Lap Band or bypass

(deactivated member)
on 4/4/11 4:21 am, edited 4/4/11 4:23 am - Leesburg, VA
VSG on 05/03/11 with

OK so I got denied the VSG, we are appealing so we'll see. But not big deal, I have benefits, Im gonna use them.

Not fond of the lap band, i want permanent change. Plus I don't want a foreign instrament permanently in my body. Plus I know that you can cheat it, cause my friend did.

so bypass? My surgeon says he can do a larger pouch or sleeve and less malabsorptive redirect.

There is also a mini-bypass, which is similar to a vsg.

what are your thoughts? What should I do?
cabin111
on 4/4/11 4:44 am
DO NOT DO THE MINI BYPASS!!!  If you look on the boards here you hardly see that one done anymore.  There are reasons you don't see them done much...except in places like Mexico!  It can be successful but I would not go that route.  Personally I would not go with the Lap Band.  Those that need to lose 50-70 pounds should consider the Lap Band.  You answered you own question about the cheating part.  Many people do cheat the band and suffer the results.  Others do very good with the band.  Not really putting down the band per say...Just that about 1/2 the people who got the band should never have had that surgery.  The band has been pushed by the owner on people who should never have had it done...Almost criminal what the corporation and owners has done with it.  Though this thread may get cut because OH has a vested interest in keeping the ads going...Sad and foolish on their part.
It it was between those two...Go with the RNY. 
Jeff Gudim
on 4/4/11 6:45 am - Gonic, NH
 i wanted a decent sized pouch but when i came out of surgery my Dr said she had to make my pouch real small. Everything has worked out very well for me. I had 2nd thoughts alot of what surgery to do but now that i have had RNY i would do it over again anytime
 

Highest weight-544/Started WLS program -520/Surgery weight - 457/ =Goal weight - 287
cabin111
on 4/4/11 9:06 am
Below is a copy and paste I wrote about a 1 1/2 years ago...I talked about the DS...But the VSG is usually the first part done when a DS is complete (not completly...But a VSG can be converted to DS later on).

Hi there, my name is Brian. This may take awhile but I want to share my reasons why I chose the RNY. I do not want to put down other surgeries. I would just like to explain why I chose the RNY. I was self pay. I could have gone with any surgery available...done anywhere in the world. About 6 months before my surgery my cardiologist came to me during my appointment and stated to me I "had" congestive heart failure. It seemed he was announcing to me a death sentence. My heart had a ejection rate of 35% (meaning the heart was pumping out the blood in my heart at that percent). Normal is about 50%. I asked if there was anything that could be done. He said weight loss may help, but once you have it, you have it for life. After much research and prayer, I decided to have the RNY. I wanted to have my surgery at a local hospital. I felt I needed to have it at a hospital that had a good cardiology department. I had a heart attack and a double heart bypass 6 years prior.
Looking at the LapBand, I felt it was too much work. Also the weight regain was a concern. I looked into the DS, also. The thought of having much of my stomach removed scared me. DS had been proven effective at the time, yet to get my surgery locally was important to me. I felt most doctors know the RNY and the complications associated with it. If I ended up in an emergency room, they would understand my situation better than trying to explain the DS. (By the way, many doctors are clueless about both.) I had to get a staph infection cleared up prior to surgery. The DS is really 2 surgeries at the same time. Right or wrong, that scared me. I also “had" Irritable Bowel Syndrome. The RNY surgery originally was designed to help IBS...They later found out it was effective in weight loss, too. With RNY they have found the sweet spot. They now know how much small intestine to remove to be effective…yet still allowing for enough absorption. I had to get cleared for my surgery by my surgeon, PCP, and cardiologist. I hurried through my psych evaluation and pre-op classes. I then scheduled my surgery. It all got done within 3-4 months (again, I was racing the clock concerning my heart). I had the surgery and have not looked back I got to my and my doctor’s goal in 6 months and 10 days (190#). My ejection rate rose to 45-50 percent (normal). The IBS is totally gone!! I regained about 25 pounds (by eating carbs and sugar). I then had a second heart attack. It was a wake up call. I worked and dropped 20 pounds using my tool (yes it is hard work…but well worth it). Every day from here to my death is gravy (well, maybe gravy is a bad analogy…more like bonus). No major complications and I am enjoying life. I can eat anything and not get sick. Yet, some things I must only eat in moderation. WLS is a tool…it is work. But I myself would do it again in a heartbeat. Just me.

jdm511
on 4/4/11 10:13 am - Ballston spa, NY
I decided that I felt best with the RNY, I also did not like the idea of the port and band being inside me.

My pouch started out fairly small.  I am now able to each decent amounts, I think I eat alot until i see what non WLS people can eat.  So I would not worry about the size of the pouch.

Good Luck,  only you can decide what is best for you

Jim
Michael P.
on 4/4/11 10:28 am

Sorry to hear about you being denied for the VSG and wishing you luck on your appeal.  As for RNY or Lap I have to agree with the previous posters who were all in favor of the RNY.  In fact Tufts Medical Center will still do a lap band but they are steering their patients to the RNY or VSG if the BMI is high enough.  There were a lot of folks that I met in pre-op and post-op groups who were able to have the saline in their lap either increased or decreased during holidays and just seemed to defeat the purpose of having WLS in my opinion.  They also complained about the band slipping and having to have it adjusted, etc...  I would highly recommend the RNY done lapariscopically (sp??).  Good luck either way!


9/9/09: Highest Weight: 506.5 lbs              9/20/10:  Tufts Start Weight: 492.4 lbs
2/7/11:  Surgery Wt: 462.5 lbs.                  9/16/12: Current Weight: 287.8 lbs.
4/15/12:  First 5K - BAA 5K - PR 35:49
OneFinger
on 4/5/11 7:15 am

I'm not a fan of the lap band and have seen too many unhappy people that later go to RNY.

I knew upfront that I probably wouldn't qualify for VSG with my insurance and didn't even try that route. Very happy with my RNY and the results. (As of today I'm within 1 lbs of my doctors goal weight and almost 6 months post-op.)

Now, I have LOVED food all my life. Nothing better than a good steak with potatoes. I was afraid I'd really miss that and hesitated about RNY surgery. But, I've adjusted very well to my new eating habits and can't imagine ever going back to way I was before.

I'm sure I'll eventually get to the place where I enjoy a nice steak again - just in much smaller portions. I don't regret having WLS.

Best of luck with your journey. I'd do RNY in a minute rather than lap band. And, I probably wouldn't waste my time and energy appealing the VSG decision if they'll approve RNY.

High Weight = 310     Surgery Weight = 300   Dr's Goal = 200   My Goal = 190    
Beam me up Scottie
on 4/5/11 1:05 pm
DO NOT DO THE MINI BYPASS, IT IS NOT THE SAME AS THE VSG. Honestly I'd get the DS over again in a minute. It works, it's long lasting, and it's easy to live with long term (i'm 5 years out). I don't think I could live with either the RNY or the Band, can you self pay a sleeve? or appeal your insurance company?

Scott
(deactivated member)
on 4/5/11 9:46 pm - Leesburg, VA
VSG on 05/03/11 with
I can't afford to self pay or I would have done this yrs ago. If not the VSG then the bypass will be covered by insurance so I will do that.
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