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Post by pumpkin on May 15, 2012 10:54:49 GMT -5
Are there any common issues/problems/ that are starting to emerge with those that have had LAGB to Sleeve revisions or it is too early out yet for that observation ?
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Post by Deleted on May 15, 2012 11:00:29 GMT -5
Are there any common issues/problems/ that are starting to emerge with those that have had LAGB to Sleeve revisions or it is too early out yet for that observation ? None...absolutely none...and if YOU have problems, it's because you're weird.
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Post by kyal on May 15, 2012 15:31:22 GMT -5
Or your surgeon is an incompetent fool like mine was.
I had a leak. Was caused by stupidity of the surgeon, not the procedure it self.
There usually is excessive scar tissue at the top of the stomach at the angel of hiss which makes sleeves more difficult. You should be using a highly qualified revision surgeon for revisions and they would be able to work with that.
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Post by angelcake on May 15, 2012 15:36:30 GMT -5
Increased risk of leak in a revision from a band. As advised, you want a very experienced surgeon.
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Post by Joanne on May 15, 2012 15:56:22 GMT -5
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Post by loulou7 on May 15, 2012 16:41:03 GMT -5
[There usually is excessive scar tissue at the top of the stomach at the angel of hiss which makes sleeves more difficult. You should be using a highly qualified revision surgeon for revisions and they would be able to work with that. [/quote]
What's an angel of hiss? I never heard of that.
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Post by Deleted on May 15, 2012 18:22:38 GMT -5
[There usually is excessive scar tissue at the top of the stomach at the angel of hiss which makes sleeves more difficult. You should be using a highly qualified revision surgeon for revisions and they would be able to work with that. What's an angel of hiss? I never heard of that. [/quote] I think it's a snake with wings that flies around making hissing sounds. Looks like this, I think...but you can't hear it in the photo: www.flickr.com/photos/auntgriz/2311435202/lightbox/
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Post by loulou7 on May 15, 2012 18:42:13 GMT -5
[There usually is excessive scar tissue at the top of the stomach at the angel of hiss which makes sleeves more difficult. You should be using a highly qualified revision surgeon for revisions and they would be able to work with that. What's an angel of hiss? I never heard of that. I think it's a snake with wings that flies around making hissing sounds. Looks like this, I think...but you can't hear it in the photo: www.flickr.com/photos/auntgriz/2311435202/lightbox/[/quote] Smartass. If there were a Smartass Olympics, you would be a gold medalist.
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Post by larra on May 15, 2012 18:44:36 GMT -5
It's ANGLE of His. Does that make more sense?
to quote that great medical source, Wikipedia, "the Angle of His is the acute angle between the cardia at the entrance to the stomach, and the oesophagus. It forms a valve, preventing reflux of duodenal bile, enzymes and stomach acid, from entering the oesophagus, where they can cause inflammation."
There's more where that came from, and the interesting (British?) spelling of esophagus is not mine.
Larra
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Post by SLVinNorCA on May 15, 2012 19:41:58 GMT -5
Or your surgeon is an incompetent fool like mine was. I had a leak. Was caused by stupidity of the surgeon, not the procedure it self. There usually is excessive scar tissue at the top of the stomach at the angel of hiss which makes sleeves more difficult. You should be using a highly qualified revision surgeon for revisions and they would be able to work with that. whispering to GoodKel.... This needs to be moved
to that Mistaken Phrases - Mondegreens thread.
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Post by Deleted on May 15, 2012 22:26:57 GMT -5
It's ANGLE of His. Does that make more sense? to quote that great medical source, Wikipedia, "the Angle of His is the acute angle between the cardia at the entrance to the stomach, and the oesophagus. It forms a valve, preventing reflux of duodenal bile, enzymes and stomach acid, from entering the oesophagus, where they can cause inflammation." There's more where that came from, and the interesting (British?) spelling of esophagus is not mine. Larra Smarty Pants. You must be one of those college-educated SNOBS.
