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This is from my doctor's ESG FAQ https://bmiclinic.com.au/endoscopic-sleeve-gastroplasty-faq/ Can I have an ESG following a gastric balloon, gastric sleeve or gastric bypass? ESG following gastric balloon: Recent research has revealed that people who’ve had a gastric balloon do less well following ESG in terms of weight loss. For this reason, we do not recommend ESG to anyone who’s has previously had a gastric balloon. ESG following gastric sleeve: Endoscopic revision of a gastric sleeve is possible, however the weight loss that results is only approximately 10% of the baseline weight. There are likely more effective options which you can talk through with your Bariatric Specialist. ESG following gastric bypass: Endoscopic suturing is possible via a procedure called TORe, Transoral Outlet Revision.

i have the same dr as mini_me. the total quoted was $15,700... 1. dr spivak and his assistant.. $6500 (10% self pay) 2. facility fee...................$8500 3. anesthesia....................$700 my total was $14,500 (got add'l $500 off because i'm a nurse). i'm pretty healthy, so i didn't have to have anything else done. cutiern:D

Well I want to tell you all (recently banded) that you should not get on the scale for weeks!! Seriously, during the first 4-6 weeks you should expect to gain weight, not lose. This time is for healing, not losing. Since my surgery on 1/19/09 I've only lost 5lbs and I probably shouldn't even have lost that but I've been working out like a fiend. Before the band, if I had done what I've done for the last 6 weeks, I would've EASILY lost 15lbs+ during the same time frame. Your body needs to figure out what just happened to it and adjust, this takes time. Just do what your Dr. instructs and it will eventually come off. You will be in "bandster hell" until your first fill and then things will finally improve and the weight will come off. Just be patient!

It didn't happen to me but I made a comment in the office before surgery because their scales were off and I said I didn't want to come back and have gained 10 lbs. They said it is always possible because they pump you so full of fluids. Of course, they pump you full of basically sugar Water. Do you think that's such a good idea for a diabetic? My blood sugar went to over 400 in the hospital and then I kept having to reminding the nurse to check it because they just left it in. Oh yeah - now it's ONLY 300. You think? - get that thing out of me!

I'm doing really well today. My weightloss seems to be zipping along. I'm not sure what's normal for most people at this stage though. Once I figured about the super tiny sip thing, I've had no pain. It's still annoying to have to be sipping, honestly, every 5 minutes to get my 64 oz water and two 11 oz protein shakes in. I've been walking ~1 mile every day, but in honor of Earth Day, my best friend and I went for a little 3-mile hike at a nearby national park. It went really well; today was definitely the first day since surgery that I feel like myself. I did take a 3.5 hour nap (sleep?) in the afternoon because I was a little tired after the hike and grocery shopping. I'm all for a support group on here for fellow April 10-ers! I advance to full liquids Monday. I feel anxious about it. Food feels VERY MUCH like the enemy to me. And having zero hunger feels like my (unwillingly) fat girl Heaven. My plan is to simply acknowledge my anxiety about having to eat again and follow exactly the plan given to me by the nutritionist. I bought plain fat free kiefer and two Trader Joe's soups today in preparation for full liquids.

I don't use a lot of recipes....I'm more of a "throw it together" type cook. It does a great job with pork roast, and beef pot roast.........I made a really good pineapple chicken breast with bourbon sauce the other day too....I just made up the recipe myself but I did type it up for some folks who wanted it so here you go. Pineapple Chicken Breasts....Easy quick and AMAZING!! Salt and pepper, pineapple rings, pineapple bourbon sauce (see pic)....I browned chicken on sauté setting for 10 minutes on each side...added one cup of chicken broth, brushed chicken with pineapple bourbon sauce and put pineapple on top....placed both breasts on trivet, manual high pressure 10 minutes.....quick release. I thickened the juices on sauté setting.....I did put the breasts under the broiler for a couple minutes because I like them browned.....it tastes wonderful!!! Yum!!! PS if you can't find that Pineapple bourbon sauce teriyaki would be good too.

