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Looking To Hear From Folks Who Are Several Years Out From Having Vsg



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@JamesHRN wow, that is great to hear that your friends are doing so well! It's inspiring and does put some fears at ease, thanks!!

@peacequeen, thanks for our comments,I see you had a leak a few days after, is that the complication you are referring to? How did you know you had a leak?

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@JamesHRN wow, that is great to hear that your friends are doing so well! It's inspiring and does put some fears at ease, thanks!!

@peacequeen, thanks for our comments,I see you had a leak a few days after, is that the complication you are referring to? How did you know you had a leak?

I had a leak early on and a stricture later on. With the leak, I had a high fever, left shoulder and arm pain, stomach pain and some nausea..the fever is what sent me off to the ER where they found the leak after a CT scan. With the stricture, I was having a hard time keeping food and liquids down and I always felt as though I had something stuck in my throat. They performed an EGD and ballooned the area,,no problems since. I had a wonderful surgeon that stayed on top of everything and I followed his direction and everything and turned out well. I've just paid close attention to my body and didn't ignore any sign out of the norm.

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I am 20 months post-op and had no complications and don't regret a thing. I wear a size 6 and reached my goal at 11 months post-op. I decided early on that I was not going to test my sleeve by seeing how much I could eat. I eat the same amount now as I did at 10 months post-op, about 3 oz of dense Protein or one cup of something like cherries or strawberries. I rarely eat white carbs or Desserts, I just lost my taste for them.

BTW, the sleeve was used as part one of a two-stage procedure called a duodenal switch, for morbidly obese people who had to lose weight before the second procedure could safely be performed. It's different than an RNY bypass, much more malabsorption and a tricky surgery to perform.

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How much more are u able to eat 3 years out? Do u still feel the restriction?

Yes ... If I follow the "rules" about 5 oz of Protein and a bite of veggies and carbs. popcorn and other junk food, MUCH more. Still not per-surgery amounts, but A LOT! (think small movie popcorn)

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Oh wow, I didn't realize this kind of surgery was used for other treament options. I guess it makes sense for cancer, but it never dawned on me for ulcers too. That does make me feel better too.

@Foxbins, you stated " It's different than an RNY bypass, much more malabsorption and a tricky surgery to perform."...Not sure if you meant the sleevel or the RNY was more difficult to perform?? I always thought he RNY was worse?

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My mother in law had to have about 75% of her stomach removed about 25 years ago due to bleeding ulcers and she is doing fine.

I am 14 months post op and I feel great! I can eat more than at first but not NEARLY as much as pre op. For example before surgery: 4 piece Cane's chicken strip dinner, french fries, cole slaw, texas toast, sweet tea ( at least 2 glasses) and dessert.

after surgery: 3-4 bites of chicken strip

now: 1 chicken strip, 4-5 french fries and maybe a bite of texas toast. I feel normal in my amounts that I eat now.

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I'm almost 13 months out from surgery. My surgeon told me at my 1-year follow up appointment that he thinks that the sleeve is going to become the new gold standard for WLS, and certainly will likely replace the lap band. He also indicated that at a recent seminar, they indicated that sleeve patients may continue to lose weight 2-3 years post-op, where with bypass patients the bulk of the weight loss tends to be within the first year.

As far as food tolerance, I still have restriction but would otherwise never know that I had 85% of my stomach removed. I have no intolerance to most foods (I don't eat a lot of fried foods, but those bothered me early post-op - they probably still would). I've tried to go off my PPI (reflux) medication and my reflux came back with a vengeance, so I'd say that is the only negative side effect I've had at all (no reflux issues pre-op).

My capacity is, in my opinion, perfect. I stay around 1200 calories a day, and try to get at least 60 grams of Protein. I do watch my fat and carbs, but not militantly. It's hard to stay within 1200 calories and not make good fat/carb choices anyway - so it all goes hand-in-hand. At a given meal I can usually eat between 3-4 oz of dense Protein (meat/cheese), along with a small serving of veggies and a small serving of starch (sometimes). For example, I made a chicken dish with mushrooms in a white wine sauce - I ate about 4 oz of the chicken, a nice serving of mushrooms with the sauce, and about 1 oz cooked Pasta. I was pleasantly full and felt very satisfied. I could have had a small green salad and could have reduced the protein by 1/2 to 1 oz and still been OK (I exceeded my protein targets for that day). I was out of lettuce though. :)

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No, the sleeve part isn't the really tricky part, though there are two staple firings where the surgeon really has to be careful, one at the top by the esophagus and one at the bottom by the duodenum. The second half of the duodenal switch, where the surgeon works with the intestines, takes quite a bit of skill and experience. That's what I was referring to as "the tricky part."

BTW, I read a study not too long ago where a lot of experienced sleeve surgeons were asked about how many sleeves needed to be done before a surgeon could be considered proficient and the average number they gave was 30. I thought that was pretty interesting.

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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