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Surgeon suggested bypass instead of sleeve.
flabbergasted replied to areyoukiddingme's topic in Gastric Bypass Surgery Forums
I am 50yrs old and had gastric bypass dec. 19. My surgeon recommended gb over the sleeve because I have gerd and he said the sleeve would make it worse. I was disappointed and wasn't sure about being re-routed. I agreed as I trusted my surgeon. I do not regret my decision. I had very little discomfort from the surgery. I have had no problems with gerd. I was hoping that my body would reject sugar but it does not. My surgeon had told me prior to surgery that dumping syndrome is only a possible side effect. I have had a few very mild cases, keep in mind I am a sugar-holic. I can still consume sugar and fat moderately. I have found that I prefer protein shakes to food most of the time. I don't and never have liked cooking. If you enjoy cooking and your recipes you will probably be able to tolerate it in small amounts. One thing I've found is that you don't know what your stomach can handle until after the surgery. It is different for everyone. Some are sensitive to sugar and fat, some are not. There's no way to tell ahead of time. My only regret is that I still get hungry and my stomach still growls (not the gurgle you hear when it's circling the drain that is different). Gastric bypass does not completely get rid of ghrelin. Once I got my routine down it lessened. Hopefully will stop soon. Don't overthink and worry too much. Just take it one step at a time, your body will tell you what to do. Once you heal, you should be able to eat normally for the most part in small amounts as I do. This is my first post ever so forgive me if I've rambled or responded incorrectly. -
I will post as soon as I can after the surgery. Thank you everyone for your support, it meant a lot and made my journey easier. I hope that this surgery will help me reverse diabetes, reverse atrial fibrillation (if the Aussies are right, weight loss can actually reverse this heart arrhythmia in the first year after diagnosis, this is a new discovery from Australia), heal the Barrett’s Esophagus (that is what the doc said, the pre cancerous cells will heal with time after the bypass), decrease the future chances of pulmonary embolism, and last but not least allow the sleep without a CPAP. All of these with one single surgery! Even if only one of these gets resolved, life is longer . Wishing everyone a wonderful peaceful night!
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Bariatric Myths??
catwoman7 replied to BabySpoons's topic in General Weight Loss Surgery Discussions
yes - it's definitely the most popular choice nowadays. I think most of the people who opt for bypass now are people with GERD issues. And a lot of younger surgeons probably don't have as much experience with RNY because most of what they do is sleeve (because it's the most common surgery now) - so they're probably more likely to recommend it, too.. The surgeon I had is probably 60 years old now and has done A LOT of RNY's, since that was considered the "gold standard" for many years - but they have some newer ones in the clinic now. Not sure if the newbies there are doing much in the way of RNY or not - but I wouldn't be surprised if they're not. -
Surgeon suggested bypass instead of sleeve.
catwoman7 replied to areyoukiddingme's topic in Gastric Bypass Surgery Forums
first of all, only about 30% of bypassers dump (I never have - and I know lots of others who never have, either). It's caused by eating too much sugar at one sitting, so you can prevent it by....not eating a lot of sugar at one sitting. the issue with restaurants is temporary - just the first few weeks. Once you're a couple months out, you'll be able to find things on practically any menu that you can eat - and once you're about six months out, you'll be cleared to eat any food item (you may still have some intolerances, but nothing will be off the table). My new normal (well, not so new anymore since I'm eight years out) is either ordering an appetizer or two, or ordering an entree and having them box up half of it to take home. Honestly, most of my never-been-obese women friends do exactly the same. At this point, no one would be able to tell I've had weight loss surgery - they'd just assume I'm a "light eater". and what are you throwing your cookbooks out for? I never threw out a single one - and I've since added a few more to my collection! I enjoy cooking and I cook a lot. I just eat smaller portions now, and I only occasionally indulge in something like chips or dessert. honestly, the eating that people often associate with weight loss patients doesn't last forever. It's tough the first month or two (well, esp the first month), so I tried to avoid going out to eat. But after that you can eat more variety and should be able to find things you can eat at any restaurant. And then, as I said, after about six months, there won't be any food restrictions. It takes about 1600 calories/day to maintain my weight (although that varies a lot among people - I know women who can only eat around 1200 and others who can eat 2000), and I eat very nutritiously most of the time. Yes there are days when I overeat or splurge on some junky thing, but it's not very often - and I'm back on track the next day. There are times when I wish I could eat whatever I want and however much I want every day, but very few people can do that - and it sure didn't work for me since it got me up to almost 400 lbs. I think I'm eating much more like a "normie" now.- 20 replies
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Surgeon suggested bypass instead of sleeve.
