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Thanks for the reply. Yes, I am 68 so that may be why he only bypassed 35”. Don’t think it’s a big issue. But seemed way less than the norm so I have been curious. When I go back for my 6 mos visit in June I plan on asking the surgeon. Thanks for you info. Very helpful and reassuring.

Hi Jerald, thanks for reading all that I hope you'll get over COVID and back to good health soon. So a few things on this. First of all, there can be numerous reasons for making a shorter bypass (see below), and a 90 cm BPL is still longer than many RNY'ers bilio-pancreatic limb bypass (it turns out their afferent limb still absorbs calories). However, while the RNY ends up being almost only a restrictive surgery, the MGB remains a malabsorptive surgery. Most MGBers can eat all kinds of food at reasonable volume pretty quickly. So if we have a malabsorptive procedure, more malabsorption is better, right? Well, generally it's not the malabsorption that helps us. Sure, it's nice to not absorb 300-400 calories or whatever, but it's primarily the fact that the food gets to the lower intestine really fast that makes us lose weight. You know that feeling of 'oh man I had a big meal' you get pretty much immediately after eating anything a little heavier? At least many MGB'ers describe this as tool #1. Why a shorter bypass? Some surgeons want to make sure older patients don't get malnourished (I don't know how old you are). Some surgeons believe a shorter bypass is almost as effective (again, the difference between 150 cm and 250 cm in the studies is pretty small in terms of weight loss. It's the fact that there's a bypass that helps). What if it is too short? Well, then enjoy you had a surgery that's easily revisable. It shouldn't take more than 10-15 minutes in general anesthesia to move your connection further down. Your weight loss seems fine, btw! But if you need to, the inventor of MGB, Dr Rutledge, is very responsive on Facebook and even does free consultations for MGBers as far as I've seen. He really is in it for the health and for the surgery. PROTEIN! Btw: really, really, really try to get that protein in. Especially with a surgery like ours. I also completely lost my appetite during COVID but 60g isn't a lot. Get some of the hot protein cocoa on the BariatricPal Store, the protein muffins, the quest protein chips, the oatmeal ... something. At any age over 40, you want to preserve as much muscle mass as humanly possible. Even a week of atrophy (wasting away muscle tissue) will measurably lower your burn rate. You will regret that later.

Thanks for putting down your progress again. I see you said your MGB was 220 cm although they are usually around 150cm. Mine is only 90 cm and I don’t understand why so short. Doesn’t seem like that is long enough to bypass all the part that absorbs the fat and calories, etc. wonder why he didn’t go further down to hook me up? Surgery was November 19, 2021. I be only lost 38 lbs, but have had Covid for last 2 weeks and my appetite is zero so haven’t been taking in the 60 grams of protein or the 64 oz. of water as I was… just had a new infusion of a newly released antibody so hopefully that will help get me well again.

Thanks Hope your journey is going forward nicely! It's almost certainly because of the longer bypass. The small intestine varies greatly in length among individuals, so for some, the MGB bypass will be almost similar to a SADI-S (loop duodenal switch). Generally, bypass length with the MGB has decreased, though - they find people lose weight great with 150 cm bypass, but with less chance of mineral deficiencies. Mine is 220 cm, but I'm lucky (so far) I'm doing better on all minerals now than pre-surgery except folate. It truly is baffling. It's a shorter surgery, it uses a mechanism known to general surgeons, and the surgery it is based on is time-tested (it was discovered treating a gunshot wound). I wonder if the people who would have to introduce and approve this are people who are comfortable with - and skilled in performing - the RNY. Hmmm ... it's actually kind of weird. Some people know me from when I was at a healthier weight (but not in a healthy relationship with food, either) in my early 20s, and they're kind of ... relieved? Which is annoying. Those that know only fat me are more straight-forward celebratory. But many people just don't comment on it. People who know me well say it's funny how I still look like me, just a lot lighter. You know what the weirdest thing is? People you know passing by you on the street, not recognizing you. It has happened more than ten times now.

