Ask Dr. Curry?

DrC
on 3/10/09 8:05 pm - Cincinnati, OH
On March 10, 2009 at 6:37 AM Pacific Time, grammylew wrote:

I have a very dear friend who was banded a short time ago.  He is an occassional scuba diver and went diving shortly after his first fill.  No problems.  But when he went back for a second fill he told her he had been scuba diving.  She told him she heard of someone whose port burst after scuba diving.

His fill person is a nurse, not a surgeon.  His surgeon never warned him against diving.  He has 6 cc's in a 10 cc band after 2 fills.  He has no restriction.  She did NOT remove the first 2.9 cc's before adding the next 3.1 cc's.  Now he is thinking that he might have damaged something, has a leak, etc.  He has a call in to his surgeon's office.

Have you EVER heard of any band problems caused by diving, or parachuting, for that matter?  Both pressure fluctuation issues.

Never heard of it.  We have 2 avid divers in our practice.

Trace W. Curry, M.D.  -- Lap Band, Realize Band, Sleeve Gastrectomy
Cincinnati, Ohio & Northern Ky    http://www.TheBandDoctor.com   
513.559.1222 / 877.442.BAND
DISCLAIMER:  Any information contained within is meant to be general medical advice only.  Please consult your surgeon on your specific problem!
(deactivated member)
on 3/10/09 12:24 pm

Dr. Curry,

What can you tell me about hiatal hernia's as far as repair ?

It is my understanding that some surgeons will go ahead and repair the hiatal hernia while placing the band.

Is this painful?  Will i be able to feel the repair? How long does the pain last?

Thank you
Steph

DrC
on 3/10/09 8:06 pm - Cincinnati, OH
On March 10, 2009 at 7:24 PM Pacific Time, ohiogirl2009 wrote:

Dr. Curry,

What can you tell me about hiatal hernia's as far as repair ?

It is my understanding that some surgeons will go ahead and repair the hiatal hernia while placing the band.

Is this painful?  Will i be able to feel the repair? How long does the pain last?

Thank you
Steph

In my opinion hiatal hernias should always be fixed if they are seen during a band.  I probably end up fixing a hiatal hernia in about a third of my band cases.  Rarely, the hernia is so big that you can't place the band at all.  This has happened to me only twice in about 2000 cases.

Trace W. Curry, M.D.  -- Lap Band, Realize Band, Sleeve Gastrectomy
Cincinnati, Ohio & Northern Ky    http://www.TheBandDoctor.com   
513.559.1222 / 877.442.BAND
DISCLAIMER:  Any information contained within is meant to be general medical advice only.  Please consult your surgeon on your specific problem!
melati
on 3/12/09 5:43 am - Miami, FL
Dr. C

I have been considering a revision to an AP band--I wonder if there is any benefit to switching out as far as the AP model putting less pressure on my stomach. I have just recovered from having a distended esophogus and I'm leery of filling back up again.

Is the AP model the same as the old Swedish one's that had more problems with slippage?
pepsi98
on 3/12/09 7:26 am - Norwich, CT
Hi Dr. Curry,
I was just reading in another post about a woman who has pouch dilation from eating more than 1 1/2 cups food.  She apparently had no symptoms other than some sliming, and her MD told her that it happened because she was eating more than 1/2-3/4 cups food.  My question is this:

Without proper restriction, it is certainly very easy to eat way more than 1 1/2 cups of food, and I'm afraid that describes me, although I am now eating less than pre band (in the process of reaching sweet spot).  If it goes down without difficulty, can you end up hurting yourself with a pouch dilation or something worse?

I go again for another fill on the 26th and didn't worry about this too much until I read this post...now I'm worried!

Help!

