Hi Michelle. I've had a Band over Bypass (BOB) in June of 2011. I had my RNY in 2002 went from 305 to 175. I regained back to 250 from years 2008 - 2011.  I am now at 170. I love my Band but its a totally different animal then the RNY.  Its tough. The Gastric Bypass was a PIECE OF CAKE! My suggestion, finjd a new surgeon, get the notes from your old surgeon, ask for a ct scan of your abdomen as well as a endoscopy. This will show if you have a stretched stoma and/or an enlarged pouch, From there, discuss options. Also, check your insurance carrier to see what their rules are on revisions as well as WLS. Some insurances see the BOB as a 'new surgery' some see it as a revision.  But, get the facts first and remember, weight loss with the band IS REALLY slow. Its a diet.

I've had the Band over Bypass (BOB).  I had it done in June 2011. I had the RNY in 2002. It has worked well for me and many others I've known who have done the same. Please read my profile, I've blogged a bit about the experience and most of my "friends" are BOBsters as well.  

Heather

 

Oh, and I'm back at goal.

The first thing you need to do is go see your surgeon. You need to talk about why this is happening or has happened.  Ask for a CT Scan of your abdomen and also an endoscopy.  It will tell you if your pouch has stretched or if you have an enlarged stoma.  You cannot do anything or even consider anything before you know the root cause.  

Good Luck.

Hi I am a BOBster as well. I had to do 2 weeks of liquids too.  It wasn't so bad after day 3.  I drank atkins shakes, slim fast and mixed carnation instant breakfast with real milk. I also ate a TON of proegresso soup (WW version) with veggies and also tomato soup with fiber.  Yes, I cheated a bit, but, it helped. I was allowed protein shakes, all veggies, soup, broth and liquids but no alchol.  I also would go to chipolte and eat the lettuce, chopped tomatoes, corn and salsa. I am not sure how 'strict' your doctor is but I was allowed more than shakes. I did shakes days 1-5, days 6-10 I ate the other stuff and 11-14 shaked again.  its to shrink your organs and defat your liver. It made my recovery easy. I walked home from the hopsital and went out that night and to work the next day.

Email if you need anything. There are many Bobs on here, but, not always out and about bc of the bandbashers.  Most people on my profile as 'friends" are BOBs.  I am at goal, 170. I am happy and I love my band.  But, be forewarned, its 10000000X different that the RNY. Its hard. Its rough and its like shoping at TJ Maxx, sometimes you find what you want, other times failure.

Good Luck.

Marie, I used Dr, Leitman too, August 2002.  While I love Dr. Leitman with all my heart, he had a trenchancy to make the pouches very large - hence the regain.  He is at Beth Isreal now, head of surgery.  When he first moved, he was still doing surgery but since he never learned "lap" he was kind of left out.  I emailed him initially and I ended up seeing Roslin at Lenox and Kurian at NYU.  Roslin wanted me to do a ful on revision of my RNY but it was major surgery and the complication rate was very high.  He advised against DS bc of my open RNY plus I didn't have a lot of weight to lose. I then went to see Kurian over at NYU, she suggested both the RNY revision and the BOB. I wanted the BOB as I has heard of many success stories plus, my stoma was still intact and I had a very large pouch, it seemed right for me and I was a volume eater.  I had the BOB done June 2012, went from 250 to 170 - I love it. I have restriction, I cannot eat a lot and it gives me back control.  

I wish you the best and I hope it works for you.  I just know if you don't have restriction that you are seeking you will be continuously fighting a losing batte - I know I was.

Hey, I have a BOB too and my first surgery, the RNY, was Open so the whole "air" and "gas" was new to me. I'd say if it continues you should speak to your doctor bc I recall feeling that way for the 1st week, but, not much after that?  I also had a hernia repair too and my gassy/air discomfort only lasted a week.  Why not email your doctor and ask his/her advice.  

 

Good Luck, use BOBsters need to stick together.

 Just my 2 cents, but, if you are having a recision, which is MAJOR surgery, have it at a hopsital not a surgery center.  Hope for the best, expect the worst.  I had a revision last summer (RNY to Band/BOB) and I had it at a hopsital and it was outpateient in the sense that it was less than 24 hours.  But, a Band to an RNY is a bigger surgery.  Is your band already removed or are they doing a removal and then RNY in one shot?

This is 100% normal. I didn't have to do this bc I had a revision, but, it depends on the plan.  I had Aetna PPO and my revision (BOB) was approved right away without the 6 mos weight or the shrink.  

