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Hello! and am I making the right choice?

I have been lurking over a month and reading alot! I'm here because my cardiologist and my PCP recommended surgery. I'm a 39 yr old male with a history of dieting and a long love affair with food. Last year I had 2 stents put in my heart and was forced to retire from my job, besides stents I am diagnosed with sleep apnea,high blood pressure, high lipid counts yes all of them especially triglycerides (1500 range w/o meds). I decided i would like to be around for my boys ages 6 and 4 so here I am with the support of my doctors and a very apprehensive wife. I thought about the sleeve but it seems in the forum for that surgery that the complication rate is higher, this scares the you know what out me because right after my stents were put in a few months later I had an emergency appendectamy followed by an infection and leakage into my guts (a not so fun 9 days in the hospital). I have done my research on both surgeries and I am going with old faithful Rny. My question is this Does any one here wish they had the sleeve instead of Rny? just looking for reassurance. Thank you in advance. :D

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  • Author

Thanks Dawn I'm not going to depend on dumping as a crutch I have done my research and to talked to many pre and post op patients and I am trying to modify my eating habits before surgery and it has not been easy but I'm trying. Thanks again.

  • 2 weeks later...
Thanks Dawn I'm not going to depend on dumping as a crutch I have done my research and to talked to many pre and post op patients and I am trying to modify my eating habits before surgery and it has not been easy but I'm trying. Thanks again.

Hey chubbsey!

This is how much energy i have. Remember grocery shopping was a chore.

10 loads laundry, swept and chlorinated the pool.

Handwashed dishes, swept, mopped, dusted.

45 minutes of lawn mowing.

The energy is crazy and i love it. If the honey was home he wouldnt be sleeping ;D.

This surgery is so worth it.

Wanted to share what i can do so maybe it will keep you motivated.

Missy

HW 255# surgerversary 04/29/13 cw 211#

Estimates are that about half of all RNY patients never experience dumping (it's difficult to be exact because some experience dumping without realizing what it is while others think they are dumping when their symptoms are the result of another cause). Regardless, it is much more important to understand that there is no scientific evidence that patients who experience dumping are any more or less successful than patients who do not. There is a long list of potential benefits resulting from RNY. Not one of them is attributed to dumping.

It's easy to understand how folks can be attracted by dumping as a way to force them to avoid certain favorite foods. But it is also all too easy for it to become a "crutch" and if it never materializes, some are disappointed and assume they are at a disadvantage or even worse, assume they are doomed to failure. That is simply not true. There are countless success stories, many on this forum, from folks who have never experienced dumping.

The Prime Directive of RNY is and always has been - lifestyle changes. Follow your medical team's instructions as closely to the letter as you possibly can. Evaluate everything you do, are considering doing, and even your own expectations in terms of - is it healthy, is it realistic, and is it sustainable? Anything that does not meet all three, drop it in favor of an alternative that does.

Change your thinking, and you'll change your world. You're gonna love the new you!!

  • Author

As always i'm very greatful for the sound advice. Started to feel a bit nervous but that's normal im told. My one concern is how my meds are going to effect my pouch especially the plavix and aspirin I have to take i am deathly afraid of complications like ulcers and such Dl or Missy any opinions on this. Thanks.

I don't have any experience with Plavix but I have been taking low dose aspirin (doctor's orders) daily for many years and continue to do so, with the exception of a brief period pre-op and a week or two post-op (as I recall). Aspirin is a blood thinner so doctor's usually instruct patients to discontinue prior to any surgery. It can also be an irritant to the stomach lining. But interestingly the doctors did not suggest that I discontinue the low dose aspirin following the diagnosis of the ulcer. The exact cause of the ulcer I had at the anastomosis is, as far as I know, unknown. In the specific case of us RNY folks, a correlation has been identified with post-op smoking and/or the use of NSAIDS, and the development of ulcers. But in my case, I don't smoke and was very careful to avoid NSAIDS.

Relatively recent research which I believe DiminishingDawn recently shared with us indicates that 90% of duodenal (intestinal) ulcers and 70% of stomach ulcers are not the result of stress and diet as previously thought but instead the result of H. pylori bacterial infection. If you're interested you can read more at http://www.pdrhealth.com/diseases/ulcers/diagnosis?source=dlp-pdr . Note that this study was based on the so-called "general population" as opposed to gastric bypass patients specifically.

Ulcers at the anastomosis (often referred to as "marginal" ulcers) are a well documented complication following gastric bypass surgery. Although they can in rare cases be serious, the majority are not and respond quite well to medical treatment. In my case "medical treatment" was simply increasing my Prevacid from one capsule a day to two. There are in fact indications that many patients who develop this type of ulcer never have any symptoms at all and are unaware that the ulcer exists.

Bottom line - instead of worrying needlessly about something that statistically you are unlikely to ever have, consider focusing all of that energy on all of the incredibly exciting life-changing things you are about to experience! Forget about "what if" and focus on "I can't wait until"! You're gonna love the new you!!

  • Author

DL thanks for the shoulder to lean on your 100%correct I am definitely gonna try to focus on the positive I guess I can get ulcers even with out the surgery, so full steam ahead!

DL thanks for the shoulder to lean on your 100%correct I am definitely gonna try to focus on the positive I guess I can get ulcers even with out the surgery' date=' so full steam ahead![/quote']

See i told you he was uber duber RNY smart.

HW 255# surgerversary 04/29/13 cw 211#

  • Author

Lol yes he is! Thank God cause im not too swift. :)

Hey chubbsey!

This is how much energy i have. Remember grocery shopping was a chore.

10 loads laundry' date=' swept and chlorinated the pool.

Handwashed dishes, swept, mopped, dusted.

45 minutes of lawn mowing.

The energy is crazy and i love it. If the honey was home he wouldnt be sleeping ;D.

This surgery is so worth it.

Wanted to share what i can do so maybe it will keep you motivated.

Missy

HW 255# surgerversary 04/29/13 cw 211#[/quote']

Missy i sure hope i get some energy after surgery. I am a class one slugg.

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