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Found 17,501 results

  1. These are my before and after pics
  2. TooBIG.net

    Progress Photos

    Photo's of My Wife and I and our progress My wife had gastric sleeve on 9/18/17 I had gastric bypass on 10/17/17
  3. chaoticdad

    pre-surgery

    November 2016
  4. The roux-en-Y gastric bypass surgery, or RNY, can be your weight loss solution after years of struggling with obesity. Thousands of patients have successfully lost weight and kept it off after RNY, which is the most well-known kind of bariatric surgery.
    Weight loss surgery is life-changing, and the best information can help you succeed. The Big Book on the Gastric Bypass: Everything You Need to Lose Weight and Live Well with the Roux-en-Y Gastric Bypass Surgery! provides the information and tips you need to make the most out of this chance to overcome obesity forever.

    How is the RNY procedure performed? How can it help you lose weight? Is the gastric bypass surgery your best option for weight loss? What should you look for when choosing a surgeon? What will your diet be like? How can you reduce complications and side effects?

    This book is for you if you are just starting to consider weight loss surgery, if you know you want the RNY in particular or if you are already a gastric bypass patient. The book is a great gift option and also a great choice if you are supporting a gastric bypass patient. Learn all about:

    • Average weight loss after Roux-en-Y gastric bypass (RNY)
    • Choosing a surgeon and paying for surgery
    • Safely preparing for and recovering from surgery
    • All about the RNY diet for weight loss and health
    • Health benefits and risks of the gastric bypass
    • Embracing life as a RNY patient


    This complete guide covers the entire RNY journey – don’t be left behind!

    This is the PDF version.

    $9.99

  5. Stephanie howey

    After gastric bypass

    I don’t even recognize my self today n yesterday in my picture we took
  6. Less than a week before gastric bypass surgery. I'm nervous but excited. Been lurking here for a while, reading. I'm about ready as I'm going to get. Down 20 pounds in 3 months. A ton of pre op testing done and cleared. Food/drinks, chewable vitamins, protein, meds bought. On 2-week preop diet now which includes 2 protein shakes a day along with 3 ounces lean protein and 2 1/2 C.  non starchy veggies and is totally do able for me. Clear liquid day before surgery. A full sugar Gatorade night before  and again 2 hrs before arriving at the hospital. Interesting how different everyone's diets are depending on your doctor.

    I'm optimistic all will go well. Good luck to the April surgeries happening this month and to all that are going through the process.  {{hugs}}

  7. Hey all!

    My name is Latricia and I am new to BariatricPal!

    Even though my surgery date is rapidly approaching, I am still going back and forth between VSG and the Bypass. Please hit me with your experience if you had the bypass or vsg!

  8. I'm new to this app. I would love to meet new friends. I will be having surgery September 13. I would love to see before and after pictures. I will be having gastric bypass. 

  9. Hi everyone I'm Merill🖐️ I've just joined your blog, I'm due to have gastric bypass on the 27th of April, I weigh at a 100 kilos atm, hoping to gain some Insight and knowledge and share my own experiences with other people who have gone through the same - have so many questions racing in my head lol. Pls wish me luck 🤞😊

    1. Merill

      Merill

      Thank you so much for sharing Tina, I totally agree, people are very uneducated about weight loss, you are absolutely right! I will look into this book for sure, as I really want this to work🙏❤️

    2. Debber

      Debber

      Hi Merill! I am Debber. I just joined this blog today. I am scheduled to have gastric bypass on April 27th, as well. As the date approaches, I've gotten a little anxious, but looking forward to it, too. Here's to a successful surgery and journey for us! :)

    3. Merill

      Merill

      Hi Debber,

      Firstly congratulations you're on your upcoming surgery which is not far off! 🥳🥳

      Unfortunately my scheduled date has been postponed due to covid cases taking up all the beds in the hospital and I've been told either May 2nd or the 16th even those days aren't guaranteed at this time! it all depends on the availability of the beds.

