The LapBand®
Short, Simple, Weight Loss Surgery,
New Studies Suggest Higher Failure Rates Long Term and Some Surgeons Abandoning the Procedure Around the World
If the Band Fails, the Band can be Removed and Replaced with a Mini-Gastric
Bypass
To Dr Rutledge:
"Hi...I am in Louisiana. I was looking at some sites on computer and ran
across this one where people are talking about failed lap bands and
having MGB....I had my surgery in May 2005..I lost 65 pounds. I wanted
to lose 10 more but even after having a fill 2 years ago I never lost
anymore. I still cant eat a lot of actual food but I have noticed that I
have started eating a lot of sweets. After I eat my meal I can go back
and eat a bar of candy or cookie of some sort. I know that's not right
to do that but I crave sweets and even before I had my surgery I didn't
crave sweets...I am up 5 pounds then lose it and gain it back. up and
down...Can you tell me why this is happening to me. and if there is
anything I can do...otherwise I have had no problems...I did get a pouch
out of my band after a year but my dr said it wasn't something I
couldn't live with...I am so afraid I will start gaining my weight back
if I don't stop eating sweets...I will look forward to hearing from you
and thank you very much..... "
Delores C
Bad News; Go to the internet; Google "Lap
Band Failure" and read
Over a Quarter of a Million "Hits"
with LapBand Failures! Wait
another Year and the Number will rise by the Hundreds of thousands
“Hi all, I had great success with my band initially and eventually
succeeded in loosing more than 200 lbs and was at goal. The last 30-50
pounds were lost in a very unhealthy way. I puked all the time and
ended up having emergency surgery to have my band removed “
The LAP-BAND is
designed to be an adjustable laparoscopically placed ...
assess the outcome in patients who had failed to
effectively lose weight with this ...
www.journals.elsevierhealth.com/periodicals/ymsy/article/PIIS0039606002000053/abstract
-
I have a Lap Band and I
haven't lost much weight, can I have a bypass now? The success rate
of gastric bypass after a failed LAP-BAND is high.
...
www.centraljerseybariatrics.com/Default/Weight_Loss_Surgery_General/FAQ
I am so glad I accidentally found these lapband message boards last
week. I have been banded for nearly 5 years and thought I was the only
person on earth who failed the lapband!! I intially lost 30kilos, put on
20kilos and have lost another 30kilos over the 5 year period. As I said
on th 10 mistakes re WLS, there is a terrible misconception about
lapbanding being the miracle cure. I don't think people realise they
still have to watch what they eat, exercise and keep away from bad food.
Band Failures...
To
DrR@clos.net
"I have not posted for ages. I am not having much luck with my
band as I am cheating all the time. I am mentally addicted to
food. Pre-band I ate big bowls of pasta and homemade fries etc.
Now I can't eat that so I have developed a chocolate and cheese
habit. It is totally compulsive and out of control and making me
feel like crap. It is like a fat-switch is turned on in my head
and I am at the mercy of my compulsion. I am now 231 lbs.
Pre-band I was 257lbs. That is a poor weight loss for a year
with the band."
To:
DrR@clos.net
Sent: Tuesday, December 2, 2008 5:41:00 PM
Subject: Question about the Mini-Gastric Bypass
I had the lap band for 4 years and I was successful with the
restriction, but then I had a slippage and the band was removed.
I gained weight so rapidly and I jumped into an RNY GB in April
08 that was completely unsuccessful.
Dr. X who performed the surgery in
Mexico is willing to do a revision, but I am concerned. In fact,
I am 10 pounds heavier. My lap band was lap and my RNY was open,
which I was NOT excited about. Are you able to do anything for
me?
Melissa R
Another Failed Band
Dr. R,
I had my lab band put in March 2003, I had a lot of success with
it but that came along with
vomiting. The sad part is I just got use to it and loved
being skinny. However it has now caused several health problems,
enlarged esophagus, sever acid reflux that has gone into my
lungs and effected my vocal cords.
The surgery center
alone is charging $14,000 and no telling what the doctors and
sedation cost will be. Then there is the fear that I will gain
all my weight back. I need help,
they say its a must that I get this band out ASAP.
I would appreciate any help you could provide.
