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Why don't more people get the MGB? I love mine!



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On 12/18/2018 at 10:30 AM, ummyasmin said:

Did you have symptoms with the bile reflux?

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Yes, my bile reflux causes stomach pain and is visible on an EGD endoscopy. It is worse in the mornings. Neither PPIs (Prilosec, Nexium, etc.) or ursodeoxycholic acid help ease the symptoms. If I could do it all over again, I would have RNY instead of MGB.

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On 12/18/2018 at 12:40 PM, ummyasmin said:

I don't mind being on it, hey, what's another pill right. Although the "for life" thing surprised me coz most peeps here only seem to be on it 6 months or so. I think I better email and ask.

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There are many concerns with being on PPIs for an extended period of time (i.e. more than 6 months) as they weren’t designed/approved/studied for that kind of dosage. Do your research regarding increased health risks with long term PPI usage (e.g. dementia, bone fractures, heart attack, kidney disease, liver issues, hypomagnesemia, c. difficile & pneumonia infections,...).

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The is why people must do their research. I've spent months reading forums and articles before choosing RNY and I'm glad I have!

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My insurance won’t pay for the mini-bypass. They consider it experimental or something...otherwise I definitely would’ve been looking into it.

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I am scheduled for the MGB on Nov 26th. I was originally going to get the sleeve, but due to my acid reflux issue, the doc wants to do a MGB. If I could choose, I would have a RNY. The risk of acid or bile reflux from the MGB is there and I can't stop thinking about it. Unfortunately, my doc refuses to perform a RNY on me. It's either a MGB or nothing. I have read many happy posts about the MGB so I'm starting to feel better about it. Thanks for the info!!

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What exactly is the difference between RNY and MGB?

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My insurance won’t pay for the mini-bypass. They consider it experimental or something...otherwise I definitely would’ve been looking into it.
My insurance won't pay for it either! Just RNY and sleeve.

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On 11/20/2019 at 3:04 PM, Superman84 said:

What exactly is the difference between RNY and MGB?

With RNY, you bypass the stomach and reattach at two different places. With MGB, you bypass the stomach but reattach at only 1 place. There is less intestinal re-routing and it takes less time in the operating room. The MGB has much less chance for dumping and is generally safer. It does pose the risk of bile reflux but there are ways to help avoid or minimize that with the anti-reflux stitch and watching portion sizes. RNY has less chance of bile reflux but a greater chance of dumping.

There is no perfect surgery. You can get bile reflux after having a gallbladder out. It happens more than people realize but you don't see the medical profession against removing a gallbladder. I don't know why some won't recommend the MGB for that reason. Overall, it is a safer surgery than RNY.

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With RNY, you bypass the stomach and reattach at two different places. With MGB, you bypass the stomach but reattach at only 1 place. There is less intestinal re-routing and it takes less time in the operating room. The MGB has much less chance for dumping and is generally safer. It does pose the risk of bile reflux but there are ways to help avoid or minimize that with the anti-reflux stitch and watching portion sizes. RNY has less chance of bile reflux but a greater chance of dumping.
There is no perfect surgery. You can get bile reflux after having a gallbladder out. It happens more than people realize but you don't see the medical profession against removing a gallbladder. I don't know why some won't recommend the MGB for that reason. Overall, it is a safer surgery than RNY.


My insurance also wouldn't pay for it. I did look into it but the cost was about 18000. I didnt even have to pay half that for regular bypass after my insurance got a hold of it. All in all I have no complaints though. I've had no issues so far.

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I finally came clean to my doctor on friday about the surgery. Had mine abroad and didn't want to tell anyone, and as long as I kept that a secret I had control over the information flow inbound. Now it is my charts (yes, I realize it had to be done for my own safety, I am just not comfortable with it beeing out there for any health care provider to read - So I limited acess to the charts so only my GP can see that note) and I do not feel at all comfortable with it. No regrets to the surgery - I just wanted to handle this on my own terms.

Anyway. The reason for it beeing out is because I had some gallbladder issues and went to hospital. And what I found out is: Here they don't know what a mini gastric bypass is. "Are you sure it is not a sleeve?" and I'm like No, it is a mini gastric bypass. The doctors: Ah, yes a gastric bypass. And I'm like, NO, a MINI gastric bypass. And doctors trying to use their brains to what kind of surgery this is.

There is a freaking difference and though they essentially do the same, there are SOME differences. And then I find myself explaing what they actually did with the stomach and intestines. Quite scaring if you ask me.

Not a health care professional, just an average jane nutritionist.

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17 minutes ago, MsMocie said:

I finally came clean to my doctor on friday about the surgery. Had mine abroad and didn't want to tell anyone, and as long as I kept that a secret I had control over the information flow inbound. Now it is my charts (yes, I realize it had to be done for my own safety, I am just not comfortable with it beeing out there for any health care provider to read - So I limited acess to the charts so only my GP can see that note) and I do not feel at all comfortable with it. No regrets to the surgery - I just wanted to handle this on my own terms.

Anyway. The reason for it beeing out is because I had some gallbladder issues and went to hospital. And what I found out is: Here they don't know what a mini gastric bypass is. "Are you sure it is not a sleeve?" and I'm like No, it is a mini gastric bypass. The doctors: Ah, yes a gastric bypass. And I'm like, NO, a MINI gastric bypass. And doctors trying to use their brains to what kind of surgery this is.

There is a freaking difference and though they essentially do the same, there are SOME differences. And then I find myself explaing what they actually did with the stomach and intestines. Quite scaring if you ask me.

Not a health care professional, just an average jane nutritionist.

What are the differences sorry if you've explained before?

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On 11/24/2019 at 10:53 AM, UnderTheCaliSun said:

With RNY, you bypass the stomach and reattach at two different places. With MGB, you bypass the stomach but reattach at only 1 place. There is less intestinal re-routing and it takes less time in the operating room. The MGB has much less chance for dumping and is generally safer. It does pose the risk of bile reflux but there are ways to help avoid or minimize that with the anti-reflux stitch and watching portion sizes. RNY has less chance of bile reflux but a greater chance of dumping.

There is no perfect surgery. You can get bile reflux after having a gallbladder out. It happens more than people realize but you don't see the medical profession against removing a gallbladder. I don't know why some won't recommend the MGB for that reason. Overall, it is a safer surgery than RNY.

Dumping is a positive side effect of RNY, imo. It's what keeps me on track.

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My insurance didn’t cover It. That might be a reason. So it wasn’t an option for me

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I was told it isn't FDA Approved so most insurance companies won't pay for it. That's why I went to Tijuana to get mine. I haven't had a problem yet!!

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On 12/16/2019 at 6:32 PM, Superman84 said:

What are the differences sorry if you've explained before?

Not annoyed with you lot, just by some docs not knowing😂

Sleeve= they litteraly staple your stomach like a banana and take out the rest. No intestines are touched or rerouted. You may or may not need Vitamins for the rest of your life as this is not a method that is malapsorbing in the same way as bypasses and RY.

Gastric bypass = stomach shaped like an egg. Nothing taken out of your body. Two anastomosis.

Mini gastric bypass = stomach shaped like a a sleeve, with one anastomosis compared to the two in bypass.

While bypasses can be "reversed" in some form as nothing has been taken out of your body, sleeves cannot. Sleeve is a point of no return.

The primary difference between mini gastric bypass surgery and a full gastric bypass is that the mini version of the surgery is performed in a modified manner that involves less intestinal rerouting and a shorter overall surgery time

https://www.oasisbariatrics.com/blog/2018/09/25/gastric-bypass-vs-mini-gastric-193713

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