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Hi ,

I am so glad that you are doing better. I am glad that Dr. was

able to get your band fixed. You have done so remarkably well. I am glad

that I got the chance to meet you at the Splash and Bash. You are such an

inspiration to me.

Take Care,

Becca

9/16/02

496/389/???

-107

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  • 1 year later...

There can be no symptoms at all for awhile, if the slip is minor.

This is why regular doc visits and fluoros are important, as well as

having good band habits so you PREVENT slips. Prevention is the key.

More severe slips can cause pain, change of restriction, reflux,

vomitting, bleeding.

Why are you worried about a slip? What is going on? Sandy R

>

> Can anyone tell me what it is like to have your band slip? How do

you

> know and how does it feel?

>

> thanks

>

> christie

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  • 1 year later...
Guest guest

Yup. mine slipped and the doctor repositioned it. So far so good..I was 21/2

years out when it happened and it's been since Oct. since the repositioning.Good

luck...more expense.

Sue

tkdnmsh <tkdnmsh@...> wrote:

I posted a while ago about my issues with Dr. Singh. Since then, I

have been in contact with him and had an upper GI series done. I

met with him yesterday thinking I needed additional fill and he told

me the upper GI shows that my band has slipped and the pouch is

dilated. He says that about 10% of the stomach is above the band

when it is properly positioned and that mine is now about 20% above

the band. I remember seeing posts about this before and I thought

others have had their fill entirely removed to allow the stomach to

re-position over time. Dr. Singh is telling me that the only thing

keeping my stomach from slipping further through the band is the

fill and that if he takes it out, it will slide further. He says

the peristalsis of the stomach doesn't allow the band and stomach to

naturally re-position. He says the only option is another surgery

to either re-position the band I have or put another in, depending

on what he finds when he gets in there. Does anyone have experience

with this? Opinions?

Thanks-

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Guest guest

> I posted a while ago about my issues with Dr. Singh. Since

then, I

> have been in contact with him and had an upper GI series done. I

> met with him yesterday thinking I needed additional fill and he

told

> me the upper GI shows that my band has slipped and the pouch is

> dilated. He says that about 10% of the stomach is above the band

> when it is properly positioned and that mine is now about 20%

above

> the band. I remember seeing posts about this before and I thought

> others have had their fill entirely removed to allow the stomach

to

> re-position over time. Dr. Singh is telling me that the only thing

> keeping my stomach from slipping further through the band is the

> fill and that if he takes it out, it will slide further. He says

> the peristalsis of the stomach doesn't allow the band and stomach

to

> naturally re-position. He says the only option is another surgery

> to either re-position the band I have or put another in, depending

> on what he finds when he gets in there. Does anyone have

experience

> with this? Opinions?

>

> Thanks-

>

>

>

>

>

>

>

>

>

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Guest guest

, Most slips can be fixed by removing the fill nd allowing the

stomach to return back through the band into it's correct position.

this is very commonly done. A few are serious enough to require

surgical re-positioning. a VERY few are bad enough to require band

removal, stomach healing, and then the band may be able to be

replaced later.

Peristalsis is an internal action of the gut that has nothing at all

to do with the external band or stomach position. I can't imagine

what he meant, frankly. Small slips are fixed by fill removal very

routinely.

Any time we question what our docs tell us, and it involves something

serious like this, it's a good idea to get a second opinion by a

highly-experienced band surgeon.

Sandy R.

www.BandsterME.com

>

> I posted a while ago about my issues with Dr. Singh. Since then, I

> have been in contact with him and had an upper GI series done. I

> met with him yesterday thinking I needed additional fill and he

told

> me the upper GI shows that my band has slipped and the pouch is

> dilated. He says that about 10% of the stomach is above the band

> when it is properly positioned and that mine is now about 20% above

> the band. I remember seeing posts about this before and I thought

> others have had their fill entirely removed to allow the stomach to

> re-position over time. Dr. Singh is telling me that the only thing

> keeping my stomach from slipping further through the band is the

> fill and that if he takes it out, it will slide further. He says

> the peristalsis of the stomach doesn't allow the band and stomach

to

> naturally re-position. He says the only option is another surgery

> to either re-position the band I have or put another in, depending

> on what he finds when he gets in there. Does anyone have

experience

> with this? Opinions?

>

> Thanks-

>

>

>

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Guest guest

Small slips can be without symptoms until they progress to big slips.

This is one reason regular fluoros are so important. They assess the

band position, and pouch and esophagus status. Giving blind fills is

unwise. If someone can eat too much, and seem to be eating more and

more, some might run off for another fill. but the problem could also

be that the pouch or esophagus has dilated from a too-TIGHT fill,

which would require an UNfill. There is no way to tell the difference

without an assessment fluoro.

Fluoros also assess the effectiveness of the fill, after it is

given , and small tweaks can be done right then.

All the MX, European, and AU docs (all more experienced at banding

than the US docs) use a fluoro with every, or nearly every, fill.

IMO, US docs need to learn a lesson here. Perhaps one is not needed

with every single fill, but maybe only every other fill - or several

times a year when in the active fill-and-wt-loss phases. waiting

until stmptoms appear is a little late to prevent problems, imo. It's

often too late for small fixes by then, and major fixes are required.

Dr Kuri and the other MX docs routinely find small slips, enlarged

pouches, etc on these routine fluoros, while they still can be easily

repaired with only minor adjustments.

Big slips often have symptoms. Any major change in restriction not

associated with a recent fill is suspicious, and should be

investigated. With big slips, one usually suddenly cannot keep

anything down, sometimes even fluids. This does not mean when you

have eaten a piece of steak you forgot to chew and have trouble. it

means when you know you are still following the rules well, but

suddenly have a big change.

Slips often occur after repeated barfing or pb's, which always place

great stress on the band, even if the PB seems " small. " This is why

it is so impt. to avoid barfing, and learn to eat correctly and

safely. Later slips are also more prevalent in those who have eaten

solids too soon, before the band and scar tissues have healed in

place. The digestive processes for solid foods interfere with secure

healing, even if it is not apparent then. Early fills, before 6

weeks, also are relkated to increased slips later on.

Sandy R

> > I posted a while ago about my issues with Dr. Singh. Since

> then, I

> > have been in contact with him and had an upper GI series done. I

> > met with him yesterday thinking I needed additional fill and he

> told

> > me the upper GI shows that my band has slipped and the pouch is

> > dilated. He says that about 10% of the stomach is above the band

> > when it is properly positioned and that mine is now about 20%

> above

> > the band. I remember seeing posts about this before and I

thought

> > others have had their fill entirely removed to allow the stomach

> to

> > re-position over time. Dr. Singh is telling me that the only

thing

> > keeping my stomach from slipping further through the band is the

> > fill and that if he takes it out, it will slide further. He says

> > the peristalsis of the stomach doesn't allow the band and stomach

> to

> > naturally re-position. He says the only option is another

surgery

> > to either re-position the band I have or put another in,

depending

> > on what he finds when he gets in there. Does anyone have

> experience

> > with this? Opinions?

> >

> > Thanks-

> >

> >

> >

> >

> >

> >

> >

> >

> >

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  • 3 years later...

I would like to talk to those out there that had problems with the band and had

a revision. My band is going to have to be removed. I am seriously considering

a revision to a sleeve. What do you think? Please email me.

Debbie

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