Rapid Refill of Lap Band After Draining

Question Below Submitted By:  

Tina H. (a patient from Daytona Beach, Florida)

I had lap band surgery five years ago and lost almost 100 pounds. I had been seeing different Doctors for a depression issue and unfortunately they just kept prescribing medication that ultimately caused me some very uncomfortable stomach issues.

I went to the hospital in a different state from where I had had the surgery and this Dr chose to remove all the fluid from my band 7cc.

Three months later I went back into his office at which he filled my band back up with the 7cc all at once and sent me home. The next day I returned to him as I was unable to hold anything in my stomach and lost 6 pounds within a 24hr period. He then removed 5cc leaving only 2cc in the band.

Since then I have put back on about 30 lbs and am unable to hold anything in unless it is mashed potatoes or cottage cheese.

My question is did he do something wrong by filling my band back up with the 7cc all at once? With only 2cc in there you would think that I would be able to eat just about anything. I have had a endoscopy done which shows a stricture at the band site.

Please if you could shed any light to this circumstance it would be greatly appreciated. Pending is a referral to a new Surgeon to see what will be his suggestion, but greatly concerned with why this happened.

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Expert Responses to the Question Above

Surgeon response to "Rapid Refill of Lap Band After Draining"

by: Dr. Gilberto Ungson

Hello Tina,

As a rule, when we have patients that need to get an unfill because of problems with the band, we initially fill it back to less than 50% of what the patient had at the time of the unfill.

This is because there is usually a lot of swelling in the band area, and starting slow is best.

With the band you need to avoid slider foods and mushy food. Your weight loss will improve if you stick to solid food.

This is how the band works best as I am sure you already know. If you cannot hold solid food, you need to get the band totally unfilled once more.

After an unfill, we ask patients to stay on liquids for at least 2 weeks to get the swelling down and to get the band back into place in case it has slipped.

The obstruction you mention might be due to a band slippage.

If you continue to have problems with your band, you might want to consider removing it and converting to another procedure. If you do not wait too long it may still be done in a single step procedure (not have to be done in 2 surgeries).

I hope you feel better and solve your band problems soon.

Dr. Gilberto Ungson

Mexicali Bariatric Center

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

Dr. Gilberto Ungson

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 Problems & Lap Band Complications
- Lap Band Surgery Failure - 2 Types & How to Avoid Them
- Lap Band Removal: Complete Patient Guide
- Lap Band Revision Surgery Options

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[ Last editorial review/modification of this page : 08/22/2018 ]

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