The best feeling ever eh after struggling with weight almost all our lives and the same daunting feeling of being watched. Seriously you look great, feel great. What else is there to it. Congrats on your journey. It's funny how this section is right in the corner. 🤦🏻‍♀️ Didn't know this info. It sounds weird considering both RYN and miniRYN have similar routing of the digestive track. 🤷🏻‍♀️ But from some of reviews out here, it does seem like mini has been doing great work. In Canada, surgeries are covered under our medical insurance, but we only have an option of Sleeve or RYN. Not sure why this isn't on the table yet when RYN is. Regardless, I was kinda confused with sleeve vs RNY. But given my PCOS history and ofc GERD associated revision, I ended up choosing RYN. And I think I am glad I did that cuz having gone through post-Op, I don't think I ever want to go back to an OR unless for extrutiating circumstances. Again, well done with your journey 👍🏼 Your advises and posts have been very helpful out here. 🤩

I decided on the sleeve instead of bypass because I worried about the absorption of my mood stabilizer and antidepressant as well. Since then I have read many many posts on here of people on psyc meds that did fine post bypass as well. From what I have learned it is mostly the extended release medications that can cause issues post bypass and sleeve. Other than that. There are a few people that had to adjust doses up or down but I have yet to hear of anyone who says that they had to switch meds or anything like that.

I had gastric bypass, Nov 1st. What i wish i knew was how bad and frequent the constipation is, because of the high protein. And the pain it causes in your chest if you eat one bite after the other. And spacing out your vitamins. But i dont regret it, after surgery you look at food differently and everything you were taught with the dietician makes sense. Sent from my SM-G973U using BariatricPal mobile app

Hi! I am 3 months out of my gastric bypass surgery. I did very well with my pre op and post op diets. I've lost 35lbs since my surgery on 9/29/21, and 51lbs all together. I've had a hard time figuring out what to eat since I've been on regular food. Some days I do ok but others I end up eating what's there and having dumping issues. I've also been hovering between 206-210 for the last month or so. If anyone has any suggestions I am more than willing to try them! Sent from my Pixel 3a using BariatricPal mobile app

Hi everyone again [emoji3059] I have now had my first appointment at spire and they have recommended that I have the bypass and not the sleeve due to my age. Has anyone had this procedure? How are you finding it? Anything you think I might need to know before going ahead? Thank you for any advice you send xx Sent from my SM-G980F using BariatricPal mobile app

Hmmm your numbers are almost double than mine lol. Though I am just finishing my month 2. I ahve tried upping my calories, but I usually fall between 750 to 850. I can't go beyond that. Plus with bypass pouch is little smaller than sleeve, so that kinda makes a difference in the quantity. My carbs are usually similar in number to protein. So between 70 to 80 gram (net would be 50 to 60 usually)!

Sorry it took me so long to answer you. I ended up having thighs, gluteal fold excision and revision of bilateral brachioplasty. I came home on Saturday. I’ve basically been laying on the couch, flat with my legs elevated. My incisions go from the front of my groin, all the way down past the lady parts and across the gluteal fold and then vertically down the middle of my thigh and 1/2 way across my knee- that was to help pull up the skin on my lower leg. He asked me if I wanted him to go that far and I said yes. I have 2 drains, one in each leg. Hope I get them out on Friday. I’m glad I did this when it’s cold because I have compression garments from wait to ankles and full length arms. I can’t believe I forgot to take a before picture. I know the doctor has some, I’ll ask him if I can have copies at some point. Pain has been well controlled. I’m impressed with how my thighs look but they are pretty bruised and swollen. I thought my arms looked ok before but they look even better now.

hi i,m looking to hear form anyone who has been to turkey for gastric bypass surgery and it has been a success, form start to finish good hospital, good surgeon aftercare etc thankyou in advance!

only about 30% of us dump (I've never dumped - and I know a lot of people who haven't), and even if you turn out to be a dumper, you can prevent it by limiting your sugar intake (or for some people, fat - some people dump on fat). So yes - it's a potential complication of bypass, but the majority don't experience it, and it's controllable if you do. So I wouldn't worry about it too much. Also, I think that flatulence thing isn't very common, either. And the scars are tiny - smalller than VSG scars since they're not pulling anything out. I really can't see mine at all anymore. You'll do fine!

