Nervous
Please back off and learn more about all your options and how they can be realistically applied to your life.
Yes, you are falling for a sales pitch. And yes, with ANY surgery, you will have to learn how to get your water and protein in with significant restriction on your intake. And I do mean LOTS of restriction.
I'm very glad you posted. It's time to slow down and learn more about what you're getting into. I'm sorry this would mean canceling or rescheduling your surgery, but it's absolutely vital to think twice and cut ONCE.
on 3/30/11 11:57 pm, edited 3/30/11 11:58 pm - Tuvalu
Go to the Revision board and see how many people with bands are trying to get rid of them...then go the RnY and DS boards and simply ask how many people there USED TO have a band. (The brand doesn't matter, they all work...or really, DON'T work...the same way.)
And you didn't mention your BMI but did your doctor mention that the band is essentially worthless for most people with higher BMIs?
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Failure of adjustable gastric banding: starting BMI of 46 kg/m2 is a fulcrum of success and failure
, , ,Received 13 May 2008; received in revised form 29 August 2008; accepted 22 September 2008. published online 08 October 2008.
Abstract
Background
To determine the body mass index (BMI) located at the fulcrum of success and failure in a prospective study conducted at the University of Texas Health Science Center at Houston. On average, our patients whose percentage of excess weight loss (%EWL) was >50% at 1 year had a significantly lower BMI than those with <30% EWL.
Methods
We prospectively collected the weight loss data for 430 patients who had had an adjustable gastric band placed. We stratified the %EWL within 1 year for patients with a BMI of 30–59 kg/m2. A line was generated for the %EWL over time for BMI groups of 30–39, 40–49, and 50–59 kg/m2 and compared with the average %EWL over time. The y-intercepts of the resulting four lines were graphed against the average BMI for each group.
Results
The generated y-intercept line had an R2 of .9237. Using the equation of this line and the known y-intercept for the average, we solved for x, resulting in a BMI of 46 kg/m2. Patients with a BMI <46 kg/m2 had a 50% EWL at 1 year, and those with a BMI >46 kg/m2 had only a 33% EWL at 1 year. The %EWL between the groups was significantly different at all measured intervals (P <.0001).
Conclusion
A BMI of 46 kg/m2 identifies those at high risk of failure to lose a significant percentage of excess weight after adjustable gastric banding and *****quire closer follow-up. Furthermore, patients who have a BMI >46 kg/m2 should be advised that their weight loss might be suboptimal at 1 year.
Keywords: Bariatric surgery, Adjustable gastric band, Body mass index, BMI, Excess weight lossTheresa