so im just wondering in the long run with having a bypass, whats the kind of long term health hazards that come with it?..... with all the scarring inside are you more inceptable to anything? i dont mean with eating habits or hair loss, just after many years of living with it , and is there even any?! .....there might not be, just thought id get some views on it im a lil couries xx
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whats the long term cons
- Thread starter cherry
- Start date
shelbell
Proudly maintaining
The main ones are risk of malnutrition and vitamin/mineral deficiency. Both easily avoided by following the correct eating and medicine routine. However, if you have complications such as a tight stoma or adhesions around the oesophagus etc, this can restrict eating and if not corrected can lead to the above problems.
Others include chronic malabsorption, which is what I have, which means I have to eat a very high fat high calorie diet to maintain my weight, as I absorb very little of what I eat. This affects 20% of patients.
Some people get reactive hypoglycaemia, where you get blood sugar lows, I had this during my pregnancy, and have to eat sugary things followed by complex carbs when you have an attack.
If you don't eat enough protein you can suffer from muscle loss which can lead to pain problems.
I'm sure there are others, but those are the ones I have come across.
Others include chronic malabsorption, which is what I have, which means I have to eat a very high fat high calorie diet to maintain my weight, as I absorb very little of what I eat. This affects 20% of patients.
Some people get reactive hypoglycaemia, where you get blood sugar lows, I had this during my pregnancy, and have to eat sugary things followed by complex carbs when you have an attack.
If you don't eat enough protein you can suffer from muscle loss which can lead to pain problems.
I'm sure there are others, but those are the ones I have come across.
o dero!!!!!!!!!! 15 years!!! i need something that will last a lifetime! so after 15 will they just change it for you without any questions or would you have to go throught the whole rigarmole again?? jese........ so basically hunni you can eat a high fat diet with out putting weight on!?!......
j.u.s.t.l.i.z.
Runs Srh Support Group
my 1st band lasted 3.5 years average bands last 10-15 years if theres no complications, a band is just like buying a car or a washing machine eventually it will wear out and need replacing unfortunatly, most banders will need 1 switch at some point, i waited 6 weeks for my band to band op at SRH, i dont want a 3rd band as every time they remove a band it leaves severe scars so now i want the permancy of a bypass which i believe is the next best thing for me personallyX
Hi liz hmmm im just gonna see what mr small says on my next appointment with my eating habits and weight etc he might decide the band isnt right hey, ill go with whatever he feels best, the more i read the more i think god its not right, but ill see what he says like i said, its not set in stone hey till third appointment thanks for that 
xx
xx
j.u.s.t.l.i.z.
Runs Srh Support Group
Hi liz hmmm im just gonna see what mr small says on my next appointment with my eating habits and weight etc he might decide the band isnt right hey, ill go with whatever he feels best, the more i read the more i think god its not right, but ill see what he says like i said, its not set in stone hey till third appointment thanks for that
i will be honest with you Kelly at s.land they are prefering to do bypasses over bands as theres lots of banding complications happening with different people, they will advise whats going to best for you and help to guide you with the right decision for you, ultimatley you have the final decision, but listen carefully to there advice regarding what will be best for you as they know there stuff ok hun x
shelbell
Proudly maintaining
Yes, I have to eat a lot of junk food, nibble all day, and drink with meals to get enough calories in to stop shrinking. It's hardly the worst complication.
I hear a lot of people saying they don't like the permanence of the bypass, the fact that its more complex surgery etc, personally I'd have a bypass over a band any day of the week for the simple reason I don't particularly want a bit of plastic tubing tied around my stomach for the rest of my life! Being 30, if I lived to 75 I'd need 3 band ops compared to 1 bypass op, so in the long term the risks of something happening on the op table are worse with that many band ops.
I hear a lot of people saying they don't like the permanence of the bypass, the fact that its more complex surgery etc, personally I'd have a bypass over a band any day of the week for the simple reason I don't particularly want a bit of plastic tubing tied around my stomach for the rest of my life! Being 30, if I lived to 75 I'd need 3 band ops compared to 1 bypass op, so in the long term the risks of something happening on the op table are worse with that many band ops.
tray
New Member
i was so sure i was going to have a band, there was no way i was going to let anyone change my plumbing inside, but after i researched the pros and cons of a band and a bypass, the only way to go was bypass, i know i would of cheated the band. i needed something to stop me over eating, yes ok i know even with a bypass you can eat junk as in crisps and chocolate but the amount you can eat is so so much smaller than before the op, but i have to say its weird how after the op you really dont seem to want to sabotage the bypass , im sure in time i will have the odd bad thing, but it wont be like eating 3 choc bars or 2 packets of crisps one after the other, it is only a tool but a tool that i hope and pray will always help me to make the right choices, but like you kelly, i only ever wanted the band . but im so pleased i had the bypass now, even though it is still early days for me xxx
Tracey, that is great advice... all of the comments have been useful since I had worried about the longer term and in view of my age... since I have had so many health issues, I am asking for the bypass on my first visit and will see what Dr Ammori thinks about the suitability for me... excellent advice and thanks a million! xxx
Possible problems after a bypass
About 10-20 percent of patients undergoing stomach bypass require follow-up operations to correct complications, the most common complaints being abdominal hernias.
