Lapband to Gastric Sleeve
I am having a revision soon and having my Realize Band removed. Is there anyone out there that has had the band removed and revised to the Gastric Sleeve?
If so, please give me any advice or experiences you may have went through. I am looking to hear the positive and negative. I have done my own research on the web, but want to hear from real people who have had real experiences with it.
Even if you have not had the lapband/realize band, but you have had the Gastric Sleeve. Please help me out. Did you have a lot of pain after the surgery? What foods can't you tolerate? Are you able to drink alcohol with the Sleeve (I'm talking one or two drinks)? Were successful with keeping the weight off?
Thanks so much,
I was revised from band to sleeve. Dumbest thing I ever did was to get a band. Smartest thing I ever did was to revise to a sleeve.
Nope, not a lot of pain from surgery, more sore and bloated than actual pain. I can eat anything, I have no specific food intolerances although a lot of greasy food makes me feel nauseated. You can drink alcohol but as I was losing weight alcohol stalled my weight loss every single time. Just one glass of wine and I didn't lose that week. Keeping weight off is easy, I don't battle it, it's just a non issue at this point BUT... I have overhauled my diet. If you are looking to eat the same load of garbage but less of it, you probably won't be very successful. You'll have to seriously keep the amount of alcohol you consume to a minimum and if you don't do these things... I wouldn't even bother with a revision.
Thanks for answering my questions, and I will definitely keep my alcohol intake to a bare minimum. I was just curious if it would be safe to have a drink or two on a special occasion and not get sick from it.
Congrats on your weightloss!
What happened with your band?
If your band "worked" and you had restriction, BUT could not lose weight, AND that is the reason why you are revising, You may want to reconsider your revision.
People who've done well with restrictive only procedures ****il they fail mechanically) SEEM to be the only ones who do well with restrictive only procedures again. I hate to say that I know quite a few people who've revised to a sleeve and had less than ideal/satisfying results BUT they also did not do well with the LB. So they go so far and no further THEN regress even more to gaining weight. BE CAREFUL and BE SURE. A malabsorbtive procedure will NOT kill us. We just need to be vigilant with our post-op care of self.
Restrictive only procedures require lots of adherence - diet and exercise, in simple terms and for life JUST like other thin people - just like naturally thin people - they do have to work on it every single day. We have to follow the rules for the rest of our lives!!! We can easily get into habits where we can learn to consume the same amount of calories as we did pre-op by grazing. 2,000 - 3,000 calories is an easy thing to keep up with a restrictive only procedure and 2,00 to 3,000 calories can keep you or get you in the 200 - 300lb range.
The VSG may be the right WLS for you - it is an awesome WLS. I am not trying to discourage you at all. What I am saying is consider a procedure like the VSG w. DS if:
Your band worked and you just didn't do well with restriction only
If you get too sloppy, too often with following "the rules" of watching what you eat and exercising
If you have a BMI over 50 - I wish some people would stop kidding themselves
Good Luck to you. Sorry if I preached too much. I just been seeing too many people getting restrictive only procedures because they are afraid of "rearranging" or "cutting" their insides. They take a Band Aid when what they need is a surgery and stitches - the Band Aid falls off and the wound never heals - then it's back to the drawing board, back to a new WLS.
At the time of my Realize band procedure, I was told it was soon too soon after my cancer treatment to have the Gastric Sleeve. I had gained 30 lbs after my chemo/radiation, so I took whatever surgery I could get at the time.
The band has helped me to lose 55 lbs, so it has worked in the sense that it did get me jump started on my weightloss. BUT...I still have 120 more lbs to lose. I have been "stuck" at the same weight for the past 3 months. I even paid a lot of money to hire a Personal Trainer and have been going for 5 weeks now. The scale has not budged. Its very discouraging working so hard in the gym and not seeing the results that I would like to see.
There are more than enough reasons why I want the sleeve....reduce my chance of cancer returning, acid reflux issues, vomiting issues from the band, pain from the port area, still have a BMI of 41.5, I have 120 more pounds to go, and I am planning on getting married next year.
The reason for my post is that I want to hear about other people's experience with the Gastric Sleeve. I have not found very many people that have had it. So, the majority of my information has come from research on the web. I want to know the good, the bad, the ugly.
What about DS? If you want a sleeve AND malabsorption, DS might be your ticket.
Chrissy, I must assume that you are tracking your intake and know how many carbs, protein, and calories you take in every day. And that you are avoiding refined carbs ( bread, rice, pasta, white flour, sweets).
I must also assume that you've been tested and screened for concurrent hypothyroidism, PCOS, insulin resistance and are not on any meds for your cancer that might hinder your weight loss or delay your healing ( like prednisone, other corticosteroids, or other immunosuppressives).
And your trainer is not working on just weights, or just cardio, but balancing things so you are getting at least 300 minutes of exercise per week ( the Feb 2009 recommendation for weight LOSS is now 300 mins per week....maintenance is 210 minutes per week), improving your lean muscle mass and your cardiovascular fitness.
If you know the answers to all these questions, are following accepted guidelines and are still not losing weight, then a malabsorptive procedure might be necessary for you. I've heard an excellent description on the DS board- DS is a malabsorptive procedure with some restriction. RNY is a restrictive procedure with some malabsorption. RNY is off the table because of your cancer...but DS is still an option, correct - and DS has the longest proven track record as long term results from the VSG as a stand alone WL procedure are simply not available yet ( at least not past 5 years).
I'd advise you to post on the VSG and DS boards- I can think of several people off the top of my head *****vised from Band to Sleeve- but none I recall who have the added question mark of stomach cancer. And for sure there are Banders *****vised to the DS, they will answer you if you post on their board.