areyoukiddingme posted a topic in Gastric Bypass Surgery Forums
Had my first visit with the surgeon last week about getting the sleeve. Did heaps of research and checked out forums prior to appt. Surgeon suggested getting the bypass. Said research shows it is more successful long term and as I am in my 50s I wouldn’t want to be doing another op in my mid 60s. Bypass is also reversible. I agreed to a bypass on the spot as the surgeon should know what’s best for me. He said he has even reduced the cost of a bypass to match the sleeve so patients would not be deciding on a procedure based solely on cost. Surgery next month. Very worried about ever being able to go to a restaurant in the future due to lack of suitable menu choices and ending up with dumping in a public setting. Not sure how I would cope when travelling as will be relying on others to prepare my meals. Any advice on these scenarios would be much appreciated. I just spent the weekend donating many of my gorgeous cookbooks as I can’t see myself ever using them again. I have another three bookcases to go through. Next step will be digging out the smaller clothes I never donated as I really liked them. I have a feeling I won’t be interested in many of my old clothes anymore and will want to celebrate my new figure with some new items. I know my smallest clothes are going to end up too big in the near future. Can’t wait. Would love to hear from others about their journey and any tips or tricks you can offer. -
Bariatric Myths??
BabySpoons replied to BabySpoons's topic in General Weight Loss Surgery Discussions
Yeah I tend to be a sceptic sometimes. I remember asking my surgeon that if the bypass is considered malabsorptive, how will I be assured my vitamins will be enough. He just smiled and said not to worry, just take them. Of the 4 doctors in that office he's the only one that does the RNYs. All the rest do the sleeve. I guess it's the popular choice nowadays. I'm looking forward to that day myself. And I've seen your pics. You look fantastic! -
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BLAKQUEEN commented on BLAKQUEEN's gallery image in Before and After Gastric Sleeve Photos
This was weight before my first WLS in 2009 , which was the gastric band. In 2014 I had a revision to the gastric sleeve. I went down to 160lbs by 2019. Then the pandemic started and I went back up to 235. I had another revision in March of 2013 to a RNY bypass. Surgery wt 219. -
Bariatric Myths??
BabySpoons replied to BabySpoons's topic in General Weight Loss Surgery Discussions
I watched it again to see if I missed something. He does mention a 6 -18 month period of greater weight loss with bypass but attributes it to the stomach healing, less food. Not to malabsorption. He also claims this myth originated as a marketing ploy to promote the Gastric band. Hmmmm. And now... the sleeve? If science proves what he is saying and doctors are using misinformation to steer us towards an easier procedure or one that might need a second surgery, then so be it I guess. For me it's good news because the last thing I need is to come out the other side of my RNY frail and malnourished -
Multi Vita and Medic Alert bracelet
Jeanniebug replied to loras68's topic in Gastric Sleeve Surgery Forums
I developed post-bariatric hypoglycemia. So, I got one of those MyID sleeves to wear on my step tracker band. It just says that I had a gastric bypass and that I have hypoglycemia. I didn't get the ID until I developed the blood sugar issue - if I hadn't developed that, I wouldn't've gotten it. -
Multi Vita and Medic Alert bracelet
Jeanniebug replied to loras68's topic in Gastric Sleeve Surgery Forums
I developed post-bariatric hypoglycemia. So, I got one of those MyID sleeves to wear on my step tracker band. It just says that I had a gastric bypass and that I have hypoglycemia. I didn't get the ID until I developed the blood sugar issue - if I hadn't developed that, I wouldn't've gotten it. -
Do your research locally. I found a very competent bariatric surgeon close by. He even taught other surgeons how to do many of the procedures. Being far from home, especially when things seem so new and different, is probably not a good idea. It sounds like you have your heart set on these two doctors. May I ask why? Have you fulfilled all the pre-op requirements (usually insurance carrier requirements)? The requirements are often different depending on the insurance company, the doctor---maybe even the state. (Michigan must have many fine doctors to chose from.) I'm starting to equate my gastric bypass with my four childbirth deliveries. I know I was there and went through everything, but I have a hard time remembering all the details. I just know that I am happier, healthier, and a lot thinner after having my gastric bypass. My only ongoing complaint is that my sense of smell and taste never returned to my pre-surgery status.
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25 years old? Think about how much longer you will get to enjoy being normal sized if you go through with the surgery. As Catwoman said, it might suck for a while until you figure out what works for you and what doesn't, but that takes at most a couple of months, then you have the rest of your life to look forward to. As for dumping, my nutritionist said it only happens to 2 types of people: those who go overboard and eat too much/too quickly, and those who have heard about it and do it on purpose to feel how bad it is. She said in both groups it typically only happens 1 time. I think all of the bad side effects are pretty short term (nausea and such) are usually surgery related, so they pass pretty quickly (a week or two). While you are in that two week window, it feels like forever, but it will pass. That isn't to say there isn't real risk. I had a friend who had a ton of trouble keeping any food down, her esophagus was too small from scar tissue. She had multiple surgeries to fix and nothing worked, but eventually went to a different doctor to revert to a bypass and has been doing great since then. So even some of the worst side effects can be eventually mitigated. Positives? I am only 3 weeks out from my surgery and I have already had 4 non-scale victories (down 35 pounds): Walking down the stairs no longer hurts my knees No longer snoring Dropped 1 clothes size My wife's care no longer squeaks when I ride in it (from the side of the chair rubbing against the center console) And finally, I have been having over 100oz of water since my 2nd week. I can drink pretty freely now without noticing anything. I don't think I could chug a glass of water, but I rarely did that anyways.
