I thought I would post this topic because it may help others and I wonder if others are still waiting for hours to drink after they have eaten their food.

Someone just made a post about not drinking up to a certain time after eating.

Just think about it, if you "wait" and NOT wash the food down, it is actually sitting in your esophagus, "stretching" it over time, we lap banders do not have a pouch -- like Bypass people do, although we have called it that in the past, the band actually makes a little area above the banded stomach which is actually the lower esophagus.

Well there is a LOT of misinformation going on now about not drinking and eating at the same time. When I got my band over 8 years ago, we were given the 30/30 rule to drink up to 30 minutes before a meal and not drink until after 30 minutes after we ate.

NOW -- based on new evidence that MANY lap band surgeons and nutritionist are not aware of is waiting to drink IS NOT ADVISABLE - BUT CAN IN FACT CAUSE LAP BAND COMPLICATIONS.

Could this be why the lap band complication rate in the US is so high? Could be, there is evidence by the most skilled lap band surgeon who created the green zone that waiting to drink will actually CAUSE esophageal dilation because the food must be washed through each time we eat and NOT sit in the esophagus causing to stretch, FOOD should always pass through the band and not sit for hours or days inside esophagus.

Also I do find that if I eat and drink with my new band, I still get satisfied. Also if we can't drink right after taking a bit of food without vomiting the band is too tight, food and liquids should always go past the band.

Please read this article on this subject in its entirely, I also gave this article to my own surgeon for him to review it because MANY US surgeons follow the Green zone chart to prevent complications with the band.

One of the key lessons learned from Burton’s studies was that each bite of food should pass across the band completely before another bite is swallowed. There is no pouch or small stomach above the band and there should never be food sitting there waiting.

http://bariatrictime...1/#comment-2133

Gastric Banding and the Fine Art of Eating

Seriously people?

There is a huge difference between polling people and beating them over the head with your latest research?

Here's one: Bill Gates has gone into the fake egg making business. Would you eat an artificial egg? Haven't heard about it here's an article: http://www.dailymail.co.uk/sciencetech/article-2416808/Artificial-egg-PLANTS-backed-Bill-Gates-set-revolutionize-cooking-goes-sale-Whole-Foods.html

Yes I have a personal interest in it. I have my own backyard chickens and happen to like fresh real eggs.

Seriously people?

There is a huge difference between polling people and beating them over the head with your latest research?

Here's one: Bill Gates has gone into the fake egg making business. Would you eat an artificial egg? Haven't heard about it here's an article: http://www.dailymail.co.uk/sciencetech/article-2416808/Artificial-egg-PLANTS-backed-Bill-Gates-set-revolutionize-cooking-goes-sale-Whole-Foods.html

Yes I have a personal interest in it. I have my own backyard chickens and happen to like fresh real eggs.

Ummmmmm. Eggs.

Can we start a new poll on Who gives a crap about this poll? so a poll is to gather opinions but when opinions are expressed we are told we are too stupid to understand the point of the poll? Anyway I am looking for a way to disconnect from certain peoples posts.. any ideas?

I give a crap I'm finding it quite informative.

This post turned bad because of BAD people. ...NO worries...I will do EVERYONE who responded in a nasty way a big favor and BLOCK them, that way we don't have to never read each other's post again, and you don't have to worry about MY post annoying you.

That way you all can find a new target .. ...

Please add me to your blocked list NaNa. You weren't taking any poll. You were simply trying to do the same as you've done since you've come back on here. Trying to put yourself on a pedestal because you've been banded for "8 years". I could respect your opinion if you would just say "these are my suggestions". If you really wanted to take a poll, why not just ask the question and leave it at that? No need to explain to everyone how smart you are and how you "educate surgeons". Ever wonder why all your many friends left OH?

I've just blocked a lot...your wish will come true in a few minutes - cya....I won't even entertain what you just wrote.

Our NaNa, thou art in heaven, hallowed be thy name. Thy kingdom come, thy will be done, on earth as it is in heaven.

This is the praise you feel entitled to. You are a god and the rest of us are mere, uneducated misinformed self lab band abusers.

Respectfully yours,

A newbie that has lost 35 pounds since my August procedure with not even one episode of vomiting or getting stuck because of all the incorrect information provided to me by my incompetent lap band team who know so much less than you!