      Oh well I look at it from a glass half full side, I'm a believer that everything happens for a reason, better late than never! Good luck on your surgery and please keep me updated as I will be following you😊

      All the best🤞🙏😊

    4. Show next comments  123 more
  10. On November 8th I will be 11 months out. Next month is my Anniversary date of my surgery. I’m so excited and amazed and the little small things I wasn’t able to do before my WLS that I’m able to do now. I done this for myself and my health and glad I finally made that decision. I was literally killing myself and had to get a really eye -opener. Thank You GOD for second chance

    1. Lifestyle Changer

      Lifestyle Changer

      Congratulations on 11 months out! Huge accomplishment! You keep plugging away and celebrate big on your One anniversary!

  11. VSG surgery was on 4 January and I am very happy with the progress.  I am just on 30kgs down and within a very healthy BMI.  My clothes fit well, but my skin is pretty nasty saggy - a small price to pay for health and wellbeing.  My hair has finally stopped shedding at a great rate of knots, pardon the pun, and I've just had my first haircut by a lovely lady who has had a bypass.  She really understood my concerns and assured me she can see good healthy growth coming through now.  

    It's coming out of winter down here in Australia and I'm looking forward to not being as hot and sweaty as usual this summer, and being able to wear a bathing suit at the beach without feeling embarrassed.

    Onwards and upwards 🙂

  12. Hi guys:

    I’m Julie , I’m new here and  getting close to surgery and I’m still undecided on sleeve vs bypass. My apprehension comes from things I’ve heard over the years, horror stories. I realize my fear may be based on things which may not be true and I know the procedure has went through many updates and improvements. I worry about dumping and malabsorption. My surgeon is recommending bypass and my provider in the program likes the sleeve. So I’m making myself crazy. Anyone having surgery at Bailey in Owasso, OK. I could use a buddy.

    1. Stalled

      Stalled

      Hi Jules, When I was deciding between a sleeve vs bypass I decided on the sleeve because if it doesn't work completely, I could still do the gastric bypass later. But I wouldn't be able to do the opposite. Maybe that is something to consider along with your other situations. Obviously, I don't know your medical history so I wouldn't make assumptions or push you one way or the other. But I do know that for me, the sleeve was a much less daunting surgery than the bypass.

    2. Lynnlovesthebeach

      Lynnlovesthebeach

      When I was making my decision, after doing my research, I ruled out the sleeve because I already had severe reflux. My doctor asked me about the duodenal switch but I had already decided on the gastric bypass. It was the best decision for me. I never had any pain afterwards. I have never had "dumping syndrome" because I don't eat the things that cause it-high sugar! I have had what I call the most perfect surgery possible. I lost 114% of my excess weight and have maintained it for about 2 yrs now because I follow the guidelines I was given. This is a lifestyle change, not any easy way out! I will be 3 yrs post op in Oct. One of the best decisions I ever made! Good luck with your decision.

  13. Hi everyone!!! I hope all is well.

     

    After a bariatric Surgery/gastric bypass procedure and a patient loses over 100lbs/has a lot of loose skin............. does that SAME Surgeon perform a tummy tuck and a loose skin removal for the patient/ does health insurance cover it?

    I will be sure to ask the Surgeon when I have my initial meeting with him/her 2 months from now. 

    Any input would be greatly appreciated, thank you.

    1. Lynnlovesthebeach

      Lynnlovesthebeach

      No, different surgeons. A plastic surgeon does the tummy tuck and skin removal. You would have to check with your insurance for coverage because they are all different. Some cover panniculectomy (loose skin hanging from the abd) but most will not be covered.

    2. MandM1188

      MandM1188

      Thank you so much!!!!😍🥰

  14. Hi Im new on here I recently had gastric bypass about 6 weeks ago. Overall the surgery was a success however I feel like Im at a weight hick up dr says im doing everything right but I was still expecting to be dropping more weight. And drinking is a little bit of a challenge but im pushing through. I know everything takes time and Im still healing. Anyone having these issues too?

    1. Kikikayaker

      Kikikayaker

      what you’re going through is absolutely normal I cannot stress enough to stay hydrated. It is incredibly important to stay hydrated! The weight loss is going to come off stay hydrated get the protein and stay with the diet that the doctor recommends do not try to skip the steps! just remember you’re in this for the long haul! I am currently six months out from my surgery and I am extremely happy with it just remember you’re doing this for your health and well-being… And you’re not alone… If you have an air bubble that you feel in your chest that is normal… A lot of us have been through it just stay hydrated listen to your doctor follow the steps and be proud of yourself.-holly 6mo post op gastric bypass you got this!

