Re: Lapband vs. G.I. Bypass

[Guest guest]

Oh My thanks for the wake call I will certainly go for the RNY if it is offered and not the lap band thanks for the info Jazzyjackpoint_94401 wrote: It always makes me pause when people speak of these matters as if they were questions of opiion, not questions of fact. Here are the facts:Weight-loss surgeries acoomplish the goal by two major means: restriction and malabsorption. Restriction means the amount of the stomach and intestines that are involved in digestion are physically limited and restricted. Malabsorption refers to the fact that such restriction changes the absorption of nutrients from what you eat, also resulting in weight loss. There are a number of different procedures. Some are reversible, some are not. Also, some restrict more and

malabsorb more than others.Roux-en-Y gastric bypass surgery, now by far the commenest, whether performed laparascopically or as an open-body (i.e., large surgical wound) procedure, is not reversible. Because RNY therefore makes permanent, irreversible changes, a persistent but shrinking minority of the medical community is philosophically opposed to RNY.Belly-band surgeries, whether vertical or not, are now all done laparascopically, hence the common term "lap-band". Not only are lap-band surgeries reversible, most are at some point, so if you sign up for lap-band, you're signing up for at least two WLS's. Lap-bands are less restrictive (they "compress-off" - rather than RNY's "stapling-off" - less of your stomach) and less malaborptive (because the only malabsorption is exactly proportional to the stomach restriction, unlike RNY, which is much more malabsorptive because of the bypass of the first section

of your small intestine, which is where much nutrient absorption takes place; hence the need for vitamin and mineral supplements to a much greater degree for rNY patients than lap-band patients) than RNY procedures. They are DESIGNED that way - less weight loss, slower weight loss, and more chance for regain. MOST IMPORTANT FACTS!!!!! Despite the apparent appeal of lap-band, there is NO POSSIBLE ROOM FOR DOUBT. Lap-band is less effective and has a higher rate of complications and weight regain than RNY. Surprisingly, this is true even if you restrict the comparison to between lap-bands and open RNY's. Last important fact: if you have suffered from gastrointestinal disorders essentially unrelated to obesity, it may be medically advisable to have a lap-band procedure rather than RNY, and there may be other factors that mitigate for lap-band instead of RNY, so it's not just a matter of medical

philosophy re WLS, your doctor may have a serious medical reason to give you lap-band instead of RNY. If it is not obvious, let me tell you, any medical reason your doctor has is MUCH more important than any philosophical or emotional reason you think you have in opposition.IMO, within five years, over 90% of all WLS will be laparoscopic RNY's, and for damn good reason. I think anyone going to this much trouble would generally be foolish to do anything other than laparoscopic RNY.BTW, I had serious coronary artery disease, congestive heart failure, and, as it turned out, Stage IV squamous cell cancer when I had my lap RNY on 2/2/06. Even with those serious conditions, the superficially much more complex and irreversible RNY was the best choice for me. It almost certainly is for you, too, no matter how many happy stories you hear from lap-band patients. DO NOT minimize the role your own capacity for

self-discipline has played in your need for WLS in the first place. When you consider that next to the weight-regain statistics for lap-band patients, ask yourself if your self-esteem could survive what you go through for a lap-band (just as demanding a pre-op regimen as for RNY), followed by regaining much of the weight lost.Randy >> I was told by my Parkshadeland's KP PCP that the lapband procedure is > not as effective as the GI Bypass...as far as losing the excess weight > and keeping it off long-term. Have any of you heard similar > statements?>

I can do all things through christ who strengthens me

Wanda

[Guest guest]

Hi

Can someone tell where these facts came from? Where might I find

them?

Kathie

> >

> > I was told by my Parkshadeland's KP PCP that the lapband

procedure

> is

> > not as effective as the GI Bypass...as far as losing the excess

> weight

> > and keeping it off long-term. Have any of you heard similar

> > statements?

> >

>

[Guest guest]

Kathie--You can do a "search" on the Internet. You could search on Yahoo or Google for example. A good medical website is www.webmd.com Do not look at the sites that want to sell you something!

> > >> > > I was told by my Parkshadeland's KP PCP that the lapband > procedure > > is > > > not as effective as the GI Bypass...as far as losing the excess > > weight > > > and keeping it off long-term. Have any of you heard similar > > > statements?> > >> >>

[Guest guest]

Yes I have heard similar statements. I also know of 2 pretty close friends who have gained every bit of weight back. That is what I hear most about it.volleyfeen wrote: I was told by my Parkshadeland's KP PCP that the lapband procedure is not as effective as the GI Bypass...as far as losing the excess weight and keeping it off long-term. Have any of you heard similar statements?

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[Guest guest]

Hi

I was wondering do you know how long ago your friends had the

surgery and if was prior to 2001 when the FDA approved the Inamed

Band?

Kathie

I was told by my

Parkshadeland's KP PCP that the lapband procedure is

> not as effective as the GI Bypass...as far as losing the excess

weight

> and keeping it off long-term. Have any of you heard similar

> statements?

>

>

>

>

>

>

>

[Guest guest]

My friends had the lap band surgery done way prior to 2001. I don't recall exactly when but probably 12 or 13 yrs ago.Kathie wrote: Hi I was wondering do you know how long ago your friends had the surgery and if was prior to 2001 when the FDA approved the Inamed Band?Kathie I was told by my Parkshadeland's KP PCP that the lapband procedure is > not as effective as the GI Bypass...as

far as losing the excess weight > and keeping it off long-term. Have any of you heard similar > statements? > > > > > > >