this forum that have been very successful with their RNY as well. I went and read all of their profiles to see what they had chosen and their experiences. Then there is Amy Williams an OH staff member and she had RNY and lost over 400 lbs.
I would encourage you to read a lot about each procedure. I got WLS for dummies and read everyday on the forums here. Good luck with whatever you find best for you. If you have any questions that I may be able to help you with feel free to pm me.
Take care! Ellen
First and foremost the choice of surgery is a personal decision for each and every individual.
Now we just had a new person post here that had lap band which helped them successfully lose well over 100 pounds if not even closer to 200. So there is no rule of thumb that with the dedication a lap band wouldn't be successful for you as well.
Now I will share with you what and why I choice for myself. When I embarked on my journey to WLS I thought about RNY, lap band, and DS. I didn't look into VSG just because I didn't know much about it. For me personally lap band was out of the question because I felt that I needed something malabsorptive and I also considered dumping to be a positive thing to keep me on the right track.
That left me to RNY and DS. I thought initially that RNY was exactly what I needed then at the last minute had a panic attack thinking I was making a mistake. So upon my final consultation with my doctor after having a date and everything I brought it up. When I discussed it one on one with him I knew that RNY was the right option for me. Because of that I will obviously rave about RNY and negatively about DS. RNY has the most data compiled over the most years and is if I am not mistaken the most common and oldest procedure for WLS. Statistically speaking my doctor felt that I should be able to get very near the same weight with RNY as with DS but minus any dependency on vitamins supplements etc. Another thing is that until recently DS was not considered an option by insurance companies and people were hard pressed to even find a doctor that would do it. Ironically I have a friend that I was talking to and I didn't kwow her sister in law had DS and has horrible complications. WLS as a whole is not meant to be reversed but RNY can be. Since her remnant stomach was removed she is in very poor condition for unknown reasons. Now clearly that is a very isolated incident but more of less secured the fact that I wanted to go with what was more common.
I don't in any way intend to offend anyone with my opinions about RNY vs DS. It is an age old issue amongst the WLS world as a whole.
I do know that there are multiple members of this forum that have been very successful with their RNY as well. I went and read all of their profiles to see what they had chosen and their experiences. Then there is Amy Williams an OH staff member and she had RNY and lost over 400 lbs.
I would encourage you to read a lot about each procedure. I got WLS for dummies and read everyday on the forums here. Good luck with whatever you find best for you. If you have any questions that I may be able to help you with feel free to pm me.
Take care! Ellen
I looked into having the lap band done also. However, I found that there can be so many complications with that, band slippage, erosion. Then having to get fills, etc; and the much slower wt loss turned me onto the RNY. I looked into the DS a little, but decided the RNY was best for ME. You need to research all your options, and choose the best tool for you. One that you can use to help you out the most. One with rules you can follow; one that will get you to where you want to be. I started out at 344#, now down to about 220# in just over 7 months... there is no way I could have done that with the band.
Good luck to you..
Feel free to ask me any specific questions you might have about the RNY, I am glad to share with you!!
Caroline
Good luck to you..
Feel free to ask me any specific questions you might have about the RNY, I am glad to share with you!!
Caroline
MY JOURNEY BEGINS...
Robin,
I have a vsg and chose it because it was the surgery that most appealed to me. I know many larger girls here in Australia with lapbands and many of them have had complications. Most of them have not been able to lose their weight, a lot of them have learnt to cheat. Because of this I knew from the beginning that I did not want a lapband and truthfully my surgeon told me that he thought it would be pretty pointless with the amount of weight I had to lose. I had already decided on VSG when I first saw him, but interestingly he told me that he thought that it was the best option for me. He said he did not think RNY was a good option for me as I had so much to lose and he thought the longer surgery time would make the operation more risky. He suggested that if my weight loss stalled at a later date after the vsg he could revise me to RNY, that is if it was necessary.
DS is not a common proceedure in Australia and my surgeon won't do it because he says it has a higher complication rate. I cannot really comment on that because I personally know noone here who has had it.
Anne
I have a vsg and chose it because it was the surgery that most appealed to me. I know many larger girls here in Australia with lapbands and many of them have had complications. Most of them have not been able to lose their weight, a lot of them have learnt to cheat. Because of this I knew from the beginning that I did not want a lapband and truthfully my surgeon told me that he thought it would be pretty pointless with the amount of weight I had to lose. I had already decided on VSG when I first saw him, but interestingly he told me that he thought that it was the best option for me. He said he did not think RNY was a good option for me as I had so much to lose and he thought the longer surgery time would make the operation more risky. He suggested that if my weight loss stalled at a later date after the vsg he could revise me to RNY, that is if it was necessary.
DS is not a common proceedure in Australia and my surgeon won't do it because he says it has a higher complication rate. I cannot really comment on that because I personally know noone here who has had it.
Anne
10,000 steps walking challenge coordinator to register; http://10000steps.org.au/ and then pm me your email and I will link you to the challenge.
I keep waffling myself as to what is best for me. I recently found out that the 2 for my nephews that seem to inherited the obesity genes have both been banded - one a year or more ago who has done well. The other was only recently banded and has not gotten the fills yet. My shrink is pushing me that way, my PCP thinks RNY. I think I eat like a DSer. My insurance only covers band and RNY, although other options might be possible with a fight. I really wish I knew what was best. I only want to do this once.
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