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August Mexico surgeries?
KartMan replied to BDutchess's topic in Mexico & Self-Pay Weight Loss Surgery
I just signed up for a date. August 15, 2017 @ OCC with Dr Ariel Ortiz. I was banded in 2009, had good success but ran into some troubles this past year. Hoping there are no complications and I can have the band removed and Sleeve done in one operation. -
this is simply incorrect. every single study shows RNY with higher long term weight loss than the sleeve. the mini-gastric bypass beats the RNY by a hair, and the DS offers the most loss potential (but with higher chances of malnutrition complications).
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There are many complications that can happen during and after any major surgery. The main ones that people worry about after bariatric surgery are: Bleeding, infection, blood clots, leaks, strictures, gallbladder problems, and malnutrition. There are probably 100 other things that could go wrong.... but keep in mind that significant complications only happen about 5% of the time for good surgeons. Malnutrition is an issue both close to surgery and years later. (Close to surgery, there can be a rare complication that keeps one from eating. While years out from surgery (usually gastric bypass or DS)... malabsorption can result in deficiencies (thus the need for lifelong routine bloodwork checking vitamin levels). Heart, lungs, and kidneys shouldn't be more affected by bariatrics than by any other major surgery.
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I came to the hospital on 7/11 for a RNY but the surgery bf me had complications and was still going on at 7 pm. I was scheduled for 10:50 am surgery. Long story short they admitted me and did my surgery at 2:30 pm the next day. Since I have had previous abdominal surgery the doctor knew my case was going to be difficult. Due to the amount of scar tissue in my abdomen I had to have a gastric sleeve. Doctor felt it wasn't safe to proceed with gastric bypass. Surgery went well. Today is 7/14 and I'm trying to finish the last leg of the fluid challenge which has me drinking four ounces in one hour and then another four ounces in four hours. I have one more Ounce to go but I'm so stuffed. Funny food really isn't a concern right now. Not taking much pain meds either. Having to crush pills is nasty. My pain meds are liquid but horrible. I hope to be home in an hour.
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Hi, my surgery is 09/14/2017 Northern NJ I'm very excited for the surgery. I heard that you can get pulmonary problems, kidney failures and heart complications after sleeve surgery. Is that true??
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I am almost seven weeks post-op and I have the absolute worse nausea. I've been hospitalized twice from nausea and vomiting and have had to go to an infusion center for iv fluids once already. How long is this going to last? I know everyone is different but I feel like I'm the only one who is struggling like this. I've had several friends who had the sleeve and never experienced this problem.
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96 pounds down in three months
HurricaneU replied to LifeIsAllGood's topic in Weight Loss Surgery Success Stories
Dont let this site stress you. Tell your story and let it be. 96Lbs is alot in 3 months but it can happen. I lost 75 since April 17th. I eat plenty, I only work out 2 or 3 times a week, and I drink 64 to 100iz of fluid. So nothing major! I havent had any complications, I was able to leave the hospital the same day but i decided to stay overnight. Today I feel great! Everybody is different. -
Thanks for clarifying @OutsideMatchInside. I appreciate that. I personally have not heard or read of any incidents of intestinal failure due to RNY, but I am sure there are complications of all stripes out there. Thanks for bringing that one to light for this conversation!
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Anyone else have a sleeve revision to bypass due to complications?
Steven1954 replied to lisylooby's topic in Revision Weight Loss Surgery Forums (NEW!)
I havent had dumping. Ive had a few episodes of feeling sick. You have to limit items with high sugar. Like go to no sugar added ice cream (small amount) two forkfuls of anything fattening. You will find if there are foods you know will make you feel sick, you lose your taste for them. Im the only one of my friends that had complications but worked through them good luck -
Exciting journey
AdorableAsian34 replied to AdorableAsian34's topic in Tell Your Weight Loss Surgery Story
A gastric sleeve is different from a Divided RNY. A gastric sleeve still maintains the body's normal functions with a different stomach. I've talked to several bariatric specialist and everything I Am doing is all normal. Sometimes you can't feel the fullness in your pouch and you throw up because 2 tablespoons of something over filled it. Trust me I am a researching health nut. I had other complicated issues that had nothing to do with food addictions the reason I was overweight . -
Decision between sleeve and bypass??