Hello, I’m in the process of getting a revision to my RNY (2004). It’s a “trans-oral” procedure. My stomach pouch has expanded at the junction of the pouch and the intestine that’s connected to it, so food doesn’t stay in it which makes me eat more, leading to regain. They’ll go down like an endoscopy and sew up the pouch, leaving a smaller hole. It costs less than a surgical procedure ( the insurance companies like that).

I go this Friday for mine. I'm not really nervous that much. They told me comparable to my gallbladder removal i had in 2018 & I had a hysterectomy back in 2007. I've had 2 c-sections too & had in 2006 cosmetic surgery for a tummy tuck & liposuction & breast implants which was extremely painful under the muscle! I was so crazy back then LL Cool J had a concert and I refused to miss it since was in 2nd row. Me, my pillow and sister went. Horrible chest pain you cannot even imagine me sitting there suffering!🥺🥺🥺🥺 I endured extreme pain so I can handle this one LoL! PROCEDURE: LAPAROSCOPIC GASTRIC BYPASS & HIATAL HERNIA REPAIR APPOINTMENT DATE: FRIDAY JANUARY 28TH, 2022 ARRIVAL TIME: 06:30 AM PROCEDURE TIME: 8:00 AM

I had the lap band in 2002, switched to sleeve because it was causing problems in 2009, now I’m working on the process for conversion to bypass. I lost a lot with the band, I didn’t really lose much after the sleeve due to stress, illness, etc. I’m committed to the changes and have lost 18 pounds since initial consult with the surgeon in September. The GERD issue is prompting the conversion surgery. I have one more pre surgery appointment left. I’m scared of both the pain and perhaps failing. Good luck to you.

I had sleeve surgery five years ago. Went from a high of 392 down to 315. I am 6’7” but still to heavy. Since Covid I’m back to 345. I know I need to shed pounds. My cholesterol is high and I am pre diabetic. On Thursday I have my Bypass surgery. Needless to say, im nervous. I know rare but I worry about complications but I believe complications from my weight outweigh it. Anyone else having surgery this week?

So I had gastric bypass surgery on December 6, 2021. After surgery I was sick throwing up a lot and very uncomfortable. Finally now I feel better again. Went back to work and finally started working. I don’t know what to eat for lunch. Since surgery I cook everything at home. I can’t eat food from outside food from restaurants make me sick.plus there is not many options that I can eat. Since having surgery when I go to work I stay all day without eating until I get home. Making me feel dizzy all day and with low energy. Does anyone has any ideas for lunch to take to work.thank you I would highly appreciate it.

I finally did it my surgery was 01/17/22 in Mexico.. Post op bypass 8 days and feeling great my blood pressure is normal 1st time in a couple of years now

It’s been 1 year today since i had RNY bypass surgery, i’m down 4stone 3 pounds, would like to lose another stone ideally but seems like i’m stuck at this weight have been for the past 4 month, can’t budge any lower, so happy with my loss though.

Loridee, did you lose all of your weight while you had your band? Or did you have more to lose after you revised to bypass? And if so, did you lose your weight slower with the bypass? I'm in the process of revising to bypass from band. My band was removed 4/2021 and now I'm in the process of revising and I'm trying to get an understanding how exactly the bypass is different from the band. I see a lot of people saying it's different and better, but I'm still not exactly sure what makes it different and better. Other than the obvious lack of reflux a lot of banders experienced, myself included.