      BC60135D-395B-415B-932D-D3AE539BC7E5.jpeg

  15. In the process of scheduling Gastric Bypass. 

  16. I am now 52 years old and I have had a Lapband in Monterrey, Mexico in 2009  and a Bariatric Sleeve in Tijuana in 2017.  With the Lapband I lost maybe 2-35 pounds and gained it right back and then some. It was not an adjustable band it was just a ring around my stomach according to the surgeon (who had a hard time removing it) when I did my Gastric Sleeve.  When i decided to do the Bariatric Sleeve in 2017 my weight was 348 pounds and I was struggling with walking, breathing, no energy, buying/finding clothes and I was put on 2 blood pressure pills and a cholesterol pill. My Sleeve surgery went great and I was feeling so good down to 321 and loving it (I didn't even mind the liquid diet I was still on) and then I started to feel sick 2 weeks out of my Sleeve surgery and it ended up being a stomach leak on the staple line.  I struggled with drains for about 2 years and finally in December of 2019 i was drain and leak free.  After all that I was down 100 pounds and was weighing 248.  When I had the drain I never exercised I would just walk a bit with friends every other day maybe until we didn't because life got busy or I got sick again.  At the hospital I found that I was now lactose intolerant and I have not found any protein shakes I can drink without feeling sick to my stomach.  I have regained about 26 pounds and i just want input on how to lose weight since i am not on any particular diet and eat all kind of bad food until I am full ( i would love some recipes or a daily menu).  I have been considering the Gastric Bypass since I have horrible reflux and have been researching the pros and cons and would appreciate any input. 

    1. melvin5ft2

      melvin5ft2

      You might try the Thrive Lifestyle Mix. Its a protein shake but it does have some carbs. I have a problem with protein shakes. They make my stomach hurt. I recently started the Thrive 3 step which is a vitamin (in capsules) and a skin patch and a shake mix. The shake works for me and I think the reason why is because it has digestive enzymes in it. This makes it a lot easier for your stomach to break it down. It has amylase, bromelain, cellulase, protease, lipase, papain, and protease. Its like taking a whole digestive enzyme capsule with your protein shake, but its all in an individual serving envelop and you mix it with whatever you want. I mix mine with either water or almond milk, but you could mix it with soy milk if you wanted to do that. It is the easiest to digest nutrition shake I've ever done. If you decide you want to try it. I know a gal who will probably send you a sample or two. I actually have enough packets of this that I could send you a couple packets to try if you message me your address.

