sandi56

I'm new to this site and in the beginning of the sleeve surgery. Probably within the next month or so .I have tons of thoughts running thru my head at all times. Basically I need a good support system.

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In my case, losing weight helped a lot with edema. I still have some swelling, but not as bad. Good luck to you!

Hope it all goes well for you.
Some questions to ask should they not already be on your list of questions: how ESG has the doctor done? Success rate? Failure rate? What caused the failure? Anyone experience complications and what were they? Average excess weight loss of their ESG patients? Post op support program - is there one and what does it entail? What post-op medication is prescribed to help deal with initial pain?

This just answered a lot of questions I had. I go tomorrow for my consultation and go from there. Wish me luck !

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In Australia (self pay too) it may be different than where you are but,
1. Standard blood tests to establish base points and any comorbities (not that I probably needed comorbities my weight was high enough), also need a test for H-pylori (negative for me), if positive would have needed a course of antibiotics.
2. General anesthesia
3. Yes, but this really depends on the doctor. Some doctors do it to ensure a pattern of compliance, if someone can't do two weeks pre -op liquid/shake diet how will someone be able to manage the post-op liquid diet??
4. None for me.
Some people for various reasons have lost restriction. Tests have revealed that the sutures have become lose or undone. Reason may include non-compliance with post op guidelines, doctor inexperienced with ESG and suture placement, some people who have had a gastric balloon prior to ESG have a higher failure rate, some people with severe vomiting (due to other illnesses) which has caused sutures to loosen...and then there are the people for some inexplicable reasons the ESG has failed even though they have followed all the insructions and they have experienced doctors etc.
Some points to bear in mind for ESG: weight loss will likely be slower and lower than the surgical options (average weight loss is 20% of excess weight, some people have lost a lot more, some people have lost less), adherance to post op guidelines is vital - it will help the suture anchor points heal which will help the restriction hold tight. Like the surgical options there is a weight loss sweet spot, for the ESG it is probably the first six months to 12 months. It's tool, we need to make it work to ensure the best weight loss, this means a compliance with post op guidelines for diet and exercise, will need to change all those not so healthy eating habits particularly emotional eating.
Generally the ESG is not reversible, and it has been said that for those who choose to have a revision (where the ESG has failed) that a VSG is not a safe option (though I have seen research where such revision has been successful) - i think it may be a chase of the suture anchor points may get in the way of a VSG. Bypass seems to be the surgeons' choice for ESG revision to surgical option. Another ESG is also a viable revision.

Thanks so much for your response!

I'm new to this site and in the beginning of the sleeve surgery. Probably within the next month or so .I have tons of thoughts running thru my head at all times. Basically I need a good support system.

Sent from my SM-J727T1 using BariatricPal mobile app