Question:
Anyone ever have a revision after RNY To the LapBand? I have only lost 90 pounds
in 18 months and have started maintaining as well as slightly gaining and have become concerned. Any replies are appreciated — Peek A. (posted on August 14, 2003)
August 14, 2003
Have you considered a revision to DS? Check out duodenalswitch.com. You
give no stats and there is no info on your profile, so it's hard to answer
your question, but I think you'd still need to have a high BMI for any type
of revision.
— Chris T.
August 14, 2003
I think that would be impossible. There is no stomach left to band really.
I have heard it the other way around though. My surgeon is already revising
Lap bands to RNY.
As long as nothing is physically wrong with your pouch maybe you should see
a nutritionist. I am sorry that you are having such a tough time.
— Carol S.
August 15, 2003
You might check the Yahoo SmartBandsters board or the SpotlightHealth.com
lap band board. There have been posts from a few people who got banded
after RnY.
— TMF
August 15, 2003
Not trying to flame you here but, if there is nothing wrong with your
mechanics, you need to take stock of what "you" are doing. Make
sure you are following the rules. Are you excercising? Not drinking with
meals? Getting in your protein? The whole thing boils down to calories
eaten versus calories burned. No surgery is going to magically make all
the extra weight disappear. I wish you well on your journey. Try tracking
your calories on fitday.com to see if maybe you are getting in too many
carbs, or possibly too many calories. Good Luck and God Bless.
— sgibson71
August 15, 2003
I found one of the posts on SpotlightHealth for you. It's located here:
http://www.spotlighthealth.com/common/SG/posts.asp?m=1&sb2=&sb=25&tp=91563&tpN=LAP-BAND%20Support
— TMF
August 15, 2003
Have you been back to your original surgeon to be checked to make sure your
staple line is intact? That no fistula has occured? While I think that
the lapband is a good option for many, if you have one WLS in place, why do
another. I'd think you should try to fix the one you have.
— [Deactivated Member]
August 15, 2003
Peekaboo, there is no profile here for us to go to and read up on you in an
effort to help. How much weight did you want to lose? For some
lightweights, 90 pounds is 75% or more of what they wanted to lose and they
would be considered successful, no revision needed. I have lost 101 and am
just a few pounds from goal. The first step is definitely to check your
pouch rules. Regain is possible if you don't. Are you drinking with meals?
Are you eating too many white carbs/sugars, grazing, not exercising or not
exercising enough or drinking enough water? How many calories a day,
getting in all your protein? I'm 18 months post-op too so I know how easy
it is to let the old bad habits creep back in. Once you have checked to
ensure that you are following the rules correctly, then check to see if
your surgery is still medically intact. Stretched stoma? SLD? For all we
know you may have already done so. Have you discussed this with your
surgeon? From what I have read on the lapband, there is more long term
success with the RNY, although I'm sure some successful lapbanders would
disagree with me. Another option if you have alot more weight to lose,is
if you are a proximal RNY'er and are following pouch rules, and your
surgery is intact, consider a revision to a distal RNY. The DS is not an
option as you need a larger stomach than we now have available.
— Cindy R.
August 15, 2003
Message for Cindy Rubin (and others): You wrote, "The DS is not an
option as you need a larger stomach than we now have available." This
is not true. My surgeon does RNY to DS revisions every week. What is true
is that sometimes they are not possible because the unused portion of the
stomach has deteriorated to the point where it is no longer useable. This
can't be discovered until surgery begins, so if that happens the revision
becomes a distal RNY. Anyone wanting a revision to DS should make sure the
surgeon has plenty of experience doing revisions. It is a complicated
procedure!
— Chris T.
August 16, 2003
From what I understand about Lapband you should be able to have more saline
inserted to tighten the band. This is supposed to help with stomach
size..etc. You should talk with your original surgeon and he/she should be
able to help.
As for you original question - Yes, lapband can be converted to RNY. Most
surgeons are willing to do this.
Good Luck!
— SJP
August 16, 2003
I weighed 360 pounds prior to surgery and have lost only 90 pounds. I do
realize this surgery is only a TOOL. I am nausea so much and throw up
several times a week. I do eat carbs because many and I mean many, other
things make me sick. I have to see my doctor next monday and will find out
if I have any medical problems such as a break in my staple line and or a
stricture etc. Thanks for your replies and I will keep you posted.
— Peek A.
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