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VSG to RYGB - after 5 years with VSG
Paradigm Star posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Greetings to everyone, On May 2, 2016, I received my VSG from my Bariatric Surgeon. Fast forward to February 2019, I start getting experiencing abdominal pain, nausea and vomiting that my general GI specialist couldn’t figure out what was wrong with me. Diagnostic testing revealed a raw sore in my esophagus, a hiatal hernia, and the medical professionals couldn’t diagnose why I was experiencing abdominal pain in my gut. As time moved on, my aforementioned symptoms got worse and worse where I couldn’t keep down my food and medications. Now jump to March 10, 2021, I have my first surgical consultation with the Bariatric Surgeon that had put in my VSG in 2016. My Bariatric Surgeon recommended a revision from the VSG to RYGB to fix my hiatal hernia and the rest of my digestive symptoms. Dr. Chen has fast tracked my RYGB surgery to Monday, March 22, 2021. I have to admit to everyone that in 2016 when I the VSG, I was fine with it. However, now with the RYGB surgery within 48 hours of this posting in the BariatricPal forum, I’m getting nervous to having this surgery. One of the main reasons why I’m nervous is about having the RYGB surgery is the possibility of complications and after having surgery, and the dumping syndrome that seems to be common with a lot of individuals who get the RYGB surgery. Fortunately for me, while I was recovering from the VSG, I was not subjected to dumping syndrome. Can anybody share with me about your own experiences with getting the RYGB surgery? How was your recovery period? How was it going from a clear liquid diet to a full liquid diet to purée foods, etc. Share your thoughts and feedback. I would greatly appreciate that very much. -
Hi, I’m new here
vikingbeast replied to twinmom2015's topic in PRE-Operation Weight Loss Surgery Q&A
I wouldn't worry too much about it. If you are, say, 5'5", getting from a BMI of 60 to a non-obese BMI of 30 would mean an additional weight loss of 180 lbs. (on top of the other 80 lbs.) which even the most hardened insurance company would see requires surgery. But definitely ask your bariatric center for guidance and access to a nutritionist/dietitian to help you get those 80 lbs. down. -
One Year ago today- Down 98 pounds this year-total 243
ssflbelle posted a blog entry in Welcome to my journey toward being able to walk again!
Hi Everyone It was 1 year ago today June 15th 2015 at 1 P.M. that I went to see the surgeon for a hernia, gallbladder and possible sleeve surgery. I had to use my mobility device as despite having lost 145 pounds on my own since 2004, I still was not able to walk into his office building. That right all, my highest weight was 497 pounds. I was pretty much housebound and in so much pain I cried every night. Any how 1 year old ago at 352 pounds, my surgeon told me I had to see him for the next 6 months as he was putting me on a HPLC supervised diet. After that more than likely I would be able to have the 3 surgeries all at once. On Jan 26th 2016 he performed the 3 surgeries with me weighing 314 pounds. A 38 pounds lost in those 7 1/2 months I had to wait. Since surgery 5 months ago I have lost an additional 60 pounds for a total of 98 pounds in this past year. I am only able to eat about 2-4 oz of meat and still have the feeling of being full before I even get to the vegs. I never knew feeling full could be so painful. I am tracking calories around 800 to 900 calories and getting in 60 to 90 proteins and 41 to 80 carbs and all my water each day. I am biking 4 to 6 miles 5 days a week and started water aerobics 2 days a week. I am 5 pounds away from being able to go to a back surgeon to see what they can do to help me to walk again now that I am almost below 250 That was their magical number before they wanted me to get to before they would help me. I was sitting here pulling out seams to to cut down and take in my clothing, but have taken a break from it as there are many pants I have to take in. I am thrilled to be doing this but it is a lot of work for my CTS hands to be doing. When I do stand to transfer to a chair my pants are falling off of me and I am stepping all over my pants legs. I can't afford new clothing but am thankful I know how to take in clothing. Since my highest recorded weight I have lost 243 pounds. My BMI has gone from 80 to 41. I haven't posted any pictures since the day before surgery. But once I get below that magical number of 250 I plan to take some more pictures. When I do get there I will be sure to post. I still have 102 pounds to lose but because of the sleeve and all the hard work I am doing I know I will reach my goal. I plan to be here over the next year as I just today renewed my Bariatricpal VIP Membership. -
You won’t find that many pictures of men as only 20% of bariatric procedures are done on men. It’s a crazy statistic but true. More men need to be educated about the benefits of bariAtric surgery. I’m 3 months post sleeve and down 80 pounds. Life changing. And now I’m starting to blog about it to hopefully help other men find what we did. Follow me on Twitter@fatguysurvival. My pic is on there.
