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Hello.Thanks for your time, and the question.Well, actually in order for us to know if you qualify for a gastric bypass we must know how much your BMI is you can calculate this at the website I put below with yout weight and height.I would recommend you yo visit a ceritified bariatric surgeon to discuss the best option for you.Good luck in this journey I hope you loss the want weight, blessings .!Dr. Pablo Garcia
I feel for the patient asking this question because they've already undergone a major surgery in having an abdominal reconstruction or a large hernia repair with mesh and over time they've seen significant weight gain that has led them to consider bariatric surgery. Now in terms of doing bariatric surgery or replacing a lap band after a mesh has been inserted in the abdominal wall, it can be done. The only consideration has to be whether intestinal adhesions will develop under the abdominal wall up against that mesh. If that's the case those intestinal adhesions will have to be surgically cut down off the mesh and lowered so that you can then see the stomach, introduce the band and wrap it around the stomach. It just adds risk, it takes a fair amount of time and a gentle hand to separate the adhesions between the intestines and the mesh and avoid cutting those intestines and accidentally spilling bacteria into the abdominal cavity. If you spill bacteria into the abdominal cavity, you can't really put the band in because of the risk of infection and seeding that band with bacteria. So, there's a chance if you do have surgery to have a Lap-Band in placed and there are significant amount of intestinal adhesions to a previously placed mesh, that at some point should those intestines accidentally be injured and there's spillage, that the case will have to be aborted and an attempt at placing a Lap-Band will have to be revisited at a later date.
The band can be successful, but once band patients start having trouble it can be very difficult to get back on track. the most effective thing to do is convert to another operation (sleeve, bypass or DS) depending on other factors
I agree that you should only have and endoscopy by your bariatric surgeon. Most gastroenterologists do not know how a band should look during endoscopy. We do not deflate bands during endoscopy. A bariatric surgeon experienced in Lap-Band and enodscopy is the most qualified person to pe...
When Lap Band adjustments aren't covered by insurance the costs can range depending on the practice you visit. The costs typically vary between $250 and $750. I've sees a little higher depending on the surgeon, but in general Lap-Band adjustments are covered by insurance and you really need to...
