Can someone explain why my surgeon will be using a 46 french on me i thought a 32 was the norm my stats are 5'11 375 male and does anyone have a 46 fr and how is it performing thanks for your input.

Mine is using a 40 and he is calling it the middle size. I had thought the range was 32-40 so that surprised me.

Mine will be using a 36 bougie. I didn't know they were as big as 46. Can you talk to your surgeon about it and see why he is using a bigger one?

I would ask your surgeon why heis using a 46 bougie. Next, if he does not answer with a favorable reply, see someone else. Also, is this a half way mark surgery for you and you are moving on from a VSG to a bypass? Is that possibly the reason?

32-40fr is the standard, and there are reports from Dr. Cirangle and Dr. Jossart(they are 2 of the 3 pioneers of VSG as a stand alone) that show a higher incidence of regain at the 2-3 year out mark with bougie size bigger than 40fr.

I personally would not have allowed a 46fr bougie, and I'm way shorter than you which is indicative of having a shorter stomach which means even less capacity.

No one but your surgeon can answer that... He may oversew, which would bring the size down.. my surgeon said that some docs cut close to the bougie, others loose, some oversew, others don't.. so the size of the bougie does not tell the whole story. My doc used a 36, over sewed, and left the Pylorus end loose to avoid potential problems. I have never had any problems eating what I want, or vomiting after eating... I don't lose super fast, but steady. I have read one study that said that the amount of fundus cut off during the surgery (to the patients in the study) did not predict weight loss. see page 10 for study, it has to do with fundus size, content voiding speed and weightloss with the sleeve...

Sleeve Gastrectomy Abstracts-1.pdf

I thought this article was good - see the last paragraph about size

http://bariatrictimes.com/2010/02/18/the-history-of-sleeve-gastrectomy/

I thought this article was good - see the last paragraph about size

http://bariatrictime...ve-gastrectomy/

Some interesting studies for sure. All of the "this pound is now lost permanently" talk around here needs some tempering. Time will tell. (and out ability to stick to the rules enough to keep the weight off over time) Still better then any of the other methods I have used in the past!