Dear Band Bashers.....Sorry but the lap band is not going anywhere ...BECAUSE too many Bypass and others may need it in the future.. I don't think Sleevers can get it around what is left of their stomach, but there are SOME surgeons putting bands on Sleeves to keep it from stretching long term....ALSO....Dr. Elariny one of the most experienced DS surgeons DO NOT REMOVE the BAND on his BAND TO DS patients...I guess as a BACK UP  long term for restriction?

Edited to Add: There is a HIGH failure rate long term for both Sleeve and Bypass based on SAGES conference....so BE CAREFUL WHEN SEEKING wls.

THERE ARE MANY PEOPLE THAT GET BAND OVER BYPASS as an original ...NOT SURE WHY THIS IS NEVER MENTIONED...I guess it is one of those hidden secrets of long lasting SUCCESS of the Bypass?

LET NO ONE FOOL YOU, NO WEIGHT loss surgery is effective long term UNLESS they have some type of banded procedure. One surgeon said, he is not worried about Bypass and Sleeve patient losing weight, his concerns is if they can keep it off...and from what I hear IT IS VERY HARD TO KEEP OFF WEIGHT with both the Sleeve and Bypass....

SO...for those that are ONLY looking for a Lap Band, make sure you do your homework in finding a LAP BAND SURGEON...and NOT mostly Bypass or Sleeve surgeon, you NEED TO DO IT RIGHT THE FIRST TIME TO GET GOOD RESULTS FROM YOUR BAND and a Band-Friendly surgeon that offers great aftercare and not a switch and bait surgeon that you will probably end up too tight and a host of complicatons...so BEWARE....

 

http://www.advisory.com/Research/Technology-Insights/The-Pip eline/2013/A-comeback-for-the-lap-band

A comeback for the Lap Band?

on April 19, 2013  |  Permalink

Topics: Service Lines, Bariatric, Clinical Research, Clinical Technology, Surgery

Becka DeSmidt and Rachel Klein, Technology Insights

 

Attending this year’s Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) conference, Technology Insights researchers were surprised to hear hints of a reversal of the Lap Band’s tumbling fortunes. Presenters emphasized the ease of inserting a lap band during a revisional bariatric procedure, appearing interested in resurrecting the Lap Band from its place buried at the bottom of the bariatric surgeon’s toolbox.

 

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The Lap Band's fall from favor

Once a rapidly growing procedure, the Lap Band has fallen out of favor in the last few years due to increased incidents of band erosion and slippage, requiring reoperations and revisions. Lawsuits in California with allegations of irresponsible marketing campaigns by clinics offering the Lap Band further contributed to the procedure’s fall behind gastric bypass and vertical sleeve gastrectomies, the other two primary bariatric surgery options for patients today.

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The Lap Band as a tool in revisional surgeries

However, presentations at this year’s SAGES conference took a second look at the Lap Band as a familiar, safe, and reversible method of weight loss. Surgeons demonstrated to occasionally skeptical audiences that the Lap Band could be used in revisional surgeries—those procedures performed on patients who failed to experience adequate weight loss after their original operation.

We noticed that a lot of attention at the conference this year was placed on the growing need for these revisional surgeries due to the high failure rate of bariatric surgeries. Several presenters considered novel combinations of surgical techniques to avoid the complications that frequently occur in reoperations when patients have already undergone gastric bypass or vertical sleeve gastrectomies. This included adding a lap band to a gastric bypass or to a laparoscopic plication, a minimally invasive and reversible procedure that creates folds in the stomach to shrink the surface area, which can achieve high excess weight loss at a relatively low cost.

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So how can hospitals with bariatric programs respond?

Hospitals may consider shifting the profile of physicians they seek to work with from surgeons exclusively interested in gastric bypass and sleeve operations to surgeons capable of handling a variety of revisional procedures tailored to individual patients *****turn for a second procedure.

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Is the Lap Band back for good?

Why is the Lap Band suddenly reappearing on the bariatric scene?

Surgeons’ attachment to the Lap Band may be due to a number of factors—familiarity with the device, simplicity of the operation, and awareness of patient preference for the Lap Band. Yet many SAGES members took an overtly skeptical stance toward their fellow surgeons’ willingness to revive the procedure specifically for revisional surgeries, despite well-publicized discouraging results associated with the Lap Band.

Some individuals in the audience advocated against performing plication and the Lap Band jointly as a revisional procedure, arguing that “two bad procedures don’t make a good one.” However, if the Lap Band can offer a safe and cost-effective method of handling revisional surgeries, SAGES presenters hinted, the procedure could prove unexpectedly useful in the years to come.

 

GREAT NEWS!!! OH wait, NOT if your INSURANCE has NO Bariatric rider OR IF they do and it says: 1 WLS PER LIFETIME!! So whatever surgery you have make sure it's the RIGHT ONE THE FIRST TIME

I knew you would respond to this post...​

PURE wickedness constantly stirring in head, heart, soul, and spewed outward.  There is no good energy that can even return when one is always planting ugly seeds on account of saying that they are pretty and helpful.  It's like a serpent per se slithering around waiting for the right opportunity to choke you.

 

Oh well .

What??

That pretty much says it all, and perfectly.  

Ditto. .. and done paying any attention to the disturbed and deeply unhappy.

Oh of course I am deeply disturbed  when I tell the TRUTH about the Sleeve..........But look at me, do I look like I am very unhappy............ AND I get blocked by those who are scared of the truth..............Has nothing to do with bashing a surgery, just being real about it.

You mention the HIGH long term failure rates for bypass and sleeve but apparently forgot about not only the high failure rate of the band but alsothe high complication rate and the fact that the band will have to be removed. You are constantly calling those who have had problems with the band "band bashers" but you bash every other surgery while constantly pushing the band down people's throats. Just because you say the band is so great doesn't make it a fact. And if you are so happy with your banded life, why are you always here trying with everything you can to start drama? Makes no sense. IF the band is coming back, I hope they habe made some major changes because clearly the band has caused many problems. And if the band is so great, why do you think it has went away so much that it is now making a "comeback"? Must be the band bashers' faults!

And if you truly believe that no surgery has long term results without a band, you need to reconsider where you get your information because that is the most absurd thing I have ever heard!