Question:
I had the RNY surgery I want to have a revision of this and get the Lap-Band as well.
I want to have this lap band as well is it possible? Is it dangerous? — devinl (posted on October 11, 2006)
October 11, 2006
Admittedly I lack both the clairvoyant powers and tact of the previous
poster, but I would venture a guess (without knowing when you had your
original RNY and whether any anatomical issues arose that slowed down your
weight loss) that you do not find satiety after eating. And, because you
are not feeling full, you are eating a little bit more than you think you
should, so you are assuming that if your pouch was a bit more restricted,
you might enjoy some greater weight loss results. I don't think that what
you perceive to be your lack of success is due to your need for a
"gastric psychologist" or to your insistence on maintaining your
old party ways-- if it is, and the previous poster got it right, heck, the
guy should go on tour with John Edward, or at least guess weights in a
carnival.
You can get a greater feeling of satiety if a ring (or band) is added to
the pouch. However, the surgery is not without some risks because of the
danger that your small pouch could develop adhesions or ulcers from the
band. For people who don't seem to do as well as they'd like after RNY
(and for whom there is no anatomical issue like a stretched stoma, a staple
line disruption if you weren't transected or an enlarged pouch) because the
lure of their old eating habits are too great, conversion to a DS is a
worthwhile option.
As with your initial surgery, remember that you need to address not only
any physical issues that undermined your first surgery, but also the
emotional and psychological issues that are problematic for many of us
trying to maintain weight loss. With that in mind, after getting a
complete medical evaluation, just consider talking to a professional (if
you don't already) who might offer some guidance for making the most of
your second weight loss surgery.
— SteveColarossi
October 11, 2006
My Dr. talked me out of the lap band. He is one of the first to do them in
Europe, and now has to remove a lot of them due to erosion. He just did
one that took 3 hours to get all the pieces out. Not just the erosion,
many are having the stomach come partly up through the band, and that
creates a pocket type of thing which can get serious. I'm not trying to
talk you out of it, and he said if I insisted on the lap band he would do
it, but he was very much against recommending it.
Becky
— SheDmama
October 11, 2006
Surgeries do fail, it is not always the fault of the patient as the first
poster seems to think. You can have a staple line disruption, enlarged
stoma, a pouch that is too large, any number of reasons that have nothing
to do with your behavior, although looking at our behavior is an important
part of problem solving. If you are not already a member of the Grads
group I suggest you join, there is a wealth of knowledge from people much
farther down the road than Mr. Cohen. They are a loving and accepting
group and most do not lay the blame at your feet, they ask the right
questions and help you get to the root of the problem.. And yes, you can
get a band over an RNY, many people have done so. The Grads group can be
found at:
http://groups.yahoo.com/group/Graduate-OSSG
Good luck to you!
— ALF
October 12, 2006
Mr. Colarossi, you did it again with your every wise advice. Mr. Cohen,
you seem to be an alarmist....take a chill pill! Just remember - don't
assume what you don't read. It demeans other people to automatically
assume they are doing something wrong. As to the original question, I
couldn't say it better than Colarossi said it. I would only add this: If
you feel like you just stretched your pouch and there is little chance for
other physical problems, you can get some resistance back by shrinking it
by going on liquids for a few days. If you do this, make sure to get some
protein in with that liquid and when you feel the restriction, force
yourself to stop before that "one more taste" takes over. I've
been thankful that I've had some days where I just forget to eat...and
those days always help shrink me back up a bit so that I don't get too
carried away. Good luck to you - and don't give up hope!
— Dinka Doo
October 12, 2006
You might want to see what your insurance covers. Some will only cover one
bariatric surgery per lifetime. Seems to me if you have a revision (which
would be done due to a mechanical problem) the lap band would be
unnecessary; it's not added as "security" measure. Keep in mind,
the more times you have surgery in an area, the greater your potential is
for complications.
— koogy
October 12, 2006
My dear I did look at your BMI on your profile and it does appear that you
have lost weight since your RNY. Why do you really think that you need to
have Lapband as well as RNY? It seems that you do have a handle on using
your pouch tool because you have lost weight. I really do not think that
there would be a doctor out there that would add an additional band around
your pouch at this point unless you have regained a lot of weight. Usually
people go from Lapband to RNY not the other way around and not both
surgeries together. I encourage you to get in contact with your doctor if
you are having a mechanical problem that needs to be fixed. Or, take a good
long look at what you are eating, drinking and your exercise habits and
make the necessary adjustments. I am really sorry that Steve Cohen
lamblasted you like he did, sometimes he comes on like gang busters. I
think he means well, but STEVE COHEN LIGHTEN UP!
— ChristineB
October 12, 2006
How can anyone consider that posting a reply that includes as pejorative
(and unfounded) a crack as "you are not happy with the RNY because you
are either wanting to go and party all the time basically which you can do
with the LAP, or you should have not had the RNY to begin with" as
being anything but mean-spirited and demeaning. He may very well be a
sweet and caring guy- but, those attributes were sorely lacking in his ad
hominem attack on the poster of a thoughtful question about surgical
approaches to longer-term post-op weight gain.
Mr. Cohen's initial comments were woefully misinformed. First, it has not
been uncommon for silastic bands to be used to narrow a stoma if it has
become enlarged. Secondly, it is simply inhumane to impugn someone's
efforts when that person is seeking some advice and guidance. And, it is
violative of a basic tenet of being an alleged support group leader or of
being a contributing member of an online community such as we have on OH to
attack someone who simply asks a question-- yet, Mr. Cohen's response did
just that.
— SteveColarossi
October 12, 2006
AMOS MOD NOTE: I am sorry I didnt pull the inflamatory response sooner. I
am a volunteer and had very little time yesterday.
— bob-haller
October 13, 2006
Hi back to the subject at hand. You profile is mostly blank:( I gather you
had the RNY awhile ago and perhaps didnt get to goal or regained for some
reason:( I am over 5 years out and understand... Yes some get revsed foe
longer bupasses, Lap Band, stoma made smaller, there are a variety of
options. please tell us more about your situation so we can help futher. If
you have a enlarged stoma theres a new non surgery stoma repair in testing.
Such help is available! Please forgive the one unpleasant response, I am a
volunteer and happened to be away all day yesterday or would of pulled it
sooner.
— bob-haller
October 17, 2006
please see a doctor that has done the lap band. carfefull. dont play with
your bod
— tippy
October 17, 2006
i had surgery 10/06 and have left side paid below my breast. anyone knows
what it is?
— tippy
April 7, 2007
La Tonya, I too am trying to get more information on having a band put on
after the RNY. I have just started my search. I would love to talk to
people who have had this done. Please let me know what you find out.
Thank you in advance and good luck. April
— aprilrgreer
Click Here to Return