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Stomach Stretching is a Myth



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Hi Weight Loss Community!

I have my gastric sleeve surgery scheduled with Dr. Ortiz in Tijuana on September 5th! So excited. I have been watching and reading everything I can get my hands and eyes on about WLS. This week I found this Bariatric Surgeon in Michigan - Dr. Weiner's - Youtube channel. He's legit - a keynote speaker at the WLSFA and has a thriving practice. You should check out his youtube channel; very informative. Anyway, this particular video caught my attention because he says that we don't need to worry about pouch stretching! (*Gasp!*) have already asked for my post-op diet paperwork and my nutritionist states clearly in the packet that we have to be careful not to stretch out the stomach. What are your doctor's saying about stomach/pouch stretching?

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Your sleeve's capacity for accommodating food will increase, but not to the degree that your normal-sized stomach could accommodate food prior to bariatric surgery.

Your normal-sized stomach could accommodate anywhere from 32 to 48 ounces of food. A brand-new sleeve usually accommodates 2 to 4 ounces of food during the first few pre-op months.

Most people who have had been sleeved for more than a couple of years (including me) would say their stomachs have 'relaxed' enough to accommodate a larger volume of food.

People hesitate to use the word 'stretch.' Nonetheless, the early pre-op days of getting full from 3 to 5 bites of food do not last forever for the majority of sleeved people.

For instance, I could eat no more than 3 ounces in the first few pre-op months. I'm currently 2.5 years out and can eat 8 to 10 ounces, depending on how soft or rigid the food is. In other words, my capacity has tripled.

However, just because I can doesn't mean that I should. At the end of the day, it is up to me to avoid eating to my sleeve's maximum capacity.....

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On 26/08/2017 at 3:24 PM, OperaMom said:

Hi Weight Loss Community!

I have my gastric sleeve surgery scheduled with Dr. Ortiz in Tijuana on September 5th! So excited. I have been watching and reading everything I can get my hands and eyes on about WLS. This week I found this Bariatric Surgeon in Michigan - Dr. Weiner's - Youtube channel. He's legit - a keynote speaker at the WLSFA and has a thriving practice. You should check out his youtube channel; very informative. Anyway, this particular video caught my attention because he says that we don't need to worry about pouch stretching! (*Gasp!*) have already asked for my post-op diet paperwork and my nutritionist states clearly in the packet that we have to be careful not to stretch out the stomach. What are your doctor's saying about stomach/pouch stretching?

I have not watched the video, if it is a myth, why am I seeing people saying " I have been resleeved9 which I did not think is possible to have any less stomach) because 5 years down the line after overeating the whole time, I stretched my sleeve and needed to have it re done. ) I can not imagine it is something to lie about..

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@dreamingsmall it does stretch. But it's supposed to. You have to watch the videos for a full answer. They have scoped (camera down the throat into the stomach) WLS patients and found that sleeve size really has no effect on weight regain. Everyone's pouch stretches in time, it's the diet and activity level that will create lasting change. He also has a video on re-sleeving and revision procedures. Research shows that these revision surgeries (including the re-sleeve) end up with minimal results. He calls WLS a "one-time restart button" and emphasizes that we must be ready to make change and do the mental work because we get one shot at this.

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This is great information I had no idea the pouch would stretch since the stretchy part is cut away.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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