Sue




 "The Joy of the Lord is your strength."  Nehemiah 8:10


START:  330         CURRENT:  274.5 lbs         GOAL:  190          TOTAL:  55.5 lbs

 



DrC
on 3/13/09 3:07 am - Cincinnati, OH
On March 12, 2009 at 2:26 PM Pacific Time, pepsi98 wrote:
Hi Dr. Curry,
I was just reading in another post about a woman who has pouch dilation from eating more than 1 1/2 cups food.  She apparently had no symptoms other than some sliming, and her MD told her that it happened because she was eating more than 1/2-3/4 cups food.  My question is this:

Without proper restriction, it is certainly very easy to eat way more than 1 1/2 cups of food, and I'm afraid that describes me, although I am now eating less than pre band (in the process of reaching sweet spot).  If it goes down without difficulty, can you end up hurting yourself with a pouch dilation or something worse?

I go again for another fill on the 26th and didn't worry about this too much until I read this post...now I'm worried!

Help!

Sue




If you feel no restriction, you're unlikely to get pouch dilation from eating 1/2-3/4 cups of food.  Our patients almost always check the box for 1.5 cups making them feel full, until they've had a few fills.

Trace W. Curry, M.D.  -- Lap Band, Realize Band, Sleeve Gastrectomy
Cincinnati, Ohio & Northern Ky    http://www.TheBandDoctor.com   
513.559.1222 / 877.442.BAND
DISCLAIMER:  Any information contained within is meant to be general medical advice only.  Please consult your surgeon on your specific problem!
DrC
on 3/13/09 3:06 am - Cincinnati, OH
On March 12, 2009 at 12:43 PM Pacific Time, Julie L. wrote:
Dr. C

I have been considering a revision to an AP band--I wonder if there is any benefit to switching out as far as the AP model putting less pressure on my stomach. I have just recovered from having a distended esophogus and I'm leery of filling back up again.

Is the AP model the same as the old Swedish one's that had more problems with slippage?
If you have esophageal dilation, I would consider converting to a sleeve.  The AP's and Realize models are less likely to cause dilation, but the chance is too high to justify trying it I think.


Trace W. Curry, M.D.  -- Lap Band, Realize Band, Sleeve Gastrectomy
Cincinnati, Ohio & Northern Ky    http://www.TheBandDoctor.com   
513.559.1222 / 877.442.BAND
DISCLAIMER:  Any information contained within is meant to be general medical advice only.  Please consult your surgeon on your specific problem!
melati
on 3/14/09 5:40 am - Miami, FL
What is the difference between distended and dialated? My last UGI was completely normal and things seem to have gone back into place.

I was thinking of having surgery to get a better look at things and proceding with the AP revision.
jay9
on 3/13/09 3:33 am - London, UK
Dear Dr Curry, hope you can answer my question for me. 
I was banded a few years ago and had great success, I loved my band.  Unfortunately it slipped and I had to have it removed.  I have put on weight since then and i would like to have it put back in.  Shortly after my band slipped i had to go for an upper Gi endoscopy.  It showed " a normal oesophogus with a hiatus hernia, a normal stomach with mild duodeitis and helicobacter pylori infection".  I went on a very strong course of medication as well as anti biotics.  That was about a year ago.  With this as part of my history, would I be able to be rebanded?
Thanks for your help!

DrC
on 3/13/09 3:34 am - Cincinnati, OH
On March 13, 2009 at 10:33 AM Pacific Time, jay9 wrote:
Dear Dr Curry, hope you can answer my question for me. 
I was banded a few years ago and had great success, I loved my band.  Unfortunately it slipped and I had to have it removed.  I have put on weight since then and i would like to have it put back in.  Shortly after my band slipped i had to go for an upper Gi endoscopy.  It showed " a normal oesophogus with a hiatus hernia, a normal stomach with mild duodeitis and helicobacter pylori infection".  I went on a very strong course of medication as well as anti biotics.  That was about a year ago.  With this as part of my history, would I be able to be rebanded?
Thanks for your help!

In my practice, you would.  As long as the hiatal hernia is not huge.

Trace W. Curry, M.D.  -- Lap Band, Realize Band, Sleeve Gastrectomy
Cincinnati, Ohio & Northern Ky    http://www.TheBandDoctor.com   
513.559.1222 / 877.442.BAND
DISCLAIMER:  Any information contained within is meant to be general medical advice only.  Please consult your surgeon on your specific problem!
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