    2. Mixfex

      Mixfex

      https://lbwic.com/

  17. {{$title = \IPS\Output::i()->title;}} {$title} Marketing weight-loss surgery is competitive. A strategic plan and experienced guidance can help you win. Bariatric surgery marketing and advertising are commonplace… and necessary. That’s because the CDC says nearly 40 percent of Americans over age 20 are obese. As obesity rises, so does the interest in bariatric surgery, which has opened up opportunities for surgeons to change their case mix and help make a difference in more people’s lives. There are new techniques, new options for patients, and new ways for surgeons to provide appropriate, effective treatment. What also has increased is the competition between bariatric surgeons. To compete, bariatric surgeons must stand out. The increase in both demand and opportunity has created a much more competitive market for bariatric surgeons, one of the most common challenges we’ve seen for these types of practices. In some areas, there is a virtual deluge of bariatric surgery marketing messages from weight-loss surgeons. In most markets, candidates for weight-loss surgery have plenty of choices. So, how do you compete? At BariatricPal, we know that competing in a crowded market means standing out from the competition. And that means having a compelling bariatric surgery marketing message, getting it heard and having it drive response. Marketing works, even in healthcare, even for referral-driven surgical practices and especially for practices — like bariatric surgery providers — who must directly appeal to prospective patients. Competitors are marketing. aggressively. To stand out from them, you can’t merely market your bariatric practice. You have to market it well. You have to promote it strategically. A strategic path to marketing bariatric surgery effectively to grow your practice. Strategy is the hallmark of our approach to helping bariatric practices maximize their success by marketing effectively. With strategy at top of mind and more than 20 years’ experience to their credit, our professionals come to the table with knowledge not just of healthcare marketing but specifically of how to most successfully plan and implement bariatric surgery marketing. Our strategies for weight-loss surgery practices consider the need to create a compelling message while also speaking to potential risks, complications, the mental-emotional aspects, and the level of commitment patients need to make. We know stoma from stomach and duodenum from jejunum. Our marketing professionals are also familiar with the differences between today’s modern procedures, from lap band and sleeve gastrectomy to gastric bypass and even duodenal switch. And we understand that the highest standard of ethics is of paramount importance. Marketing bariatric surgery ethically because your reputation is everything. As a surgeon, your reputation is your chief asset. At BariatricPal, we never forget this, and reputation management and enhancement are woven into the fiber of all of our professional services. Everything we do is to solidify your good reputation, which is why take a strong position for marketing ethically. While ethics are clearly not insisted upon by all bariatric surgeons in their marketing, we see no distinction between ethical medical practices and ethical messaging. We believe in marketing our bariatric-surgery clients with the same commitment to reputation that they demonstrate in the operating room. Scientific marketing: measure the results of your efforts. Branding. Internet strategy. Referral-building. Practice representation. Staff training. Print collateral. TV and radio marketing. Our marketing strategists will devise a customized plan that will help you achieve your goals within your marketplace. We do this scientifically, basing what we do on what we know works in markets like yours for weight-loss surgeons like you. Also, our scientific approach to marketing bariatric surgery means that we measure the results of your marketing efforts, as well. It’s vital to know what is and isn’t working so, together, we can make adjustments to your messaging in order to best achieve your goals.
  18. Black Friday Special! Hey Everyone, This is a first peek at one of our Black Friday Specials. From today through Friday at 6PM any surgery that is booked and has been confirmed through a deposit is eligible to be entered into our $500 deposit rebate raffle! You can reserve your surgery for up to 1 year in advance at the current promotion pricing. * Promotion only applies to new deposits. BariatricPal Deals BariatricPal is pleased to announce BariatricPal Deals! This exclusive new program offers unbelievable deals for weight loss surgery with the top weight loss surgeons and best service in Tijuana, Mexico. All-inclusive packages start at only $3899! We cut out the middleman and pass the savings on to you! We guarantee our prices and are willing to beat ANY advertised prices for Dr. Carlos Altamirano, Dr. Jaime Ponce de Leon, Dr. Jesus Martin Lopez Dominguez and Dr. Juan Francisco Zavalza. Financing Options are available to help patients pay for the program. All applications and questionnaires are reviewed by our Internal Medicine