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I have to go for an endoscopy before surgery, and have my first visit with the GI doc on Monday.. When I was talking with my surgeon today and expressing concern about nausea on the liquid diet, and I shared with her that I tend to get really nauseated in the morning before I eat and at night if I don't have a little something before I lie down, she said it sounded like "classic gastritis" (as well as some GERD). I wish I'd asked her...does having gastritis and/or GERD rule you out for sleeve, or can it be treated/managed? I really don't want the lap-band, which is the other surgery she suggested for me, and I was hoping to avoid the bypass, as well, because of malabsorption issues.
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@WanderingHeart, awesome! Bypass or Sleeve? What is your pre op requirements?
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Making the surgery choice, which one?
HeatherE replied to catlover12's topic in Gastric Bypass Surgery Forums
I’m also pre-op, but similar in height and weight to you and also without many medical issues. I started the process at the end of December and surgery is this Monday, March 22. The only reason I considered weight loss surgery initially is because I found out it’s possible to do an endoscopic sleeve and I was too scared to do laparoscopic surgery. Endoscopic is not covered by insurance, but very little recovery time. After attending intro sessions for different bariatric practices, I decided on gastric bypass laparoscopically. My surgeon said he could do the endoscopic procedure and has taught people how to do it, but it’s not as precise and not worth the out of pocket cost. Weight loss is also less. Next I was leaning towards sleeve laparoscopically, but I’ve had Gerd which made me a better candidate for bypass. An endoscopy revealed the Gerd is from a hiatal hernia which they’ll fix during my weight loss surgery. Also, if I’m going to brave surgery, I want the surgery that will give me the best results, which is bypass. I got a second opinion from another practice, and they agreed bypass is my best option. I was hesitant because of the required vitamins, but I’m convinced now that it’s worth it. I am 5 ft 1/2 inch and was 226 in December. In January I started a pre-op low calorie diet and I’m about 12 days into the dreaded liquid diet now. Today my weight was 193.5. I think sleeve and bypass are both good options and whatever you decide will be a good choice. It doesn’t hurt to get a second opinion either. I totally trust my surgeon and selected him over everybody else. Still I wanted a second opinion to be sure. Good luck! -
I never crushed them, either. Classically, that has been something of a bypass thing as they feared that pills could get stuck in the stoma, but as you can see from catwoman, that is far from a universal thing. Some practices really go overboard on their instructions on how long things need to be done or avoided, maybe to inspire their patients to go along with it rather than see it as just a short time thing that they can skip. Sometimes it may be a matter of ignorance, in that they say that something needs to be done for a year, and that works well, but they really don't really know from experience how long it needs to be done as they never experimented with it. For instance, I have seen a couple come through these forums that were surprised when their doc advanced them to the next eating stage earlier than their published guideline; when asked about it, the doc simply said that they had found patients cheating on the progression and not suffering from it, so they advanced it (they'll change it next time they print up more guidebooks.) You will find a lot of things like that in the bariatric world - some crush pills or use chewables while others never do; some are on a liquid diet at the same point that others are having steak, some have liquid pre op diets and some have none.... There is a lot more experience and habit than science in this game.
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Gastric Bypass and Ulcer experiences
The Greater Fool replied to LarrySm88's topic in The Guys’ Room
Another consideration is that us Gastric Bypass folks have the blind stomach. Ulcers or other issues in the blind stomach are not easily diagnosed and treated. They can't shove a scope down your throat to look at it. Medications that depend on contact, those that coat or numb don't get where they need to go to coat and/or numb. I did have a bleeding ulcer because of a medication I was taking. We were carefully monitoring for just such an occurrence, stopped the medication immediately, and it self resolved quickly. -
RNYers are more prone to ulcers because they appear on/near the stoma (opening) they make when they move your small intestine up to your pouch. Sleevers don't have that - their digestive system is more "normal" than ours is (granted, removing 80% of your stomach isn't exactly "normal", but most of their system is more intact than ours). sure people die of sepsis. I think I've heard around 50% of people who get sepsis do. That is, if you even get sepsis from gastric bypass surgery. I've personally never heard of anyone who's gotten sepsis from it, and I live and breathe this stuff and have for the last six years. I suppose there have been cases out there, but that's got to be exceedingly rare. Most ulcers aren't anywhere near that serious and can be treated medically.
