Question:
Has anyone had gastric bypass after failing to lose all your weight from lapband sur

I still am 50 # overweight and find it too easy to overeat w/ the band.. I don't gain but I don't lose anymore either..anyone had both surgeries?    — Lynnette (posted on June 5, 2005)


June 5, 2005
Hi, I am going to actually get RYN bypass, and through the classes I have taken I heard that many people have actually had there bands removed and got other types of surgery. The Rouyen Y <not sure about my spelling> gastric bypass is the gold standard in America and the one that has been proven to help people the most.I hope this might help you a little I would talk to some doctors that perform this version of the surgery and see what they think. I have heard it has been done before so just check into it and good luck!
   — lorie_nicole

June 5, 2005
No wls surgery is ever going to do this for you--you can easily overeat with bypass as well. You have done great so far! 50lbs is nothing to sneeze at. How is your fill level? Mine is pretty good right now, and honestly, I couldn't overeat if I tried--unless I grazed all day, and that is a choice--a choice that would have to be made with bypass too. If your fill is good and you aren't losing, you are getting calories in somewhere. Do you use fitday? The weight seems to come off fairly easily in the beginning--that is why they say most people will lose 50% of their excess weight--the band does that much, but you will have to work harder to carry the rest through. This is do-able!!! You chose this surgery because it is safer, even if the lose is slow. Banding is all about patience!! What are you problem areas? Snacks, sugar? If your fill is good, and you still deal with overeating, maybe time to see a counselor--see what issues are driving you to eat when not hungry. Good luck, you can do this!!!
   — jessicamegan

June 6, 2005
We have several ppl in our support group who have had band failure. They are doing very well with their RNY. One had a band for 1.5 yrs and has now had her RNY for 2.5 yrs, reaching and maintaining goal with reasonable effort. There are many others that were done in the 90's who live in this area and who attend local support groups who are doing well.
   — vitalady

June 6, 2005
Hi Lynnette: I need a bit more info to give you more useful feedback: 1) When did you have your lap-band procedure? 2) Did your eating habits & behaviors change in response to the lapband during the first 6-9 months? 3) When did you notice you were resuming SELF-SABOTAGING behavior? What were the clues/symptoms? 4) What efforts, strategies, support did you respond with? 5) What do you think will be different about RNY in terms of PERMANENT, LIFELONG transformation to healthy, normal behaviors around food, body image & self-care? Do you currently participate in WLS support groups or Overeaters Anonymous 12-Step groups or have a surgery buddy/mentor/coach? I hope these questions will encourage you to spend some rewarding time reflecting on how you can make powerful, life affirming choices for yourself. Lovingly, Lauralyn RNY 2/13/03 @ size 3X Today @ size 8!
   — EmbodySuccess

June 6, 2005
Well hon, you are right about the lap band. And a lot of surgeons will not do the RNY once you have had previous WLS. But of course that is my surgeon. I did a lot of research on the gastric by passes and that is why I chose what I did..and oppted out of the lap band.
   — Angelfirewithwings

June 6, 2005
If you are finding it easy to over eat with the band you are probably needing a fill esp if you are not gaining but your not losing that means you are maintaining so your band is actually working.See your Dr and get another fill thats the beauty and the purpose of the band to use fills as needed to aid your weight loss.I would not try something so drastic or spend so much more money on another expensive surgery until I had fully explored my current surgery and remember you are not guaranteed to lose wt with the RNY either.
   — Lisa F.

June 7, 2005
Your situation sounds very similar to mine. I had the Band three years ago, but have regained about half the weight I lost. I've been toying with the idea of converting to the RNY b/c I've never been able to get a comfortable fill level. I did fine w/o a fill for more than a year, but once we starting tinkering with it, I've been too tight in the morning and wide open after that. I would appreciate anyone's experience w/these issues. Thanks.
   — gail J.

June 8, 2005
I would also look at the DS as a revisional surgery -- the CA Dept. of Managed Health Care now considers the RNY to be insufficient as a revisional surgery, and recommends the DS instead. See this paper: (http://www.)dssurgery.com/aboutus/Research/safeoperation.pdf
   — [Deactivated Member]

June 8, 2005
It's funny to hear that RNY is the "gold standard" in the United States - Actually, my doctor's office recently reported in our support group that the LapBand will soon be the Gold Standard!! (Due to it's ability to allow you to eat normally - no foods to ignore, as long as you are willing to eat your protein first, veggies next, and enjoy a bite or two of carbs if you have room - which you probably won't, I hear!) Who wouldn't want this much safer method? From what I've seen and heard on support sites/meetings, lapband patients who are not successful have significant emotional eating issues that go above and beyond what most experience. Also, they don't religiously continue getting "fills" - You have to expect to need 3-8 fills before finding your sweet spot - and thus maximum losing potential. Good luck in your search!
   — AK




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