Is Lap Band possible for patients with rheumatoid arthritis/auto immune disease?

Devi
on 10/1/12 5:03 am
Hi,
I'm new to the sight and I'm wondering if anyone who has RA has had lap band and what their experiences have been with it.  I'm in the process of researching my options and I've been told that Lap Band may not be an option for people who have RA or other auto immune diseases.  I'm presenting on Methotrexate and Meloxicam and my RA is in remission right now.  I'm wondering if Lap Band is possible.  I'd appreciate any input anyone may have.

Thanks,
Devi
kathkeb
on 10/1/12 12:34 pm
 I have no medical training, but common sense tells me that a band is probably not a good idea for someone with auto-immune disorder.

I have had good luck and success with my band but many people do not.

The band statistics are not great or even good for people without the additional complication that RA would bring.

Please talk thoroughly with your medical team .... Some surgeons only perform the Band, so naturally they will encourage it ..... Make sure you talk to a bariatric practice that can offer you multiple options.
Kath

  
pineview01
on 10/1/12 1:43 pm - Davison, MI
The sleeve is a good choise for RA.  Talk to your medical team. 
My sister hs RA and is doing great with the sleeve as she can still
take her meds.  Also doesn't have to worry about the  mal-absorption
of the meds.

BAND REMOVED 9-4-12-fought insurance to get sleeve and won! Sleeved 1/22/13! Five years out and trying to get that last 15 pounds back off.

Jean M.
on 10/1/12 10:16 pm
Revision on 08/16/12
Devi,

The band is contraindicated for people with auto immune diseases. As pineview mentioned, the sleeve might be a better choice for you because in theory, you'd be able to absorb your medications properly. However, I was sleeved on 8/16/12 and my dietitian is telling me now (a bit late in the day) that sleeve patients can have malabsorption issues (though not as much as gastric bypass).

Jean

Jean McMillan c.2009-2013 - Always a bandster at heart
author of Bandwagon (TM), Strategies for Success  with the Adjustable Gastric Band & Bandwagon Cookery. Bandwagon for Kindle now available on Amazon.  Read my blog at: jean-onthebandwagon.blogspot.com 

   

 

 

 

tripmom02
on 10/2/12 5:15 am - NJ
What issues is she telling you about? It is my understanding from my nutritionist and surgeon (and all the research that I have done) that the only possibility we have for issues is with B12. Would love to hear more about this. I am of the school that preventing is easier then fixing, so I like to watch out for these so I can keep a jump on my labs and know what to look for that might indicate a problem.

Courtney - Lap band to VSG revision
      

    
Zee Starrlite
on 10/2/12 5:32 am
Yes, B12!!!  But we knew that going in because we are proactive!  Ain't our sleeved stomachs great!


3/30/2005 Lap Band installed  12/20/2010  Lap Band REMOVED  
6/6/2011 Vertical SLEEVE Gastrectomy

Jean M.
on 10/2/12 9:03 pm
Revision on 08/16/12
She said that bypass and sleeve patients can have iron deficiency. My brain was stuck in neutral at that stage of the appointment and now I wish I'd asked her to explain it, because I hadn't heard of iron deficiency being a problem in sleeve patients. Or any other kind of vitamin or mineral deficiency. If our intestines aren't bypassed, how does the deficiency develop? Or is she basing that statement on experience working in a bariatric clinic that does very few sleeve procedures?

Jean McMillan c.2009-2013 - Always a bandster at heart
author of Bandwagon (TM), Strategies for Success  with the Adjustable Gastric Band & Bandwagon Cookery. Bandwagon for Kindle now available on Amazon.  Read my blog at: jean-onthebandwagon.blogspot.com 

   

 

 

 

tripmom02
on 10/2/12 10:09 pm - NJ
Honestly, I think Iron Deficiency is an American problem more then it is a bariatric problem, I can't even tell you how many friends I have that are animic that are normies. The Suregon General tells you that red meat is bad, cut it out of your diet, but never warns that you need to replace it with another iron rich source of food (and there are many). So they tell you to take a supplement with Iron in it, but don't tell you that if you take it with certain foods or supplements you won't even absorb it!

My iron was in the toilet with my band, but with proper food introductions and supplements since my sleeve both my iron and reserve are normal (boardering on high!). SO honestly I think it has to do with diet and supplementation more then it does that we are not actually absorbing it.

At least that's the way I understand it, but who knows LOL

Courtney - Lap band to VSG revision
      

    
Jean M.
on 10/3/12 12:20 am
Revision on 08/16/12
Anemia is a whole new thing to me. I've always had doctors praise my iron-rich blood, and I've also eaten a varied diet and taken the "avoid red meat" dictum with a grain or 2 of salt. I'm thinking maybe part of my problem is my low caloric intake. I'll have to look into what foods or supplements can prevent iron absorption.

Jean McMillan c.2009-2013 - Always a bandster at heart
author of Bandwagon (TM), Strategies for Success  with the Adjustable Gastric Band & Bandwagon Cookery. Bandwagon for Kindle now available on Amazon.  Read my blog at: jean-onthebandwagon.blogspot.com 

   

 

 

 

(deactivated member)
on 10/5/12 9:16 am
On October 3, 2012 at 4:03 AM Pacific Time, Jean M. wrote:
She said that bypass and sleeve patients can have iron deficiency. My brain was stuck in neutral at that stage of the appointment and now I wish I'd asked her to explain it, because I hadn't heard of iron deficiency being a problem in sleeve patients. Or any other kind of vitamin or mineral deficiency. If our intestines aren't bypassed, how does the deficiency develop? Or is she basing that statement on experience working in a bariatric clinic that does very few sleeve procedures?
Low iron wouldn't be from the sleeve.  Impossible this early.  Your stomach produces an enzyme called Intrinsic Factor (IF) and you need IF to absorb B12.  If you don't absorb B12 you can become anemic.  With a smaller stomach less than 1% of people do not produce enough IF to absorb B12 and they can have anemia.  The fix is simple, you take B12 by another route such as under your tongue where you skip the IF.

If you are anemic now this has been going on for months.  This means your iron is low as well as your iron stores.  That doesn't happen in 7 weeks, it takes many months to deplete your iron and your iron stores.

I would be looking at slow bleeds such as a GI bleed, diet, the works.

Dumping - that is usually short lived.  It does not happen to most people and for those who do dump it usually is gone by six months post op.
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