Revision RNY 1993 to Labpand

I would like to hear from anyone that's had this done.
Have you been satisfied with it?  

I use to be 270lbs.. lost down to 165 (with RNY 1993)  and now back up to 249lbs.

My Dr. has suggested the lapband.  I know many people that's been successful the first go around with the lapband but I personally do not know anyone that's had it done as a revision.

Thanks for the input...

God Bless..

Jeannie

Hi,

This sounds like a very dangerous undertaking.  Is your doctor willing to do this?  Is he going to just slap a band on your pouch? 

What do you think contributed to your weight gain?  Did you reacquire some bad habits?  Sorry you are going through this.  I wish you the best of luck.

A little education goes a very long way, Shoutjoy.  A band after bypass is a common procedure and quite well respected in the medical community unlike the procedure you have had assuming Ruttledge did MGB on you.

If you knew about bypass you wouldn't have needed to ask that question.  It does not always take bad habits to regain with bypass.  Please, educate yourself.

It seems that failed bypass folks have better luck with long term risks and complications than those with a full size stomach.  They don't have as many slips and risks.  Weight loss is slower than what would be wanted but it does happen.

No, they would not slap a band on anything, they would place it like any other band but it has to be done by a skilled revision surgeon and not just any band surgeon.

Dangerous is the procedure you have, not a band after bypass.  To frighten someone about a procedure you clearly know nothing about is not wise.

Hi there!

I am sorry to hear about the issues that you are experiencing.

I would be interested in studying more about other reasons for weight gain outside of factors such as the reacquisition of poor eating and exercise habits or complications after the surgery.  Do you have any links to any studies or research articles that you could point me toward that would provide me better insight on the matter?  I have not found any conclusive research indicating weight gain after a successful bariatric procedure that did not have to do with the reacquisition of poor eating and exercise habits or complex medical complications.  If you have access to that information, please let me know, as that information would prove beneficial for me to continue leading a healthy life several years after my bariatric surgery.

I appreciate your assistance in this matter.

It was a lecture that Terry Simpson, MD (Phoenix, AZ) gave.  He was explaining the combination of the stoma/pouch stretching with increased Ghrelin production along with the concept that the body compensates for bypassed intestine between 18-24 months after surgery.   People end up absorbing more fat and calories again although they will never absorb nutrition properly again.  Plus with a slower metabolism that occurs naturally with weight loss, it's a ticking time bomb for some people.  He explained the physiology behind much of it but honestly, I don't recall details.

I don't recall which month but there was a mini-version of this lecture in one of the OH mag issues.  It would have been at least a year ago.

Very cool avatar, you look great!

Hi again!

Thanks for the compliment about my avatar.  I'll take all that I can get these days! 

I will definitely research information about the doctor you mentioned so I can get more facts about it.  However, based on the little bit that you have listed, if a person were at a consistent 1,200- to 1,500 food-management plan and were following the FDA guidelines for weekly exercise, I don't see how weight gain--even with a slower metabolism and a body that adjusts to the bypass surgery--would allow for sizable weight gain.  For example, I eat 1,200 calories of nutritious food (i.e. high amounts of protein, low-to-no bad fats, moderate amount of carbohydrates, low amounts of sugar intake, if any, etc.); I weigh my foods to ensure I don't overeat; I participate in moderate-to-high levels of exercise three to five times a week; and I don't snack on inappropriate foods.  So, at 25 months out from surgery, I don't have the slightest issue with weight gain, and I couldn't imagine having any at this point.  I do recognize bodies are different, but, as a whole, when there is an absense of medical complications, especially so long after surgery, I don't see a logical reason why any body would respond to such habits with weight gain.

Of course, I will look up information in that article you listed.  In the meantime, I'd truly be interested in finding out more about the what the original poster's eating and exercise habits are at present.

Again, thanks for your insightful response.

You and I sound very similar in diet and such.  I'm truly committed to doing whatever it takes to maintain my weight loss.

I believe Dr. Terry Simpson is still the editor of OH mag.  He's easy to find.

He's in Phoenix, AZ, btw.

After reading your profile it is pretty clear why you are over here.  You are here to peddle your MGB.

You should know that most here are well aware of your doc and his reputation.  He's a joke in the medical community.  His claim to fame is his freebie advertising on you tube.  He's well known around here and I don't think you'll find many takers but all the power to you.

Well,Shoutjoy, my surgeon did not "slap" anything on me, but he very skillfully placed a lap band over my old bypass!!!

Dangerous??  No more than any other person have a band "placed" over their stomach.  Please stop blaming the poster...I've walked in her shoes and part of it was "reacquired bad habits" and part of it was the nature of the surgery.  If you had any knowledge of the surgery you would have known this.

Please be careful of being disrespectful...you just don't know what things in life bring us all to today. I'm not saying you meant to be disrespectful, but you never know what goes on in people'slives.

I don't see it as my Dr is just "slapping a band on it".   His care, character and bedside manner has been a little better then that and deserves to be acknowledged.

I trust this Dr as I've had several people (most are family) have the lap band done by him.

He has been very informative and upfront as to the pro's and con's (in his professional opinion) about this procedure.   He has also made clear the option is mine as to which way I would like to go.

We did explore other options such as a revision of the original RNY, Dswitch, etc.   However the complications with these revisions are more then I'm willing to take.  For example.. After one has the RNY... the liver forms like crazy glue to your stomach.  They have to literally chisel the liver from the stomach.  This could take 2 hours... or this could take 6... Then there is always the chance of leaks.  ( I have a 4 month old baby... not wanting to take that kind of chance)

This Dr has performed 10 lapbands over RNY's  last year.  He said all of them obtained
50%+ weight loss of the excess body weight within the first year.

It seems like the band is the safer way to go and I hope I get the restriction I'm looking for.

I did manage to keep my weight off for 13 years.  The only thing I did differently (and I think contributed to my weight gain) was I started drinking diet soda's.   I did not realize I was stretching my pouch and allowing more food to enter my stomach.

Thanks for the response... Again, if anyone has done this procedure (Labpand over RNY) I would love to hear about your experience.

Thanks

Jeannie