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Help! My surgeon says she will only perform gastric sleeve.
crpowers replied to crpowers's topic in PRE-Operation Weight Loss Surgery Q&A
Thanks everyone. Your comments have helped. I'm going to ask more questions and maybe contact the previous bariatric center I was working with before. I was really curious to see if anyone else had received the same feedback from their surgeon, like, perhaps opinions on the bypass were changing among the bariatric community. thanks again and have a great weekend everyone! -
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Help! My surgeon says she will only perform gastric sleeve.
cellbell replied to crpowers's topic in PRE-Operation Weight Loss Surgery Q&A
She may only be comfortable performing the sleeve. Every surgeon does the surgery a little different in terms of how big they leave the stomach, and in the bypass, exactly how much intestine they bypass. It could be that her method of doing the bypass led to more issues? I would at least talk to another doctor and see what their opinion is. It's pretty silly that they weren't upfront about this when you first started working with them. I chose bypass for pretty much the same reasons you listed. My doctor performs more sleeves (I think there are more of those in the US overall) but didn't object, especially when I had reasonable thoughts about it. This is a big surgery! You shouldn't have to settle for something that isn't exactly what you want. -
Help! My surgeon says she will only perform gastric sleeve.
Officially Not Fatty Matty replied to crpowers's topic in PRE-Operation Weight Loss Surgery Q&A
If the bypass is what you want you’d be better off finding another surgeon instead of trying to force the issue. I know doctors are professionals but I wouldn’t get my car fixed by a mechanic who says “I don’t do many of those” let alone a surgical procedure. In my completely uneducated opinion that has zero value, your reasons for preferring bypass sound legitimate and worthy of pursuing further. -
Help! My surgeon says she will only perform gastric sleeve.
BigSue replied to crpowers's topic in PRE-Operation Weight Loss Surgery Q&A
For what it's worth, I went into my consultation leaning toward the sleeve and my surgeon changed my mind to gastric bypass. He does perform both procedures but he recommended gastric bypass to me. I took his recommendation because he's an expert and he had good reasons for recommending gastric bypass, but if you feel strongly that you want the sleeve, consider getting a second opinion. It's a really big decision! -
Help! My surgeon says she will only perform gastric sleeve.
BigSue replied to crpowers's topic in PRE-Operation Weight Loss Surgery Q&A
Different surgeons have different preferences and recommendations. Some of them only perform one type of WLS. You have the right to get a second opinion from another surgeon, and go with a different surgeon who will perform a bypass. -
Help! My surgeon says she will only perform gastric sleeve.
crpowers posted a topic in PRE-Operation Weight Loss Surgery Q&A
Hello, I've just joined and I have a question I'm hoping someone can help me with. I am in a program for bariatric surgery to be scheduled later this year. I just met with the surgeon and was told she will only perform a sleeve, I would like a bypass. She says that she constantly has patients coming back from bypass needing iron infusions or having issues with ulcers and she thinks the sleeve gives the same benefit without the risks. Basically, she only does bypass on rare occasions, like with people who have acid reflux. Has anyone encountered this before? I thought I would be able to choose my surgery and after much debate I opted for the bypass. I'm 53, post menopause, 5-4, and 260. I would like this to be a one time surgery and not have to go back for additional one if needed. I'm also a sugar junkie and like that bypass would eliminate or limit that consumption for me. Thanks in advance for you responses. -
Revision surgery: Why will this time be different?
vanmini replied to KSW22's topic in Revision Weight Loss Surgery Forums (NEW!)
KSW22 I am sorry to hear you can not do your revision surgery and am wondering if you have ever looked into keto/low carb? I had the roux en y in dec 2004 and lost 100 lbs, but than got almost back up to my original weight. Two years ago i found keto and Dr. Ken Berry (u tube him). I had success with losing about 70 lbs, but last year when covid hit I got off track and am now getting ready to start over. It is the closest thing to what i should have done after my 1st surgery, if I had only known than what I know now. look into it and if you have questions feel free to ask. -
Interested in sleeve but dr suggests mini bypass
Jerald180 posted a topic in Gastric Sleeve Surgery Forums
I was steered from the sleeve to the mini bypass by my dr. After meeting with a nutritionist this week and saw what all I will be doing daily with vitamins, minerals, supplements, shakes, B12 shots, etc, along with the complicated lists of veggies and other foods I can’t eat, I’m turned off with the mini bypass. Is it just as complicated with the sleeve and are there future medical issues that are different than with the mini bypass? -
Tomorrow's the big day
devotion replied to kcoffey60's topic in Revision Weight Loss Surgery Forums (NEW!)