Missy161 replied to SeaQuin's topic in Gastric Sleeve Surgery Forums
My husband had RNY - gastric bypass 11 years ago. Issues there are problems absorbing vitamins and not being able to use Advil or nsaids. Also if you have any issues with liver/ bike ducts etc there's no access via egd. He had a lot of complications as well. I had my vsg 6/22- so far so good. Good luck with your decision. Trust your surgeon. -
Sleeve vs RNY
OutsideMatchInside replied to toby585's topic in General Weight Loss Surgery Discussions
Long story short, I know someone who had a surgery, not a WLS surgery, but their intestines were nicked in the surgery, and part of their intestine died. that part hard to be removed and then it was just a slow downward decent into a slow hellish death from there (took over a year of non stop complications). Also I watched a lot of Fat Dr UK and one of the Dr on there talked about how terrible it was to have to touch healthy intestines. So much can go wrong with your intestines and kill you, and not even usually fast kill you, just slow miserable kill you. Obviously most people that have RNY don't have serious intestinal issues. It was just something I was not willing to roll the dice on at all. They cut your intestines with RNY and reconnect them and that carries risks. Plus pouch stretching, you have to be more diligent long term with RNY. These were my reasons and obviously a lot of people don't have this opinion. I don't think there is anything wrong with RNY in general, it helps a lot of people, but for me, It wasn't really worth the extra risk to maybe lose an extra 20 pounds or so. And in the end I exceed the expected weight loss for RNY and for the Sleeve. The 2nd chart is 24 month expected loses, Which has a bounce back (weight increase) from month 18 So... Pick whatever surgery you want, it doesn't really matter, what matters is what you do with the surgery. -
6 months in the hospital
OutsideMatchInside replied to Debedeb's topic in Gastric Plication Surgery Forum
*Yawn* Every few weeks/months someone comes with some horor story with no real back up. Just trolling. Oddly when you read people that post that really have bad complications, with the exception being that lady from the UK that is miserable, they are still happy with the results in the long run, even with complications. The laws in Florida however are perfect for quacks to set up shop there and butcher people with little recourse. I would never have any kind of medical procedure in Florida unless i was literally bleeding out from like a Jet-skiing accident or something. -
SAIL INTO SUMMER CHALLENGE
Dashofpixiedust8 replied to Dashofpixiedust8's topic in Gastric Sleeve Surgery Forums
@kurigotmoxie I've added you to the challenge! Welcome! @Pam_2-06-2017 You will break through! @konalisa80It's only a pound! It could only be water weight! Move on and down! @Torriluv87No problem! It's never too late to begin again. Every day is a new beginning, heck every meal is a new beginning. You can never go so off course that you can't find your way back. I also feel like I wasted or lost my honeymoon period but a lot of that was with my complications and having to take TPN infusions instead of eating for several months. All we can do is take a deep breath, let it out slow, and say today I will do this, today I will be on track. This is not an easy road and it will be something I struggle with for a lifetime. But I know I will never let myself get back to 540 pounds. I have slip ups but they are minor and alll I can do is start again the next meal. -
Sleeve vs RNY
OutsideMatchInside replied to toby585's topic in General Weight Loss Surgery Discussions
I have healthy intestines and I did not want them touched. You can live without a stomach in case of complications. You cannot live without intestines, not well and not for long. Long term RNY is not better than the sleeve, and as there are more long term sleevers it seems the results are shifting towards the sleeve. Ultimately as a young, active relatively healthy person. I did not want the long term maintenance issues that come with RNY or DS. I have another 40 or 50 years left and I wanted something low maintenance and simple. Which is why even though I considered WLS over the years I never had it because the Band and RNY just did not make sense to me. Reading WLS forums for about a decade before I had surgery. I knew that the surgery did noy determine weight loss. The patient does. Ultimately you have to have some will power and self control or you can eat around anything. Self control even if you do not have it before surgery, you can learn it easily post-op by following the post-op diet closely. -
I also work in health care, in quality. I do data analytics (basically build systems/reports), with quality and regulatory data. EVERYTHING is about volume and complication rates. I love where I work, but live too far away (38 miles from my house) to get the procedure done at work. So I found a group that has offices <5 miles from my house and <10 miles from my office. I was lucky to find a group with two offices, both close to where I spend most of my time. I'm almost through this, I have my cardiology consult tomorrow, 4th weigh in in two weeks, final weigh in and then the waiting begins.