I did band to bypass (band out about 5 months before my bypass). Bypass is SO much better than band. Although I did very well with the band originally, it got to where I'd wake up choking on stomach acid even when I was mostly unfilled. For the bypass I was fortunate to have a very easy recovery. I followed my Surgeons orders exactly, especially in the first couple of months. Drink as much water as you can (I found if I sipped everytime someone on TV or around me did or at all commercial breaks it helped in the early days). I also did lots of premier protein shakes (and still do green smoothies with protein for breakfast quite often) Once healed and on "normal" diet I found meal prep was key. I don't like to eat a piece of meat and veggies, but I do well with casseroles or stews, so I'd find and make healthy meals, portion them out in microwaveable bowls. I'd do 2 or 3 different meals each week (freeze extras if needed) then I just have to grab and heat and I got the right amount and good macro's.

I am getting RNY on 2/3/2022 in Denver CO. I had lap band in 2014 and worked for a few years but it was causing problems so had it removed in October, 2021 and now getting ready for this revision. I am anxious but nervous that I won't know what to eat, not eat and how fast/slow - I've been so distracted lately. I need to re-read my surgery handbook...

Looking for advice, will try to be brief. Thank you for allowing me to join your community! As the title explains, I have had two operations in the last 12 years. I have had issues with alcohol in the past which led to my revision. Anyway, I will complete a 'my story' post soon. Today I am trying to determine if what I am experiencing is normal or not. Thank you, in advance, for your candid advice. I developed GERD-like symptoms about nine months ago. I tried to moderate it with diet (less spicy / tomato), a few rounds of Prilosec. About seven months ago I gave up all alcohol in-part due to the painful symptoms. I had greatly moderated from my two bottle a day heyday, but I still drank. I am proud of my progress, but meetings may be in my future. At three months, Dr. ordered an endoscopy. I had the procedure October 30, 2021. Results showed that I was inflamed, but no ulcers. 'Just stay on Prilosec, forever if you have to' is the advice I received. After endoscopy, I decided to give up all carbonated drinks (I was hooked on about 100+ ounces a day of Diet Dr. Pepper). My go-to drink is now water. Also have added a lot of unsweetened iced tea and some coffee. A few days after New Year, my appetite started to decline. Just the thought of food was making me not feel well. I work from home and I fell into a habit of: one yogurt in the AM, protein drink at noon if hunger strikes, then just maybe 10 bites of anything around 4pm. Dinner at 7, maybe 20 bites over two hours. Hunger pains come on strong at times, but go away fast with 2-4 bites of anything.. As of today, Jan 23, my appetite is still just about 30% / 40% of what it was. I still find myself feeling like I have to 'force' myself to eat sometimes. Nothing sounds or tastes very good. I had a colonoscopy in December. Came back normal with one non-issue polyup (sp). Last week, I ran out of Prilosec. I decided to see if maybe I could get away with an as-needed solution. Big mistake. For the last three nights I have been awakened with extreme pain in my stomach. I have been taking Pepcid and Rolaids / Tums as needed. I plan to restart Prilosec tomorrow. Not sure why my stomach is still on fire??? I have a rather bland meat and potato diet. I quit alcohol and all carbonated drinks. Maybe a liquid fast and 100 Hail Mary's? This is my theory about my appetite issue: I think giving up the pop has resulted in far less bloating in my small stomach. Perhaps this has allowed it to heal back to a normal, or less inflamed, size. I cannot eat as much, but if I space out my eating, I'm sort of fine. I'm not sure about the mental aspects of this situation or how they corollate in parallel to the physical issues. However, the last time I felt this way (loss of appetite, could barely eat) was just before my emergency revision. Thankfully I have not developed the abdominal pains of that episode, just the eating issue. Just for context: I am a 47 year old male, about 260 pounds. I worry about constriction due to scar tissue, I was warned to look out for this. Thank you for any thoughts or advice! Matt

I am scheduled for 2/1 to convert a 13 year old band to bypass in NYC