Doctor on staff. Following the review of your questionnaire you will be entitled to a free surgeon consultation via phone or Skype (Exclusive to BariatricPal Deals Applicants). Want to discuss BariatricPal Deals or find out more detailed information about the surgeons and services we offer? Head on over to the BariatricPal Deals Forum. We now offer FREE Skype Consultations with our weight loss surgeons! Please complete this form and mention in the comments that you'd like to schedule your free Skype consultation. Call us toll free at 844-WLS-DEAL or at 844-957-3325 for more details. These are the weight loss surgeries and surgeons that are offered. You will receive additional information about the program, including a 24-hour phone number and direct contact information for your patient liaison after you complete the short form. Completing the form does not commit you to anything! Complete the form Dr. Altamirano Dr. Ponce de Leon Dr. Verboonen Dr. Lopez Dr. Zavalza Dr. Camelo Ramos Dr. Corvala Gastric Sleeve Surgery $4199* $4999 $4499 $4199* $4250 $3899 $5999 Gastric Plication Surgery n/a $4999 $4399 $3899 n/a n/a Call Us Gastric Sleeve Revision Surgery $5199 $5799 $5499 $5199 $5299 $4999 Call Us Mini-Gastric Bypass Surgery $5199 $5799 $7499 $5199 $5299 $4999 Call Us Gastric Bypass Surgery $5499 $5799 $5799 $5499 $5599 $5299 Call Us Gastric Bypass Revision n/a $6799 $6799 $5499 $5599 $5299 Call Us * hernia repair is included for free if needed. Check out some of our current Specials below. Dr. Altamirano Dr. Ponce de Leon Dr. Lopez Dr. Corvala Gastric Sleeve (Including Meds and Follow Up) n/a $5399 n/a n/a Angeles Hospital Gastric Sleeve Package n/a n/a n/a $5999 How Can BariatricPal Deals Really Be Possible? How can we offer such good deals on weight loss surgery in Tijuana, Mexico while being so confident in the quality of the care you receive? This is one of the most commonly asked questions when interested members like yourself come across these fantastic deals on weight loss surgery in Tijuana, Mexico. The truth is, it's quite simple! With such a large number of potential weight loss surgery patients, we were able to negotiate the best deals possible on your behalf. Take a look at some of the steps we took to make this happen. We cut out the middle manBariatricPal works directly with each participating surgeon instead of paying a third party to act as a go-between. Without paying a middleman, each surgery instantly costs $1,000 to $5,000 less, and we pass the savings to our members. We receive the wholesale rateBariatricPal has so many potential weight loss surgery patients that surgeons are able to provide deep discounts to the BariatricPal Deals program compared to the prices they need to charge for individuals who walk in off the street. We only invite selected weight loss surgeons to participateWe approach only those weight loss surgeons who we are confident provide a safe and positive experience in a caring environment. Some of the ways to do this include knowing the weight loss surgeons personally, inspecting their facilities, looking at their patient outcomes, or checking their weight loss surgery credentials and licensure. Top Weight Loss Surgery Hospital in Tijuana, Mexico You will have your weight loss surgery performed at the only hospital with an official medical tourism certificate issued by the state of Baja California, Mexico. The hospital is among the top weight loss surgery centers in the world, having performed over 20,000 procedures. The hospital's credentials and experience can give you peace of mind as you get ready for weight loss surgery in Mexico. The price you get through BariatricPal Deals is all-inclusive. It covers the following: Personal Transportation All Medical Fees Included All Surgical Fees Included Two Nights with full care in our Hospital Luxury Recovery Condo for you and a guest 24 hour personal valet service Free Long Distance Calling to Family and Loved Ones When you arrive, the hospital staff provides the best service and is the friendliest you'll ever meet. They will put you at ease during your entire stay. The hospital also provides the following services for your convenience and comfort: Bilingual staff Transportation to and from the U.S. Direct phone calls to and from the U.S. Wireless internet Cable television in English and Spanish Personal nursing staff 24-hour security and video surveillance Fill out the short form below to get more information or reserve your weight loss surgery date. When you complete and submit the form, you will instantly gain access to important information including videos, diagrams, more information about the hospital, surgeons, and surgery types, patient testimonials, and pictures. complete the form Dr. Carlos AltamiranoIs an expert in General Surgery and Advanced Laparoscopic Weight Loss Surgery. Dr. Altamirano completed his formation as a surgeon in Dr. Valentín Gómez Farías Hospital (one of the most renowned hospitals in Mexico). He trained in basic and advanced laparoscopic procedures like cholecystectomy, inguinal and post incisional hernia repair, Laparoscopic Nissen Fundoplication and bariatric procedures like Gastric Sleeve and bypass. He also has experience in the