Ok just got my popcorn!! What I miss??

My doctor agrees with the 45 second rule. He thinks your bites should pass through the band within 45 seconds after swallowing. If you wait at least 45 seconds after your last bite, you can have a drink. He thinks that the old rule to wait 30 minutes does not make sense now that they know what they know about the band and how it works.

He says food should not be sitting in a "pouch" above the band. It should pass through quickly and hit the nerves that signal satiety along the way.

I see all doctors have different ideas on how the band works.

I think the doctors are still learning how the band works and we are kind of guinea pigs at this point.

Hopefully sometime in the near future they have it all figured out and will have a set of rules to follow that are consistent and that work. Until then, it seems like trial and error is what will be happening.

JennyBean,

You are correct, many surgeons DO NOT know how to live with the band or give instructions on what to do, even after all these years.

There was not much clinical experience in the US when I got my band placed, surgeons were learning with patients and some are still learning. I learned most of what I know from other veteran bandsters and doing my OWN research.

Many surgeons really did not teach patients about the sweet spot or dangers to look for.Everyone will say...Oh I will ONLY listen to my surgeon, but if SURGEONS were so knowledgeable about living with the band and preventing complications with it there would not be a VERY high long term complication rate with it.

You are correct we are all guinea pigs, my sister had stomach stapling surgery 30 years ago when she was only 24 years old, NOW she is 30 years post ope and in her mid-50's and she has just starting having serious hypoglycemia attacks that scares her daily, she's always had them, but not to this extreme where she almost fainted while walking in the mall.

The doctor told her that this can happen to any stomach stapling surgery such as RNY, Sleeve, or DS, this is why I would never get any anything other than the band, at least if anything goes wrong I can get it removed.

You are correct we are all guinea pigs, my sister had stomach stapling surgery 30 years ago when she was only 24 years old, NOW she is 30 years post ope and in her mid-50's and she has just starting having serious hypoglycemia attacks that scares her daily, she's always had them, but not to this extreme where she almost fainted while walking in the mall.

THE DOCTOR told her that this can happen to any stomach stapling surgery such as RNY, Sleeve, or DS, this is why I would never get any anything other than the band, at least if anything goes wrong I can get it removed.

Just curious.....which doctor said this? You've stated so many times how bariatric surgeons in this country don't know anything, so how could the surgeon who doled out this little gem about hypoglycemia 30 years post op be trusted to know anything at all? Perhaps he's just as ignorant as the rest of the bariatric surgeons we used. After all, where are his YouTube videos backing up his claims?

When I read the title, I opened the thread having my "opinion" to add......NEVER MIND !!!!

Quoted Betterthe Bean

Just curious.....which doctor said this? You've stated so many times how bariatric surgeons in this country don't know anything, so how could the surgeon who doled out this little gem about hypoglycemia 30 years post op be trusted to know anything at all? Perhaps he's just as ignorant as the rest of the bariatric surgeons we used. After all, where are his YouTube videos backing up his claims?

Hello...ButtertheBean,

If you read my posts carefully I've NEVER said ALL US Bariatric surgeons don't know anything, I said to always question surgeons and get second opinions if necessary and ALWAYS be proactive with your own health.

Regarding Hypoglycemia - Yes my older sister had stomach stapling surgery over 30 years ago when she was 24 years old, (similar to the Sleeve) and she has had part of her stomach removed as well she she developed ulcers from the stomach staples years ago. She's had those hypoglycemia attacks for many years, but not to the extreme as she is having them now. I've seen how she has lived with this surgery over the years and she's had many stomach problems and pain, however she's never had a problem so severe that required hospitalization, she did have to get her gall bladder removed years ago also.

Now she has started to get scared for her life because the attacks are more frequent (daily) and it is causing her to be disabled, she gets really hot, dizzy and her blood pressure drops to almost fainting, a few weeks ago at the casino she fell over people and could not make it to the ladies room, they had to call the paramedics, long term Hypoglycemia can be deadly.