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Any March Surgeries?
Pilot my best self replied to Hopefulin2021's topic in PRE-Operation Weight Loss Surgery Q&A
Congratulations!! How are you doing? Was it sleeve or Bypass. A lmost 3 weeks post, any surprises or unexpected bonuses or challenges? -
ok thanks yeah i don't drink alcohol, and yes i know about the addiction transfer. i was just curious where is there scientific fact proving that RNY are more prone to getting ulcers than people with VSG ? like i said above : So far I found out from my dietitian and surgeon about Gastric Bypass Ulcers : 1, they can heal themselves. 2. there is medication someone can take to heal the ulcer. 3. dying from sepsis is the worst case scenario which is extremely rare according to my doctor and dietitian ?!! thanks so much so far no one on here has said they know anyone that has died from an ulcer after gastric bypass ? or sepsis ? I just look at worst case scenarios 1st . actually more people die from drug overdoses and alcohol poisoning after gastric bypass due to the addiction transfer. https://www.bariatric-surgery-source.com/gastric-bypass-surgery-deaths.html
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My story started in 2012 my moms doctor told me if I lost weight we could work on me being her living donor. So I went to my doctor said I need this to save her life help me. We got me set up for the sleeve. At almost 300 pounds I would have done anything to help her. I had the sleeve done March 2014 and after getting to 190 her doctor told me I couldn't be her donor she wouldn't survive the surgery. So fast forward to 2019 I have major heart burn so bad even water gives me heart burn. By 2020 i was over the heart burn and the miserable life I met with my new doctor he informed me due to my sleeve it will be constant and just get worse so we did a revision and basically went to the bypass. Its been a very long and exhausting road. I wouldn't change it for anything but I would reconsider the original surgery.
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wow interesting thanks for your experience . can you remember if you did any of those things in your first 30 days after surgery ? I see you also have the sleeve, I had gastric bypass. Apparently according to the "talking heads" and the web md rabbit hole, there is a major difference between the two surgery's as far as ulcers go ? your surgery they claim is not as ulcer prone. ??? obviously I take all the information with a grain of salt. My surgeon is from Russia, and hard to talk to and understand but he's a great surgeon. extremely overly strict. even according to his team, and dietitian agrees. he makes it seem like you are doomed for the rest of your life, you can never do anything, again and if you get an ulcer its a death sentence and you will die of sepsis. emotionally , mentally, and physically i'm going through a hard time figuring out this surgery post op for the rest of my life. thank you for your experiences
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I'm still in the approval process for bypass (medical checks and whatnot), but I was wondering if anyone out there has experience with changing their antidepressants and/or ADHD meds post bypass surgery. I'm on a combo of meds that are working pretty well and I've been told they can't predict absorption results after surgery which is stressing me out. It's the one thing that has me worried about getting the bypass (sleeve is not an option with my insurance) and I'd like to hear people's experiences. Thanks!
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I got COVID back in November and have asthma. I started a short course (5 days) of steroids due to the asthma flaring. My stomach started to hurt and I stopped them after 4 days. I had no further symptoms from the steroids and just the few days of prednisone got my COVID/asthma lungs feeling better. The benefits seemed to outweigh the risks at the time. I drink occasionally. Usually wine, but a very occasional cocktail. I don’t seem to have any issues from my infrequent indulgence. I do not smoke, take nsaids, or other drugs.