management of emergency and critically ill patients, is certified in Advanced Trauma Life Support (ATLS certification of the American College of Surgeons) and Advanced Cardiovascular life Support (ACLS certification of the American Heart Association). He was a Red Cross volunteer for a year and has worked for multiple Non-Profit organizations. read more Dr. Jaime Ponce de LeonChief Weight Loss Surgeon at INT Hospital in Tijuana, Mexico Dr. Jaime Ponce de Leon has the official endorsement of the Baja California Board of Tourism. The board recommended his services after a thorough review of his credentials and reputation. Dr. de Leon has 19 years of experience as a surgeon, including extensive experience as a laparoscopic surgeon, and is recognized as a top weight loss surgeon in Mexico. He received his M.D. as a general surgeon from Saint Nicholas University in Hidalgo, Mexico, and completed his residency in Tijuana’s. read more Dr. Sergio VerboonenA Leading Weight Loss Surgeon in Tijuana, Mexico Dr. Sergio Verboonen, a Certified Bariatric Laparoscopic Surgeon, is one of the first three bariatric surgeons to pioneer Bariatric Surgery in Mexico. Dr. Verboonen received his M.D. from Universidad Nacional Autonomy de Mexico (UNAM) in 1990 and completed his residency in 1994 at Hospital General de Tijuana. With 19+ years of experience, Dr. Verboonen has performed more than 10,000 bariatric laparoscopic procedures and continues to be recognized as one of the most experienced bariatric surgeons worldwide. read more Dr. Jesus Martin Lopez DominguezA Certified Bariatric Surgeon with over a decade of experience. Dr. Lopez has 10 years of surgical experience and is bilingual. Dr. Jesus Martin Lopez is one of the leading medical practitioners in Tijuana dedicated to change lives for people with weight related problems. read more Dr. Juan Francisco ZavalzaTrusted bariatric surgeon & backed up by thousands of successfully performed weight loss surgeries. Dr. Zavalza has 5 years of surgical experience, is bilingual and was proctored by Dr. Jaime Ponce de Leon. Dr. Francisco Zavalza has performed and assisted more than 3000 bariatric surgeries. Dr. Zavalza continues communicating with his patients years after surgery, providing extensive follow up care, to insure long term and successful outcomes. read more Dr. Mario Camelo RamosCertified Bariatric Surgeon Dr. Mario Camelo Ramos is an accomplished weight-loss surgeon, who practices in Tijuana, Mexico. He has trained under one the world’s top bariatric surgeons and has performed over 6,500 bariatric surgeries. Dr. Camelo Ramos Performs Surgery at Florence Hospital. read more Dr. Juan Antonio Lopez CorvalaCertified Bariatric Surgeon Dr. Juan Antonio Lopez Corvala MD FACS has over 30 years of experience, more than 10,000 laparoscopic surgeries, and more than 6,000 bariatric surgeries. Dr. Juan A. Lopez Corvala is one of the 10 most renowned bariatric surgeons worldwide, a true expert, member of C.A.B. (Council of Advance Bariatrics). read more Fill out the form below to get more information or reserve your weight loss surgery date. {block="bp_surgery_deal_form"}
  19. The BIG Book On The Gastric Bypass Everything You Need to Know to Lose Weight and Live Well with the Roux-en-Y Gastric Bypass Surgery View Preview Paperback Price: $24.99 BUY NOW Kindle Price: $9.99 BUY NOW eBook Price: $9.99 BUY NOW PDF Price: $9.99 BUY NOW About — The Big Book on the Gastric Bypass Are you sick and tired of struggling with obesity? If you've been obese for years and have tried every weight loss diet without lasting success, weight loss surgery may be the right choice for you. "The Big Book on the Gastric Bypass: Everything You Need to Lose Weight and Live Well with the Roux-en-Y Gastric Bypass" is your complete guide to the Roux-en-Y gastric bypass. Like so many other patients who have struggled with obesity for many years, you may find that the gastric bypass is the tool you need to eat well and finally lose weight for good. The Big Book guides you through each step of the journey, from deciding to get RYGB, finding a surgeon and paying for surgery, to recovering from surgery, following the bypass diet and losing weight and keeping it off for life. "The Big Book on the Gastric Bypass: Everything You Need to Lose Weight and Live Well with the Roux-en-Y Gastric Bypass" treats you with the respect you deserve and provides facts and analysis in simple language. It discusses everything related to obesity, weight loss, the gastric bypass and the weight loss surgery diet so that you can make the best decisions for yourself. The book further helps you by being a source of advice and motivation. It contains stories from real-life bypass patients, told in their words. When you're ready to learn all about losing weight and living well with the Roux-en-Y gastric bypass, grab your copy of the book and get reading! Read more about the authorsAbout the book's authors: Alex Brecher Founder and CEO of WLSBoards.com Natalie Stein Vice President of Health and Nutrition With every page of "The BIG Book on the Gastric Bypass" you will learn important details such as: The options for surgical weight loss and what is involved with the Roux-en-Y Gastric Bypass. How to make your decision and what questions to ask before surgery What your diet and exercise will look like following the procedure How to adjust to your incredible new body And so much more {block="gastric_bypass_about"} {block="gastric_bypass_table_of_contents"}