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I have before and after pics in my profile. It's funny cause I wouldn't put the before until I reached my goal and could put the after pic. Kinda shows how the renewed feelings of self confidence washes away all the negative feelings and embarrassment we felt when we were fat But now it's all good...... You'll get there too. It's a fantastic feeling.
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Before surgery I bought a bunch of different type of protein drinks/shakes to try out. I personally can't stand the taste of any of the Muscle Milks. To me there's a funny after taste I can't get past. My dr. had us drink the Bariatric Advantage shakes for preop and those are good and you can blend them with fruit or peanut butter. Now post op I drink the Premier Protein Drinks in chocolate flavor. It's 11 oz and has 30 grams of protein, 160 calories and 5 carbs. Costco carries it in chocolate or vanilla flavor.
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I actually just purchased these dill flavored krinkle fry things that have 12g of Protein... I haven't tried them yet but they got good reviews! Go to BariatricChoice.com - they have lots of Snacks, meals, Desserts and supplements formulated for bariatric patients!
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How did you know?
Babbs replied to Soon2beslimSamantha's topic in General Weight Loss Surgery Discussions
All of the above In my late 40's, and at heaviest was put on high blood pressure medication and Metformin for diabetes. That was pretty much the last straw. I had a pretty good knowledge of bariatric surgery already, because my husband had a Gastric bypass 8 years earlier and has done really well. I wanted the sleeve because I liked the idea of not having a malabsorbtion issue. I made the leap August 22 of last year, and haven't looked back. Almost 80 pounds lost, and 6 pounds to goal. So happy I did it! Hasn't been easy sometimes, but so worth it. -
Hi everyone , I just had my 18 month post-op labs done and my B1 shot up from 157 to 203 in 6 months. Is hat normal? I read it can be caused by bariatric surgery. But normally people are deficient in both the sleeve and the bypass. Not sure if I need to worry or wait to hear from my surgeon. Any thoughts? Sent from my iPhone using the BariatricPal App
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ok...so I started at Nordstrom yesterday. And they have Aetna PPO insurance. The HR manager is checking to see if they allow bariatric surgery. If they do...I am a shoe in. way over BMI of 40. Way over the 100 pounds over weight. A few comorbidities. No problem. Dh's insurance is United Healthcare. Great right? No. All of their new policies they are sneaking in an exclusionary clause for no bariatric or nutrition coverage. So we are not covered. So we have chosen to get my surgery with Dr. Sanchez in monterrey Mx. But now there is the possiblity that it will be covered. Dr. Sanchez is an amazing doctor. He has done a lot of lap bands. (over 5k) And the hospital is a great american owned hospital in one of the most beauiful cities in Mexico. What do I do? If I go with the insurance I can't even start the process until july 1st. There is a waiting period before the insurance kicks in. Do I go for the insurance covered surgery, wait the extra time? Is there anything I should do until then to help make the process go quickly after the insurance kicks in? Or do I go with the years of exp and the many many lap bands under his belt, and the amazing hospital in the amazing city in mx? To some this may be a no brainer on either side, but I am really stuck trying to figure this out. Thanks in advance.
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Hi Everyone in So Cal. I'm new to the site, I was banded in December and still waiting on my first fill. I had surgery in Wyoming (my childhood best friend was my surgeon) but I live in Los Angeles. I am looking for a local support system. I'm near LAX. I hope some of you are still interested in meeting locally. I think it's such a good idea to have a suppory system...I don't know anyone else who has had any bariatric surgery, much less the band. Please contact me if you're interested. Katie
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Surgery was done by Dr. Mario Almanza (http://hospitaljerusalem.com.mx/bariatric-sleeve-gastrectomy.php).
