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To ascertain the types and prevalence of adverse symptoms after RNY gastric bypass surgery, Dr. Sigrid Bjerge Gribsholt and colleagues from the Aarhus Univesity Hospital in Aarhus, Denmark, conducted a survey among over 2,200 Danish patients who had undergone RNY. These patients were compared to a control group of 90 people, matched with patients with respect to sex and BMI, but who had not received bariatric surgery. The report was published in JAMA Surgery.

Of the operated group, about 1,400 patients responded to the survey, of whom 80 percent were women (the average age of all respondents was 47 years). Nearly 89 percent reported having had one or more symptoms in the nearly five years after undergoing RNY. In spite of that, most of them (over 87 percent) reported an improvement in their well-being post-surgery; only 8 percent said their well-being decreased. The symptoms that most commonly had led the subjects to seek medical counsel, and the percent reporting them, were:
* abdominal pain — 34 percent
* fatigue — 34 percent
* anemia — 28 percent
Other less common adverse effects included hypoglycemia (low blood sugar), kidney stones, and gallstones. Characteristics that were most commonly associated with having symptoms included: female gender; being younger than 35 years old; being a current smoker; being unemployed; and having other surgical symptoms prior to having RNY surgery. However, the risk of having symptoms from RNY surgery were small, ranging from 11 percent for current smokers to 34 percent for those with prior surgical symptoms, compared to the risk of the symptoms being reported by the non-operated control group. Reported quality of life decreased as the number of reported symptoms increased.
The investigators also noted that nearly one third of patients were hospitalized for some reason after RNY, and this rate was 4-to-5 fold greater than the hospitalization rate in the comparison group.
I had RNY surgery 32 months ago. From my perspective, this was one of the best decisions I ever made.

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A good read.

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I have been researching kidney stones as related to gastric bypass surgery. Several people from my local support group are dealing with this. I hope I can avoid kidney stones. I drink mostly just Water all day long with the exception of some coffee in the morning.

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I have to say the 30% hospitalization rate has me very concerned. I’m 66, and have started the process for RNY, which I will have probably in February or March 2018. My only fear is some late onset complication that will reduce my quality of life.


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FWIW, I had a VSG at 55 years old. I have asthma and severe osteoarthritis of my knees (bone on bone, need them both replaced.) My starting BMI was 48.1 in April 2016 before my first visit with my surgeon. My current BMI is 29.9. I'm down 102 pounds and I look 10 years younger.

I no longer need as much medicine for my asthma (I will always need some as it is triggered by pollen related allergies) and I no longer need narcotics for knee pain. In fact, I am a competitive fencer (en garde) and fence 5 hours a week.

The biggest complication that affected my life was the fact that my primary care doc for 20 years before I had surgery said I just wasn't trying hard enough to lose weight.

I've had no significant complications, other than some rashes now due to excess skin. My consult with plastics is on October 20.

I don't see a downside.

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I am 8 weeks post surgery and about a week after I went back in for the night due to vomiting and pain. They did a CT scan to make sure there was no actual blockage or leak. Afterwards the Dr said we're you aware you have a kidney stone? I said yes I had them blasted over twenty years ago but they left one they couldn't blast but it's been OK. Next thing I know 6 weeks out I going to hospital in an ambulance pain vomiting shaking. I thought I had Constipation and trying to go to the bathroom so much I had a UTI. Turned out the kidney stone was playing up and I had developed three more on the other side. The big old one moved and blocked the tube and by that time I had septicemia which was why I was so sick. Emergency surgery to put in stents and I go back on the 26th Oct to actually have the stones out then new stents until healed then have them out. It's a process. The urologist said if you are prone to stones try to eat a diet lower in oxalate. I can't believe how quickly they formed and unlike gallstones they can recur. Oh btw I am 57 bypass on 10th Aug 17.I have lost around 60lbs. My poor body has been through a lot in a short time but I'm still so glad I did it. Everything else has been fine.

Sent from my CPH1607 using BariatricPal mobile app

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    • 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.
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