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thanks so much, in 6 years with gastric bypass , you have never once had a sip of alcohol ? nicotine ? weed ? Nsaids ? or any drug that can cause an ulcer ? I'm sorry if its a personal question you don't have to answer. I just hear so many conflicting stories, I just trying to understand the truth behind "following the rules" of gastric bypass
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If you don't mind me asking , has anyone had or has had a stomach ulcer ? staple line ulcer ? marginal ulcer ? and if you did have an ulcer at some point. Can you shed some insight and truth on preventive measures, and how to deal with them? You can be honest with me and direct message me about drugs , or alcohol, or weed, or cigarettes or whatever, you took, that caused the ulcers, if you do not want to make it public you can Direct message me , and explain . I would really appreciate any real world facts on this please . thanks so much So far I found out from my dietitian and surgeon : 1, they can heal themselves. 2. there is medication someone can take to heal the ulcer. 3. dying from sepsis is the worst case scenario which is extremely rare according to my doctor and dietitian ?!! thanks so much
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If you don't mind me asking , has anyone had or has had a stomach ulcer ? staple line ulcer ? marginal ulcer ? and if you did have an ulcer at some point. Can you shed some insight and truth on preventive measures, and how to deal with them? You can be honest with me and direct message me about drugs , or alcohol, or weed, or cigarettes or whatever, you took, that caused the ulcers, if you do not want to make it public you can Direct message me , and explain . I would really appreciate any real world facts on this please . thanks so much So far I found out from my dietitian and surgeon : 1, they can heal themselves. 2. there is medication someone can take to heal the ulcer. 3. dying from sepsis is the worst case scenario which is extremely rare according to my doctor and dietitian ?!! thanks so much
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Hi I'm currently going through the process of getting my surgery date and I am so worried about hair loss. My mom and grandma has had the bypass over 10 years ago and everyone says there hair grows back but my mom's only grew back a little and my grandmas never really grew back. I also know someone who has had it over 10 years ago and she says her hair is still thin. I have long hair and lost some hair on a extreme diet i did once before so I'm worried I don't have much to lose this time. My hair only stopped falling out when I ate a lot of calories and was gaining weight:( I'm just really confused [emoji53] Sent from my SM-N986U using BariatricPal mobile app
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Hypothyroidism and gastric bypass surgery
linnea29 replied to Castrad01's topic in Gastric Bypass Surgery Forums
I have hypothyroidism and pcos . i am scheduled to have gastric bypass with lapband removal april 19. i recently was on weight watchers for a YEAR and lost 5lbs.! hypothyroidism was definitely a motivating factor for me to have the surgery. -
Hypothyroidism and gastric bypass surgery
linnea29 replied to Castrad01's topic in Gastric Bypass Surgery Forums
I have hypothyroidism and pcos . i am scheduled to have gastric bypass with lapband removal april 19. i recently was on weight watchers for a YEAR and lost 5lbs.! hypothyroidism was definitely a motivating factor for me to have the surgery. -
Hypothyroidism and gastric bypass surgery
linnea29 replied to Castrad01's topic in Gastric Bypass Surgery Forums
I have hypothyroidism and pcos . i am scheduled to have gastric bypass with lapband removal april 19. i recently was on weight watchers for a YEAR and lost 5lbs.! hypothyroidism was definitely a motivating factor for me to have the surgery. -
Nsaids , Clomid and testosterone replacement therapy post op after gastric bypass surgery
RickM replied to LarrySm88's topic in The Guys’ Room