Best of luck to you! I'm sure it was hard staying in the hospital for so long, but glad to hear you are on the mend. I am having a revision surgery (though it is band to bypass). I've also had gallbladder surgery, so wondering just how much scar tissue there will be because of that and the band. I'm sure you will do great. Again, good luck! -
Highly Skeptical of Surgeon's Pre-Op Diet
devotion posted a topic in PRE-Operation Weight Loss Surgery Q&A
I am in the process of preparing for gastric bypass surgery. I have my first appointment with the dietician today. In advance of the appointment, he sent me the pre-op liver shrinking diet instructions. Upon reading it, I'm very skeptical in terms of how it can possibly shrink my liver. There is nothing about protein shakes, broths or other liquids (other than drinking 8 cups of sugar free liquids per day). Rather, the instructions have me eating 3 small meals a day. There are meals with meat and eggs and veggies. Some of the ingredients seem totally contradictory to shrinking the liver but I'm no doctor. Here are some that raised my eyebrows: Shredded cheese PB2 peanut butter Eggs Sour cream Ricotta cheese Cottage cheese Whole wheat pasta Granted, the diet does not call for a large amount of the above ingredients. But I am wondering if I should follow another pre-op diet - one that calls for at least 2 protein shakes a day and broth, etc. Any opinions on this? Thanks in advance! -
Psych Meds after Gastric Bypass
Dinah55 replied to EsojLabina's topic in Gastric Bypass Surgery Forums
I had to switch one of my psych meds from extended release to immediate release after my bypass. Fortunately, I didn’t notice any difference in effectiveness after the switch. -
I have CIGNA, but they are just the coordinator (my employer self insures). The requirements they had were ridiculously easy: Letter from my PCP recommending me for surgery. New Patient Orientation / Post-Op Nutrition Education (combined into one) Surgeon Presentation ("This is what gastric bypass is... this is what sleeve gastrectomy is...") Psychological Clearance Attendance at one bariatric support group meeting About 20 pages of forms, quizzes, etc. I had to send in. That was it.
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Any 45+ year old women on here with gastric bypass experience?
Grammyrusty replied to timmytommy's topic in Gastric Bypass Surgery Forums
I was 63 when I had bypass surgery. 3 years down 120 pounds and stalled. -
Psych Meds after Gastric Bypass
dal101 replied to EsojLabina's topic in Gastric Bypass Surgery Forums
Same, I take anti anxiety meds. Havent noticed a difference since the bypass, as in my anxiety is still **** lol. -
I take zoloft for antiexy. I've researched a bit on the internet and found that once you do a Gastric Bypass your psych meds will actually work differently. I wanted to know if anyone who has gone thru surgery had any experience with this. Thank you all in advance.
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September 8th here! I’m having the bypass at Cleveland Clinic.
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Any 45+ year old women on here with gastric bypass experience?
Lori E replied to timmytommy's topic in Gastric Bypass Surgery Forums
I'm 54 and had gastric bypass on June 18, 2021. I'm down 45 pounds so far, not too bad for just over 2 months! My biggest challenge so far has been developing aversions to things I used to like (scrambled eggs, tuna, chicken) but I seem to be getting over that now. Good luck on your journey! -
Post Op Autologous augmentation breast lift
Lynnlovesthebeach replied to Lynnlovesthebeach's topic in Plastic & Reconstructive Surgery
Thanks! Actually, I just had my scar revised on my left arm and need to revise my right arm with my next surgery (thighs) so now isn't a good time to take pictures. Plus, I live alone and can't get a good angle at the good parts of my scar but when I get a chance I'll ask someone to take the pictures for me. So far the arms were the most painful for me but was tolerable. I've had very little pain with my current surgery. -
My Journey Starts
Dave In Houston replied to kcoffey60's topic in Revision Weight Loss Surgery Forums (NEW!)
When I was on the puree stage after my gastric bypass, I would grind soups in a bullet blender with some extra chicken. At that stage I could stand about 4 ounces of liquid. Progreso has some canned soups that are tasty. Another thing I did is to grind entrees like chicken curry or chicken marsala, then thin the sauce down with chicken broth to the consistency of a thick soup. You'll be moving on to soft foods soon enough. -
Gastric Sleeve to ESG Overstitch?
NapaGirl posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi all, I had my gastric sleeve in 2013 and went from 270 to 155. I started struggling to keep the weight off less than a year out from surgery. Eight years later, I've gained half of it back, weighing in at 210. My original surgeon doesn't do revisions so I decided to have an endoscopic sleeve gastrectomy to retighten my stomach and get off the regain (performed by a gastroenterologist). Unfortunately private insurance doesn't cover these so I paid >$10,000 out of pocket. Has anyone had success with an ESG post-sleeve? I'm 4 days out, down 9 pounds, feeling hungry and weak, but still motivated. Thanks for your input! https://www.hopkinsmedicine.org/endoscopic-weight-loss-program/services/endoscopic.html -
Woah, I’m 29th September in UK. Gastric bypass. It’s both exciting & scary! Have people had quite prescriptive Pre-op liver shrinking diets? Also my doc has recommended 6 weeks to recover. I’m thinking best to book more than you need & go back to work earlier. Than book 2 weeks & need 6! Anyway everyone ok this group seems super supportive which is great!
