Lap Band Revision to Gastric Sleeve with Low BMI

Question Below Submitted By:  

Anita (a patient from Coalgate, OK USA)

I had my lap band for 7 years, Starting weight 222 ending weight 129 I’m 5’4″. In July of 2014 I had to have it removed due to slippage and dilated and irritated esophagus.

I was at my goal weight when it was removed but very sick and started experiencing low blood pressure passing out. I couldn’t even hold down water.

Now 3 months later I have gained 40 pounds even after dieting and exercising. Will a doctor consider a revision even if my BMI is still below 30?

What are my options?


Expert Responses to the Question Above

Surgeon response to "Lap Band Revision to Gastric Sleeve with Low Body Mass Index"

by: John Rabkin, M.D., Pacific Laparoscopy


If your body mass index is less than 35, I don't believe that a bariatric surgeon is likely going to offer a revisional bariatric procedure (which carries more risk over and above initial bariatric procedures) to you as you don't meet the current consensus guidelines.

More importantly, from your experience with the failed adjustable gastric band (LapBand), I'd be concerned about residual/permanent esophageal dysmotility issues in your case which should be thoroughly investigated for and evaluated prior to undergoing any revisional bariatric procedure.

At this time, I'd advise that you continue to try to avoid any further weight regain through lifestyle changes (diet and exercise) along with possibly one of the newer FDA approved weight loss medications.

In addition, there are several endoscopically placed weight loss devices currently undergoing evaluation in clinical trials but which will likely be available for general use within the next few years which may be appropriate for your use in the future, avoiding the need for revisional bariatric surgery in your case altogether.

John Rabkin,
M.D. Pacific Laparoscopy

(click here for Dr. Rabkin's full bio & contact info)

DISCLAIMER: This educational advice is based on the depth of your question and the details provided. The above should never replace the advice of your local physicians as they have the ability to evaluate you in person.

Related Pages:
- Lap Band Removal: Complete Patient Guide
- Lap Band Revision Options


Patient Responses to the Question Above

Lapband with plication


Has anyone had any complications with the lap and surgery with the plication? I am always in pain and have gained back 45 lbs. Out of 70 lost. I am depressed very badly. Could I have the gastric sleeve done abd the lap and removed?

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