A couple of comments to fill things in here. It's not really a matter of steroids vs. non-steroids, but rather what a drug or class of drugs does to the stomach as a side effect, NSAIDs are merely the most common that are sited as being problematic for bypass patients. The issue is that the part of the intestine where where the stomach pouch is connected is not resistant to the stomach acid, so that anastomosis there is quite vulnerable to ulcers, so any med that can cause some stomach distress is generally to be avoided. Some of the osteoporosis drugs are avoided for this reason, too. This presumably applies to the MGB as well, as it uses a similar connection. The duodenum, the part of intestine immediately downstream of the stomach and is resistant to the acid, is bypassed along with the remnant stomach. These various meds can sometimes be used in limited times under certain circumstances under medical supervision, but it's a risk/reward trade off between doctor and patient. The sleeve based procedures are generally more tolerant as they don't have that marginal ulcer issue, but many docs still restrict them owing to their bypass experience, (and the sleeve is probably less tolerant than a normal person, while being more tolerant than a bypasser.) Your bypass can be reversed, (that is sometimes one of its "selling points" but it's not commonly done as it's a pretty complex job; not all surgeons will do it. It is usually reserved for times when there is no other option in treating some problem, rather than just buyers remorse. I have seen it done a couple of times in cases of intransigent ulcers, where no other treatment worked. It can also be revised to a duodenal switch, but that's even more complex than a reversal (they have to reverse it first, then sleeve it, and redo the intestinal rerouting. It is usually done when weight loss was inadequate or with excessive regain, or for other RNY complications such as the intransigent ulcers or bile reflux. You weren't offered the MGB as it doesn't fit the "standard of care" for WLS in the US - insurance doesn't normally cover it and the ASMBS hasn't approved it, though it has been further developed and used more commonly elsewhere. The next procedure that's likely to gain approval here is the SIPS/SADI/Loop DS -
Hi! I am in the same boat as you! I had surgery in August 2014, got to goal (8 pounds below at 142) and maintained 150-160 for 5 years. Then a neck injury, cancer diagnosis, and the year 2020 hit and I’m up to 188 at this point. It’s so damn depressing having to buy new clothes because nothing fits anymore. My doctor has put me on a BED medication called Vyvanse for the time being, and it’s really helped suppress my appetite. I’m back to exercising at least 3 days a week, and tracking what I eat. Trying to keep it protein and fiber rich foods. We will see. I feel like I’m back on the diet roller coaster/fat brain thinking from before. Seriously thinking about a revision to bypass since I have reflux anyway, but have been through so much medical crap, I don’t know if I want to deal with another surgery again. You’re not alone, friend!
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Alcohol during maintenance??
Katiebal_Lecter replied to xoto2000's topic in POST-Operation Weight Loss Surgery Q&A
Anyone have alcohol intolerance after surgery? I had bypass and the few times I’ve drank vodka now (a common drink pre-surgery) I get very itchy all over my body. -
PCOS and sleeve success?
Katiebal_Lecter replied to lunadreams's topic in Gastric Sleeve Surgery Forums
I have PCOS and got bypass 3 months ago. I’m currently 223 pounds, down 32 pounds from my highest weight (255 at 5’9”) and 24 pounds since surgery (247). I believe the slower loss is due to the PCOS. My hunger has been slight to nonexistent, and I’m really hoping the loss picks up, but I worry about being a failure. I don’t feel like I’ve had huge issues with any foods or dairy. -
Hi, I have PCOS (as well as Type II diabetes and hypertension), with a BMI of just over 35. The surgeon recommended the sleeve for me. I hear some say bypass is better for PCOS, but I don't really want to do that, because of the risks. My fear, though, is not losing weight with the sleeve because of my PCOS, or hunger coming back to the extent that I end up going through all of this, only to gain back whatever weight I lose. Also, I've heard that most people end up losing 50% of excess weight. Does that mean initially, or after the honeymoon period when many people gain some back?
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I think you will probably get a better outcome with the bypass, I believe that you lose more weight vs. The sleeve! Oh wow, That definitely sounds daunting! You can do it though!!! I think I'll have the same plan as you....to stay super busy!! It's gonna be hard but, we got it! That's an awesome idea, I might start trying things now...I've been hearing about the bone broth and tbh it scares me! Lol. I'll need to try it soon but, ughhh. Let me know if you find items that you like, I'll have to try them out! Yes!! The premier shakes are really good! I've been drinking them for breakfast. What is ricotta bake?! Sound good! What brand of vitamins did you buy? Chewable sounds better! My doctor hasn't given and recommendation yet or anything. Sent from my SM-N960U using BariatricPal mobile app