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gastris sleeve to gastric bypass
Marie2021 replied to slamdunk's topic in Gastric Bypass Surgery Forums
This is helpful. I was sleeved in 2018 and never had adequate weight loss no matter what I did. My insurance approved my revision after having 6 nutrition visits and my Dr stating it was medically necessary. My revision is scheduled for this upcoming Monday -
I was sleeved before my revision. It took a little bit, but I enjoyed everything you listed. It's why I wanted bypass in the beginning because I needed something to really help me with that. I'm not typical. Wasn't a big eater before sleeve or after. A regular day for me was 700 calories, but I drank my calories, lol. Mostly in coffee. I could drink coffee all day & be fine, then maybe a little bit of steak w/ veggies for dinner. But if we were on vacation, forget it, I would eat ALL the things. I could still eat everything I did pre sleeve, after the sleeve. It was just that waiting period waiting for my sleeve to heal. I LOVE sparkling water, and I keep picking up a can and staring at it, lol. My sleeve recovery was super easy. You'll do great!
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Endoscopy and Sleeve?
Creekimp13 replied to lunadreams's topic in PRE-Operation Weight Loss Surgery Q&A
Catwoman is dead right about the risk of GERD with sleeve. That said...if your GERD is being caused by a hiatal hernia and you have it repaired with your sleeve surgery...it can result in resolving the GERD. This was the case for me...I had awful acid reflux, but since surgery have not had any. So...it's individual. I avoided Gastric Bypass because people in my family are prone to iron deficiency, and taking heavy iron supplements makes me super nauseated. I have a relative who had gastic bypass who continues to significantly struggle with iron and a few other trace nutrients. It's a catch 22. Weigh the risks and benefits specific to your situation. Getting the endoscopy will give you more information to work with. In the end, you try to get the best information you can....line up the best doctor you can (can't hurt to get a couple of opinions)...and take your chances. No guarantees. Best wishes. -
Endoscopy and Sleeve?
catwoman7 replied to lunadreams's topic in PRE-Operation Weight Loss Surgery Q&A
I wouldn't do the lapband at all, and I'm surprised your surgeon still does them. Few surgeons do those anymore and lots of people have had theirs removed because of complications. if you have GERD, just know that it gets worse for about 30% of sleeve patients. You may be OK with that amount of risk - I was not, so I went with bypass. Bypass usually (but not always) improves if not outright cures GERD. Having GERD won't prohibit you from getting the sleeve, though - but just know your risk if you do have it and you decide to proceed with the sleeve. Sometimes it can be medically managed, but we do see a fair amount of revisions to bypass on here if the GERD gets really severe (and again, that doesn't happen to most people - but it does happen to some..) P.S. Malabsorption issues aren't common with bypass AS LONG AS people are consistent about taking their vitamins. There are some people who can't absorb iron very well from oral supplements, so they need to go in for occasional infusions, but most of us absorb iron from pills just fine. As far as other nutrients, again, as long as you keep on top of your vitamin regimen, problems are rare. -
Random Pre-op Questions
Recidivist replied to Jnfinney's topic in PRE-Operation Weight Loss Surgery Q&A
I had bypass and also got the painkiller injected around the incisions in the hospital. I was surprised at how little pain I had afterwards--I didn't even need any pain medication. -
How long to feel normal
Recidivist replied to Mark P3's topic in POST-Operation Weight Loss Surgery Q&A
Not sure which surgery you are having. With bypass, I was up and about within a day and could get around the house without any trouble. However, you will be exhausted and should not be lifting anything for a while, but your wife shouldn't need to take care of you. -
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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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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those must be your particular surgeon's requirements, because I don't think that's universal - except maybe in the early weeks or months. I have a virgin RNY (not a revision), but I didn't have any restrictions at all once I get a ways out. I don't drink a lot (maybe three or four times a year), but I eat tacos every time we go to a Mexican restaurant. There's literally nothing I can't eat (although I watch my portion size)
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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.
