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As long as the fundus is fully dissected, the ghrelin making part of the stomach is gone.

I do think that some DS patients with their larger sleeves don't end up with the fundus fully dissected. But I also think that may be because of technique in some cases. I don't think the surgeons realized how important that was until recently.

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My doctor said that he uses a 40F Bougie. When I asked him how big it would be, he pointed to my thumb. I have tiny hands. Does this sound about right?

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Mine used a 40 on me also, and when he was describing the new size also used the thumb as an example. I'm only 2 months out so don't know long term, but so far a 40 is working just fine for restriction. I can't eat more than an ounce or two at a time. My surgeon does do a lot of oversewing which can make the size slightly smaller, and helps prevent post-op leaks.

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JaneP, I don't think my surgeon oversews. He said that he does a Buttress to Staple. I guess I should research what that is. :bananajump:

Congrats on your sleeve working so well for you!

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:party4:

JaneP, I don't think my surgeon oversews. He said that he does a Buttress to Staple. I guess I should research what that is. :)

Congrats on your sleeve working so well for you!

Hi! Buttress is a really strong type of "thread" that they use and then they staple after. At least that is how my doc explained that one! :smile1:

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:party4:

Hi! Buttress is a really strong type of "thread" that they use and then they staple after. At least that is how my doc explained that one! :smile1:

Thank you! I like how that sounds. I've been reading about it on google and it makes me feel reassured about potential leaks to have the reinforcement.

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Thank you! I like how that sounds. I've been reading about it on google and it makes me feel reassured about potential leaks to have the reinforcement.

That is right and my doctor also says that if you don't have a leak within the 2 weeks, you never will. . . so that is even more reassuring!

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When I was at my appointment today I asked what size boughie my Dr. uses and his answer was about the diameter of your thumb or index finger. Does this sound right? What size do you think that equals? Any advise. Is this good or bad or do I really want to know? ( just wondering because I really like my Dr).

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Take a look at this: VSGGuide - FAQs

it will answer your questions and good to know info. as well.:thumbup:

When I was at my appointment today I asked what size boughie my Dr. uses and his answer was about the diameter of your thumb or index finger. Does this sound right? What size do you think that equals? Any advise. Is this good or bad or do I really want to know? ( just wondering because I really like my Dr).

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hi,what is " oversewing " ??? I will have my sleeve this coming friday and cheking out any problem i may have. thanks so much

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What are some questions I should ask my surgeon when I see him?

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At my pre-op appt on Thursday I asked what size bougie and was told it was a 16 or 18 to make it easier to go down your throat and then it was expanded with air. My surgeon does not oversew as he said he finds the stitches creates more holes and more trama to the tissue. Prior to surgery end he clips off he bottom and closes off the esophagus and pressure tests the sleeve - the pressure is greater than any cough you would have. He has never had a sleeve leak and out of 2500 bypass surgeries he has only had 7 leaks. He is in practice with another surgeon and they perform all surgeries together so you have two attending surgeons from a Center of Excellence and I have met both - one did my initial appt and the other the pre-op. The diet they do is a little more restrictive than I have read on here. Day before surgery is clear fluids as is the week following surgery. The 2nd week is full liquids and the 3rd and 4th week is mushies.

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Hi Kabranda,

I had Clear Liquids for the first five days, then full liquids after that. I'm 12 days out and hope to be moved to pureed foods by the end of the week. I know that continues for at least another two weeks. I think our plans are quite similar. The great news is that you won't be hungry after surgery and will need to remember to get your fluids in. I didn't feel hunger at all until day 10, and then just barely. The good thing is that at that point 1/3 cup of greek yogurt is so filling. You won't have any problem with the food plan.

Good luck!

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
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