  20. {{$title = \IPS\Output::i()->title;}} {$title} Roux-en-Y gastric bypass (RYGB) is the most common type of gastric bypass weight loss surgery.1 It is usually laparoscopic. It is reversible if necessary, but is designed to be permanent. The surgeon first divides your stomach, leaving a smaller upper portion and stitching shut the larger remainder of your stomach so that it can't be used any more.2 Normally, food in your stomach empties to the upper portion of the small intestine. In RYGB, the surgeon attaches the small stomach pouch to a place lower down on the small intestine, thus "bypassing" the majority of your stomach, the duodenum (upper portion of your small intestine) and at least part of the jejunum (middle portion of your small intestine). A long-limb RYGB procedure bypasses more of your intestine; in this case, the surgeon attaches your newly formed small stomach pouch to a place even lower on your small intestine. The long-limbed RYGB procedure can lead to faster weight loss because of greater nutrient malabsorption (fewer nutrients absorbed). Why is the procedure called "Roux-en-Y?" The gastric pouch is called the "roux limb," and the "Y" shape is formed by the three arms coming together at a junction. The three parts are: The small stomach pouch that holds food The large stomach pouch that secretes digestive juices The far portion of the small intestine that the two portions of the stomach are connected to Buchwald H. ASBS 2004 consensus conference statement: bariatric surgery for morbid obesity: health implications for patients, health professionals and third-party payers. Surgery for obesity and related diseases, 2005;371-381 Ibid. Advantages and Disadvantages of the Gastric Bypass Advantages of the Roux-en-Y Gastric Bypass No bands, staples or other foreign objects in your body An established procedure with more research on safety and effectiveness than the vertical sleeve gastrectomy and sleeve plication More weight loss in the first year than the gastric sleeve and the adjustable gastric band (lap-band)1 Reversible if necessary (but not easily) Can be revised to a longer-limb Roux-en-Y gastric bypass if an initial short-limb procedure does not lead to expected weight loss. Quick improvements in your health, especially in your blood sugar control with better insulin resistance, lower blood sugar levels and possible resolution of diabetes May be a good choice for individuals with a sweet tooth because sweet foods are not typically tolerated Jackson TD, Hutter MM. Morbidity and effectiveness of laporscopic sleeve gastrectomy, adjustable gastric band and gastric bypass for morbid obesity. Advances in Surgery, 2012;46:255-68. Disadvantages of the Roux-en-Y Gastric Bypass Higher risk of nutritional deficiencies due to malabsorption than the lap-band, sleeve plication and vertical gastric sleeve Weight regain can occur after a couple of years if appetite levels increase and/or the stomach pouch is stretched High-sugar and high-fat foods can cause dumping syndrome, with symptoms of shakiness, nausea, vomiting and diarrhea Stomach pouch can be stretched if patient overeats, leading to less restriction and less effectiveness Complications are less frequent, but are more likely to be serious Possible Complications/Risks of the Gastric Bypass Intolerance to certain foods Gastroesophageal reflux disease, or GERD, with severe heartburn Nutritional deficiencies due to low food intake and nutrient malabsorption Dumping syndrome Staple line leaks from the stomach and intestines where they were cut and stitched during the procedure Vomiting, nausea, diarrhea Strictures Weight Loss and the Roux-en-Y (RYGB) Rapid weight loss in first 6 to 12 months About 65 to 70% of excess weight loss (EWL) within 2 years Often more than 100 pounds lost Many RYGB patients regain about 20 or more pounds after the first two years of weight loss The RYGB is restrictive and malabsorptive and it affects your appetite hormones. Restrictive: Right after surgery, the top portion can hold only about one ounce, or two tablespoons, of food. This forces you to have smaller meals you fill up faster Malabsorptive: With RYGB, food doesn't go into your duodenum, which is where a lot of nutrient absorption usually occurs. Absorbing less protein, fat and carbohydrate leads to fewer calories and faster weight loss. Hormonal:1 2 changes in your hormones after RYGB can decrease hunger. Ghrelin: a hormone that causes hunger and whose levels decrease after RYGB PYY: (neuropeptide YY) a hormone that reduces hunger and whose levels increase after RYGB GLP-1: (glucagon-like peptide 1) a hormone that reduces hunger and whose levels increase after RYGB Mechanick MD, Kushner RF…Dixon J. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Obesity, 2009;17(S1):S3-72. Morinigo R, Moize V, Musri M, Lacy AM, Navarro S, Marin JL…Vidal J. Glucagon-like peptide-1, peptide YY, hunger and satiety after gastric bypass surgery for morbid obese subjects. JCEM, 2006;91(5):1735.
