Losing weight

This is interesting topic Sent from my iPhone 5 using VST

You can send me the details in pvt message I be more than happy to participate . Sent from my iPhone 5 using VST

RESULTS: The risk of leak after sleeve gastrectomy in all comers was 2.4%. This risk was 2.9% in the super-obese [body mass index (BMI) > 50 kg/m(2)] and 2.2% for BMI < 50 kg/m(2). Staple height and use of buttressing material did not affect leak rate. The use of a size 40-Fr or greater bougie was associated with a leak rate of 0.6% compared with those who used smaller sizes whose leak rate was 2.8%. Leaks were found at the proximal third of the stomach in 89% of cases. Most leaks were diagnosed after discharge. Endoscopic management is a viable option for leaks and was documented in 11% of cases as successful. CONCLUSIONS: Sleeve gastrectomy has become an important surgical option for the treatment of the ever growing morbidly obese population. The risk of leak is low at 2.4%. Attention to detail specifically at the esophagogastric junction cannot be stressed enough. Careful patient selection (BMI < 50 kg/m(2)) and adopting the use of a 40-Fr or larger bougie may decrease the risk of leak. Vigilant follow-up during the first 30 days is critical to avoid catastrophe, because most leaks will happen after patient discharge. Sent from my iPhone 5 using VST

I have seen a lot of posts from newbies who are skeptical about this life changing surgery I found something that talks about advantages and disadvantages please share your experience good and bad also how it change your life. I think it will be very helpful for newbies In this procedure, the bariatric (weight loss) surgeon will remove approximately 60 to 80% of the stomach along the greater curvature, leaving only a small tube, or 'sleeve' for the new stomach pouch that extends from the natural stomach opening to the natural stomach outlet (pyloric valve). The procedure helps limit eating by reducing the overall size of the stomach and helps control hunger by removing the part of the stomach that produces the hunger-stimulating hormone Ghrelin. The cut-away part of the stomach is removed from the body and not left in place, therefore the stomach reduction is permanent and the gastric sleeve procedure is not reversible. Overall, it is a less complicated operation than gastric bypass surgery, since the pyloric valve and small intestine are left intact. Also, the gastric sleeve does not involve implanting a medical device into the body in order to restrict eating as with adjustable gastric banding surgery. Advantages of the gastric sleeve The advantages of gastric sleeve surgery for obese patients are manifold. The greatest of these is safety: the likelihood of complications from the less-complicated gastric sleeve procedure is lower than that of gastric bypass surgery, which is more complex surgical operation. The second big advantage of the gastric sleeve is its convenience: the patient doesn't have to schedule frequent follow-up office visits, as is the case with patients who undergo Lap-Band surgery and need to see their doctor several times in the first year to have the band adjusted. Current data also indicates that the gastric sleeve results in quicker weight loss than gastric banding. In addition, the gastric sleeve procedure doesn't require as much active follow-up participation on the part of patients. Patients can get back to normal life that much faster. Gastric sleeve patients experience fewer restrictions on the types of food that they can eat. The possibility of overeating is itself greatly lessened as well, since the part of the stomach which produces hormones responsible for stimulating hunger is removed from the digestive system during a gastric sleeve operation. This is seen by many patients as being one of the great advantages of the gastric sleeve. Although the procedure reduces the size of the stomach and the amount of food that can be eaten, the stomach otherwise functions normally. And, since the pylorus (the 'valve' that allows only measured amounts of food to pass from the stomach into the bowel) is retained during gastric sleeve surgery. Of course, no form of surgery is foolproof, and the gastric sleeve procedure is no exception. As with all forms of bariatric surgery, the patient must want success and work for success in order for the operation to succeed as a treatment for curing Type 2 diabetes. Gastric sleeve surgery can be the best option for many obese people with Type 2 diabetes, but only as a part of a total lifestyle change. A common-sense program of diet and exercise, along with daily Vitamin supplements and routine check-ups, are vital if the surgery is to succeed. If you're considering bariatric surgery to cure Type 2 diabetes or obesity, this surgery is for you. LAPAROSCOPIC SURGERY Laparoscopic surgery, also referred to as minimally invasive surgery, describes the performance of surgical procedures with the assistance of a video camera and several thin instruments. During the surgical procedure, small incisions of up to half an inch are made and plastic tubes called ports are placed through these incisions. The camera and the instruments are then introduced through the ports which allow access to the inside of the patient. The camera transmits an image of the organs inside the abdomen onto a television monitor. The surgeon is not able to see directly into the patient without the traditional large incision. The video camera becomes a surgeon's eyes in laparoscopy surgery, since the surgeon uses the image from the video camera positioned inside the patient's body to perform the procedure. The benefits of minimally invasive or laparoscopic procedures are: less post-operative discomfort since the incisions are much smaller quicker recovery times shorter hospital stays earlier return to full activities much smaller scars there may be less internal scarring when the procedures are performed in a minimally invasive fashion compared to standard open surgery GASTRIC SLEEVE AT A GLANCE Approach: Restrictive Limits amount of food that can be eaten Reduces hunger sensations Anatomy Changes: Stomach Reduces stomach size by removing 60% to 80% of the stomach along the greater curvature, leaving only a narrow tube or 'sleeve' Surgery Method: Laparoscopic Operating Time: One hour Hospital Stay: Usually 1 day Adjustable: No Reversible: No Medical Implant: No Success Rate: 90% succesful in curing Type 2 diabetes Surgery Benefits and Advantages: Does not require a medical device implant into body Pyloric valve and small intestine are kept intact Reduces hunger (the portion of stomach that produces Ghrelin, the hunger stimulating hormone, is removed) Few food intolerances Low malnutrition risk May be converted to gastric bypass or duodenal switch for additional weight loss Revision option for patients who have had previous gastric band surgery Time Off Work: One week Recovery Time: One week Dietary Guidelines: 600 to 800 calories per day during weight loss period (1-2 years, if weight loss is also a goal) 1,000-1,200 calories per day, once goal weight is achieved eat protein-rich foods avoid high fat and high calorie foods avoid carbonated drinks and coffee Eating Habits: eat five small meals a day avoid snacking do not eat and drink at same time chew food thoroughly Nutritional Supplements (optional): Multivitamins Calcium Vitamin B12 Weight Loss (obese patients): Quick rate of weight loss Short term results primarily favorable, especially in low BMI patients Expected weight loss 60% to 70% of excess weight at two years in morbidly obese patients Low malnutrition risk Disadvantages: General surgical risks Not reversible Requires patient effort (changing diet and eating habits) for initial recovery and weight loss Sent from my iPhone 5 using VST

