GreenTealael

Oooooh tattooed! I was trying to look everywhere else, I felt so guilty, I didn't recognize the obvious...

This question (perhaps its confusing to everyone) is about revisions. My question is basically is why chose the least effective surgery (individual based) only to end up getting another surgery when the outcome is unsatisfactory. (And i don't mean people who revised from lapbands that were installed forever ago, or revisions for GERD/Barretts, those are different) Why does anyone chose a lapband these days? Why choose VSG vs RNY/DS if you have A LOT to lose with a history of eating disorders, mental health concerns, lack of support, stressful lifestyle, tendency to cheat constantly, etc...? Why not be more aggressive? Some answers were good. Some left me with more questions, but I'm thankful for everyone who participated. This wasn't about divisiveness. This was a real question.

Highest weight to lowest (now 160)

AMAZING

You are an inspiration, truly amazing work you put in.. but I feel like a bad person because all I can focus on are the xx's taped to your chest. I think I need retraining of some sort lol CONGRATS!!

Low pain tolerance for me, waking up was fine because they still had enough meds in me , but make sure you advocate for yourself if the pain meds aren't work in recovery. They didn't get it right for a day. I was in misery. Pain management prior to leaving the hospital is important.

Would you ever consider revisions (based on weight issues alone) vs continuing to work with your current surgery?

Everyone here seems well educated on their reasons why they wanted/chose the surgery, question anyone have unresolved maladaptive eating practices prior and was steered one way or an other (surgery choice) because of this? Has you choice of surgery changed/resolved this?

So you choose MGB vs RNY, but will consider it down the line? May I ask what influenced your decision?

Very very true But what comfort does someone who's surgery failed their expectations get if that surgery was never right for them in the first place (not by my standards, by close evaluation of all data)? Just have a revision? Thats what people are doing ...

For the record Perhaps its more complex than just the two categories I chose as answers. I'd like to hear other reasonings too, those were just what I could come up with

But isn't that what the while process is for, to evaluate for these things? Are people lying to themselves or their teams as a form of self sabotage? Or do they really think they can cheat their way to the win?

Availability for DS Yes that's an issue these days, but insurance coverage for DS and RNY are usually more guaranteed than VSG ,right? Invasiveness idk it all seems the same when done laparoscopically vs open But these are things to consider

Hmmmm I don't like it. Another member asked why so many revisions, they though it was a way to collect extra coin from failed surgical patients, I thought nonsense, why would a doctor do that? at the time now I'm thinking yeah...

Not always, sometimes its about absorption capabilities. I am deficient in b1, (and other vitamins) but I knew I would be, I cannot absorb many vitamins through my digestive system. No clue why. Don't even care. I have to get the ones i can through IV infusions. The others that are not offered through infusion, i have to just keep supplementing orally and hope the levels rise enough to stave off issues. Been this way since forever. Even when I was a "carbaterian" lol

Crazy, I just see so many posts where I think, maybe that person should have chosen a different surgery, but ...

So these surgeons are out here pushing sleeves, huh? Apologies then its a lack of information/advocation...

Wait what does that mean? Excuse my VSG ignorance...

Yes I understand completely when you make educated rational health based choices , you understand expected outcomes and make your peace with them. I choose VSG over RNY because I was dealing with other health issues and I was certain a super rapid decrease in weight would have screwed me , gut instinct, i was right. But I mean the people who can't wait to go back to everything they used to do/be.

Most good surgeons will suggest the more aggressive surgery (better outcomes,less revision/failure rates factors into their records) lazy ones will do what's comfortable for them. You have to ask for a lower level. I just wonder why if someone knows they have maladaptive eating practices (binging, purging, etc) , tendency to graze, very high start weight/very low goal weight why get a half measure? Why not go DS, where you have the highest rate of loss, highest level of malabsorption to combat all of the behavior? DS not available, cool RNY second best for your situation ( and of course this is all situational and hypothetical) But why with a history of binging not well controlled through meds/therapy, very high starting weight, lack of support, stressful job, would anyone go for VSG let alone band or balloon?

Lol then your really about to break barriers!!! Congrats

A few of these I have seen, when they began the studies years ago I never considered fasting for weight loss although it was clear the lower body mass was a contributor... Gotta be quicker these days lol

No its good to hear context, a lot of people assume you're obese simply because you over eat. Obesity is not one size fits all. At least not the road in or out. Glad cancer is gone, glad you went though with surgery and its working, you'll break that 160 barrier in no time flat!

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