Thank you for your time
Christy
"Hey guys, I didn't chew so well the other night
and I vomited up some chicken. Well since then, not even water
is staying down."
www.lapbandtalk.com/f13/vomiting-cant-stop-help-54473/
"sometimes when I eat I get pain in my chest
and have to make myself vomit to feel better. Does
anyone else do this sometime? It happens like twice a week or
..." www.lapbandtalk.com/f178/vomiting-80417/
"So they wan to undergo some
surgery called Lap Band Surgery. ... I actually consider it a
good day when I haven't vomited at least once. ..."
www.city-data.com/forum/health-wellness/53641-lap-band-surgery-have-you-had-3.html
Hello Dr Rutledge,
I have had the lap band since November 2005 and have had nothing
but problems ever since. I’ve had numerous fills and unfil's,
trips to the emergency room, a port replacement, and am
currently heavier now than I was when I went in for the surgery
in the first place. I would love to have this thing taken out of
me and get the mini gastric done instead. I’m wondering if you
can help me. I am 37 years old, 5’6 and weight 240. I would
greatly appreciate a chance to get this surgery done and get on
with my life as a healthier person.
Thank you,
Alison V.
Please Help,
I was banded a little over a year ago. I recently have started
having really bad reflux and pain in the port area. ... it seems
to be getting worse.
Thanks J
Hi,
I too have a slip that is going to need to be repaired. I've
been banded for over 6 months and have never been able to
tolerate anything.
I am very worried about losing my band or
going through all this only to have it slip again.
In a recent study from France "Food
Intolerance After Adjustable Gastric Banding: A Major Cause of
Long-Term Band Removal" erosion, slippage, and esophageal
dilatation are widely acknowledged as typical long-term
complications of lap banding.
Jérôme Dargent
reported that food intolerance has become a leading cause for
band removal.
They reported that the mean follow-up was
only about 3 1/2 years. The early surgical reoperation rate was 6%. Band
removal 39%, band removal and sleeve gastrectomy in 15%, band removal
and conversion to Roux-en-Y gastric bypass in 7%, band repositioning in
10%, device-related reoperation in 9%, conversion to another bariatric
procedure in 4%, and other procedures in 16%.
They concluded that "a reoperation rate of 15% (1 in 7
patients) was observed in less than 4 years of follow up. "Band removal
was required in 14% of LAGB patients... and that revisional
surgery is common."
"LAP-BAND®ing should No Longer Considered the procedure for
Morbid Obesity"
Rise and Fall of
Lap Gastric Band 1993 - Enthusiasm for the LAP-BAND® in Europe
Simple, Safe, Somewhat effective
10 years Later: Attraction Fading in Europe
Rising Complication Rates
Declining Weight Loss
Surgeons “Voting with Their Feet”
1998 Ratio Band/RNY = 20/1
2004 Ratio Band/RNY = 1/4
Band Patient
Talks About Band Failure and
Conversion to the Mini-Gastric Bypass
Hello,
I had the lap band procedure (3 years ago).
With the lap band I dived into exercise after the surgery and
managed to lose about 100 pounds. However after about 7 or 8
months I started to have pain in band area and reflux at night
and during the day. This pain can happen when I have not eaten,
after eating or in between eating. This led to adjustment after
adjustment.
If I was to compare the MGB procedure with the
lap band I would say the MGB was much easier on me.
My surgery went well. I had quite a bit of
pain in my left side. Dr R said this was because they have to
pull the lap band out of a small hole. Also he said it was a bit
embedded in my stomach. I was given the choice to stay an extra
night (2 nights total) because I was having pain. The nurse
staff seemed kind of understaffed in the hospital but they were
nice. Some of them knew all about the MGB and some were quite
ignorant about it. It was what I would call a typical hospital
experience. I walked the halls a lot the second night until the
next day I was ready to get the heck out of there. On the way
back to the hotel we went to Blockbuster and got some movies and
to a drug store for some supplies. Now when I look back on it I
didn’t drink enough water and eat enough salt in the days
following my surgery. This made me very shaky. It felt like I
had low blood sugar. We went to the Stratosphere about 4 days
after surgery. I broke out in cold sweats and had to sit down a
lot. I called Dr R and he said it sounded like I needed salt. I
got some salt packets and ate them. I did feel better. I had to
start to force my self to eat chips, pretzels , salt and drink
water and Gatorade for the next few days. When I went in for my
last day at the clinic I had lost 24 pounds in 1 week. Dr R said
this was probably at least ½ water weight from lack of salt. The
entire plane ride home I drank and ate chips and pretzels and
salt. By the day after I got home I was feeling much better. I
was back to work the day after that (I have a desk job). By the
next week I was feeling pretty much back to normal. Of course I
had to manage through the adventure of the 3 stage diet. But as
a lap bandster I had experience with this type of thing so it
was not that big of a deal.
