5 year study

[feedyoureye 3,087]

http://www.ncbi.nlm.nih.gov/pubmed/20094819

[italianlady13 80]

could someone who knows medical speak translate that into english for me? LOL

[feedyoureye 3,087]

could someone who knows medical speak translate that into english for me? LOL

http://www.verticalsleevetalk.com/topic/22858-are-there-any-sleevers-out-there-that-have-gained-a-lot-back/page__p__192980__fromsearch__1#entry192980

Oroborous put it this way in another post...

Parsing that out, it means that yes, SOME people do regain weight. But EWL -- excess weight lost -- was still >50% at over 5 years. This means that for MOST people, MOST of the time, MOST of the weight will stay off.

Realistically, most of us will probably drop quickly, then plateau, then stay at low weight for a while, perhaps with a long slow drop to a "real" low weight. Then, most of us -- against, speaking statistically -- will probably regain 10-30 pounds over a long period, because that's just how the curve seems to be shaped. A lot of that is genetics, a lot is age. If you look at the weight curves of NON sleevers over the same time span, you'll see about the same curve!

So, statistically speaking, the sleeve IS durable weight loss, compared to ANY other method of weight loss that is current known. This doesn't mean that you'll never regain any of it; you likely WILL regain a little from your absolute low (if you think about what "absolute low" means, you'll realize that that means there's nowhere to go but up, since that's your ABSOLUTE low). And of course, if you sabotage yourself, you can regain quite a bit.

But with the durable ghrelin loss, and with the determination to work WITH the sleeve instead of sabotaging it, yes, you can lose the weight and keep almost all of it off.

[SomethingClever 2]

Thanks for posting this (and for the translation!)

Too bad this study was only of 26 patients. I was very surprised that 15% of them converted to RNY due to reflux and weight loss failure. Of course, that's only 4 of them. Again, this is the problem with such a small sample size. Also these were done in Italy, and I have no idea of the surgical technique they might use there (esp. bougie size).

I'm still anxiously awaiting new studies. I thought there was supposed to be a big one coming out this summer.

[LoserMama 37]

I am wishing for more definitive data. I was not happy to see 30% needing chronic PPI meds -- is that the experience here, as well? And seeing 15% converted to RNY. What I want is a RNY sleeve! Make my stomach smaller, like sleeve, but do the malabsoprtion, like rny! :)

[KellyL 173]

What you are describing is a DS (Duodenal Switch). It's the sleeve with the intestinal rerouting for malabsorption.

I am wishing for more definitive data. I was not happy to see 30% needing chronic PPI meds -- is that the experience here, as well? And seeing 15% converted to RNY. What I want is a RNY sleeve! Make my stomach smaller, like sleeve, but do the malabsoprtion, like rny! :)

[LoserMama 37]

What you are describing is a DS (Duodenal Switch). It's the sleeve with the intestinal rerouting for malabsorption.

DS is a lot more extensive in its rerouting from all I've read and seen, than the RNY. Its a major major diversion of the intestines, resulting in severe malabsorption. I guess its most similar to the Distal RNY in malabsorption, but that isn't the typical RNY done. Don't quite want THAT much diversion...., just the same degree as RNY :) I wonder if a doc will do a DS with a proximal diversion? That would be it, right?