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Post by grdngrl on May 15, 2012 23:14:51 GMT -5
Hi Pumpkin,
Scar tissue and adhesions from my band made the sleeve surgery take longer, that is one thing to consider. I had my band for 22 months and waited after removal before getting sleeved (different surgeons). The band did not slip or erode but the way it was stitched into the outside of my stomach was why there was a lot of scar tissue I think. I don't know which is best (waiting or direct revision) but I just wanted the band out and went to the surgeon who put it in. I didn't blame him and figured he knew how to best get it out - it only took 30 minutes!!
I chose a vetted DS surgeon for the sleeve - so I knew he had done a lot of them. My sleeve is not the same as a virgin sleeve but it is a good sleeve according to Dr. Jossart. I'm happy so far - he uses a 32 bougie for a VSG only - but like I said, it's not a virgin sleeve - I think i can eat a little more compared to what others say but its still not very much - almost six months out and no hunger yet.
Ask about the surgeon's band to sleeve leak rate - both with band removal and sleeve done at the same time and with the sleeve done later. My insurance covered removal but because I waited I had to requalify later for the sleeve which I did easily but is a pain. If I had realized how fast the weight I did lose came back on after the band removal I may have done it as a revision.
I had smooth sailing - never vomited even once since surgery but I'm careful not to eat too much! It's very, very different, IMHO much better - Dr. Jossart says the band is obstructive and the sleeve is truely restrictive - makes sense to me!! He stopped doing bands, too many revisions.
Hope this helps, kind of long -
ETA - reread your question, I'm still early out - but not yet . . .
Wendy
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Post by pumpkin on May 16, 2012 10:20:59 GMT -5
Are there any common issues/problems/ that are starting to emerge with those that have had LAGB to Sleeve revisions or it is too early out yet for that observation ? None...absolutely none...and if YOU have problems, it's because you're weird. YOU'RE SUCH A BITCH !
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Post by pumpkin on May 16, 2012 10:24:14 GMT -5
It's ANGLE of His. Does that make more sense? to quote that great medical source, Wikipedia, "the Angle of His is the acute angle between the cardia at the entrance to the stomach, and the oesophagus. It forms a valve, preventing reflux of duodenal bile, enzymes and stomach acid, from entering the oesophagus, where they can cause inflammation." There's more where that came from, and the interesting (British?) spelling of esophagus is not mine. Larra I need you to dumb down the angle of his thingy for me PLEASE.
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Post by pumpkin on May 16, 2012 10:26:56 GMT -5
Hi Pumpkin, Scar tissue and adhesions from my band made the sleeve surgery take longer, that is one thing to consider. I had my band for 22 months and waited after removal before getting sleeved (different surgeons). The band did not slip or erode but the way it was stitched into the outside of my stomach was why there was a lot of scar tissue I think. I don't know which is best (waiting or direct revision) but I just wanted the band out and went to the surgeon who put it in. I didn't blame him and figured he knew how to best get it out - it only took 30 minutes!! I chose a vetted DS surgeon for the sleeve - so I knew he had done a lot of them. My sleeve is not the same as a virgin sleeve but it is a good sleeve according to Dr. Jossart. I'm happy so far - he uses a 32 bougie for a VSG only - but like I said, it's not a virgin sleeve - I think i can eat a little more compared to what others say but its still not very much - almost six months out and no hunger yet. Ask about the surgeon's band to sleeve leak rate - both with band removal and sleeve done at the same time and with the sleeve done later. My insurance covered removal but because I waited I had to requalify later for the sleeve which I did easily but is a pain. If I had realized how fast the weight I did lose came back on after the band removal I may have done it as a revision. I had smooth sailing - never vomited even once since surgery but I'm careful not to eat too much! It's very, very different, IMHO much better - Dr. Jossart says the band is obstructive and the sleeve is truely restrictive - makes sense to me!! He stopped doing bands, too many revisions. Hope this helps, kind of long - ETA - reread your question, I'm still early out - but not yet . . . Wendy I already have a sleeve...Remember I woke up with a " Surprise Sleeve "...I went in for a band removal only surgery and came out with a sleeve.