She has been to several specialists and they got no answers, only to tell her to keep a strict diet, and she can't eat many carbs without feeling sick, and now have to keep candy and crackers with her at all times, to combat the severity of the attacks, this is when the Bariactric surgeon told her that this can happen with any stomach stapling surgery such as VBG, Sleeve, RNY or DS since the stapled small stomach causing rapid emptying of the stomach that can create these bad side effects, but in many they can get chronic and debilitating over the years.

Many Sleeved friends of mine complain of (dumping like syndrome) which is probably Hypoglycemic as well.

There are clinical trials right now being done on Bypass and Sleeve patients for long term Hypoglycemia

Here are links to some of the studies.

http://clinicaltrials.gov/ct2/show/NCT01581801

http://www.ncbi.nlm.nih.gov/pubmed/22773085

The primary aim of the present study is to conduct a 1-year randomized trial to compare the incidence of hypoglycemia after RYGB or SG.

Condition Intervention Obesity With Complications
Morbid Obesity
Reactive Hypoglycemia
Bariatric Surgery Procedure: Gastric Bypass
Procedure: Sleeve Gastrectomy

Study Type: Interventional Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment Official Title: RANDOMIZED CLINICAL STUDY COMPARING THE EFFECT OF ROUX-en-Y GASTRIC BYPASS AND SLEEVE GASTRECTOMY ON REACTIVE HYPOGLYCEMIA

Resource links provided by NLM:

MedlinePlus related topics: Diabetes Medicines Hypoglycemia Obesity Weight Loss Surgery

U.S. FDA Resources

Further study details as provided by Catholic University of the Sacred Heart:

Primary Outcome Measures:

• incidence reactive hypoglycemia [ Time Frame: up to 12 months ] [ Designated as safety issue: Yes ]
  The Primary Endpoint of the study is the incidence reactive hypoglycemia within 1 year after the bariatric surgery.

Secondary Outcome Measures:

• insulin resistance [ Time Frame: 0,1,3,6,9, and 12 months ] [ Designated as safety issue: Yes ]

  Changes at 1 year of insulin sensitivity and insulin secretion measured after an OGTT.

  Changes at 1 year of body weight, BMI, abdominal circumference, body composition, lipid profile and cardiovascular system abnormalities.

  the incidence of severe hypoglycemia or related symptoms (shakiness, sweating, dizziness or light-headedness, confusion, difficulty speaking, weakness, confusion, syncope, epilepsy, seizures) within 5 years after the operation.

Estimated Enrollment: 50 Study Start Date: October 2012 Estimated Study Completion Date: December 2014 Estimated Primary Completion Date: August 2014 (Final data collection date for primary outcome measure)

Arms Assigned Interventions Gastric Bypass

25 subjects obese subjects with complications or morbidly obese subjects will be assigned randomly to this arm to undergo gastric bypass

Procedure: Gastric Bypass

Roux-en-Y Gastric Bypass This laparoscopic operation includes the division of the stomach in two parts. A proximal, smaller pouch (20-25 cc volume), is connected to the rest of the gastrointestinal tract through a gastro-jejunal anastomosis, whereas the distal gastric pouch is left behind but excluded from the transit of food.

An entero-entero anastomosis, with a Roux-en-Y type of reconstruction, allows the bile and pancreatic juices to mix with the nutrients at about 100-150 cm from the gastro-jejunal connection.

Sleeve Gastrectomy

25 subjects obese subjects with complications or morbidly obese subjects will be assigned randomly to this arm to undergo sleeve gastrectomy

Procedure: Sleeve Gastrectomy

Sleeve gastrectomy Laparoscopic SG involves a longitudinal resection of the stomach on the greater curvature from the antrum starting opposite of the nerve of Latarjet up to the angle of His The final gastric volume is about 100 mL.

Ummmmmm. eggs.

i just read that prince charles thinks brown eggs taste better than white ones.......i like quail eggs myself but they are expensive...

Can we start a new poll on Who gives a crap about this poll? so a poll is to gather opinions but when opinions are expressed we are told we are too stupid to understand the point of the poll? Anyway I am looking for a way to disconnect from certain peoples posts.. any ideas?

if you block/ignore them, you can click to not view their posts they make, comments and they cant pm you or chat w/you..its a great function to use..i have been asking alex to include in the future, those who are blocked by someone, cant comment/quote/like one's post or view my blog etc..also...to me block means just that.blocked.....