Hmm... I need to find out myself. I don't know what is the answer to that question. I'll do some poking around and get back to you if I got an answer. You should email the people at Medifast as they probably can help you..
Decided bypass over.
Due to fact that the bypass in not reversible. my friend had the.
And got pregnant her unborn child somehow pulled it off.lolso she had to get it redone ...
My surgeon recommended GBS rather than lapband for me because I had too much scar tissue from other surgeries and he said that with GBS I would lose more weight. I also like the fact that with GBS I can't cheat as easily due to dumping syndrome...
In short, my diabetes was major deciding factor. The Roux-en-Y procedure (RNYGB) typcally has much more immediate and dramatic affect on diabetes. That held true for me specifically as well..
I was completely off insulin within 1 week. And off all oral diabetic meds at 3 months..
My diabetes is in remission. It is not 'cured'. Some foods (e.g. potatoes, white flour, pasta) still spike my blood sugar and if I return to eating them, there is no doubt that my diabetes will quickly return...
I had heard of too many people who had the band without a significant success who went later for the GBS. I didn't want to have to go through the.
Good luck with your decision...
I never considered the band, for many of the reasons below. I'm in your boat though. I'm torn between a vertical sleeve and GBS. It's a tough decsion because we're "re-wiring" our insides. I was in a doctor's office once when this lady was complaining about her band and it being too full, then it was not full enough and she ate too much, and on and on. It's already going to be a lot of work, I just can't imagine having a port and having to do so much maintenance on top of the lifestyle changes to Medifast diet and excercise...
I too didn't want to have to do the follow-up visits and I learned that lot of people have problems with the.
In fact, there's a 43% rate of failure. Please read this article..
Members of DS over the years have asked about the various weight loss.
Surgeries. Specifically, the Lap-Band seems to be what most people hear.
About. Here are the basics and several discussions over the years on the.
Gastric Bypass Community cover this in more detail..
So, youve decided to pursue weight loss.
Patients with a Body Mass Index (BMI) of 40 or above who have failed diet.
(with or without drug therapy) or for patients with BMI greater.
Than 35 and obesity-related co-morbidities (hypertension, impaired glucose.
Tolerance, diabetes mellitus, dyslipidemia,.
Is an accepted option and covered by most insurance plans..
What is the Lap-Band I hear so much about?.
Laparoscopic gastric banding or lap banding, is a procedure that.
Compartmentalizes the upper stomach by placing a silicone band around the.
Entrance to the stomach. This procedure is done laparoscopically, which.
Means that small incisions are made and a tiny camera is inserted (so this.
Is done without cutting open the abdomen). The band is connected to a narrow.
Tube that extends to an access port just beneath the skin and a healthcare.
Provider can narrow or widen the entrance to the stomach by injection or.
Removal of saline through the port. The passage of Medifast food from the upper pouch.
To the rest of the stomach is delayed so the patient feels full after eating.
Why is the Lap-Band so popular?.
The Lap-Band is a popular choice of weight-loss.
Because it is.
Relatively simple to perform and can be adjusted or removed..
Does the Lap-Band work as well as the Roux-en-Y Gastric Bypass Procedure?.
No, and some disappointing results seen after 10 years were reported at the.
Annual meeting of the American Society for Metabolic and Bariatric.
October 20, 2008.
Here are some details:.
1) Failure with laparoscopic adjustable gastric banding occurred in nearly.
HALF OF ALL patients who received the procedure during 10 years of.
Follow-up, according to a review of a consecutive series of patients at one.
2) One study reported that 374 (44%) of 841 patients who underwent the.
Procedure during 1995-2005 failed the treatment..
3) THESE FAILURES INCLUDED 124 patients who lost less than 25% of their.
Excess weight and 250 patients who had their band removed (134 with removal.
Alone, 115 with conversion to gastric bypass, 1 with conversion to sleeve.
4) Follow-up data were available for about 90% of the patients at 8 and 10.
Among patients who had a band in place, the mean.
Percentage of excess weight loss reached a PLATEAU at 2 years at 44% with a.
Mean BMI of 37 kg/m2. At the end of 10 years of follow-up, 577 patients who.
Still had a gastric band in place had lost a mean of ONLY 22% of their.
What is the ideal Gastric Bypass Procedure? This can be determined when a.
Good Bariatric Surgeon evaluates you but the Roux-en-Y Gastric Bypass (RYGB).
Can be safely performed laparoscopically in well-trained hands, and in my.
Experience this procedure produces the best results. Laparoscopic RYGB.
Provides several advantages such as lower incidence of incisional hernia,.
Wound infection, faster recovery, and a shorter hospital stay. Although the.
Procedure can be limited by patient size, instrument and trocar length, even.
The extremely large patients have been successfully operated.
My choice was this simple........with the.
You can cheat, drink soda, eat you want.......no dumping.........I'd be eating and drinking everything..
I needed the fear of dumping, cause I hate to get sick, to keep me honest with this...
If you are a sweets eater right now, RNY is a good option because of the risk of dumping. HOWEVER, do not count on it. You will need to change your eating habits as well (no matter what). I'm only 11 months out and I don't dump very easily..
I don't know about the study cited by an earlier reply, but I'd be willing to bet the bulk of the failure is not a problem with.
, but with the people not following their program..
Will give you about the same results when you are at about 2 years out ***IF*** you follow your doctors program..
The main factors to consider are.
1) co-morbidities (like the diabetes already mentioned). RNY will give you faster results, likely decreasing and/or eliminating your co-morbidities quicker..
2) maintenance: Like was mentioned, bandsters need to go in for fills. But on the plus side... if something happens, say a pregnancy, you're going out of the country (where bariatric care may not be available), you can get your fill taken out and basically be "normal" for awhile. But typically the majority of your fills are going to happen in the first 2 years, and even RNY types need regular check-ins with their surgeon/nurse during that period. It's about 50-50 for bandsters know that have gone back for any sort of fill after 2 years or so. All WLS types should be going in for check-ups annually though..
3) mechanical vs physical: Bandsters have a "foreign" object put in them, They will last a long time, but nobody knows just how long at this point. If you're under 40, there's a fair chance it will need replacing at some point in your life time. And there is always a risk of "mechanical" failure... the band can slip, it can leak, etc. Bypass, you're re-wiring your insides, and you will become mal-absorbtive. Both RNY and Banders need to take supplements, but RNY types especially so, and usually additional supplements.
Bypass *is* reversible by the way... but it's very complicated, and not 100%. the unused portion of the stomach is still there, so things could be un-done to a fair extent. VSG however removes a section of the stomach.. so that's pretty much non-reversible at this point..
There are other factors, like the scarring someone mentioned, that may sway your surgeon towards one procedure or the other, but they (and/or their nurses) are the ones you should sit down with and get the answers to your questions from. They can look at your complete medical picture and make a recommendation for you based on that and what you expect to get out of the.
But ultimately, it is YOUR decision...
Hard questiona and only you can decide after.
The facts and replies..
I had bypass for medical reasons and am so glad I did. No regrets here I am living in dreamland and wake up every morning a much much happier and healthier man..
Why risk two operations when the one will do..... I am a little biased....
9 tablets and 2 injections a day per-surgery to one multi vitamin the day after.
Is enough to have me sitting on cloud nine.... Any weight loss is a bonus..
The way I look at it it's a winw win situation..
Not sure that helps but I put a great big double thumbs up for the bypass....
Andy aka Buzz xxx..