But, I don't have issues with this.  Be glad you have an insurance that will pay. Aetna makes 1st times and revisoners do this, its 100% NORMAL, EXPENDED AND WARRANTED.  Be glad you can even get a reviison with the new wording in polocies that says "1 WLS per lifetme"

To Aetna, you are a failure and they want to make sure you know whatr you are getting into so they don't have to pay again.

 haven't been on here in AGES......I had a BOB in June 2012. I was 305 when I hadmy RNY in 2002, went to 183. I regained to 246-250.  I am now at 170.  I am at goal, I walk 5-10 miles a day and have 8cc in my 14cc (large band). I LOVE MY BOB!  Email me

heathercnielsen@gmail.com

Also, all (or most of all) the people listed on my profile are BOB patients.  There are a few dz of us on here.  But, heres the thing, we all had surgery 5-10 yrs ago, were immed successful, left andcame back when we needed it and now that we lost what we regained, we are MIA again bc we are loviing, living and enojoying our lives.

I am with you, would never do a DS but did consider an RNY revision.

Heather

Get an endoscopy and a CT Scan of your abdomen and your thyroid checked, those where all the things I had to do before we even discussed revision and what kind. I had initially lost 130 and then put back on 75.  I was approved in 24 hours.

 Congrats Beautiful!  

 10 years ago today I had my Gastric Bypass….And, it failed ...I was 305lbs.  Since that day, 10 years ago…

·        I lost 130lbs
·        I had a Lower Body Lift, a tummy tuck and lipo (6/04)
·        I left my ex-husband (7/04)
·        I got a divorce (2/06)
·        I had a breast lift, a reduction and a brachioplasty – arm lift (3/06)
·        I walked away from my 6-figure wallstreet job to go back to school (5/07)
·        I started my MBA (1/08)
·        I threw out my back, had a bulging disk and started gaining weight (7/09)
·        I graduated with honors (9/09)
·        I re-gained 75lbs (6/10)
·        I spoke to a surgeon about a revision (8/10)
·        I got a revision – Band over Bypass (6/11)
·        I was laid off (10/11)
·        I found a job (6/12)
·        I re-lost the 75lbs I gained (8/12)

A lot can happen in 10 yrs.  Weight loss surgeries fail can and will FAIL.  It doesn’t matter if which surgery you have - stomach stapling, RNY, DS, Band, sleeve, etc.  People Fail  - whether it be the patient or the doctor.  In my case, my doctor was VERY conservative with my pouch size and as such, in my opinion, I was set up for failure. Pre-RNY, I was a volume eater.  I was not a sweet eater not was I a grazer but boy could I eat. So, I thought the RNY would fix that.  It did for awhile, but, with a pouch that wasn’t as small as others,  I continued to overeat.

Fast forward to 2011, I am 250lbs.  I investigated both a BOB, an RNY revision and a DS. I consulted 2 fabulous doctors, Dr. Mitchell Roslin and Dr. Marina Kurian. I went with Dr. Kurian.  Both used to be in practice with Dr. Leitman, at Lenox Hill, back in 2002 and knew me, my habits and my personality from 7-8 years of support group attendance.

Today, I am 10yrs post-op RNY and 14 mos post-op BOB.  Will the Band fail like the RNY, maybe?  If I believe everything others on these boards say, yes it will.  But, you know what, if it does, I can fix it again. I am lucky to live in a country where Doctors are always looking to improve what already exists and/or discover something new.  

Don't let anyone tell you you CANNOT!  I know its cliche, but, you can do anything you set your mind too.  And, if you encounter obstacles, seek help.  Just educate yourself as much as possible.  Don't follow the pack or be bullied into something you don't want.  If you want something bad enough, find a way to get it.

 I have a BOB but I was very, very compliant with the RNY and have been again with the BOB.  If you aren't compliant, you wouldn't lose weight and even worse, you will vomit all the time, causing strain on your stomach and band which could lead to complications, slippage, etc,  

IMO, a BOB is for someone with a stretched pouch and NOT an enlarged stoma.  Just my 2 cents.  My pouch is stretched so I can eat a ton, my stoma is entact, that is why a BOB was recommended for me or a RNY revision, making the pouch smaller.

I walk home 5 miles, 5 days a week. I eat 3-4 small meals a day and I dont drink soda and I don't eat bread, If you failed at the RNY, then you will have a hell of a time with the BOB.  The RNy was a 'pieve of cake' where you can lose doing nothing.  The Band requires A LOT OF WORK, its a diet and the weight loss is ridiciously slow.