Elcee undoubtedly so, except open surgery has its inherent risks. Wounds heal slower, more risk of infection, incision break down, my own daddy ended up with a ventral hernia post another type of abdominal surgery, strangely my daughter the R.D. did also. RD was able to have hers repaired maybe 10 years later, lost her navel and a lot of broken- down stretched out skin, forbidden to ever gain weight again. Ugly then, not all that gorgeous now, Daddy died with his at 80 unrepaired, ugly, begged him NEVER go shirtless, it upsets your grandsons(and me too) to see IT! Was told in case of any cat accident, roll to floorboards, curl into fetal ball and pray Our GOD allows YOU to live. And although I do have an right paramedian scar from open appendectomy/gall bladder removal nearly 35 years ago (February 1984) , my flabby belly was beautifully laprascopic RNY SEPTEMBER 5th. True recounting, told Dr Needleman at our July 2018 chat I would prefer an Open incision to no surgery. He drew back, said " Do you KNOW how long it takes an Open Incision to heal? Flipped up my T-Shirt, flashed him my belly, and he laughed ruefully " Okay, Point Taken! I'll enter it into My Notes!" And I have the prettiest 7 incisions you ever saw, they're fading into the train wreck of abdominal stretch marks I have, but if YOU look close, HE DID BEAUTIFUL WORK! Sorry about all of you with the rest ' cause I think I got the BEST! And as long as each one of us feels THAT Way about Theirs. The world🌏 will turn smoothly!

My insurance requires that I be enrolled in their weight loss program for 6 consecutive months prior to surgery. It was my coach with that program that set the goal to lose 10 pounds in 30 days. I talked to my patient advocate at the Dr's office and she advised me not to worry about it. She said that I should try to lose the weight but if I don't it shouldn't be a problem. She said the main thing is to lose weight and not gain. So I feel a little better about that. They are also trying to submit everything to my insurance now because I do have a large hiatal hernia that needs to be repaired. She said that most times in a case like mine the insurance will waive the entire waiting period. So here's to hoping!! Sent from my SM-G930V using the BariatricPal App

Hi: Nervous today. I am scheduled to meet with a surgeon today. My lap band surgeon (has started doing sleeves 6 months ago) suggested that I meet with this surgeon because he has more experience than the surgeon that did my band. My hopes are that he thinks I'm a good candidate and that he says that I should have my first surgeon do the surgery because I'm really not much higher risk than other sleeve patients and that I can have the surgery in April. I know it will take a lot of good fortune for these things to happen. Appointments so far completed 12/20/13 Consult with first (and preferred) surgeon. 2/11/14 - Upper GI (mild gastritis, small hiatal hernia, still had food in stomach after more than 11 hours), 3/1 bariatric emptying study (abnormal - slowly emptying), 3/13 second opinion. First Lapband 7/26/07, Second Lapband 7/23/10, Erosion and removal 7/30/13, Post-op infection 8/11 and hospitalized 4 more days. Positive thoughts and good wishes please. I'll keep you posted. Thanks. Sue

Well I was told that protein in the most important due to the fact that it helps keep our muscles and allows our body to use the fat as its source, so in essence, we lose the fat and keep our muscle. At this point my goal is only protein and liquid but I am new at this, only 10 days out, but I don't sweat it if I am 5 grams away from my protein but I ain for my 60 every day! Good luCk!

Hi guys! This is a great thread! :party: I was kinda worried that I was drinking too much too fast too... but this sure puts my mind at ease! I'm pretty sure I don't have restriction either because I can drink quite a bit at once (& belch like a lush too!:w00t:) but I'm down 15 since my pre-op diet 10 days prior to the Aug 20th surgery so, I'm totally happy with that.:thumbup: Mushies start on Sunday for me - can hardly wait for egg salad!:sad: Thanks for the peace of mind on the sip vs the gulp!!! Stace

I am doing really well overall. Surgery was 10/5. I am on "soft foods" until 3 months post-op but that includes chicken, tuna salad, deli meats, cheeses, etc - I haven't had any trouble with any foods yet. I'm not hungry though, so I am having some trouble making myself eat (but I always do because the Protein is so important). I am also having some trouble with constipation so feeling a bit more grumpy than usual, but I took some miralax last night so I'm hoping I'll be able to go soon! Sent from my iPhone using the BariatricPal App

My band is being removed next week as of July 6 I'll have my band 10 years and I'm scared of the weight gain that I can't sleep at night sometimes thinking about it . How has it been since the removal ?