Since the surgery the main thing I notice is
how wonderful it is to not have the band anymore. I can eat
whatever I want. I just need to watch the portion on some foods.
High sugar and high fat foods need to be eaten slowly and in
small amounts. Most normal foods, fruits veggies and meats are
fine. If I do eat to many fried foods or high sugar foods I get
what they call “dumping syndrome”. I get very tired and a bit
dizzy. I feel like I need to lay down, get bad gas and need to
go to the bathroom. After some time I have recognized what foods
are bad for me. Sometimes I still eat them and pay the price
though. When I had the band they said, protein first, veggies
second then the rest. Well, I could never do that with the band
because it wouldn’t go down and I would be in pain and have to
throw up (if I was lucky). With the MGB I can really eat meat,
veggies and fruit.
The MGB is not without a few trade offs for
me. I have bad smelling BM, frequent gas and frequent loose
stools. This however has gotten better now that I am almost 10
months out. Currently my weight loss has stopped and I have lost
about 80 pounds since the surgery. I am hopeful that it will
start again at some point though.
I hope this helps.
-V.C.
Another Band Story
To Dr Rutledge:
"I
was banded 11-07. I JUST got my 4th fill this week. It is the
1st time I have felt restriction. I only lost 3 pounds from May
of this year until this Tuesday and I am exercising 5-6 times a
week.
My fill was not a pleasant one either. My port
has flipped down and the surgeon had to do the fill as the
"fellow" could not hit it. I have 6 needle marks from repeated
tries. I was shaking when I left... "
treated by laparoscopic adjustable gastric
banding. with the Lap-Band. ®. , developed
postprandial nausea. and vomiting immediately after her
band was tight ...
www.springerlink.com/index/T8X5K7X515586328.pdf
To DrR: "Right now I have reflux really bad.
I woke up last night choking on the acid. I can taste it ... For
the first time since I have had surgery I am feeling like I may
have made a mistake."
Using the LAP-BAND System
includes the same risks that come with all major surgeries.
....Some patients have more nausea and vomiting
than others. ...
www.muschealth.com/weightlosssurgery/procedures/laprisks.htm
"Sometimes, patients must be readmitted to the
hospital for fluid replacement if excessive vomiting
occurs following LAP-BAND® surgery. ..."
www.drwbarker.com/html/lap-band.html
It is important, especially in the early
weeks, not to stretch the small stomach pouch above the
LAP-BAND® System. Vomiting will do this, ...
www.lapbandcanada.ca/theFirstFewWeeksAfterSurgery.asp
Surgeon Talks About the Risks
"I went to my new info session at a Medical
Center. I know this hospital was one of the first to do bands.
However the surgeon had me nervous because he admitted: some
people just don't lose weight with the band."
Hello A,
I’m with you. I’ve e lost only 14 lbs since being banded on 5
months ago. I will be going for my 3rd fill ... Hope my band
gets to the correct restriction.
S. NY
Another Failed Lap Band Patient
To Dr. Rutledge, I just found your videos on
you tube and I cannot tell you how much hope it gave to me. If
you cannot personally help me could you please advise me... It
has been 3.5 years since I had the lap band surgery. Since that
time I have had no weight loss despite changing my entire
lifestyle. I am now 65 years old
I weigh 250 lbs , I take anti-inflammatory and anti-depressant
meds. I am 5'2". I am in good health except for osteo-arthritis
and fibromyalgia. I have checked into getting a revision to no
avail. In November I start a long overdue class on losing weight
with the lap band. Would you consider taking me on as a revision
surgical patient?