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Deleted
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Post by Deleted on May 16, 2012 17:35:36 GMT -5
Hi Pumpkin, Scar tissue and adhesions from my band made the sleeve surgery take longer, that is one thing to consider. I had my band for 22 months and waited after removal before getting sleeved (different surgeons). The band did not slip or erode but the way it was stitched into the outside of my stomach was why there was a lot of scar tissue I think. I don't know which is best (waiting or direct revision) but I just wanted the band out and went to the surgeon who put it in. I didn't blame him and figured he knew how to best get it out - it only took 30 minutes!! I chose a vetted DS surgeon for the sleeve - so I knew he had done a lot of them. My sleeve is not the same as a virgin sleeve but it is a good sleeve according to Dr. Jossart. I'm happy so far - he uses a 32 bougie for a VSG only - but like I said, it's not a virgin sleeve - I think i can eat a little more compared to what others say but its still not very much - almost six months out and no hunger yet. Ask about the surgeon's band to sleeve leak rate - both with band removal and sleeve done at the same time and with the sleeve done later. My insurance covered removal but because I waited I had to requalify later for the sleeve which I did easily but is a pain. If I had realized how fast the weight I did lose came back on after the band removal I may have done it as a revision. I had smooth sailing - never vomited even once since surgery but I'm careful not to eat too much! It's very, very different, IMHO much better - Dr. Jossart says the band is obstructive and the sleeve is truely restrictive - makes sense to me!! He stopped doing bands, too many revisions. Hope this helps, kind of long - ETA - reread your question, I'm still early out - but not yet . . . Wendy I already have a sleeve...Remember I woke up with a " Surprise Sleeve "...I went in for a band removal only surgery and came out with a sleeve. Is that kinda like surprise butt sex? I apologize in advance and blame my husband for using that saying so much it has leaked into my vocabulary ...
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Post by grdngrl on May 16, 2012 18:14:04 GMT -5
I already have a sleeve...Remember I woke up with a " Surprise Sleeve "...I went in for a band removal only surgery and came out with a sleeve. Oops, now I do remember. I wonder if my sleeve will lose restriction because it's not a virgin LOL - not sure what else could happen once it's healed.
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Post by loulou7 on May 16, 2012 19:48:53 GMT -5
I already have a sleeve...Remember I woke up with a " Surprise Sleeve "...I went in for a band removal only surgery and came out with a sleeve. Oops, now I do remember. I wonder if my sleeve will lose restriction because it's not a virgin LOL - not sure what else could happen once it's healed. Maybe you should have a crapband put on top of your sleeve just so you'll get extra restriction..... ;D
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Post by grdngrl on May 17, 2012 6:49:28 GMT -5
That's a fresh idea and with such a good track record!!! You should patent that idea - call it BOS or Boss as a knickname!!! Yuck yuck yuck snort!!!!
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Post by xxmisty20xx on May 17, 2012 12:57:51 GMT -5
Lmfao! Y'all made me laugh out loud waiting for my daughters concert to start!
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Post by Buckeye Girl on Jun 9, 2012 8:57:06 GMT -5
I'm so glad I logged back in here just because I got to read this. ;D
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Post by mizdel on Jun 26, 2012 10:37:59 GMT -5
I honestly believe that the band screws up all revision surgeries to some extent. I think I would have lost more weight with the sleeve if I was not a revision to the sleeve.
One advantage I had from my revision was that I could progress to solid food faster because my esophagus had been conditioned to restriction. This might be why I didn't lose as much weight as I wanted though.
However, life is 10,000 times better with the sleeve than the band, so any issues are minor in comparison with a noose around your guts.
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