Today, Oct 20th, marks my second anniversary of this surgery we call RnY. In a very real sense it feels like the second birthday of the new and improved me. I can't help but reflect back on all of the changes that the last two years have seen. And at the same time, thinking in terms of new goals and challenges for the coming year. The first year following my surgery was an exciting time indeed. I was laser focused on one thing - achieving my optimum weight. I decided even before my surgery that rather than set a specific goal weight, I would allow my body to tell me when it was where it wanted to be. Just over a year later, that message came at 155 lbs. My weight stabilized. I felt great. And in my one year follow-up visit with my surgeon, she recommended that I not lose any more. It was time to shift my thinking, and my actions, away from losing and toward maintaining the new, 130 lb lighter, me. I had reached my destination. When I looked back at that first year, it occurred to me that is was much like what walking a tightrope would be. Maintaining an average calorie intake of just under 1300 calories a day was something of a delicate balancing act. There were days when I was over my goal. And those days had to be followed by "corrections" - days when I was under my goal. It was all about balance. And in the back of my mind the nagging, and always present fear that one misstep could result in all being lost. The more rational, confident part of me did not think that would happen. Still, I knew the surgery could be defeated. What if... So in that same follow-up appointment, my surgeon recommended that I increase my calories to approximately 1800 a day. To be sure, the number had some appeal. But I was concerned that it might be too high. What if? So I opted for a gradual increase to a more conservative 1600 calorie goal. My decision was undoubtedly due in part to a concern that kept going through my mind. It seemed that everywhere I looked, I read that many (if not most) bariatric surgery patients gain 10-20 lbs somewhere between 12 to 18 months post-op. A weight gain that is often described as "bounce back". That was out of the question. I was determined to not let that happen. So my goal for this past year became ensuring that I held my weight at, or very close to, the 155 lb mark. As the days and weeks went by my confidence grew. I decided it was time to really get to know my new body. I was tired of the balancing act. I wanted to enjoy a nice dinner at a nice restaurant with my wife, our family or friends. Or Celebrate a holiday or birthday enjoying the food that is inevitably part of festivities. I needed to test my limits. And I needed to know whether or not I had what it takes to do those things and still control my weight. Thanks to the amazing power of my food log, I got my answer. And it was in pursuit of that Quest that I discovered something quite remarkable. First there was the occasional 1800 calorie day. Not surprisingly, the following morning weigh-in usually reflected a gain of a pound or so. So my calorie goal became 1400-1500 for the next day or two. And sure enough, my weight would drop back down. Not just once or twice, but a number of times over the weeks and months that followed. Then came the occasional 2000 calorie day. Not often, but every now and then. Weight went up. Calories were reduced for a day or two. Weight came back down. At some point along the way I had a revelation. Controlling your weight is not about walking a tightrope - it's about riding a teeter totter. Up...and down. Up...and down. Gently. Relaxed. No fear. One misstep is not catastrophic. Wow. Since hitting the 155 lb mark almost a year ago, my weight has never been more than 156, or less than 151. This morning, this second anniversary of the new me, 152.2. No bounce back. Wow. So my goal for the coming year? More of the same. I have read in many places, including this forum, that maintaining your weight becomes more difficult after the two year mark. But I will be facing that new challenge coming not from a place of fear, but of vigilance. My food log will guide me. And it will tell the story. So next year, same time, same place - the next chapter in this amazing, life-changing journey.