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Welcome to the other side Sent from my iPhone 5 using VST

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I am 2 weeks post op I do feel hungry sometimes but I get full eating 4 spoons Sent from my iPhone 5 using VST

Congrats Sent from my iPhone 5 using VST

Something interesting I wanna share with you Weight Loss Stall or Plateau A weight loss stall or plateau is an extended period of time during reducing efforts where is there is no weight loss according to the scale and no loss of inches according to the tape measure. This is why it is so important to take your body measurements before surgery, so you'll have a reference as your weight loss progresses post-op. We suggest you take measurements of your chest, waist and hip, neck, upper arm, thigh and calf. Be aware it is very common for your weight loss to "stall" shortly after surgery. The reason for this below. The Inevitable Stall A "stall" a few weeks out is inevitable, and here's why. Our bodies use glycogen for short term energy storage. Glycogen is not very soluble, but it is stored in our muscles for quick energy -- one pound of glycogen requires 4 lbs of Water to keep it soluble, and the average glycogen storage capacity is about 2 lbs. So, when you are not getting in enough food, your body turns first to stored glycogen, which is easy to break down for energy. And when you use up 2 lbs of glycogen, you also lose 8 lbs of water that was used to store it -- voila -- the "easy" 10 lbs that most people lose in the first week of a diet. As you stay in caloric deficit, however, your body starts to realize that this is not a short term problem. You start mobilizing fat from your adipose tissue and burning fat for energy. But your body also realizes that fat can't be used for short bursts of energy -- like, to outrun a saber tooth tiger. So, it starts converting some of the fat into glycogen, and rebuilding the glycogen stores. And as it puts back the 2 lbs of glycogen into the muscle, 8 lbs of water has to be stored with it to keep it soluble. So, even though you might still be LOSING energy content to your body, your weight will not go down or you might even GAIN for a while as you retain water to dissolve the glycogen that is being reformed and stored. Breathe, and fuggedaboudit for a few days. What You Can Do About a Stall or Plateau If you are experiencing a post-op weight loss stall or plateau further out there are a few possible causes. First, check that are you really in a stall. If the scale has stopped moving you may be losing inches, so check your measurements. Too Many Carbs? Carbohydrates can start sneaking into your foods without you being aware of how quickly they are adding up.If you are struggling with your weight loss you may want to examine your daily carb count. You can try to keep your carbs under 50g a day and see if that makes a difference in your weight loss. Do not eat carbs before bedtime as it triggers insulin and initiates fat storage. There are some great web site resources you can use to keep track of what you are eating. Fit Day Spark People - If you join Spark People also join the DS group. Eating Enough? If you are under-eating or go more than 4-5 hours without eating, your body will shift into fasting mode, slow your metabolism and conserve your stored energy (fat). This can contribute to a weight loss stall or plateau. Make sure you are eating small meals or small Snacks throughout the day and also ensure you meet your daily Protein requirements. Try eating some protein with every meal or snack. For more information on protein requirements see our section on Protein. Drinking Enough? An adequate level of water in your body aids in the effective breakdown of fat. The daily minimum recommendation is 64 Fluid oz of water a day. If you are in ketosis you will need to drink even more water to ensure the ketones are flushed out of your system. You may also need more than the minimum amount of water if you are exercising or live in a warmer or dry environment. Exercising? Exercise can increase your metabolism and burn fat. Strength training will build muscles and will boost fat burning. In a stall you can try increasing your volume of exercise or changing up your routine to overcome a weight loss stall or plateau. If you have been doing mainly aerobic activity, try doing a bit of strength training, and if you have been doing mainly strength training, try an aerobic work-out. The High Fat - High Calorie Stall Buster Many Sleevers swear by the fat/calorie shock as an effective weight loss stall or plateau buster. Having a day of higher fat and calorie eating followed by a returning to consistent low carb eating can sometimes "shock" your body back into weight loss mode. Sent from my iPhone 5 using VST

Even when the scale don't move you are shrinking Sent from my iPhone 5 using VST