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Post by journey2thin on Oct 13, 2014 22:40:38 GMT -5
Hi everyone, I posted this on another thread but it will probably get buried so I thought I'd start a new post if that's ok. My soon-to-be DS surgeon told me that since I've had a band for 12 years that he most likely wouldn't perform the sleeve portion on me. He said there are too many risks involved with scar tissue, leak risks, etc. Does anyone have experience with this? Anyone out there who just have the lower portion of the DS and losing weight ok? Thanks.
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Post by newyorkbitch on Oct 13, 2014 22:59:11 GMT -5
Who is the surgeon?
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Post by journey2thin on Oct 14, 2014 20:28:58 GMT -5
Dr. Prachand
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Post by bboop on Oct 14, 2014 21:31:49 GMT -5
What kind of problems are you having with the band? I know Panchard is a DS surgeon, but I'm worried if you can eat a lot right now or what? That will determine if the lower portion of the surgery will work.
Have you seen another surgeon who is willing to look at your stomach before the surgery to see if they can do anything during the actual surgery? I'm talking a scope type procedure.
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Post by journey2thin on Oct 14, 2014 22:01:03 GMT -5
I'm not having any problems with the band. He said he'd remove the band, do the lower portion of the DS and then later on if/when I plateau, do the sleeve IF the stomach looks ok. He did say that once he's in there if my stomach looks Ok that he'd go ahead and do the sleeve.
I'm just curious if any other band to DS patients have encountered this.
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Post by bboop on Oct 15, 2014 8:54:08 GMT -5
If it were me, I say cut once and be done with it. I can't imagine if there's anything wrong with your stomach he would have any problems removing the band, that's why I say cut once! Think it over and let us know.
I do wish you the best, but I'm not sure the malabsorption will be enough. I know it wouldn't for me.
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Post by OnMyWay2Thin on Oct 15, 2014 16:02:22 GMT -5
I know prior to my band to DS, they did an endoscope which fully showed the stomach area and they determined it was fine to proceed. I'm wondering why he isn't checking ahead of time so you fully know what you are having done. I'm still early out, but I would not want another surgery, I would want it all done at once.
Good luck, Kelly
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Post by west4thavenue on Oct 15, 2014 17:49:56 GMT -5
If it were me, I say cut once and be done with it. I can't imagine if there's anything wrong with your stomach he would have any problems removing the band, that's why I say cut once! Think it over and let us know. I do wish you the best, but I'm not sure the malabsorption will be enough. I know it wouldn't for me. I am in total agreement with bboop. The maximum benefit of the DS comes from both the VSG and the malabsorptive components. There are too many surgeons who will do a complete revision from band to DS -- IN A SINGLE PROCEDURE -- for you to consider something less than what is optimal and available.
The band is no substitute for the VSG portion. I would caution you to be very wary of a surgeon who would think of combining the band with the intestinal resectioning. It is simply not the same. If an upper GI showed that you had some damage from the band, that may be a different issue. However, as this appears to not be the case, I would insist on the whole package.
Why put yourself in a position of possibly needing another surgery down the road? Please consider getting a second opinion from a vetted DS revisionist surgeon.
All the best to you!
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Post by journey2thin on Oct 16, 2014 11:44:45 GMT -5
The band is coming out regardless. My surgeon is not suggesting that I leave the band in by any means. He is just concerned that the condition of my stomach after having a band around it for 12 years and if there is major scar tissue, which I appreciate. He doesn't want to and will not give me a sleeve if it's a mess in there and will only know what it's like when he goes in to do the DS. IF it's fine, then he'll do the sleeve portion of the DS. He did not suggest going in beforehand to look around but said with his experience, he knows there will be scar tissue to deal with. My surgeon has weekly meetings of their candidates and I heard back from that meeting yesterday. They do recommend the band to DS revision, with the possibility of it being done in two surgeries depending on the condition of my stomach. Thanks for your replies! I do agree with and am worried about not having the sleeve portion to complete the full DS but only want what's the safest for me in the long run. I'd hate to have half of the surgery and then have to go in a year later to do the other half. I want this to be my LAST WLS...that's why I'm doing the DS!
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