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Bariatric Myths??
catwoman7 replied to BabySpoons's topic in General Weight Loss Surgery Discussions
everything I've heard is that malabsorption of calories (in bypass) is temporary - lasts a year or two at best. Malabsorption of vitamins, however, is permanent, which is why we have to take supplements (in duodenal switch, the calorie malabsorption is also permanent - which is why it's a stronger surgery). I didn't listen to this whole video, but I think this is essentially what he is saying (I just listened to a couple more minutes of it - he did say we need supplements of some things like calcium and iron, because we don't absorb those well - I'll listen to the rest later to see if he mentions other vitamins - but i'm on my way out the door at the moment...). But that whole thing about carbsi in the intestines and diarrhea - that refers more to DS patients since that is truly a malabsortive surgery - and the malabsorption (of calories and everything else) with the DS is permanent. -
Bariatric Surgery Doubts
catwoman7 replied to lp1266's topic in PRE-Operation Weight Loss Surgery Q&A
dumping happens to about 30% of bypass patients. It's much less common in sleeve patients, so it's very unlikely that you'll have that (since you'll be a sleever). But for people who do have it (both bypass and sleeve), you can prevent it by not eating tons of sugar at one sitting. So I would not worry about dumping syndrome. nausea and vomiting are not uncommon early on when you're trying to see what your stomach will tolerate. BUT..you learn quickly, and most of the time foods that are intolerable early out you can eat later on. Besides, vomiting after surgery is different from vomiting before. Your stomach is tiny and there's a lot less acid in there, so not much comes up and you don't get that horrible taste in your mouth. I wouldn't go so far as to say it's "pleasant", but I don't dread it nearly as much anymore. I probably don't vomit any more often than I did pre-surgery at this point, and haven't for a long time. water - yes you'll be mostly sipping it the first few weeks, but at some point you'll be able to drink it like you probably do now. I know almost no one who regrets the surgery. The first few weeks can be rough and you may have second thoughts because of that, but after that, no. The only regret most of us have is that we didn't have it sooner. -
My surgery is tomorrow, I will not know the time until this evening after 6:00 p.m. I do not know why Mayo Clinic does this, but they do not let you know what time the surgery is until the night prior to the surgery. They did the same for my husband’s brain surgery couple of years ago. I still have doubts about this gastric bypass surgery and probably I will until they roll me in, but I think it is a normal reaction to fear. I have so many underlying health conditions that will be resolved with this surgery and I still doubt my decision. My mind will play this game until I wake up from the surgery and I will know that I do not have any other options. 😀
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I like listening to Dr John Pilsher. He seems levelheaded and up to date on current medical issues concerning WLS. Some of his videos seem to buck the system about things we thought to be true. Malabsorption with bypass for example is a myth according to him. What say you???
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My story, a journey and an adventure. GP and GERD.
BabySpoons replied to KD in CT's topic in Tell Your Weight Loss Surgery Story
I'd venture to say that gastric bypass surgery and hernia repair will not only resolve the GERD for you but also help with your breathing. I had both procedures back in April of this year. My doctor said 10% of my stomach was pushed up through my diaphragm. No wonder I couldn't breathe to do anything and had horrible acid reflux. I am so thankful for this surgery. It gave me my life back and hope repairing that hernia will free up your breathing along with curing the GERD like it did mine. Good luck. -
My story, a journey and an adventure. GP and GERD.