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Does 1200 to 1400 Calories sound like alot to you?
Tiffykins replied to Adri's topic in Food and Nutrition
I want to add that most of us are "not" normal. The 1200-1400 calories per day is a standard "diet' for someone that has less than 30lbs to lose. It's a textbook nut answer for how to lose weight. I barely ate 1200-1400 calories a day in maintenance at 125lbs. If I hit 1400 calories, it was a really good day LOL. If you read some of the vets out there, from 2-5 years out, we were all on very similar post-op plans. More and more new surgeons are doing sleeves, more and more send you to nut that is NOT trained or experienced with bariatric patients with metabolic issues that can hinder weight loss. I can honestly say that the people that I've been following for the last year of so that follow a less stringent plan, and just eat smaller portions, post twice as much about stalls, slow weight loss and/or taking forever to get to goal. I know it's not a race on getting to goal, but taking advantage of that first 5-9 month honeymoon period seems to really help people get to goal, and be prepared to get into maintenance a little easier. -
How did you know?
Miss Mac replied to Soon2beslimSamantha's topic in General Weight Loss Surgery Discussions
I did it for my health. At 62, I had many co-morbidities including two knee replacements and 17 herniated discs. It was the stroke that did me in and pushed me to follow through with bariatric surgery. I got sleeved in December of 2013 and actually have had a very nice, uncomplicated recovery. My goal was to lose 100 pounds from 235 to 135, but my doctor is ok with where I am at now, bouncing around 150. I still don't have a lot of energy, but my overall health is waaaaaay better, and I have more good days than bad. Before surgery I had GERD, but not anymore. I had chronic diverticulitis, and six weeks prior to my sleeve, I was in the hospital deathly ill with ischemic colitis. My doctor told me later that he thought he was going to lose me. I have not had any further bowel issues at all since getting my sleeve. -
How did you know?
Hipigrl replied to Soon2beslimSamantha's topic in General Weight Loss Surgery Discussions
I have been "heavy" my entire life, but I started getting morbidly obese about 15 yeas ago after a back injury. I had two back surgeries, first one 8/2007, second one in 11/2009. I also broke my left ankle (for the 5th time) in 10/2010. After a major foot surgery in 3/2011, I decided to go for the sleeve. About a month out from surgery, I got pregnant and abandoned my WLS plans for the time being. I had the baby (best thing ever!!) and got back on track for surgery in October of 2013. I then caught the NORO virus from my kid and spend two days sitting on the toilet and vomiting into the waste basket. That freaked me out so much that I backed off from the surgery. My back and foot pain was getting worse (one of the five screws in my foot/ankle had broken and wow, the pain has been intense!) and all the doctors were telling me it would never get better until I lost about 100 lbs. at least. At the time, I was about 330. The doctor for my foot told me that he would have to take out all the pins, put in thicker ones, and reinforce the area with steal plates. This did not sound like it was going to help get me out of pain. So, back to the bariatric surgeon. I started with this again in February of 2015. My doc put me on a diet pill to help with appetite suppression, and I lost almost 50 lbs. from March 2015 - June 2015. It took a while to get all of the insurance requirements met, but it was finally approved, and my surgery was on July1. I am 23 days out of surgery, just started my 4th week post-op, and while it has not been easy, I would not go back. I had the sleeve because I did not want to have as many issues with malnutrition as I have heard can happen with bypass. I know that I will eventually get to eat real food again, just not nearly as much, and I am so happy with the weight loss. The biggest issue I am having is getting my Protein. I am a vegetarian and the idea of drinking milk repulses me. I am not a vegan, will eat cheese and yogurt, it is just milk that grosses me out. Soy milk was not something I wanted to try, but I find the light vanilla and light chocolate is palatable. I am still experimenting with different protein supplements, but I feel confident I will eventually find one that I can get down. I have found a few suggestion on this forum that give me hope. :-) I hope this info has helped. Good luck! -
Kidney disease and gastric surgery
Djmohr replied to joanne1122's topic in PRE-Operation Weight Loss Surgery Q&A