  21. {{$title = \IPS\Output::i()->title;}} {$title} Several types of weight loss surgeries are commonly performed and can lead to successful weight loss. How do you choose the one that is right for you? Patient needs to consider and discuss their individual situations with their surgeons before deciding on the procedure that they feel is best for them. This page has some of the factors to consider when you're deciding on which weight loss surgery to get. You'll notice that Cost is not on this list. It should not affect this life-changing decision about your health! Speed of Weight Loss: The gastric bypass and biliopancreatic diversion with duodenal switch (BPD-DS) have the fastest initial weight loss. Some patients can lose 5 to 7 pounds per week shortly after surgery. That can be good for patients who are in severe discomfort from joint pain. Fast initial weight loss may also be easier mentally for patients who need to see results quickly to stay motivated. Starting Weight and Health: The adjustable gastric band (lap-band or Realize band) is a more common choice for patients who have a lower starting BMI. The vertical sleeve gastrectomy (gastric sleeve) is an increasingly common choice for higher BMI patients. The gastric bypass is known for improving blood sugar control quickly, and many patients with type 2 diabetes choose this procedure. Long-Term Results: The gastric bypass and lap-band have been used for years and are well established. The gastric sleeve and sleeve plication are newer procedures. Clinical trials are still gathering scientific data on their long-term results and complications, although it looks so far as though weight loss from those surgeries is similar to that of lap-band or gastric bypass. The gastric sleeve can be converted to a BPD-DS if weight loss isn't satisfactory, but it cannot be reversed. The gastric bypass can be redone or a band can be added ("band over bypass"). The gastric band is reversible if necessary, so any of the other weight loss surgeries can be tried if the band doesn't work. Adjustability: The adjustable gastric band is the only option that's easily adjustable. Filling the band increases restriction to help speed weight loss, and decreasing the fill volume of the band reduces restriction to let your esophagus heal if you get esophagitis or to let you increase your nutrient intake when needed, such as during pregnancy or when you're sick. The other surgeries are not adjustable. Maintenance: The adjustable gastric band requires more attention. You need to visit your surgeon each time you want an adjustment (fill or unfill). This can happen several times in the first year. If you have trouble getting time off work to see your surgeon, the lap-band may not be for you. Fear of Needles: Adjustments require your surgeon to stick a needle in your access port near your belly button. You might feel a small prick or have topical local anesthesia applied so you don't feel anything. However, if you have a fear of needles, the gastric band may not be for you. Fear of Implanted Medical Devices: The gastric band, connection tubing and access port are all permanently inside of you if you get the lap-band. The gastric sleeve or gastric bypass don't require permanent medical devices, and may be better choices if you worry about malfunctioning parts. Restriction and Malabsorption: All of the surgeries are restrictive; they reduce your stomach size so you fill up faster and can't eat as much. The gastric bypass and BPD-DS are also malabsorptive. They reduce the calories that you absorb from food to help you lose weight faster. They also prevent you from eating sweets because high-sugar foods can cause shakiness, nausea, vomiting and diarrhea from dumping syndrome after these surgeries. If your sweet tooth caused your obesity, gastric bypass and BPD-DS might be better choices for you.
  22. I just had conversion to gastric bypass on November 1 due to hiatal hernia and acid reflux issues. Surgery was a success. The sipping water after surgery is much easier this time for some reason. I am craving savory foods like crazy...hummus, salsa and marinara sauce so I cannot wait to incorporate some of those things in my diet. 

    1. Road Runner

      Road Runner

      Congratulations on your success! I'm scheduled for a revision in December and I'm so afraid I will not succeed,, since I had very little success with the lap band.

  23. Thank God! I finally figured out how to log on.!! I'm looking for a surgeon in my area on TN. I had gastric bypass in '03 and left the state of Ala. I never went for a f/u either. Now I've gained weight again and need serious help. I don't know where to start. I don't remember the doctors name who Fisrt did it. I'm willing to pay cash possibly. Just need to be sterned in the right way. Please help. I may not know how to get back However I will try to get back on here.

    1. karen_marie

      karen_marie

      Hey there! I see in your other activity that you had a consult on 9/1 in Nashville. How did that go? Wondering if they thought surgical intervention was recommended, or more one-on-one time with a nutritionist?

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