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Unfortunately, this is the one previous surgical procedure that makes it very difficult and potentially unsafe to have a Lap-Band implanted. The Nissen Fundoplication involves wrapping the upper stomach around itself just below the junction with the esophagus. This is the exact area where we need to place the Lap-Band so in order to have the Lap-Band implanted we would need to "undo" the previous surgery. This increases the risk of infection and injury to the stomach and is not advisable.
You can have bariatric surgery after Nissen fundoplication, but the fundoplication would have to be "undone." You should be aware that this significantly complicates the operation. I will also mention here that anyone considering gastric banding should think long and hard before having this type of operation. Most surgeons in Europe have abandoned this operation due to poor weight loss and high incidence of complications as the years go by. It just isn't turning out to be a good operation. Many of us believe that gastric bands will (or should) be taken off the market in the next few years.
Bariatric surgery is not directly related to the presence or absence of the thyroid gland. however hormones produced by this gland directly interfere with the metabolism, so you should always be followed up by your endocrinologist and so have adjusted according to your weight and need dose.
It should not be a problem having the tummy tuck surgery with a lap band port in place. The more information you are able to provide to your plastic surgeon the better. The position of the port often needs to be adjusted during the procedure; sometimes the port is more palpable after the tummy...
If the realize band is fine and not causing problems, you can leave it alone. if it needs to be replaced for any reason, it would need to be replaced with an apollo lap band, or you would need to be converted to an alternate weight loss surgery to maintain weight loss. but in and of...