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Change to type of surgery in surgey

Nancy Geoghegan

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Nancy Geoghegan    22

Nancy Geoghegan
Posted

Hi All. I just signed my consent forma at the surgeon's office. I am having gastric bypass surgery and the surgeon said that if there were adhesions or scar tissue where I had my lap and removed 3 years ago he would do the gastric sleeve instead.

Yikes. Did anyone here have to sign a consent like that or did it actually happen to anyone here?

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NikkiDoc    312

NikkiDoc
Posted

I have only had the sleeve but I had to sign something that gave him permission to switch from laprascopic to open if he HAD to. Without the permission up front they would need to abort the surgery, wait until I was recovered from the anesthesia, ask if I was willing to go open and reschedule for later.

I recently read about somebody on one of my FB groups that was going in for a revision and she had so much scar tissue that the doctor couldn't do the revision so he closed her up. I don't remember if she was having an RNY revised or going from lap or sleeve to RNY.

Therefore I don't think the consent form is that unusual. Better than waking up with no revision and having to reschedule at a later date.

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KimTriesRNY    1,853

KimTriesRNY
Posted (edited)

They will perform a sleeve if bypass is physically not possible due to your unique circumstances. If a consent is not signed beforehand they would have to close you up with no bypass or sleeve. A consent tries to cover every worst case scenario that may be known, barring any emergency of course.

My surgery was moved forward five days. I was warned I may have to have sleeve depending on how my liver was because my liquid diet phase was shortened but everything was ok. It’s a hope for the best but prepare for the worst situation in a way.

Either surgery was preferable to neither at my weight.

:wacko:

Edited by KimTriesRNY
Misspelling
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Nancy Geoghegan    22

Nancy Geoghegan
Posted

They will perform a sleeve if bypass is physically not possible due to your unique circumstances. If a consent is not signed beforehand they would have to close you up with no bypass or sleeve. A consent tries to cover every worst case scenario that may be known, barring any emergency of course.
My surgery was moved forward five days. I was warned I may have to have sleeve depending on how my liver was because my liquid diet phase was shortened but everything was ok. It’s a hope for the best but prepare for the worst situation in a way.
Either surgery was preferable to neither at my weight.
:wacko:



Thank you. I don't want the sleeve I don't think because I have very bad gerd . I will call the bariatric team I guess.

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tankheadmommy    94

tankheadmommy
Posted

Hi All. I just signed my consent forma at the surgeon's office. I am having gastric bypass surgery and the surgeon said that if there were adhesions or scar tissue where I had my lap and removed 3 years ago he would do the gastric sleeve instead.
Yikes. Did anyone here have to sign a consent like that or did it actually happen to anyone here?
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No I didn't. My surgeon knew there would be adhesions (I had 4 abdominal surgeries including the removal of my lapband). It was a tough surgery, but she worked through all the adhesions and it took about 5 1/2 hours for her to do so. The only thing she would have changed during, is making it an open surgery if things got really bad. It is a shame your surgeon would not do the same for you. I would be so disappointed if I had a different surgery. I hope all goes well for you. Let us know how you make out.

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kakatlady612    1,053

kakatlady612
Posted

Thanks for posting this, I'll want to make sure I'm not sleeved and that open is permissible, my gastroenterologist just switched me to Dexilant from Prilosec, he calls D the Ferrari of GERD medicine. Does seem to be helping and has cut down on my gastritis pain. No more coffee etc but maybe a small,price to pay.

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Nancy Geoghegan    22

Nancy Geoghegan
Posted

Yep. I have been on 2 60 mgs capsules of defiant for a few years now.

I am calling surgeon team on Monday.

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Batcap    22

Batcap
Posted

I'm having Gastric Bypass surgery on February 8th & I had to sign a consent form for a possible sleeve. The reason that I did is he said that sometimes men in my BMI range have issues with the pouch tearing or being stretched to tight because of the way men carry their fat in their abdomen is a bit different then women. He wouldn't really know until the cameras are in there and rather than have to chase down my wife it was easier to make the decision to sleeve if needed now then later. Basically sleeve, lose weight then bypass later, I have diabetes so I want the benefit of the bypass getting rid of the diabetes. I've lost 20# so far and am working to try and get 5-10 more before surgery. Good Luck To You, I'm sure everything will go swimmingly for you!

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Nancy Geoghegan    22

Nancy Geoghegan
Posted

5 hours ago, Batcap said:

I'm having Gastric Bypass surgery on February 8th & I had to sign a consent form for a possible sleeve. The reason that I did is he said that sometimes men in my BMI range have issues with the pouch tearing or being stretched to tight because of the way men carry their fat in their abdomen is a bit different then women. He wouldn't really know until the cameras are in there and rather than have to chase down my wife it was easier to make the decision to sleeve if needed now then later. Basically sleeve, lose weight then bypass later, I have diabetes so I want the benefit of the bypass getting rid of the diabetes. I've lost 20# so far and am working to try and get 5-10 more before surgery. Good Luck To You, I'm sure everything will go swimmingly for you!

Thank you for the support. I just can't have the sleeve because I already have severe GERD. God bless you and do well with your surgery!

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naturallyzee    292

naturallyzee
Posted

Four months prior to rny I had a colon resection. I had to sign a consent saying I would have rny if possible if not I would have gastric sleeve. I also have a liver condition. It also stated if my liver looked abnormal a biopsy would be done.

HW 330
SW 292
CW 185
GW below 200

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Go To Topic Listing Gastric Bypass Surgery Forums

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    • Doughgurl

      Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 1 reply
      1. Phil Penn

        Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      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. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      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

        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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