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Meal Planning - Nutrients, calories what is most important to you?!
Dave In Houston replied to dwaite's topic in Gastric Sleeve Surgery Forums
FYI, my surgery was gastric bypass, but I think the regimen is similar. Compared to Crick, I'm just getting started, but I also concentrate on the protein, and I also try to get in 80 grams per day. They told me I should give up caffeine, so my morning ritual is now a sugar free popsicle which I take with my morning meds and vitamins. Thirty minutes or so later I'm having a Pure Protein drink, good for 30 grams of protein. For lunch I usually have a fried egg, one strip of bacon or half a turkey sausage patty, and half an English muffin. My afternoon snack is usually cottage cheese and pineapple. Though my tastes changed after surgery, this is something that always tastes good. At dinner, there's usually includes a protein portion, a veggie, and a carb portion. Tonight it will be pork tenderloin, mashed potatoes, and green beans. Pork tenderloin is a great choice for good meat at a good price. I buy them at Costco for $2.49 a pound. It's the same cut of meat as filet mignon, but it's the pork version. It doesn't have quite the amount of flavor as beef, but a side of sautéed mushrooms brings out the flavor. I like to put a small splash of soy sauce in the mushrooms for an added umami blast. BTW, everyone should have an sous vide machine to prepare meat perfectly every time. I use the Anova brand. My evening snack is another Pure Protein drink, so I'm easily making 80 grams of protein. They told me to cut out whiskey, so my evening ritual is another sugar-free popsicle. Surprisingly, cutting out coffee in the morning and a whiskey at night was easy for me. (Note: edited to fix some of the capitalization mistakes the web page inserted. I hate that. And it won't let me capitalize that well known warehouse-style retailer that sells roast chickens for $4.99.) -
Thursday it will be 2 weeks since my revision surgery on August 12, from RNY to Duodenal Switch. It was a 5 1/2 hour surgery, a little rough but my surgeon was able to do what needed to be done. I was in the hospital for 4 nights. So far since i've been home the only issue i've had with the surgery is one of my incisions started draining quite a bit. I went to the doctor to have that taken care of. It wasn't infected but to be cautious, i'm on antibiotics and gauzed up. I see the doctor again on Thursday. Mostly all pain is gone. I'm now on pureed foods. That is going a little tougher than i thought as far as what to eat. I'm eating slow but this morning i did throw up my breakfast. i don't know if it was just stuck or maybe the puree was too thick so i need to be more careful. I also see my nutritionist on Thursday, i know she will have good advice. I'm getting in my protein pretty good each day and really working in my vitamins now too. I will update after my Thursday appt. Also, does anyone have some puree recipes? Thank you! Karen
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Tomorrow's the big day
kcoffey60 replied to kcoffey60's topic in Revision Weight Loss Surgery Forums (NEW!)
Thank you Sunnyway, I am going to check into those books. I totally understand you. When i had my RNY in 2006, nutritional guidance was not that great. I also did research upon having this revision and my nutritionist is excellent. So far i'm doing everything the way i was told in regards to measuring everything. I don't get hungry even though it's not quite 2 weeks since i had my surgery. This is a second chance for me and i'm going to follow everything carefully. God is my strength too! -
Second Guessing Myself
catwoman7 replied to greenwitch17's topic in PRE-Operation Weight Loss Surgery Q&A
anxiety before surgeries (any surgery) is pretty common...I always freak out before any surgery I've had. And they've all gone off without a hitch. first, morbidity rates on weight loss surgeries are really low. It's 0.3% for bypass, even lower for sleeve (not sure the exact percentage for sleeve since I had the bypass - but sleeve is lower). So there's a 99.7% chance (or greater) that you're NOT going to die - and those are excellent odds! Even better than hip replacement surgeries, which people get all the time. Weight loss surgeries have improved tremendousy over the years and they're no longer the scary, risky things they used to be. They've really become pretty routine at this point. I don't think most surgeons use catheters for weight loss surgeries, because unless you have other issues going on in there that they have to deal with, the surgeries are short. My bypass took a little over an hour - sleeve surgeries are typically even shorter. I DID have a catheter for two of my plastic surgeries, but then I was under for over four hours with those. The catheter wasn't any big deal - but no, most of us don't have one for weight loss surgery. the surgery won't fail as long as you follow the rules and guidelines. It'll work like a charm. But you do need to get the binge eating under control, because that could sabotage your efforts. They'll probably have you meet with a psychologist prior to surgery (that's very common...), but you may want to continue meeting with a therapist even after that because the binge eating WILL hinder your results if you can't get on top of it. Many of us have worked with therapists and found it very helpful. I can't speak to the being too young part, since I had surgery at age 55 - but like others, my only regret is that I didn't have it sooner.
