Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Bougie Size On Exbandits



Recommended Posts

I posted this in the band to sleeve thread but thought some long time exbandits might hang out in here as most of the contributers over there are new or not sleeved yet so.

Ok saw my doc yesterday to get a date and asked him bougie size he said he uses a 34 but wraps loose on exbandits so its more like a 38. He said it is to avoid leaks in the area where scar tissue is present after band removal

This really concerns me that the weightloss will be shitty. He said when I asked that his sleeve patients lose a bit then might go back up a bit where others lose and yet others maintain. I am confused with this, he says I need to maintain however I have gained over 20 kilos on my lowest band weight and hate it and would like to at minimum lose at least 10 of the excess gained. ( 20 was way too low)... so with a bougie this size on an exbandit is it possible.

Can anyone comment on weight loss as an exbandit with a bougie of this size

Share this post


Link to post
Share on other sites

I had my band removed and had the sleeve done on Dec 11, 2011. I have so far lost 36 pounds and continue to lose. I may not be losing as fast as some but them I am not complaining as I am not getting a lot of hanging skin losing slowly. I think that this can be a plus. I know that I eat less with the sleeve than I was eating with my band if that helps you any.

Share this post


Link to post
Share on other sites

I can't comment on being an exbander, but I will say this. I was animate when choose my surgeon that they would do a smaller bougie because although there isn't a ton of data out there, there was enough that I found that told me that the regain was slightly higher/ more likely the larger the sleeve because over time it will stretch a little. So, if you start with a larger sleeve it will expand in accordance with the size you are starting with and I didn't want that. My surgeon used a size 30 bougie and although I didn't care for their office or his bedside manner, I think he did a good job in the surgery. I have very little hunger issues and am 8 months out.

The other thing to keep in mind is that often surgeons use the bougie as a guide and will sew bigger than the bougie, so like your surgeon told you on how he sews bigger than the bougie he uses, you may have to be concerned with him not getting all the ghrelin or enough of it out to help control your appetite. Some will disagree with this, but I am just stating this how I approached my surgery and I am happy with my decision/ approach. I wish you luck.

One last thought, you might ask him that if you did the surgery in a 2 step process to allow the scarring to heal up if he would then go back and use a smaller bougie. I know that isn't ideal, but if you have limited options that might be one way to go.

Share this post


Link to post
Share on other sites

Kaiser Fremont, where I had my surgery, uses a 40 bougie. As you can see from my stats, I have had good weight loss. Not sure where the sleeve will top out for food consumption. Right now, I eat a max of 3 oz. of firm Protein with about 1/2 cup of veggies and a bite or two of a starch. At Breakfast, I eat 1 cup of greek yogurt, a slice of toast, and a little fruit.

I am hungrier lately, but I think it's due to some bad snack choices I've made in the last few weeks. I find eating empty carbs makes me hungrier.

Lynda

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×