Ignor this message
I had lapband surgery in Oct 2006. By Oct 2007 I had lost 70 lbs (with 10 lbs. to go to my NUT's goal weight, 20 lbs. for mine own). Then all hell broke loose. First, my gallbladder stopped working. Had a HIDA scan down - gallbladder had an ejection fraction of 21% - so my surgeon took it out. I've had horrible reflux issues ever since. Now, I've always had acid reflux. Been doing the prilosec, then nexium thing for over 15 years. My hope was that the weight loss would help me be rid of that mess. Now, its much worse. To top it all off, I had a small hiatal hernia which went unnoticed prior to the surgery, and now is really rearing its ugly head.
I had an endo done a few months ago. Showed the small hiatal hernia, but not much else. No indication of a slippage, however my gastro doctor did think that the band may be "twisted" but he wasn't that experienced with the band. Brought the photos to my surgeon who thought the band looked just fine. He does think that the band is irritating the hernia, which in turn is causing the reflux. I haven't been able to eat solid food for months. When the band is empty the reflux is tolerable, but I gained 10 lbs. back, so I had a small fill last month (.6ccs). I haven't gained any more weight, but the reflux is unbearable. Several nights a week a wake up choking and gasping for air due to regurgitation. Occasionally I try a little solid protein, but it comes back up.
My surgeon suggested a revision. At first I opted for a sleeve, because I didn't want my "plumbing" rerouted (reason for the band in the first place), however my insurance company denied it. I finally decided to go with RNY, and he is in the process of dictating another letter to the insurance company. He's pretty confident they will approve it.
Am I doing the right thing? I really don't have that much more to lose, but without some sort of tool I know I will gain my weight back. I love my band, but I don't know if I can go on with these reflux issues and constant throat irritation and regurgitation.
Didn't mean to go on like that, but you seem to be very informed and confident about your decision. I just need a good word, I guess!
Thanks for listening,
Debbie
CM...
We disagree. A lack of restriction and weight gain is a big issue for eroded folks. You can't really compare erosion and slip symptoms, they don't always match up.
When the band erodes into the stomach you can fill it to max capacity and still have zero restriction. There is usually no pain with it, and weight gain is another indicator. A port infection... I'm a believer that if someone has a port infection then an endoscopy should follow after the infection is resolved to check for erosion.
A slip is a bit different, it depends on the type and severity of the slip. If it is a minor slip USUALLY the back of the stomach wall slides up through the back of the band. The band doesn't change position as much as the stomach does. If it is a minor slip the symptom can be a loss of restriction as the pouch is merely a bit larger. A major slip and it's like your stomach is an hourglass but the upper portion of the stomach falls over the side of the band and no food or water can get through. So symptoms can really vary depending upon the type of slip and severity of slip.
l agree with you that the band is dangerous... but again, my disclaimer... I think it is far more doable for a revision from bypass to band.
I feel this has been like playing Russian Roulette.
Thanks in advance for your response.
on 5/25/13 10:07 am
I disagree with you on one point. The #1 symptom of a slip is an inability to eat, vomiting, etc. But the #1 symptom for erosion is an ability to eat more and weight gain. Most slips the back of the stomach slides up through the band leaving a floppy pouch hanging over the band (in severe slips).
With erosion the band ends up on the inside of the stomach and the part that is on the inside ... the stomach acid eats the plastic 'bubble' portion that holds the saline thus... saline leaks out and there is no restriction at all.
But I completely and totally agree with you that the damn thing should be removed from the market. It's nothing short of dangerous. Most of the people that just love their band and would do it all over again are newbies, less than 2 years. Once people have time to live with it, they hate it.
Did you know Allergan is trying to sell off the band portion of their company? The poor dears aren't earning enough millions anymore. Apparently people know how bad it is and people in general don't want them anymore.
This was usually the ONLY symtom for them. Constant vomiting usually indicates a slip.
Maybe your symtoms were different; however;I am truly not interested in your agenda to convince the world that the band is an "evil contraption."
My experience with lapband is just as valid as yours, maybe more since I had mine a lot longer than you have. I do consider it a really really bad surgery and have every right to tell people that it is dangerous in my opinion. People on the revision forum are asking for both sides of the story and want to hear experiences with revisions.
If you like your lapband - great. You're only a few years out. Time will tell. If it's an "agenda" to warn people what happened to me, you're welcome to block me or just not read it. However, giving people incorrect medical information as to the symptoms involved in an erosion and slip is not appropriate and could be dangerous. I had full erosion into the stomach wall and did not have a lack of restriction. You are only 5 years out from lapband. Research and statistics and recent studies have shown increasing problems with the bands 8-10 years out. I hope you do well with yours and don't have a problem.
Frankly, it makes no difference to me if "you are not interested in my experience with lapband" as you say. People who are having trouble with them (and, knock on wood, you may be one of them in the future just like I was) may be interested and those are the people I'm trying to reach. This is a public forum and I have every right to warn people and tell my experience with the lapband and with the revision. It's a surgical revision forum. Not quite sure why you are on it, but that's neither here nor there. I think people do come to this section of the forum to get information from people who have had difficulties with their original surgery, for whatever reason, and what to hear both sides of the story. Yours is valid, if good, and mine also is every bit as valid.
I do find it sad that some people with lapband who are very much afraid to hear that they may experience difficulties with their bands years down the road (and are vocal at flaming those that have had trouble), and difficulties that are far worse than lack of weight loss. I'm not sure why they feel so threatened, but I do get flamed every time I say what happened to me or that I feel the band is dangerous.
Of course not everyone will have a problem and some people do great with lapband (and I'm very happy for them), but I was close to death with mine and came very close to orphaning my children.
People don't always hear the downside (the other side) of lapband surgery. There is a lot of money that goes into advertising it as "safe." I think people need to realize that it can be very dangerous when it does go wrong. If you say that makes me have an "agenda," because people ask about it and I tell them, that's kind of silly. Do you have an agenda for promoting it? Nope - it's your opinion and your experience. I'm trying to warn people that it can be extremely dangerous and life-threatening when it goes wrong. People do deserve to hear both sides of whatever surgery they are considering so that they can make informed decisions. While the downsides to RNY surgery are well-known, a lot of people don't realize the risks of lapband surgery. While the fact that it doesn't work as well is well-known in surgical and research circles, the general public is not as aware as they need to be of the dangers that can be associated with severe complications long-term.