JohnnyCakes

this video is very helpful too...

FWIW - I heard that from multiple sleeve patients at support group meetings. I also thought it myself back when making a decision.

let's just be honest and talk about the REAL reason most people get sleeve over RNY.... they are scared of not being able to eat as much as they want after RNY. and with the sleeve, they think they can get *most* of the benefit of RNY and also be able to eat more. they want to have their cake and eat it too. (and that might be the most appropriate use of that phrase in history)

i respectfully disagree. the risk of dying during surgery is the same at around 0.5%. making both very safe, "routine" procedures. so your "simpler operation" rings irrelevant to me. i guess it's relevant if your surgeon sucks or if you're doing it on the cheap in a Mexican alleyway, but that's another issue. risk of short-term complications? slightly higher with RNY, yes, but you have to consider relative risk. no complication goes over 5% (leak, stricture, etc). there's risk of leak with VSG too, it's a bit lower at 3%. now, if that 2% is enough for you to choose a less effective bariatric surgery? that's your choice. i guess i have a different calculus when it comes to those things. the long-term risks you cite are rare and the patient has to purposely disobey basic rules of common sense to trigger. like going back to eating way way too much. don't want ulcers? don't take NSAIDS. it's quite simple, if you reach for Tylenol instead of Advil, your risk of ulcers is negligible. but the average American is stupid as hell, so even simple directions like that are routinely ignored. Petersen hernia? most studies have this occurrence as low as 1%, and is virtually not an issue with an experienced surgeon who knows where to connect the roux anastomosis. now, you want to talk about life-altering long term risk? let's talk GERD. which i've seen studies range from 20-40% of VSG patients!!!!! this can range from merely annoying to life-crushing and needing revision to, yes, RNY. this message board is FILLED with these patients and my surgeon says about 20% of his operations are revisions from sleeve to RNY. now THAT is risk. and perhaps the biggest risk not talked about is that of permanence. to me, it's very RISKY to do the sleeve because your stomach is thrown in the trash bin and it is completely irreversible. the RNY is reversible. ergo, much much less risk. again, you mention the sleeve "doesn't alter the anatomy". first of all i don't understand this argument. what's wrong with altering anatomy if it makes your body perform better? by that logic, getting glasses to help you see is "altering your anatomy". getting a heart bypass if you have heart disease is "altering your anatomy". is this a God, intelligent design thing? i'm not going there. all i know is that cutting your stomach out (VSG) is very much altering your anatomy. much more than RNY which leaves it there to be a perfectly healthy functioning body part capable of getting back on the playing field if need be. another risk of the VSG? not reaching your goal weight. and isn't that why we're doing this? the fact is RNY results in 70-75% excess weight loss on average. and that average is brought down a lot by a huge sample population of people who are too dumb to behave after surgery. VSG is, with a smaller and more motivated sample set of patients, at best 60-65%. i guarantee you that as time goes on and more and more VSG patients are tracked, that number will go down even further.

awesome monasmle!

this website is bizarre.

yes. yes.

well... you'll lose more weight on average and run no risk of developing GERD. your ghrelin (hunger) levels will be lower and you'll experience more positive changes in gut bacteria. and you'll enjoy a much longer track record of success and treatment. and RNY is reversible, the sleeve is not. to be honest, i can't think of one reason why anyone would get the sleeve instead, but i don't wanna open that can o' worms again.

oh, you must have misunderstood me. there was no sarcasm intended.

i think it's because you're eating mashed potatoes and grilled cheese sandwiches.

buyer's regret. interesting... i self paid for my surgery. $23,000ish. which is a truly unfair price that they charged me... ... because i would have paid $100,000.

thanks, but i've known about ketogenic diets since around 2000 and have plenty of experience and knowledge about them. but i'm glad you're enjoying its current overhyped popularity as a leading sub-reddit. i will literally bet every last dollar to my name that you won't be able to eat a 80% fat diet and keep your blood ketones above 1.0mmol/L for a year much less the rest of your life. that is if it doesn't give you clinical insulin resistance long before you give up. i would presume you are getting bariatric surgery so that you can live a somewhat normal life, eating a normal healthy diet, and leave extreme and unsustainable diets like keto in the past. but apparently not. so.... have fun with that. p.s. - since you are keto-master, i'm sure you've read how the insulin hypothesis is dead by now. if not, get to googling. p.p.s. - your nutritionist and surgeon are not on the same team/office? another problem identified...

now don't take liberties with the facts... you said he wanted you to do a high protein, low fat program. and instead, you think you know better and are engaging in an ultimately unsustainable ketogenic diet, and coming on here looking for validation for it.

here's a thought --- how about you DO EXACTLY AS YOUR SURGEON TELLS YOU. did that ever cross your mind?

GADDAMN!!!!!!

it's not the surgery. everyone gets sick. bariatric patients included.

your friend sounds like a b*tch.

you poor thing.... i'm sorry you had to live thru that (the before pics). so happy the surgery is working for you (and then some!) and you will live a free life again. keep killin it!

unbelievable! congrats. you really need to update your sig.

then don't go so long between meals!

keep chewing each bite until the little bit of dry meat becomes a lot of very liquid purée in your mouth. then swallow. problem solved.

you and me got different definitions of "lucky"...

thx for the update...

yes. 12 days is enough time to travel.

of dry meat? eaten too fast and not chewed enough? absolutely. it almost happened to me after two bites of day sausage yesterday. i'm about the same post-op as you. i mean, did you get faint/sweaty/shaky/lightheaded/confused? if so, did that take an hour or more to go away? dumping CAN result in vomiting, but it's more of a system failure due to extremes in blood sugar. it's not a plumbing issue with esophageal and pouch pain. was the vomit coated in lots of drooly slimy stuff?