Going to have surgery

Tammy D.
on 8/12/10 12:03 pm - Pikeville, KY
Hi everyone,

I want to have the lap band surgery.. I have lupus, fibromyalgia, osteoarthritis,sleep apenia, and other health problems.... Can any of you give me any ideas as to whether I should have the surgery? have any of you had major problems after the surgery?
I think (hope) the surgery would help to imprve my health overall.

Thanks for any & all input!!!

on 8/13/10 3:14 am

Since you have lupus and fibro, I would suspect you have a good rheumatologist in your corner.  If you don't, you must have some awesome PCP.  I would first and foremost, have a discussion with the rheumatologist.  If he/she is onboard with you having weight loss surgery, then you are good to go.

Second, you may want to reconsider the lap-band as your surgery of choice.  You have autoimmune disease and you would be putting a foreign body in your body.  Not the wisest choice.  While I never wanted the lap band, I did some reading on it, and the manufacturer's literature specifically stated not to get a lap band if you had a history or family history of autoimmune disease.  That said, the first surgeon I consulted with was more than willing to do a lap band on me as an "off-label" usage.  Also, there are many people on these boards with lupus and other autoimmune diseases who have had the lap band and had no issues what-so-ever.  Again, it's something to discuss with the doctors...first the rheumie, and then a surgeon.  You might be better off with the sleeve or RNY.  If you go for RNY, you won't be able to take NSAIDS or steroids.  Disclaimer on that statement, I was told for a short period of time with the use of proton-pump inhibitors, it would be okay.  The sleeve doesn't restrict your drugs.  I would also recommend staying away from the DS surgery.  There is a higher risk of kidney issues and you are already at risk for kidney issues due to the lupus (if you don't have kidney issues already).  Speaking of kidney, if a nephrologist is already part of your medical team, you would want to consult him/her about the surgery as well.  Actually, I would recommend consulting any specialist who is involved with your autoimmune issues about surgery.

I had RNY in May 2009.  Before surgery, I lost 70 pounds.  Since surgery I've lost 130-140-ish (I'm sort of stuck at the moment...and I would partially blame that on my lupus).  Best thing I could have done for myself.  Lately, I'm having issues with pain and fatigue...otherwise, I go to the gym religiously 5x/week, eat small portions, high protein, low carb, low fat, low calories, etc, etc, etc

I'm sure there is more I'm missing that I should mention, but I'm exhausted and not thinking well.  If you have questions, feel free to ask.

Highest Weight/Surgery Weight/Current Weight/Goal
on 8/17/10 9:30 am - Willingboro, NJ
Hi all, just reading your information re. Lupus, Just diagnosed in July, but I was actually having symptoms for years and thought some of my symptoms was caused by my weight. When I continued to have symptoms even though my weight was much lower I began questioning my doctors. After several test and along with my history. A Rheumatologist gave me the news, I agree with Elli seek the advice of your docs before making a decision, but for me I feel I made the best decision of having the RNY. Take care and I wish you the best.
Jennifer H.
on 8/30/10 2:10 pm - Fowlerville, MI
Hi Tammy.  I agree with everyone that you should discuss with all of your docs to make sure they are all at agreement for you having surgery.  I would research all your options.  I have Lupus and had the Duodenal Switch.  I have heard that the Lap band is not the right choice for lupus patients.  However, the right surgeon makes all the difference when making your choice.  I am still a newbie.  I had my surgery on July 8th.  There is no proof that I know of that wls helps with lu*****mptoms, but it cannot hurt.  Good Luck! 
  The DS life is sooo good!   

Tammy D.
on 9/21/10 11:51 am - Pikeville, KY
I just went to my 1st weight loss seminar and I have decided the band may not be for me,..,. I am probably going with the sleeve, I have my cardiologist approval, my rheumies approval, my pcp's approval... looks like it may be going to happen soon, I sure hope so I will know more over the next few weeks.

Thanks for all the replies and sorry it took me so long to reply.

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