Gastro Bypass/Lap Band

By qmissy2000 Latest Reply 2010-07-23 08:25:25 -0500
Started 2010-07-13 02:01:07 -0500

Hi everyone. I was wondering if anyone had any opinions as far as the gastro bypass or lap band surgery goes. Does it help with diabetes? Is it a good idea? I know very little about it. I asked my doctor and she never reall gave me a straight answer. I didnt wanna push the issue but is there a website I could go to, to read up on it?

Tags: weight loss

13 replies

healthygir1 2010-07-22 19:16:03 -0500 Report

I used to work at a Bariatric Surgery Clinic so I know all about it. After reading horror stories below, I'm shocked and sad that people have had such horrific experiences, because I never saw in of that in my multiple years around surgical patients. taja7878, Roux-en-Y Gastric Bypass DOES cure Diabetes Type II in around 78% of people. Unfortunately, you were probably in the 22% where it simply just manages it.

All types of weight loss surgery have similar statistics for curing Type II Diabetes, although bypass is the most effective since it causes the greatest initial weight loss.

If you go to a center where a surgeon has done >1000 surgeries, the surgery is remarkably safe. Most complications arise from an inexperienced bariatric surgeon, especially ones whose specialty is not bariatric surgery.

Bypass is the most extreme surgery and puts you most at risk for complications and vitamin deficiencies — your stomach is turned into the size of a grape! However, it is the most effective surgery.

Gastric band and sleeve are less extreme, but have less weightless and comorbidities resolution.

Overall, I would highly recommend bariatric surgery, it has been shown in numerous studies to remarkably improve and cure diabetes. (just do a PubMed search)
I would visit a specialized bariatric surgeon to see your options and what surgery would benefit you best.

GabbyPA 2010-07-23 08:25:25 -0500 Report

I have to dispute the word "cure". What the surgery does is control the diabetes. If the surgery is reversed or if the patient goes back to the previous lifestyle, the symptoms of the disease will return. There is a huge difference between having control and a cure. This is a method that for many, controls their disease.
A cure would mean that the insulin resistance would stop. That does not happen.

taja7878 2010-07-14 10:13:07 -0500 Report

qmissy2000 I had a Roux N Y gastric bypass 14 months ago. I went from 300 lbs to 179 lbs. My doctor at the time told me that the gastric bypass would be a cure for my diabetes. I am a skeptic in reality on most things so I told him I believed that if I am a diabetic now I will always be. He argued saying I would be CURED. Not so. After 121 lbs weight loss and going from a BMI of 45 down to 25, I am STILL a diabetic. I just ate (1) 3x3 waffle for breakfast and my sugars shot up to 205. I have also experienced Dumping Syndrome. Any of you who have had these symptoms know how bad you feel. I was passing out at work. Diabetes causes this. Gastric bypass or lap band is not a CURE for diabetes. It helps control your diabetes. I am no longer on three different kinds of diabetic meds. My brother also had the same surgery as I did. No complications. He was on three different insulin, two diabetic pills and a hemoglobin HA1c of 10. After the surgery all the meds were no longer needed and he is off the insulin. He feels great but if he eats something he is not supposed to his sugars rise and gets all the symptoms of hyperglycemia. It's all in what you eat and how you diet. I don't regret my surgery despite many many complications. I am now at a healthier weight and feel amazing but, I still and will forever have to watch my blood sugars and measure my foods and beverages.

Diane987 2010-07-13 22:44:00 -0500 Report

I have had three friends that had gastric bypass surgery done. One had complications and died on the operating table. Second one had a successful surgery and lost about 200 lbs. but developed ulcers on the little bit of stomach she had left, so they took that part out. Now her small intestine is directly attached to her esophagus. The third one had a successful surgery and lost a about 260 lbs but I wonder about her long term success. We went shopping the other day and I chose to park three parking spaces away from an open spot because it was a little larger and my car was less likely to get scratched. She says, "What? Do you like to walk?" It was only three spaces. Her surgery might have been successful but she is still thinking like someone who is very fat and does not like to move.

Personally, those surgeries scare the hell out of me. My doctor and I have one standing argument of me needing to lose weight and the medication she has me on making it too difficult to keep weight off. When she started to ask if I would ever consider getting a weight loss surgery I told her I would rather be a fat, over-medicated diabetic than go through that surgery. We found a way to compromise on the medications and now I am losing weight and keeping my blood sugar under control.

GabbyPA 2010-07-14 07:24:25 -0500 Report

Wow, I only know one person who has had it done and yes, it did produce great results for her. However, it has also made her very sick and there was an issue with her surgical site a couple of years ago that nearly took her life through starvation. So it is a VERY serious surgery. For some it is worth the risk. It is not a cure all and once you mess with the body that way, things can never be the same.

Diane987 2010-07-14 09:06:00 -0500 Report

What bothers me about those type of surgeries is that the advertisements for them don't mention how many people have such scary complications. At least with the band you can have it removed but I still would not have it done to me.

RAYT721 2010-07-13 17:10:45 -0500 Report

Many of you may know that my wife has had the gastric surgery in Nov 09 after seriously considering the lapband. First of all there are a number of online support groups that I can hook you up with if you are truly interested, just let me know. My wife is quite active on them. There are also many in-person support groups that you should consider attending but just like diabetes, it's your body and your willingness towards success that will determine your results from it. It is a tool. There is a great deal of debate on whether weight loss surgery (WLS) actually works on the disease of diabetes or if the gastric diet (lower carbs, very small portions, etc) is what is showing the results. On the support groups I have been exposed to some people are no longer diabetic while others are not only still diabetic but have lost weight only to put it back on. Again the key word here is TOOL, not cure. Prior a surgery you will undergo nutritional counseling. Most insurance companies (unless you are paying out of pocket) will require a slight weight loss prior to the surgery. Your BMI must be a certain level (although being diabetic the BMI level is less than non-diabetic). There are side effects that you should also be aware of. The surgery should be for the morbidly obese who have attempted as many self-help processes as possible because WLS should be the absolute last consideration to dropping weight and should not be approached for eliminating diabetes. To promise such a thing would be, in my opinion, giving false hope. My wife is very glad she did it (to my dismay at first) but is a happier person who just reached the under 200 pound scale reading where it was over the 300 mark. We're now finding the women at Fashion Bug know us by name as she'd needed a whole new wardrobe to replace the Walgreens 3/$10 sweat outfits she's used for the slim-down. Your doctor may not have the answers. Try searching for a specialist in your area and go for a (usually free) consultation with as many questions as you have. There is alot to consider before this kind of drastic surgery… your mind, body and soul.

SkipT 2010-07-13 16:39:51 -0500 Report

My sister-in-law had it done at the same time I was diagnosed as Type 2 four years ago. She is also type 2. I went diet and exercise and she went lap band.
She had major complications and had to have an additional surgery. Total cost was 25,000 dollars not covered by insurance. I lost 87 lbs in one year and have kept 67 of it off, and I got myself off of both of my meds(metformin and actos which will two years med free this coming Saturday. No cost. She lost a total of 60 lbs and still has issues. I would never have surgery to correct something that truly can be handled with willpower and self determination.

GabbyPA 2010-07-13 08:41:04 -0500 Report

Hi Qmissy,

There are mixed reviews, but over all it seems to really help. Here are some other discussions on it that might give you some insight from people who have it, considered it, or chose not to.

Here are some news articles on it as well.

It is a lot to read, but it is a decision that needs to be considered very carefully from all angles.

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