Went in and they took some blood, I got changed, the nurse asked a billion questions. They had me pee in a cup. Talked to the dr, anesthesiologist, etc. They hooked up my IV. Couldn't find a good hand vein and had to go the bend of my arm (which sucked because the next 3 days in the hospital, any time I bent my arm, the IV machine beeped at me. Nurse finally told me what button to push to shut the dang thing up!) Wheeled me in, told me they were giving me some sleepy time meds, I said this stuff works fast! Then I woke up in the recovery room. I got a catheter, but I slept the whole dang time anyway. I got out of surgery at about 2-230, and didn't get a room until 10! They told me that if I was in recovery more than an hour, they would get me up and moving around... they didn't I literally slept the whole day (pain meds do that to me). I don't remember them taking the cath out, but I know it happened. I had some gas pains on the second day. I was nauseated. Threw up when they gave me liquid pain meds, and that made me pee myself. So that was fun. Other then that everything was good!

My kids were 14, 10, 7 & 4...I did not tell them anything, just that I was tired and needed to rest. You should be fine without them knowing. Just tell them that you need to rest.

Wow! I'm trying to settle on a goal weight and rather than a weight I have a size in mind. I want to be a 6. I'm currently a 10. Just wondering what to expect since I plan to have a tummy tuck.

That is great!! keep up the good work. I was banded 1/19/07 and have lost 81.5 pounds since then. I had lost 68 prior to being banded so that's a total of 149.5 pounds in the past 3 years. I still mentally cannot adjust to the idea of there being a new and less me. Some days I can see the difference and other days, I still feel the same. I have to try on old clothes that I remember wearing to really grasp the difference. Everyone around me acts as if it is so dramatic and people say that they hardly recognize me. I just find that hard to believe. I don't know if my mind will ever adjust.

I was sleeved on 12-19-11. I've been able to get in my 3 protein drinks, at least 64 oz. of liquids and my supplements from day 3. I'm on my 17th day post-op. I still drink 3 protein drinks a day. I've added some mushies, like oatmeal, bananas, yogurt, baby food, peanut butter, and pureed split pea soup. The problem is, since I added mushies, I'm ALWAYS hungry! No, I don't drink and eat. What can I do to feel satiated? Or is this just my body adjusting to another change (adding mushies)?

Made up this recipe tonight by simplifying a cookbook one. Very rich mushroom flavor. Enjoy! 1 onion sliced thin 3 gloves garlic crushed 4 c mixed fresh mushrooms 1 sweet potato peeled and diced 1lb boneless skinless chicken breast 3 c Chicken Stock Salt pepper Dried Oregano & thyme or Poultry Seasoning 2 c Water or broth for pureeing Simple Recipe: put all ingredients In a pot and boil until chicken is tender (medium low). Purée adding 2 additional c of broth or more. Slightly more fidgety recipe: Sauté onions and garlic until soft and lightly caramelized. Caramelize sweet potato at the edges. Add remaining ingredients. Pressure cook for 7 mins (high) or cook on stove until chicken is tender (low-medium heat). Purée adding stock to thin as necessary. This is how I made it to get the sweetness and a richer depth of flavor from the veg, but it will taste good either way. Makes 10 cups. Each c has 1.5 oz of chicken for 11 gms of Protein.