Personally, I feel you should choose the surgery you can be married to. I had personal reasons for choosing the sleeve over an RNY or DS but do not feel my surgery type is "best" for everyone. I have loved my sleeve ( well, after the first 5 days or so) and have enjoyed great success despite having a starting BMI of 54 ( I chuckled when one of the previous posters said we should stop kidding ourselves- WTH does that mean?). At 9 months out, I have lost 95% of my EBW, am within 9 lbs of my goal ( which is 8 lbs below where my doctor's goal was), am still not hungry, and can eat whatever types of food I want...but I focus on protein based meals, low glycemic index carbs, no bread rice or pasta...until I am done losing. I do not feel deprived and I vomit rarely- only when if I eat too fast ( about once every other month). Pain post op was no worse than my lap cholecystectomy 13 years ago or my 2 C-sexns 15 and 17 years ago. I rarely drink ( because I did too much of that in college, eeeek!) but I have had alcohol with special occasions ( 1-2 drinks) with no ill effects and no stalls so far. I do exercise everyday now- because I like it, not because I have to- and it makes me feel good to see muscles sprouting where I had only flab and fat before. The exercise is good for us in so many ways- even with 171 lbs lost, I won't have to have plastics done on my arms because they look great now with the muscles from lifting weights. I can run up the stairs without panting and do a 60 minute cardio kick box class with no problem now. I'm off hypertension meds and antidepressants and my CPAP machine. I feel 20 years old again, and I'm pushing 50 now.
Be well, PM me if you want some of the names of people who are Band to Sleeve revisions, and best of luck to you- XOXOLori
Your inspirational post make ME want a sleeve too! Weigh 2 go on the successful weight loss and on embracing a healthy low carb lifestyle! High Fives on your killer gym time! 50 is the new 20, right? .....*winks*
.....wishing you were in my "hood" so we could be BFF's at the gym together!
And kudos to you on your weightloss. You have done so well!! You are def an inspiration to me.
Oh me oh my.... Just a little suggestion, when you go to the DS board I probably wouldn't say it sounds like MGB. ;o)
I was the one who posted BMI Over 50 that restrictive only surgery opters were "kidding themselves". I didn't mean to be that harsh. I think we all should have to research, study, and then take a huge exam before we are allowed to have WLS. And even then, there is no telling what our journey will hold BUT at least we'd have the knowledge.
Look at you Lori, you know your stuff. You are doing the work it requires to get the weight off. There are many other high BMIs like (celtic fairy?) who have done amazing, really amazing WORK. I am not knocking that, I'm not knocking you. It just takes lots of work, lots of dedication/committment.
It just breaks my heart to see people get these surgeries and believe that they will effortlessly lose the weight. It is hard and gets harder when you try to get under the 200lb mark.
God Bless you and all of us that have the courage to change our lives.
Hi! And thanks for your reply- I agree, we are all in the same boat and for sure, no weight loss surgery is effortless. I totally hear you on people thinking this will be easy. That is why I think it is so important to research and choose the right surgery for YOU- one you can be married to for life. And in retrospect, I am so glad I had to do a 6 month mandatory pre op period- it did allow me to change some habits, give up caffeine and diet sodas, chew my food well, and really ponder over whether I could do this or not.
The biggest advantage of the sleeve as a restrictive procedure has been the lack of hunger- I simply cannot tell you what a powerful tool that is. So easy to avoid bad choices if you couldn't care less about food. Even at 9 months out I find myself setting my alarm to eat during the day- otherwise I'd forget.
Be well, continued great success on your journey, and thank you for your words! XOLori
on 3/12/09 3:54 pm
Also, to Chrissy - the DS is nothing like a Mini Gastric Bypass. With the DS you have a working sleeve stomach with your valve intact. There is no pouch. Important difference, along with the Grehlin issue (above). You do get the malabsorption from a bypass though, and if you feel that you would need it, the DS may be the way to go. Most doctors in the US do not perform the DS, as the RNY has been the most popular operation for some time now. Also, when you discuss it with your doctor, be sure and mention that it's the DS with the sleeve stomach, so that your MD doesn't think you are talking about the older style BPD/DS which involved a pouch and was very problematic. It was sometimes called the "Scopinaro Procedure". You can find doctors who do the procedure by asking on the DS forum and also by checking out www.duodenalswitch.com
I really wish I had gotten the full DS. My weight loss stalled at 4 months...and now 4 months later, I'm up a few pounds.
I can eat so much more with my Sleeve vs. Band. I was really counting on restriction, but that only lasted for the first two months. I was sleeved with a 34 French Bougie, and oversewn.
I am not a good dieter, and my experience on VSG boards are that people who succeed are those who can stick to a very low carb, low fat diet, low calorie diet. I cannot. If I could, I'd never needed WLS.
The ghrelin factor was great for about 2-3 months, but the hunger is back as well. Not as much as pre-Sleeve, but definitely there.
I really do not think many people should revise from a Band to a Sleeve unless they are at goal. Even then, you need to be very careful with sleeve size.
The good thing is quality of life is 1000x better.
Lap-Band June 14, 2001. Dr. Rumbaut, Monterrey, Mexico.
Lap-Band removed after 7 years and converted to Sleeve Gastrectomy on July 7, 2008 by Dr. Roslin. I've had three happy healthy Lap-Band babies.... and one VSG baby. 5 years out from revision to VSG. Gained 55 pounds in past 5 months, now considering DS. :(
on 4/1/09 8:48 pm, edited 4/1/09 8:49 pm
It is a very painful surgery for the first week. You must keep up on your PROTEIN or you will feel like you are dying.
So far so good though. I go Friday to have my staples removed and I hope he will tell me I can eat something. I have been on liquids since last Tuesday 8 days.11 pounds lost so far but not an easy way to do it...
Good luck to you !