I got banded in October 2007.  I initially lost 35lbs and have gained 20 of it back.  I am looking into revision and really can't fingure which is the way to go.  Mini or RNY.  I have looked at all the pictures and see how they are done and can't see much of a difference.  Can someone explain what makes the mini differnet from the RNY other than the time it takes to do it.  What is the difference between they way the bypass is done with the RNY compared with the loop in the mini.  Also, what about the complications with digestive juices that occured with the original loop procedures in the past.

Finally, does anyone know if the lapband has to be removed first, in a seperate surgery, or can the reversion all be done in one surgery?

Aloha,

I had the MGB in Hermasillo in October, 2007.  My surgical team was led by Dr. Gilberto Ungson.  I couldn't speak more highly of any surgical team.  I'd do it again in a heartbeat.

At that time, I paid $10,500 plus air/hotel.

Hey Dean!  I would recommend you don't start.  This is something that Dr. Rutledge is very clear on.  Now, unfortunately, I must have not paid attention to this.  Addiction is very common and very easily achieved due to how alcohol is absorbed so quickly in us.  I love wine but it doesn't love me and I sincerely think that if I don't change my ways, I will need counseling.  Well, I may need it anyway lol. 

I know you didn't want to hear this, but seriously, don't start if you can.

I am 60 pounds over weight but am considered a candidate for mgb because of my insulin dependent type 2 diabetes.  I've exchange emails with two doctor about my mgb surgery.  One (Dr. Quesada) says that he gets excellent result with diabetes patients if he takes more then six feet of intestine, and the other (Dr. Peraglie) suggested a "shorter" bypass - which I assume means less than six feet.

The doctors having different opinions make me nervous.  Anyone know about any research, or have any educated opinions about the amount of intestine to take with someone who need to lose less than 100 pounds and has diabetes.

Dean
 

 

 

I know that when I started this journey, the program I’m with asked me to articulate where I wanted to be in terms of size and weight. What would be the highest acceptable, what would be comfortable, what would be my ‘dream’ weight and size? This helped me try to look at my expectations and try to level them some. I have to admit my actual weight is not what I had anticipated. It’s actually lower. My husband is in the midst of his own journey and he’s not shooting for the ‘normal’ BMI range, because he’s been that small before and to be honest, it’s just too small for him… he really does have big bones and a muscled physique.

  

I think that when looking at what your goal weight should be, you need to work with your Dr and take a number of things into account: your starting weight/bmi, your bone structure, your build, your age, etc…

  

I also think that it’s important to realize the number on the scale, while important as a point of reference, is not the end all when determining if you are at a weight that is good for you. Do you feel wonderful? Are you able to do the things that you want and need to do to enjoy a fulfilled life? Are your vital signs where you need them to be to live long and healthfully? If these things are in line and the number on your scale is not where you had imagined, you might have reached your goal weight without knowing it.

 

 

So how do you think you will know when you have arrived at goal weight?