25 Comments, RSS

  1. DrRRutledge

    To DrR: “Hi…I have had the Lapband for 3 years and I have lost 32 pounds …”
    Read it and Weep;
    Go to the internet;

    Google “Lap Band Failure” and

    Read over a Quarter of a Million stories of People with LapBand Failures!

    Wait another Year and the Number will rise by the Hundreds of thousands

  2. DrRRutledge

    You are right the RNY gastric bypass has relatively high initial risks and long term failures. The Band is relatively safe but doesn’t work very well over time. The Mini-Gastric Bypass is simple and low risk like the band but more effective over the long term.

  3. kenpnunn

    yes it depends on how hard one works at your solution is risky and complty unhealthy. and in 15 years they are like they were before you cut their stomach. Please try and get some reserch that is not done by doctors who do gastric bypass. And be honest about about the biggest risk of death. One doctor who does it has 1 out of 100 people die.

  4. DrRRutledge

    Yes, the RNY gastric bypass has failures, So does the band.
    The band takes us back to the old stomach stapling.
    It is purely restrictive and works for some people for a while and then fails.
    Same thing.

  5. kenpnunn

    its amazing how doctors who do the gbs where people i know 15 years later gain their wight back because there stomach normal size again. 8 years on lap band lost 280 lbs eat normal food now and no problems. If you want it to work you do have to follow the program and eat what ever you want it is not a magic pill

  6. manb4war

    OK, here’s the scoop. There is a surgery war between LapBand and gastric bypass. LapBand is a european procedure while gastric bypass is largely a U.S. procedure. LapBand has surpassed gastric bypass in popularity so the gastric bypass guys are trying to give it a bad name. The fact is the pros of lap band far outweigh its cons in comparison to the gastric bypass which is a major surgery and irreversible. Not to mention a regimen of supplements to counteract the side effects of the procedure.

  7. manb4war

    I agree I was 250 when I got the band, I’m 220 now I was actually down to 214 but here’s the thing. I wasn’t exercising before and I wasn’t eating properly. When I started to do that I starting losing again immediately. I’m due for another fill next week which should bring me down below the 200 lb mark. So far so good.

  8. mjensen1963

    I have been banded for over 5 1/2 years. The only “complication” I have experienced was with the port. I was made aware of the potential for this problem prior to surgery and for myself, I felt that this was an acceptable risk, as was/is the risk of slippage or possible erosion. I have lost 90lbs and successfully kept them off and am completely happy with my band. I personally feel that if you let the band do what it was intended, it will/can work for you.

  9. hazen066

    Surg Endosc. 2007 Aug;21 1388 Lap revision from LapBand to gastric bypass. Houston, TX LapBand experience complications or fail to lose sufficient weight after the banding procedure. Study outcome of gastric bypass (GBP) revision surgery after a FAILED LapBand. Revision 28 months after banding. BMI before the LapBand 45 the BMI at revision was 43!!! Conversion from LapBand to GBP is needed for FAILED LapBand. Revision surgery is technically challenging

  10. Paige3babe

    I think with the band it’s a case of when it fails not if it fails, It is most likely to fail after two years even with succesful weight loss it can then slip and fail. It has a very high faliour rate the trend is slowing and more people are realising it’s not the miricle they thought.

  11. Paige3babe

    I have a failed lapband, It is heartbreaking and makes you feel so devestated no matter how you try it seem’s to work agains’t you. You try and become i’ll, you have a break and regain weight, I have yet another chest infection, constant reflux, reflux food and acid, My biggest regret was to think i could lose weight.

  12. hazen066

    Obes Surg. 2006 Feb Revision of failed lap band to gastric bypass. van Wageningen B et al, The most common bariatric surgical operation in Europe, lapband, has a high incidence of long-term complications and insufficient weight loss. We investigated 47 revisions to gastric bypass (GBP). The GBP, mean operating time was 3 hr and hospital stay was 7 days. Complications occurred in 17%. CONCLUSION: Conversion of LapBand to GBP is needed to treat complications of LapBand.