Sincerely, Linda L
"Lap Band Talk Forum":Reflux Poll
... and 4 & 8 years of hunger, failed weight loss, suffering
pain and vomiting with the LapBand. ...
www.youtube.com/watch?v=FBURPv9zS6U
I had the lap band done in 2001 in Mexico . I
returned to Washington State and would have Dr. F. do my fills.
He has since retired. I have been having trouble with my lab
band. The last upper GI shows erosion around my band. I throw up
during the night. They have me on 12 pills a day for my stomach.
I have made many calls to Doctors in Washington about the lab
band and no one will see me because I had it done in Mexico .
The day of surgery I weighted 440. My lowest was 275. I would
say I weigh 315 know. I have had two kids since surgery. I’m a
36 year old female. Not sure what my options are. I would like
to look into taking out band and having MBS.
In summary the band is great because
it is short and simple and easy to place. It often works for a
while but as time passes studies are showing that the band
patients regain their lost weight and the plastic silicone
foreign body begins to develop complications.
I have
failed!!
"I had my surgery on January 2006 and have not lost any weight!"
Like
many of our patients: "I can't eat anything in the morning (I
even have a hard time drinking hot tea) and at lunch it takes me
about an hour and a half to eat a WW dinner."
Band
patients often return to old remedy's when the band fails: "I
have tried joining WW which is not working (that is why I had
this surgery) and things are so depressing... I have had 3 fills
one un-fill and 2 more fills."
It is
a sad story: "I am self paid and will be paying on this
unsuccessful surgery for 3 more years."
"Banded 1/6/2006 Had 3 fills (don't know the specifics)
After a year, only 20 lbs down.
Now on Weight Watchers and losing slowly."
"I got my band
in 2006. First my port got infected and I had to have two
surgeries ... to replace it. But I was still pro band. ... until
that summer. ... I had lost close to 80 pounds... Then I started
having problems with the band being too tight. And for every
fill I had to get an unfill. Then, it happened.
My band slipped. I was in the car with
children, I had to pull over and throw up very, very violently.
... I had horrible reflux and a terrible pain. I had my band
unfilled, waited several weeks... Finally, I had surgery to have
it corrected. I had a horrible experience in the hospital,
Unfortunately, it became pretty obvious that
... I wasn't losing any weight at all, and in fact was gaining
pretty rapidly. I chalked it up to not having a proper fill.
Apparently, that wasn't it. The band had slipped again. We went
through the whole unfill and wait period, and once again, it was
worse instead of better. I was really, really depressed. ... I
found out that he didn't do the bypass laparoscopically anymore,
so with my fear of hospitals, the idea of an extended stay ruled
that one out. My insurance didn't cover the sleeve, and the
almost $50,000 price tag ruled that one out. So, I've gotten
rebanded ..."
Excerpted from an email to Dr Rutledge
Another
Failed Band Patient
Hi everyone,
I was banded in 2002 I have been doing well...
just happy maintaining what weight loss I've had.... I
gained 20lbs...
However, starting the end of several weeks ago
my band just got real tight... I am having difficulties in the
mornings getting any liquids down at all... seems it is less
strictured late afternoons...I am feeling real tired...I know I
am not ingesting enough calories...
L
Excerpted from an email to Dr Rutledge
Failed Band Converted to
Successful MGB
Hi ex-banders,
I too had a Failed lap band. I weighed in for my lap band at
about 320. I weighed in for my mgb at 293.
Dr R did an eight foot bypass and was freaked out about that. I
have lost just over 100 pounds since my mgb (11/26/07).
I was so worried that the weight loss would not slow down and I
would lose too much weight. Well, no need to worry.
I lost just 3 pounds this month.
Great results from the MGB, the band Not so much.