More than one-third of patients who have gastric bypass surgery develop gallstones.
Complication rates in the early post-operative period, such as infection, dehiscence, leaks from staple breakdown, stomal stenosis, ulcers and deep thrombo-phlebitis may be as high as ten percent or more. However, the combined risk of the most serious complications (gastrointestinal leak and deep venous thrombosis) is less than one per cent.
Over the long term, the health complications of gastric bypass may include a variety of conditions and problems. According to one 14-year follow-up study of stomach bypass patients, the morbidity rates were as follows: vitamin B12 deficiency (39.9 percent), incisional hernia, (23.9 percent), depression (23.7 percent), staple line failure (15 percent), gastritis ( 13.2 percent), cholecystitis (11.4 percent), anastomotic problems (9.8 percent), dehydration malnutrition (5.8 percent), dilated pouch (3.2 percent).
The health risks of revisional surgery are higher.
How long will the band last?
I think Shell is confusing the time the band has been in use with its expected 'life'. The short answer is no one really knows. The first band was implanted in 1993 and so any stats are limited to the 17 years or so which have elapsed since then. However, silicone has been used in the manufacture of medical devices for many years and there is no evidence to suggest that it carries any long-term risks. Whether the band structure will remain intact in the very long-term (30+ years) remains to be seen, but as yet there is no reason to think that it will not.
About 10-20 percent of patients undergoing stomach bypass require follow-up operations to correct complications, the most common complaints being abdominal hernias.
More than one-third of patients who have gastric bypass surgery develop gallstones.
Complication rates in the early post-operative period, such as infection, dehiscence, leaks from staple breakdown, stomal stenosis, ulcers and deep thrombo-phlebitis may be as high as ten percent or more. However, the combined risk of the most serious complications (gastrointestinal leak and deep venous thrombosis) is less than one per cent.
Over the long term, the health complications of gastric bypass may include a variety of conditions and problems. According to one 14-year follow-up study of stomach bypass patients, the morbidity rates were as follows: vitamin B12 deficiency (39.9 percent), incisional hernia, (23.9 percent), depression (23.7 percent), staple line failure (15 percent), gastritis ( 13.2 percent), cholecystitis (11.4 percent), anastomotic problems (9.8 percent), dehydration malnutrition (5.8 percent), dilated pouch (3.2 percent).
The health risks of revisional surgery are higher.
How long will the band last?
I think Shell is confusing the time the band has been in use with its expected 'life'. The short answer is no one really knows. The first band was implanted in 1993 and so any stats are limited to the 17 years or so which have elapsed since then. However, silicone has been used in the manufacture of medical devices for many years and there is no evidence to suggest that it carries any long-term risks. Whether the band structure will remain intact in the very long-term (30+ years) remains to be seen, but as yet there is no reason to think that it will not.
tray
New Member
when i saw my surgeon and went over my health issues, there was really only one way to go . the bypass would help with my type 2 diabeties, and my b/p, and since i have had the op, i have not needed any insulin only a couple of metformin a day, and i have had no b/p pills either so right there, it has been a good move xxx
lisa x
is very happy!
hi tray..
I too am diabetic and i am on vast amounts of insulin and I am so glad to hear you are off of it...
As a pre op(still waiting for funding) this is very reassuring .....
I know you did the pre op low carb diet but Did they offer you the milk diet with the diabetes?(the L&D that is)
Lisa x
keeley86
Well-Known Member
Hi... i originally wanted the band too as i thaught the bypass was a little extreme and when you read the risks of dying are higher i deffo wanted the band... but then i read up on them btha dn i think i would be able to cheat the band too easily as i love my chocolate sweet stuff and pastries plus i thought about it and id rather have 1 operation and get the results than 3 like liz for instance, surely haveing 1 op and hoping for the best is better than having 3 ops, your going to be s***ing you nickers on the day no matter which op you choose - its the after effects i considered more than anything..... and as soon as i seen the surgeon he said straight away the bypass for me!
j.u.s.t.l.i.z.
Runs Srh Support Group
Hi... i originally wanted the band too as i thaught the bypass was a little extreme and when you read the risks of dying are higher i deffo wanted the band... but then i read up on them btha dn i think i would be able to cheat the band too easily as i love my chocolate sweet stuff and pastries plus i thought about it and id rather have 1 operation and get the results than 3 like liz for instance,
yup banding worked for me my bands were faulty thro no fault of my own, now im high risk with internal scars from band removals and plastic surgery, i was refused sterilization last week as the adhesions (scars) internally as they call them make me a high risk patient, so fingers crossed my conversion wont go Tits up eh
surely haveing 1 op and hoping for the best is better than having 3 ops,
ur right reserach do what the surgeon advises each op carries a risk.
your going to be s***ing you nickers on the day no matter which op you choose - its the after effects i considered more than anything..... and as soon as i seen the surgeon he said straight away the bypass for me!
Keeley IS RIGHT, listen to the professional people ur providor they know whats best for each individual patient if they are truthfull with the the surgeons x
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j.u.s.t.l.i.z.
Runs Srh Support Group
its the reality game x
