Question:
Can you get the Gastric Bypass and then get the Lap-Band?

   — tracypowell (posted on August 19, 2008)


August 19, 2008
Lapband is normally used for wt losses under 100 pounds, and it takes longer to attain this wt loss. Those with higher BMI's who need to lose in excess of 100 pounds usually rely on the RNY for the better choice. I started at 345 pounds, when I began my nutritional classes. At surgery date I was around 320. 7 months post op, I was 222. At 2 years post op I was under 200 pounds, and had lost a total of 150+ pounds. I've lost another 8 pounds or so since that time, in May, 2008. Some who get the lapaband do not do very well with wt loss, and end up having the lapband taken out and the RNY surgery. DAVE
   — Dave Chambers

August 19, 2008
I would definitely say NO. Once you have your pouch, there is nowhere to put the lapband.
   — SkinnyLynni2B

August 19, 2008
I don't think you can get the lap band after gastric bypass. You can get gastric bypass after you have had the lap band though. Nancy1Marie
   — Nancy1Marie

August 19, 2008
If you are able to stretch the RNY pouch out enough to have to get the band. Chances are, you would stretch it again. But, that is an uneducated guess. I am only 8 months out and can't imagine why that would be necessary.
   — lesleigh07

August 19, 2008
Just to quite a myth.....I am a lap band patient.......there are 50 % in our Support Group ( all Lap Band) that have lost in excess of 125 pounds in thier first year......if you follow the rules you can do it.......also if you follow the rules with RNY you won't have a need for the Lap Band....If you do not you will stretch out your pouch and gain your weight back...we have two patients that have had Lap Band aftert RNY.......because they overate over a period of time and stretched out thier pouches....thier insurance would not pay for the Lap Band as they felt if they were un successful with one surgery they would be unsucessful with the other......It doesn't really matter which surgery you chose as long as you want to lose the weight are committed and don't start to overeat.....you can eat around any WLS....when you don't deal with what made us FAT in the first place we won't do as good....so you have to actually make LIFE STYLE CHANGES and stick with them...... I applaude anyone that does WLS....it is not the easy way out ....it is work and it will be for the rest of your life.......so whatever WLS you chose I wish you success....the one great thing about the band is if you do start gaining a few pounds you go in for a fill and it comes back off...you don't have that tool with RNY or the sleeve...and you are never mal-nutritioned with Lap Band. Pam / Ft Worth.....Bandster Bites [email protected]
   — pphillips4720aol.com

August 19, 2008
Yes, you can. It is not a common procedure, however. It is often called the Lap-Bypass. The same effect can be had with a new procedure called StomaPhyx. You can read about it here: http://www.themorbidme.com/2007/09/stomaphyx-incis.html . It is not a proactive procedure, however, but a reactive one. It may be a SAFER way to go, though, since there ARE some serious complications that can come with having the Lap Band device implanted in your body. Nearly 1 percent of the patients with the Lap Band surgery end up with some serious complications that require some sort of surgery to resolve the issue. This may be ONE reason that many surgeons are backing AWAY from recommending this procedure as an OPTION for many weight loss patients. When nearly 1 in 100 patients have serious complications due to a procedure, the risks may not outweigh the benefits. That, and the cost of litigation becomes too high. Just to CLARIFY things, I am NOT an expert on the subject of weight loss. I am just a PATIENT who has done some RESEARCH. I would suggest that you do some of your OWN. I think that it is VITAL that we as patients be INFORMED of our options. You also cannot RELY on the folks on the BOARDS to give you good advice. There are people on the boards who consider THEMSLEVES to be "EXPERTS" when they are NO SUCH THING! They are simply the same thing I AM, a PATIENT who has done some RESEARCH! SOME of these people are giving out BAD advice. I have seen some folks telling OTHERS that they should EAT to PROMOTE DUMPING so that they can LOSE WEIGHT! This is a TWISTED form of BULIMIA! IT IS HAZARDOUS TO YOUR HEALTH! ANYONE who promotes this kind of activity should have the ADVICE ignored and should be REPORTED to OH as being a DANGER to the COMMUNITY! When you EAT to DUMP, not only do you lose the nutritional value of the FOOD THAT YOU ATE, but you lose the value of the food that was in your system BEFORE that, AND you lose the value of any SUPPLEMENTS that you may have taken before you ate! You RISK malnutrition! SO, you can NOT rely on the information that you get from the boards at OH. You need to do YOUR OWN RESEARCH. This is VITAL. Then you need to consult with a COMPETENT medical professional. Get a SECOND opinion if you do not feel comfortable with the FIRST. YOU are the person who is ultimately responsible for your health. I hope that this helps, Hugh
   — hubarlow

August 19, 2008
It is done the other way. Many that have Lap Band go for Gastric Bypass later. There is nothing to band after Gastric bypass.
   — William (Bill) wmil

August 19, 2008
Yes. The procedure is band over bypass. It is most common in gastric bypass patients that are 5+ years post op; the pouch stretches out. Gastric Bypass often times fails.
   — ljtrowern

August 20, 2008
There is a surgery called the Fobi pouch which was created by Dr Fobi. That surgery does gastric bypass and then puts a ring around your pouch to keep it from letting large amounts of food pass. Some info on it is below: Benefits of Fobi Pouch Gastric Bypass According to some bariatric surgeons, the Fobi Pouch procedure reduces certain common post-operative complications of other gastric bypass procedures, such as roux-en-y and improves the chances of long term weight loss. More Efficient Stomach Pouch The use of a silastic band instead of staples, leads to minimal mobilization, no problems with staple line breakdown, and minimal occurrence of marginal ulcers. Imbricated Gastrojejunostomy The arm of the jejunum that is brought up to form the gastroenterostomy is also used to overlap with the transected edge of the stomach pouch. This minimizes the risk of leaks and subphrenic abscess. Stomach Pouch Decompressed With a Gastrostomy This procedure leads to minimal incidence of acute gastric distension as well as reduced risk of atelectasis. In addition, if required, it provides for temporary feeding and administration of medication. Other Benefits of Fobi Pouch The procedure inhibits outlet stretching, pouch to stomach re-growth as well as gastro-gastric fistula. Weight Loss Success Rates of Fobi Pouch Gastric Bypass Proponents of Fobi Pouch claim that this procedure leads to a 50 percent loss of excess weight in most patients - maintained for more than five years.
   — tuckerheather




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