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Revision from Lap Band to Gastric Bypass BMI 55

Discussion in 'Adults with Type 2' started by Ellen, Jul 3, 2009.

  1. Ellen

    Ellen Senior Member

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    Only watch this if you enjoy watching surgery:

    DrSpivak
    July 03, 2009

    The patient had the Lap-Band procedure 2 years ago and lost only little weight. Now she is going for the revision procedure. Age 52, BMI 55, Diabetes Hypertension Arthritis, Hypercholesterolemia.
    The actual surgery took 75 minutes. You are going to watch a 10 minutes edited clip that presents the main steps of the procedure.


    http://www.youtube.com/watch?v=Ehj9RO28u0g
     
    Last edited: Jul 5, 2009
  2. Jacob'sDad

    Jacob'sDad Approved members

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    Anyone have any personal experience with this procedure? Maybe with themselves or a loved one? Someone very close to me is considering gastric bypass and it is a tough decision.
     
  3. mikesmom58

    mikesmom58 Approved members

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    Didn't care to view the surgery, thanks anyway -- In July 2001 I had the gastric bypass surgery, I was 297 lbs. at the time. One year later I was down to 195. I soon began to regain my lost weight as my "pouch" began to stretch, allowing for more food to be eaten. As of now I have regained all but 30 lbs. back. I never thought this would happen but I have been thinking about trying to get a lap band and wondering what the success rate is for this type of revision. I know it's risky and that's what's holding me back.
     
  4. Ellen

    Ellen Senior Member

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    Pat, you may want to simply email Dr. Spivak to get an opinion based on your circumstances and your very important question. hspivak@houston.rr.com

    To get an idea about how he speaks without seeing surgery:

    http://www.youtube.com/user/DrSpivak#play/all/favorites-all/2/bWTSJC-Sr7s


    p.s. I email doctors, surgeons, researchers often. You'd be amazed at how forthcoming they are when you appreciate the work they do. I found his email address here: http://www.ncbi.nlm.nih.gov/pubmed/...nel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum although this is procedure is the opposite of what you want done.

    Closer to home for you:
    Revision Procedures for Failed Gastric Bypass
    September 2007
    by Manish Parikh, MD; Marc Bessler, MD
    Both from Center for Obesity Surgery, Columbia University, New York-Presbyterian Hospital, New York, New York

    http://bariatrictimes.com/2007/09/10/revision-procedures-for-failed-gastric-bypass/
    At our institution, we frequently offer the adjustable gastric band as a surgical option for failed weight loss after RYGB. It is a technically simpler and safer operation to perform compared to other revision procedures and offers reasonable weight loss. The adjustable band is placed around the proximal gastric pouch and above the gastrojejunostomy. The remainder of the RYGB is left in-situ. O’Brien, et al., and Kyzer, et al., originally described converting any failed bariatric procedure (including gastric bypass) to the Lap-Band system.[14,15] Both series reported good weight reduction; however, subgroup analysis for failed RYGB was not provided.
     
    Last edited: Jul 5, 2009
  5. mikesmom58

    mikesmom58 Approved members

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    Thanks for all the info Ellen. I really think I should explore my options on this.
     

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