And some testimony from the Elder of the Pack. Like🐭🐺(mousecat) I too had to be there at 5Am for a 7AM surgery time, first thing on my Dr Needleman's surgery schedule at Ohio State University Hospital- Wexner Medical Center, sound like a big name- You ought see how area it really takes up. But they made me feel like I was the most important, indeed like I was the only patient. Signed in at front door, had my own person to deliver me to the designated pre-surgery area, once there I changed out of my clothes and in to their patient gown. And then I tinkled, see we had a pact going, if I would void as much fluid out as possible, I would not have to be "cathed", worth it to me. Got comity in my bed, and then, since I was Surgery #1 Dr Needleman brought in the bulk of. the surgical team. That was so very nice of him, in the back of my mind was the niggling worry since this was a teaching hospital I might be someone's practice dummy. He promised it would be him and him alone doing what needed done. Promised when they bring you in I'll wave. Didn't have to do that for me, but it was so cool he wanted to allay my fears. And my anesthesiologist was named David, said I could him Dave if I liked. Stayed until I was relaxed, Dave might have slipped so Happy Juice in while we were talking, but it was okay. And in deference to my age there would be a pulmonologist and cardiologist also there, you see I was and maybe the only 72 year old patient he would have. His bio said he had done 70s before, one of the reasons I chose him. He is also the chief of Bariatric Medicine and Metabolic Weight Loss, a full Professor in the College of Medicine, trained many bariatric surgeons in the Midwest. I had said to myself" Frustr8 You are going to have this chance, your one chance, you deserve it, grant yourself THE VERY BEST possible. Like my buddy above I also have had multiple surgeries, but OSU was the first place to have non-swerving, non-wobble gurneys. Now others have said the Operating Theatre was cold, mine wasn't, that they are going to strap you down , strip you, place your arms in a crucifixion postion, nope none of those things happened. They offered to help me slide over onto the Operating table, nope this old girl can still do a few things herself. And this was the first one I ever encountered that I didn't feel I would immediately roll off the other side. And although they were super efficient, it was still quite relaxed. There was Dr Needleman over to my left,waving vigorously, yeah he really WAS THERE! And over on the other side sitting on stools was my cardio and pulmo guys, and they saluted. Then Dave tu led blankets that were warm around me, said Are you comfty, and called me by name. I said" Yes I believe I am" and that quickly I was asleep. The very next thing I knew I was in my room on 10 Doan, stretched like I was waking up from a summer,nap, except I had oxygen on and EKG leads on, but I felt good, no nausea, no tenderness, being a little of a Doubting Thomasina, I flipped my gown up to make certain they had done surgery. Figured if they had I would be heavily bandaged, nope no ABD, just 6 little criss-cross steri- strips and one in the top of my navel. Now I knew why they told me to scrub my navel well, he likes to use them. Since I had a scar on the bottom from my tubal ligation some 30 years ago, he used the top, until the swelli,g went down a little I had a kissing navel. Never had pain, my tummy was as flat as when I went in so no residual gas to expell. And I was expecting to feel like too many sit-ups, can't say I had that either. I did get to stay until Friday, because of my advanced age(on paper- I am not that old physically, PO's my PCP greatly, think I didn't break down and fall apart yet. All his Gloom and Doom was for naught!) But mine was so good I would not fear another, but Praise God a RnY is One and Done. Yeah the thing I used most was 10 foot long charging cord I got at Staples, comb, brush, chap stick and Biotene. And I will also Welcome You to the Kangaroo Klub. Why Kangaroo, you might ask ? Because, honey, we all now have pouches.😝👼😝

Hi, I am not sure where you live, but my surgeon Dr. Michael A Snyder is going to start doing clinical studies on people with a BMI of at least 35 (but below 40) with the band. I don't know anymore beyond that or if you are even interested. If it is something you are interested in and want more info his website is www.denverbariatrics.com . He is one of the, if not the best weight loss surgeons in Colorado. I got the Realize band 10/2 and paid a total of $14350.00, I don't know what the cost would be or if there even would be one (since it is a study). If you want, I would call his office on Monday as I know they are going to start doing it soon if they haven't already started it. Good luck!!

I was a 51 BMI and struggled with the decision. After all my research, discussions and long nights I settled in on RNY. My biggest reason is I am traveling 90% of the time and constant business/training meetings where I am presenting. I was truly worried about uncontrolled bowel movements when not able to step out of a session. I am 5'7" and have lost 120lbs in less than 10 months. I still have 50 lbs to go, but I feel like it was the right choice for me. I look back and think that even if I didn't travel I would have made the choice for RNY. If I was at a higher BMI I would have wanted the DS and would have my lists prepared as you do. Just know that if the physician sticks to RNY, it is still a great opportunity to change your life!