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Gastric Bypass WITH stomach removal

Hi! So I had gastric bypass on 4/26 and found out after surgery that my surgeon removed part of my stomach like they do with the VSG. He said it was to remove the ghrelin hormone. Has anyone else had this done? He said it wasn’t a duodenal switch but gastric bypass.

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  • The Greater Fool
    The Greater Fool

    It sounds like he's made changes with in the basic surgery, removing the blind stomach means changing the part of the stomach the pouch is created from so the bile ducts that used to dump into the bli

  • Quesodip251
    Quesodip251

    I’ll let y’all know when I hear something. The SASI one sounds like the best technical description for what was done. I’m off to bed. Goodnight everyone!

  • Quesodip251
    Quesodip251

    Update: I went back and forth with one of my surgeon’s coordinators today and I had the Single Anastomosis Gastric bypass (aka mini gastric bypass) plus the gastric sleeve which together is the litera

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  • Author
7 minutes ago, Tomo said:

Wondering if they started with the sleeve since it's the most common WLS these days, realized their mistake and went bypass. Having said that, I had the VSG to bypass revision recently and asked a surgeon at the hospital how would it be different than the straight bypass and he said basically the same thing as your surgeon did. He said that with the sleeve, I already have far less ghrelin production than a normal stomach, so after the revision it'll be even more so. I couldn't find any studies online though.

It wasn’t an error. He told me “that’s what we do here” and said they removed it the same as a sleeve would in order to remove the ghrelin hormones.

18 minutes ago, Future Sleeve Diva said:

How did you get approved for surgery with a bmi of 30??? Even if you were self pay (not sure if you were or not) I would think 30 would be too low for bariatric surgery.

She got it done in Mexico. Over there they really dont have the strict rules like they do here in the USA.

  • Author
1 minute ago, liveaboard15 said:

She got it done in Mexico. Over there they really dont have the strict rules like they do here in the USA.

It’s a bmi of 30+ in the U.S. including down the road from me. It was just cheaper over there. The 35+ with comorbidities or 40 w/o is standard insurance company guidelines for payment of surgery but it’s 30 for qualification to have it at most places in the U.S.

1 minute ago, Quesodip251 said:

It wasn’t an error. He told me “that’s what we do here” and said they removed it the same as a sleeve would in order to remove the ghrelin hormones.

Okay. Gotcha. Maybe I'm being too cynical of them then. Before my surgery, my surgeon showed me a video of the exact procedure he was going to do, explained it to me in a diagram and drew it out. He told me that surgeons have different ways doing the procedure (limb length, pouch size... Etc.), and he told me the details of what he's going to do so there would be no surprises. That was the time I could ask all my questions.

Anyway, congrats on your surgery!

  • Author
Just now, Tomo said:

Okay. Gotcha. Maybe I'm being too cynical of them then. Before my surgery, my surgeon showed me a video of the exact procedure he was going to do, explained it to me in a diagram and drew it out. He told me that surgeons have different ways doing the procedure (limb length, pouch size... Etc.), and he told me the details of what he's going to do so there would be no surprises. That was the time I could ask all my questions.

Anyway, congrats on your surgery!

You had proper communication. I didn’t lol. I told them prior to surgery that no one has talked to me about the procedure. I just had the informed consent description in writing. I asked that someone come talk to me prior to surgery and was told it would happen but no one did

15 minutes ago, Quesodip251 said:

I told them prior to surgery that no one has talked to me about the procedure. I just had the informed consent description in writing. I asked that someone come talk to me prior to surgery and was told it would happen but no one did

Im not sure I would have got that far! I cant say that I would have went through with it.

  • Author

I don’t regret the surgery but the communication breakdown def creeped me out

19 minutes ago, Quesodip251 said:

I told them prior to surgery that no one has talked to me about the procedure. I just had the informed consent description in writing. I asked that someone come talk to me prior to surgery and was told it would happen but no one did

At any rate, how are you doing? Any issues yet or are you just trucking right along?

26 minutes ago, Quesodip251 said:

It’s a bmi of 30+ in the U.S. including down the road from me. It was just cheaper over there. The 35+ with comorbidities or 40 w/o is standard insurance company guidelines for payment of surgery but it’s 30 for qualification to have it at most places in the U.S.

I guess its different for different parts of the USA. My bariatric center is body mass index of 40 or higher, or a BMI of 35-39 with co-morbidities such as type II diabetes.

15 minutes ago, liveaboard15 said:

I guess its different for different parts of the USA. My bariatric center is body mass index of 40 or higher, or a BMI of 35-39 with co-morbidities such as type II diabetes.

It varies from surgeon to surgeon but many in US do it with 30 BMI.

  • Author
21 minutes ago, Crisscat said:

At any rate, how are you doing? Any issues yet or are you just trucking right along?

My acid reflux is bad still from surgery but otherwise I’m doing a lot better! Not much appetite at all

4 minutes ago, Quesodip251 said:

My acid reflux is bad still from surgery but otherwise I’m doing a lot better! Not much appetite at all

Did they give you PPI’s? A lot of doctors just give them to you automatically but some you have to ask.

  • Author
24 minutes ago, ShoppGirl said:

Did they give you PPI’s? A lot of doctors just give them to you automatically but some you have to ask.

They gave me Omeprazole, which I already take daily anyway

1 minute ago, Quesodip251 said:

They gave me Omeprazole, which I already take daily anyway

Hummmm. I wonder if they have anything stronger?? I haven’t had any issues (fingers crossed) but many on here have. I bet someone will chime in if they do and have been prescribed something stronger.

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