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Suture reaction? Infected incisions... Pics
Adenosine replied to Nifty22's topic in POST-Operation Weight Loss Surgery Q&A
I'll give you my honest opinion, as an Emergency room RN I would not be stitching this yourself. I know that you've had experience with suturing and I'm not trying to negate that but at the same time this is skin, not cow hide. There are also many different types of sutures and the one you are using might not be correct for this type of wound. It also concerns me that there are still puss pockets. The doctor might not actually want to suture this wound shut yet if that's the case. If there's any kind of abscess present that needs to be addressed, and possibly packed and left open. I'm not sure keflex, the antibiotic they put you on, is strong enough either. A surgical wound like this could contain antibiotic resistant organisms, in which case you need a stronger antibiotic. I know you don't want to make the trip to the ER, but I strongly encourage you to. Way better to be safe than to deal with the possible devastating complications that could arise from a bad infection. -
I'm about 85% sure I'm going with RNY. My main reasons are 1. that my BMI is over 50, and while many surgeons still do VSG for patients like me (and my surgeon was willing to do it), my current understanding is that in terms of the literature RNY is preferred for us super-obese folks; and 2. due to my life circumstances I need to lose weight very quickly - RNY has a significant edge over VSG in terms of % weight lost at the 1-year mark. VSG mostly catches up by 2 years, though, so many, many people are also very successful even though it might be a bit slower. Some lesser reasons, in no particular order... there is way more data on RNY particularly about complications and long-term success, just a result of it being around longer. With VSG you have about 1/3 risk of developing acid reflux or GERD. Also, you generally lose about 15-20 pounds less on average with VSG. (I want to emphasize it's an average. I believe the numbers I saw at 2 years were RNY 70-77% excess weight loss and VSG 68-70%. So even using averages, 70% is in range for both surgeries.) I have seen many posts of people getting revisions from VSG to RNY and as anesthesia is one of my greatest fears I have no interest in going under the knife again. A majority of people on this forum are sleeve patients so there is a lot of good info out there, and IMO it's a fabulous surgery. If I woke up after surgery and my surgeon said she had to do VSG instead of RNY for x or y reason I would not be unhappy at all. But there are definite pros to RNY as well, which I've noticed are sometimes not discussed. So there ya go
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Hi all, I am a newbie on here and this is my first post so thank you in advance to all that reply. I am hoping to get some advice or support on Gastric Bypass. I am 250 lbs and my goal weight is about 150. I have not had my surgery yet but depending on my decision, it will either be scheduled for July 24th or August 9th. I originally scheduled my consult because I was interested in getting the Sleeve with Hernia Repair, but my doctor is recommending that I get the Bypass since I have severe GERD with Barrett's Esophagus. He was especially concerned with the Barrett's diagnosis. So... I was mentally prepared for to move forward with Sleeve, and am now having worries about the Bypass. The bypass seems like a much bigger decision to me especially since I am only trying to loose less than 100 lbs. Its a lot for me, but not a lot compared to many. On top of all this, my insurance wont cover the surgery so I would be paying for this out of pocket. This doubles the cost compared to a Sleeve. Getting to the point, is bypass worth 100 lbs and are all the sacrifices really as bad as some make it seem to be? possible major life threatening complications, dumping syndrome, hair loss, no energy, dry skin,.. all this sounds so scary (especially without insurance). Yikes!
