Lap-Band Problems - and solutions
The level of detail was astonishing - and wrong. For example: in our electronic medical record we went through to see the patient who had that first name described: we got them all, contacted them - none of them has had a band removed. One patient with that name had a band elsewhere- came to us once, and we had a long note - she was not our patient, and she never came back to us- had her band elsewhere.
Who would talk to "all patients" and come up with those conclusions? *****ally no one - should raise suspicion.
There were other details that were flat out fabricated and some that had a grain of truth but greatly exaggerated.
So - you might ask- who might this be? Someone who takes such a great interest in me and my practice, yet is not a patient? A former employee - an ex-girlfriend? The gain is not to "warn" but the gain is to ruin my reputation. I can think of one person- and their motives. But yes- that is the question.
Stomach re-grows is what we have observed in band over sleeve or band over DS (which is sleeve). When failure rate is looked at long-term that is what we suspect - stomach stretching. It does happen - you can hold more now than you did when we first got the sleeve. So call it "regrowth" or stretching- but it happens - and sometimes we have to stretch it- if the sleeve is made too tight (few surgeons use 32 Fr to guide the band - most of use larger because of the data shown). So what do you wish- my operative reports of band over sleeve? X-rays of them? Or that there are failures and not complete weight loss make sense?
In terms of the person who wishes to say bad things about me - take it for what it is worth. Imagine my position, if you would- should I do a point by point response? This post isn't about that, and there is a rule- don't get in a ******g contest with a snake, especially when they won't come up and be open as to who they are and what they know
It's a stomach not a liver. It does not re-grow. This is basic undergrad physiology. If you want people to think that you are credible you need to know what you are talking about. I'm not convinced that there isn't some truth to the points brought up in that post. The fact that you try and trivialize all of those claims with the "ex girlfriend" reference actually does more harm than good to your argument.
Susan
Lapband 1/3/2007 (skmsu) revision to VSG 8/22/2012
The stomach is not the liver- but it isn't scar tissue that causes the stomach to enlarge after surgery. If you look at the stomach - and I doubt you have- there are different layers. If it was just scar tissue then you would have no protective mucosa and would have ulceration. So yes- if you look at stomach - all layers after the stomach is resected are not stretched out- because a cell cannot grow that much - the cells divide and regrow, and have their normal function.
I am not trying to trivialize ibd (whoever) just try to understand where they are coming from when they make claims that are outrageous and inflammatory and wrong. Making up patient names, situations, talking about a reputation - not even knowing that we are a close knit community and many of we bariatric surgeons talk to one another a lot and socialize together. So perhaps I should not address the claims- but that hijacked what should be a discussion about the band into a discussion about me - nothing like an ad hominum attack. Funny thing- easy to believe evil of someone - but all I can say is this: I have no idea as to ibd motives- they are not pure
The stomach is not the liver- but it isn't scar tissue that causes the stomach to enlarge after surgery. If you look at the stomach - and I doubt you have- there are different layers. If it was just scar tissue then you would have no protective mucosa and would have ulceration. So yes- if you look at stomach - all layers after the stomach is resected are not stretched out- because a cell cannot grow that much - the cells divide and regrow, and have their normal function.
I am not trying to trivialize ibd (whoever) just try to understand where they are coming from when they make claims that are outrageous and inflammatory and wrong. Making up patient names, situations, talking about a reputation - not even knowing that we are a close knit community and many of we bariatric surgeons talk to one another a lot and socialize together. So perhaps I should not address the claims- but that hijacked what should be a discussion about the band into a discussion about me - nothing like an ad hominum attack. Funny thing- easy to believe evil of someone - but all I can say is this: I have no idea as to ibd motives- they are not pure
Why do you doubt that I have ever looked at a stomach? I'm not the one who claimed it "re-grows". Do you have some preconceived ideas of my level of education? Did I ever state that the stomach was scar tissue? No I did not. Why are you inserting that into the discussion as if I have? I did say that I would like to see studies that explore the growth of scar tissue around the band. I believe another poster here has already stated that scar tissue accumulation is the reason that she had to have her band removed. Yes, I have looked at stomachs of multiple species including human. Your comment is laughable. So again you are manipulating what is said in a way that is not exactly truthful. I think if you were to put your arrogance aside, actually listen to what is being said, and consider the facts, rather than trying to arrange an argument that proves your hypothesis, you would be much more effective.
Susan
Lapband 1/3/2007 (skmsu) revision to VSG 8/22/2012
I did pull in a number of comments.
The stomach does re-grow - all tissues, all layers, from muscle to endocrine cells. Seen in many specimens - see another post somewhere about this.
Glad you have looked at a number of stomachs- my favorite ones are the cow, the dog (well, I like the way their pancreas is set around the duodenum) and the pig stomach. Did a lot of research with pig stomachs. Parasites have fascinating digestive systems
on 4/24/13 3:39 am
I never claimed to talk to 'all patients'. I was clear, the bariatric community in AZ is quite small. I have indeed met many of your patients and the patients of a great many doctors.
No details were fabricated, but then I am not the one claiming sleeves grow. They certain can and should dilate over a period of time but a stomach does not regrow. It never has and it never will.
Nobody takes an interest in your practice, I can assure you of that. Honest. Nobody really cares about a band mill, it's just not a topic of interest but it is an interest of people who have been to you for medical care and of course, they talk. Both good and bad. You aren't special, you have patients talking both good and bad just like every other surgeon out there.
Stomach does not regrow, it does not grow over a band. That is called scar tissue, a very different type of cell than one that makes up a stomach.
No, what I request is that you answer our questions. Respond to what we write instead of playing poor wounded soul. You came here to slam dunk and insult us and you really are shocked that this isn't working for you. What does Dr. Phil say about these behaviors?
Nobody is saying bad things about you, not unless truth makes you look bad?
We want the Lap Band forum to be a place where people can post without getting descended upon by those who want to turn it into a negative experience.
All have a point of view- but forums should be places to share positive information - not to turn it around to a negative experience.
So hopefully we can do that.
We want to provide useful information - like what it takes to be successful , and what doesn't work .
For those who have negative experiences - be it with their doctor, their band, etc - is there a common thread to keep these people from getting a band in the first place. For those who believe that the band has no place and everyone should be given a sleeve - well - it is a point of view, but it is not a helpful one.
We want the Lap Band forum to be a place where people can post without getting descended upon by those who want to turn it into a negative experience.
All have a point of view- but forums should be places to share positive information - not to turn it around to a negative experience.
So hopefully we can do that.
We want to provide useful information - like what it takes to be successful , and what doesn't work .
For those who have negative experiences - be it with their doctor, their band, etc - is there a common thread to keep these people from getting a band in the first place. For those who believe that the band has no place and everyone should be given a sleeve - well - it is a point of view, but it is not a helpful one.
Who is included in the "We" in your first statement?
These forums are largely viewed as a place to find support and to share experiences, both positive and negative. I couldn't imagine that OH would request that users turn their backs on those who have experienced complications associated with WLS
There are many people who believe the band has an extremely limited use case scenario and that sharing this opinion is very helpful.
"we" - I have a tapeworm in my pocket
No one would turn their back - we want answers - but the negative tenor of individuals who think the band is totally flawed and the only answer is another surgery is one point of view. To make that point of view so personal, and to attack on a personal level is beyond being helpful.
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