  13. khazen1

    Obes Surg. 2006 Feb Revision of failed lap band to gastric bypass. van Wageningen B et al, The most common bariatric surgical operation in Europe, lapband, has a high incidence of long-term complications and insufficient weight loss. We investigated 47 revisions to gastric bypass (GBP). The GBP, mean operating time was 3 hr and hospital stay was 7 days. Complications occurred in 17%. CONCLUSION: Conversion of LapBand to GBP is needed to treat complications of LapBand.

  14. DrRRutledge

    Poll Results FROM Web: “Lap Band Talk Forum”:Reflux Poll
    Lap-Band Complications Receive and provide support for Lap-Band Complications
    Banded at least 6 months and I’ve NEVER had problems with reflux. 26%
    Banded at least 6 months and I’ve had problems with reflux 74%

  15. DrRRutledge

    Poll Results FROM Web: “Lap Band Talk Forum”: How is your band?
    Fine, no complications so far 73%
    Removed NOT erosion/slip 2%
    Slipped but unfill repaired it 2%
    Slipped, I was rebanded 5%
    Slipped, removed, no new band 3%
    Slipped, revised to bypass, ETC 2%
    Eroded, unfill repaired it 1%
    Eroded, removed, no revision 4%
    Eroded, revised to bypass, ETC 1%
    1 year + band isn’t working 7%

  16. DrRRutledge

    Surgery. 2002 Jun;131(6):625 Lap-band failure conversion to gastric bypass Medical College of Virginia Study patients who had failed LapBand converted to a gastric bypass. 50% of LapBand have been removed. Median time to conversion after LapBand was 38 months. The LapBand is associated with a high frequency of inadequate weight loss. Conversion to gastric bypass in this subset of patients is technically challenging but results in superior weight loss in a shorter time period.

  17. DrRRutledge

    Surg Endosc. 2007 Aug;21 1388 Lap revision from LapBand to gastric bypass. Houston, TX LapBand experience complications or fail to lose sufficient weight after the banding procedure. Study outcome of gastric bypass (GBP) revision surgery after a FAILED LapBand. Revision 28 months after banding. BMI before the LapBand 45 the BMI at revision was 43!!! Conversion from LapBand to GBP is needed for FAILED LapBand. Revision surgery is technically challenging

  18. DrRRutledge

    Obes Surg. 2004 Nov, Laparoscopic conversion of lap band to gastric bypass: a review of 70 patients. Paris, France. Results of conversion of failed lap band to gastric bypass (GBP). 70 pts converted for: insufficient weight loss, gastric pouch dilatation, band migration or band intolerance. 4.3% converted to open surgery. Mean operative time was 4 hrs. Hospital stay 7 days! Early complication rate was 14%. Laparoscopic conversion of LapBand to GBP is a technically challenging procedure

  19. DrRRutledge

    Obes Surg. 2006 Feb Revision of failed lap band to gastric bypass. van Wageningen B et al, The most common bariatric surgical operation in Europe, lapband, has a high incidence of long-term complications and insufficient weight loss. We investigated 47 revisions to gastric bypass (GBP). The GBP, mean operating time was 3 hr and hospital stay was 7 days. Complications occurred in 17%. CONCLUSION: Conversion of LapBand to GBP is needed to treat complications of LapBand.

  20. Saucy3

    I’m relatively sure that most removals are due to band slippage. Since the early 2000s more and more bariatric surgeons have begun to stitch part of the lower stomach to the pouch above the stomach, and partly around the band to keep the band from slipping. This has greatly reduced the number of removals.

  21. canovac

    I think it is wrong to validate your patients’ failure by blaming lap-band. Your patients that failed lap-band failed it because they did not understand or commit to the lifestyle that makes them healthy. It *is* your patients’ fault the procedure did not work. Shame on you, doctor, for promoting your own gain and persuading your patients that they have a one-fix solution!

  22. newskin24

    Everything in life has pros and cons. Lap bands have been very successful, as well as they have failed in many cases. So, you’ll find people complaning about it failing but you will find people telling you is the best they’ve done for their lives. So, if you have an opinion, you can just give it, but you CAN’T say that it doesn’t work AT ALL. Do some reaserach and see how many people are happy and with over 100 pounds less!