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I suggest calling your coordinator and asking if the weight loss was an insurance requirement or a surgical group/hospital requirement. I have a feeling it will be the latter. The medical industry is so much tied to patient outcomes. Surgeons really care about their complication rate, as it is what drives patients to them, and what determines future employment. This is why they put restrictions on smoking, it has nothing to do with the insurance companies, just complication rates. If this is the case, it will be up to the surgeon. If they do approve they may warn you that if they even see the slightest issue doing it laparoscopically, they will open you up. The problem with higher BMIs is that the liver is bigger, which makes access to one's stomach more difficult. I am not trying to worry you. Your best bet is to schedule a quick call with your coordinator, and have a list of questions written down and ready (they are busy, and may try to rush you out of workload not that they are dismissing you).
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Sleeve vs RNY
Navigating the Wilderness replied to toby585's topic in General Weight Loss Surgery Discussions
Yes it has. I'm sure you know the differences between the two and their pros and cons. From my perspective I chose a sleeve over rny because it had less complications, and was far less time on the table. Those were the only two reasons. RNY is a fine procedure and can be more beneficial in certain cases like those who suffer from GERD. On a side note, I have/had GERD and have had precisely one incident in the past almost 6 months, so it is not a definite that having GERD disqualifies you from the sleeve as many say. In my case it was what I was eating that was causing all the issues. -
Ah... Here we go. I believe if your BMI is over 50, they add additional restrictions. I believe it is the surgical group and/or the hospital where you will have the surgery. They really want patients under a BMI of 50 for anesthesia purposes. It also is a risk of complications. My group said they do this. I honestly do not believe it is a NYSHIP requirement. So, my opinion is the insurance company will approve it, but it will be up to the surgeon if he/she will. I believe when approved by the insurance company, you have up to 2 years to complete the procedure, so at worst, your surgeon may ask you to continue the diet to lose more, at best, you will be approved and scheduled as is.
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That's pretty standard. The way my surgeon explained it to me...this is a completely voluntary surgery so they will run every test they can to make sure you will get through the surgery. doctors, especially surgeons have to watch their statistics. It is bad for them if someone has complications or heaven forbid dies from surgery. So they will do whatever they can to ensure that you will have no complications
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I can see this thread is mostly dead, but I still struggle and I wrote this today so I am sharing. First, I have to admit the surgery worked. The quantity of food I can consume has definitely been muted but the cravings for junk or more specifically for fast food remain and are as strong as ever. Today I purposefully packed enough food for lunch and dinner knowing I would not make it home in time for dinner today. Instead of being done and moving on with life, I took it as a personal challenge to eat all I packed so I could go out for dinner. It doesn't help I was bored at work today and will be all week. It's no secret I "use" food. But for what? Why? I don't get the "high" I used to get when I ate. Now it's more of a slight pain and it mostly uncomfortable and unpleasant. My version of overeating doesn't match most other peoples definition of overeating, but I'm still doing it. I'm not saying the surgery didn't work. I am saying I'm not using my tool correctly. A recent x-ray confirmed it's there and looks great. I actually was worried I had stretched it out and blown my chance. But even with that knowledge, I am still playing around with it. But I got food when I wasn't hungry and while I didn't eat much of it (thankfully), it shouldn't have been ordered in the first place. I have all the best tools in my arsenal. Knowledge of what I should eat. Surgical restriction, to aid in portion control. Moral direction, to know what is right and what is wrong. Family support. Where do I go next? What am I missing? So here I sit. Clueless about what my problem is and how to best proceed. I'm a counselor and have been through all the reasons I think I eat. None of them are earth shattering or overly complicated to solve.
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Dr said I don't qualify for sleeve after band removal
general_antiope replied to JTHmom's topic in Gastric Sleeve Surgery Forums
I understand how you feel. I was denied a sleeve and I have learned a lot about the appeal process. First of all, do not give up. One denial is not the end, not by a long shot. First, the best plan is to have your provider initiate a peer to peer appeal before you get involved. They can speak the language and explain the risks and complications. In my case I have had mechanical failure of the band for the past 13 years, including a revision to a new band in 2015. In your case, did your doctor say if the band contributed to the issue? Even if not, you have been successful with it and removing it because of unrelated issues is not your fault. Talk to your doctor and see what they say. There are plenty of stories of people appealing themselves and getting the approval. Keep us posted!