catwoman7 replied to KD in CT's topic in Tell Your Weight Loss Surgery Story
I had GERD and my surgeon said because of that I should at least consider bypass, although he'd do either surgery I wanted. Bypass usually improves if not outright cures GERD. My GERD completely went away for the first three years post-surgery. I have it again, although it's milder than it was before. I just take an over-the-counter antacid (like Rolaids) when it acts up, which is maybe a couple of times a week. no cautionary advice - I love my bypass and would do it again in a heartbeat. -
Multi Vita and Medic Alert bracelet
The Greater Fool replied to loras68's topic in Gastric Sleeve Surgery Forums
I'll pass on the Multi Vita question. I will say my surgeon wanted us getting our nutrition from food. If blood work revealed deficiencies, then use supplements to address those. Calcium and Iron were those he suggested prophylactically since they were common issues; On the medic alert: No, not everyone get's one. I would say those that do get them are in the minority. My surgeon didn't feel they were necessary, and on my own research I amazingly came to the same conclusion as my surgeon. Imagine that! Common medic alert items: NG Stomach tube: There are standard practices for NG stomach tubes none of which require gastric bypass folks to warn anyone. First, NG stomach tubes are used for feeding which would not be done when you are unconscious in an emergency, once it would come to this point they will know your history or be able to see if it would be an issue; Even if this weren't the case, folks are trained to stop NG tube insertion when the slightest resistance is encountered, so the only time it would be an issue is when someone is doing it wrong already, so warning them not to do it wrong won't help; No NSAIDS: Folks won't be forcing NSAIDs on us when we are unconscious; If we are encountering a cardiac situation they may want to do a low dose aspirin, to which you want to say yes to avert heart issues. Low dose for cardiac care won't harm our tummies, I take saving my heart over saving my tummy any day of the week; Many folks take low dose aspirin daily; Dumping on Sugars: Again, they're not in the habit of forcing sugars on us if we are unconscious; Also, if in the extremely unlikely event that forcing sugar on us would be lifesaving, I'll take non-life threatening dumping over dying any day. Heck, I'll be asleep so dumping won't be a big deal. BTW, I dump and I'm still not scared; On a more philosophical level for me, I didn't want this surgery to rule my life. I was building a new normal here and I don't need special labelling to establish my new normal. Again, this is a me thing and is meaningless to the rest of the world which is why I'm not labeling myself for the rest of the world. Such medic alert bracelet's are an invitation for people to ask why, and I don't want to explain why to anyone. Hope this helps, Good luck, Tek -
Hi guys. I had my bypass yesterday. The pain is tolerable and it is especially nice to have this abdominal binder on. Hope it’s not TMI but I have been having trouble urinating. They actually had to straight cath me last night because I was retaining too much urine. I am still retaining but urinating enough that they were okay with sending me home. So now I’m home and trying to stay hydrated. They told me sometimes this happens and the bladder is the last thing to wake up. Hope it really wakes up soon.
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IU North, Dr. Selzer . Inddianapolis
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Hi everyone, I am considering gastric bypass surgery and have narrowed the surgeon selection to Dr Kevin Krause affiliated with Beaumont Royal Oak Michigan and Dr John Pilcher affiliated with Sage Bariatric in Texas. would really appreciate if those who have had their surgery done by either of these doctors provide input on their experience and if they would recommend the doctors and their teams. Working on making the best decision so looking forward to hearing from some of you.
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My story, a journey and an adventure. GP and GERD.
KD in CT posted a topic in Tell Your Weight Loss Surgery Story
I am ready for my journey, I view it as an adventure. While I have struggled with weight my whole life, I was mostly ok with my appearance, even though I ideally need to loose 80-100 lbs.. I have been active in life and successful in my endeavors. I've had a good life. Recently, the stress of life, finances and emotional challenges have taken their toll on my overall health and well being. Chronic GERD has caused GERD asthma and I've had two bad exacerbations since April. This has been very, very difficult. GERD causes the asthma, medications make GERD worse. A vicious cycle. I am retired and teach swimming lessons to young and old and it gives me so much pleasure to share this skill with kids of all ages. I now find the pool chemicals are triggering the asthma and it is limiting my time in the water. I'm doing everything my doctors recommend and still having trouble controlling the asthma and GERD. I've done research to determine if Gastric bypass and hiatal hernia repair will help with Gerd and loosing weight and it seems promising. I have a 90 minute education session on Monday and my first appointment with the surgeon on June 16th. Lots of questions, but very happy I started this process. My husband is supportive and I've discussed with my daughter. Is there anyone out there with similar GERD related issues that were helped or have cautionary advice about gastric bypass. I would love to hear your story and challenges.- 5 replies
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Hi Fiery! I’m brand new here, and I see you’re not posting these days. I hope you’re doing well, and I hope you're still using your tool… if not, I think here’s a good place to chat and vent. I’m completely terrified of my upcoming bypass surgery. I only have this next month to take off work and take care of myself. It sounds like you’re a busy, on the go kinda girl ( so am I, very much so) … I guess I’d like to know how you’re doing these days… the reality of it all.. I hope to hear from you!😀
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No pre surgery diet 😳 Is this normal?.. or ok?
sharonwg replied to Mari3997's topic in PRE-Operation Weight Loss Surgery Q&A
Hi Mari - I had the bypass on 1st June (two days ago) and im now home. I had no gas pain at all and had no need for pain killers post surgery. There is another thread here on this site called 'June buddies'. Why not join us there - its for those who are having their surgery this month but anyone can post a comment really. I don't regret a thing - just glad the surgery is over 😘