A. from Boise :)
Excerpted from an email
to Dr Rutledge
Another Failed Band Patient
Hi
My name is Iris R. from Texas I had lapband done on 4/28/03 and
then had it removed on 6/05/08 and I'm still having symptoms of
vomiting and always feel nausea I vomit at least 3 times a day I
still cant really eat anything at all most just been drinking
water and Gatorade the doctor who did the lapband said there's
nothing wrong he's done every test he can do to prove so or at
least he claims I'm and pain and I've been to the hospital many
time the last 3 months had gall bladder removed and it seem as
if I've been living in a hospital for those last three month all
to here the something that nothing is wrong with me when I know
that I'm not well nothing ever like this before the lap I really
just want my life back is this something you could fix u email
me
Iris
And Another Failed Band Patient...
Hi There,
I am currently a disappointed lap band
patient. I got banded Feb 2006 with very disappointing results.
I am researching alternate measures and am very interested in
the mini bypass procedure. I am currently 25 years old and 250
pounds. I am hoping that although I have been laparoscopically
banded I can still be a candidate for the mini bypass surgery.
My question is must the band be removed to get the mini bypass?
In addition, have you found it common that this surgery not be
covered by most insurance companies?
Vanessa N
Another Failed
Band
Hi Dr. Rutledge,
I am not a patient of yours, but I had the
LAP-BAND® surgery in Aug of 2006 and since then I have had complications
with port malfunctions. I have had revisions twice and now my port has twisted
again. I have not really lost any weight and I now weigh more then I did before I
had the surgery. I was on the web looking into having Gastric Bypass surgery
in Mexico, which is not ideal, when I saw your video on youtube.
I am aware of the criteria to be a candidate. I am wondering if I am a candidate
since I already have a band in. I am 29 years old with mild HTN I am not on meds
at this time, my wt. is 248 lbs and I am 5'3". I have no other health issues
except joint pain and mild reflux. I am a Registered Nurse so I understand
the risk I just want to know if I am a candidate and if so how I can get
started and the cost.
Thanks, Renee P
"I have had the lapband surgery
for 4 years, at first I lost tons of weight, ... Got down to 165
pounds but wasnt able to eat anything and was looking and
feeling malnourished. So I had some fill taken out. I was able
to eat food again finally, and started to gain a little weight
back, ... this time I can eat, but Im not loosing any weight ...
I have out grown all my skinny clothes and back to size 20/22
and very depressed over it these days. "
Email from another failed
lapband pt: "banded in 2007 and lost 50 lbs until June 2008. ...
Well I didn't lose another pound in 6 months. ... decided to get
another fill. ... still have not lost a thing and now my back
hurts constantly. Like something is stuck, bring terrible pain
anytime weather I am eating or drinking or not doing either one.
Anyone have any insight to the back pain or the no losses."
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Contact Information:-Telephones: *** CLOS West: 702-456-4643; Trish Lanman 702-376-3446, Sandy Brubaker 702-376-3647; Jennifer Brubaker 702-376-9339, Dr. Rutledge 702-215-9550 *** CLOS Florida: Flo Ballengee 863-899-3463 Dr. Cesare Peraglie 407-922-3424
Email
Us Anytime for Help:
Email: Dr. Rutledge DrR@clos.net, *** CLOS West: Trish Lanman Trish@clos.net, Sandy Brubaker SandyB@clos.net Dr. Rutledge DrR@clos.net *** CLOS Florida: Flo Ballengee flo@clos.net, Dr. Peraglie drp@clos.net
Addresses:
Address: *** CLOS West Office: Dr Robert Rutledge / CELOS, 98 E Lake Mead Parkway Suite 302, Henderson NV 89015, Office 702-456-4643, Office fax: 702-456-1173, Contacts: Trish Lanman 702-376-3446 Trish@clos.net, Sandy Brubaker 702-376-3647 SandyB@clos.net, Jennifer Brubaker 702-376-9339 Jen@clos.net, Dr. Rutledge 702-215-9550 Drr@clos.net *** CLOS Florida: 40124 Highway 27, Suite 203, Davenport, FL 33837, Flo Ballengee 863-899-3463, Flo@clos.net, Dr. Peraglie 407-922-3424 drp@clos.net
Warning:
Gastric Bypass Surgery is a MAJOR surgical procedure. It
can be associated with significant
risks and complications, up to and including death.Weight loss surgery is a rapidly developing area of medicine.
Bariatric surgery is filled withcontroversy. It
is very important to take a careful and deliberate approach to considering
surgery for the treatment of obesity.