Sounds like you need your Band removed and the hiatial hernia repaired.  Been there, done that.  With reflux as bad as you described the Sleeve is not the best option.  I had some similar issues with my Band (from 2006) and revised to RNY and haven't looked back.  I was reluctant  to have what seemed like such drastic surgery but the funny truth is that I feel more normal with my Bypass than I ever did with the Band and the port. 

Only you and your Doctor's can know what is right for you.  If you only need to lose a few pounds then you shouldn't need any type of WLS.  If you need to lose a significant amount then WLS is really the best way to go IMO.

Good luck in whatever you decide.

I am anemic and have a mal absorb issue, but like I said, unless a life threatening situation occurs, the HMO says it comes out of my pocket, I was able to get an appointment this afternoon to see my nurse prac. I will see what she says.  Thank you for your advice.

Thanks for your help, my HMO will not allow me to have it removed or a revision to another type of gastric surgery without a life threatening event, I agree, if for some reason I were to lose Banderella, I would go with a sleeve.

Thank you!  I cannot seem to get the docs here to take me seriously, I have an HMO and am limited to what they will cover.

My personal opinion for myself is I would go with the sleeve because I don't need malabsorbtion. So for me the sleeve would be the best option and I was already to have it except my health went down hill and my insurance doesn't cover it.

I was trying to hang onto my band until I could have it done all at one time, band removal and sleeve. Then last year the band pain got so bad I just couldn't live with it anymore and had to have my band removed but no sleeve. Now because of the damage done by my band to my stomach I don't qualify for surgery anymore, I am almost at goal.

My stomach no longer empties correctly and I have a very difficult time eating, I can only eat tiny amounts of food at a time. I have to eat several times a day and only little bits at a time. I can only eat somewhat soft foods and often have to puree things to be able to get them down. Then the fun part comes the pain and cramping from gas and the food backing up, constipation even tho I take stool softeners. If I'm lucky with in a day or so it will pass on thru, but more likely I'll have to take a laxative and wait for that to work on thru in a few days and then I get a couple of days without pain and gas. However within another day or two it starts the cycle allover again and thanks to the band I will have to live with this for the rest of my life.

So anyway if I could I would go with the sleeve since it leaves a normal stomach just smaller and the basic surgery has been around for decades and done for stomach cancer and ulcers so it is a fairly common surgery. It also has a very low complication rate and it actually works like they told us the band would work. The chances of keeping the weight off without another surgery is pretty slim. I wish you the best and hope you will be able to make the choice.