New here - Gastric Sleeve Bypass & Pre-surgical weight loss

[schla73 5]

Hey everyone! I’m new here. I am in the process of having all my appointments for the Gastric Sleeve Bypass. I don’t see a lot of people talking about this particular surgery and wondered if anyone else has had it. It’s supposed to have the same outcomes as the RNY with less complications.

This has been a long journey for me. I started the process several years ago and when I changed jobs my new insurance didn’t cover the surgery. That was devastating but now I’m with a much better surgical center and couldn’t be happier with the process.

My biggest frustration is that the surgeon is requiring I lower my BMI before surgery. This amounts to about 40 pounds. It feels overwhelming. I keep thinking, if basic weight loss hasn’t worked for me before how am I ever going to accomplish this task! I’ve lost 18.2 pounds thus far. I know it’s good weight loss but I keep getting hung up on the final result and how far out of reach it seems.

That’s all I can think of to share for now. I look forward to reading the journey of others.

[KevinS62 73]

Hi @schla73. I'm not an expert, but I haven't heard of a Gasteric Sleeve Bypass. Is that like the Duodenal Switch (DS)?

Many have had to lose weight prior to surgery. In my case, it was my insurance company that required me to have 3 visits to the surgeon, each at least 1 month apart, and I had to show them I was taking this seriously by losing weight before each appointment. Then there's the pre-op diets that many have to do which shrinks the liver and makes the surgery easier for the surgeon. I lost 28 pounds in the 3 1/2 months prior to surgery.

[Tufflaw 463]

Yeah I also never heard of a Gastric Sleeve Bypass - I've heard of a Gastric Sleeve and a Gastric Bypass and in fact I've had both of those procedures myself about 5 years apart!

[Bari_KS 499]

I think she is talking about Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S).

[schla73 5]

No I’m not. It’s being performed as a standard surgery with Novant Health in North Carolina. I would provide a web link but I thought I read those weren’t allowed here. So you can google Novant Health and look at the surgeries that they do or simply read below.

From their website: “A sleeve gastric bypass procedure limits both the amount of food you can eat as well as how much food your body can absorb. It’s also called a mini-gastric bypass, This minimally invasive procedure divides the stomach into a long narrow tube and a second larger section. The smaller section is reattached approximately six feet further down the small intestine. The larger stomach is left sealed an unattached.”

[LookingForward22 320]

I have hard others talk about a mini-gastric bypass, not as often as sleeve or RNY, but I do recall reading posts on here.

The best advice I can offer for the weight loss is to try to break your over all goal into mini-goals. For me those have been more “achievable”. 18.2 pounds is a great start, your almost 1/2 way to your goal!

Start practicing the things you will need to do once you have the surgery… smaller bites, chewing more thoroughly, measured /weighed servings, portions on your plate, hitting your Water goals, not eating or drinking 30 min before or after eating. Also remember to add in some exercise. I do simple weight bands and walking (alternating days). Those things helped me loose some extra pounds as I’m working through my pre-op. Before you know it you will be at your goal.

My surgery is the 16th, I start my pre-op liquid diet tomorrow. I noticed that I feel fuller quicker and can’t eat as much just from implementing those things … and I’m gradually loosing weight as I go.

Good luck!

[SpartanMaker 676]

Here's a list of the ASMBS approved surgeries. https://asmbs.org/patients/bariatric-surgery-procedures

If you're planning to have something done that's not on this list, I'd recommend asking your surgeon why they want to do this different surgery. Keep in mind too that insurance companies likely won't pay for it. They want proven techniques.

FYI, if you scroll all the way down to the bottom of the list of forums, there is one for "Mini Gastric Bypass".

[catwoman7 10,845]

I don't think the mini gastric bypass is very common in the US, but as I recall, there are several people on here from Europe who've had it.

[schla73 5]

On 08/07/2022 at 10:26, SpartanMaker said:

Here's a list of the ASMBS approved surgeries. https://asmbs.org/patients/bariatric-surgery-procedures

If you're planning to have something done that's not on this list, I'd recommend asking your surgeon why they want to do this different surgery. Keep in mind too that insurance companies likely won't pay for it. They want proven techniques.

FYI, if you scroll all the way down to the bottom of the list of forums, there is one for "Mini Gastric Bypass".

Thanks for the tip on the forum, I found it!

[ShoppGirl 3,340]

As catwoman said the mini gastric bypass is not super common in the US but seems to be a popular option in other countries. If you do a search for that name you should find threads about it and people who have had it.