I would NOT get the band. I can’t advocate enough for the reasons why not too, but here is a few points to think on:
Banding in theory, is sexy. U put this device in, u lose weight, and you go on with life, full stomach in future, right?
In practice, it acts like putting the patient in a cage of starvation. And, like starving an animal, when you let them off that system, weight gain, happens immediately all over again.
Sleeved patients are not typically hungry after, the area of the stomach that creates Ghrehlin is gone. No hunger. So the control is higher, banded, it’s suppressed, but not by much. Still hungry.
The other reason to not band. Look at the complications. Herniation, slippage, and ports relocating. They can literally sink into kidney and livers. They can, cause you to lose a portion of these vital organs. I’ve seen it in post op patient reports…and the part that bothers me is it’s too often.
Insurance paying for this,should not be the defining reason you have this device implanted. Insurance is in the business of keeping you rotating thru their system…and banded does gaurantee that, & success is great after, but declines rapidly past yr 5. I’ve seen and talked to patients with banding in for 20…so many health problems and the herniation so severe, that bypass in the revision, was the Only Option. They peel the tissue off the band to remove like that of Velcro. Sometimes that process, can use tissue that is needed to be Sleeved. The only option is FULL RNY, not MiniBypass , but full. RNY is a great surgery, but this jumping to bypass, is the end of the road, in weight loss surgery. Besides plication of the bypass, if you mess it up, not much can be done to give back stricture..and it costs the same as a full bypass if you find a surgeon willing to do this.(extended RNY)
Please don’t possibly lose the option to be Sleeved because of what that device could potentially do, to take away your chances to enjoy a life that is honestly very easy to deal with and maintain.
I know I ramble…ask me if u have questions, I’ve been up with babies all night!