@@joanne1122 It is short for Roux en Y gastric bypass. In a Roux-en-Y gastric bypass , only a small part of the stomach is used to create a new stomach pouch, roughly the size of an egg. The smaller stomach is connected directly to the middle portion of the small intestine (jejunum), bypassing the rest of the stomach and the upper portion of the small intestine (duodenum). It is designed so that you both have a smaller pouch for portion control but what you do eat is intentially malabsorbed. Initially I was afraid of the malabsorption factor but after speaking with my gastroenterologist, Bariatric surgeon and countless RNY patients I became very comfortable. The most critical thing for all Bariatric patients is that they get their Protein, take their Vitamins and drink their fluids. The second most critical thing is that you have your labs drawn to see if you are malabsorbing any critical nutritional elements. You have them drawn at 3,6,12 and 18 months post op and then every year after. So far I have only had one abnormality, my thiamin levels were low so they but me on B1 and now everything is good. By the way, every Bariatric surgery is required to take vitamins for life and have their blood work done consistently. It is important to keep you on track. -
As A Revision Patient, The Risk Of Gastric Sleeve Leaks Is In The Back Of My Mind
thebionicbroad replied to CowgirlJane's topic in Revision Weight Loss Surgery Forums (NEW!)
Kimmr, I trust my surgeon's opinion and competence, and I'm holding up my part of the bargain by following the rules. If a leak does develop, I'll know that it wasn't due to something I did wrong. I'll deal with it if it happens. I know my body, and I don't ignore warning signs. The sleeve is one of the safest bariatric procedures out there. I researched thoroughly before I had the sleeve. I never would have agreed to something that I thought would take me away from my DH and family. I'm more afraid of losing my hair than developing a leak. -
Thank you for your reply! Luckily I'm in Canada and covered by my Inuit status as well as MCP, the only thing I'll need to cover is my flights to and from the city in our province with the bariatric team. I had a referral sent in for the VSG procedure but hopefully this education process now will tell me if that's my best option. All my research says yes but the doctor's may give me other info. Yes! I'd like to start getting into the right diet so that it's sustainable!
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Hello, So I was at the hospital getting my IV and injections for surgery that was 30 minutes away. The nurses were having issues with my IV and they ended up trying 3 different times. As she was telling me how much the Heparin injection was going to hurt I started crying uncontrollably, shaking, turned ghost white and was having a major panic attack. I ended up telling them that I couldn't do any of it and I just wanted to go home because I was so overcome with emotions and felt like I was going to die at that moment. Before they gave me an IV I explained to them that I have really bad anxiety and they did not give me anything nor even offer it until I couldn't control myself and wanted to not be touched. I ended up going home because no one could reason with me in that state and I really regret it because it would have been over and done with but there was no logical thinking in that moment. I spoke to my bariatric program coordinator and she told me I have 6 months to make a decision and get anxiety treatment. I made an appointment with a psych to both talk and seek medication as well. My panic attacks are so random I never know what is going to trigger it and it has been a long time since I have been in a situation that caused it. I want surgery because I have unexplained infertility and have a bmi of over 45. I am 27 as well. Has anyone with anxiety issues chickened out and ended up getting it done eventually.
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Can anyone help me figure out what this means? They said that bariatrics are included with our new insurance but this makes no sense to me. I’ve called insurance and all they did was read it to me and can’t explain it any further. I have calls into places to meet with surgeons but don’t want to get my hopes up if this isn’t going to happen. Thanks in advance.
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The old policy didn’t include bariatrics at all.
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I would keep an eye on it and journal those episodes, but consult with your doctor. Do you have that communication to call a nurse from bariatric team?
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Article - Importance of Vitamins/Supplements post-op VSG
FireFly replied to Tiffykins's topic in POST-Operation Weight Loss Surgery Q&A
I used this chart to help me space them correctly. Down the page a bit is a place to click for the PDF you can print. Now all I need is a timer so I can remember. I use Bariatric Advantage. BariatricEating.com Health & Nutrition - The Bariatric Eating Plan -
Which hospital ?
XYZXYZXYZ1955 replied to Kristi Jacobs's topic in Mexico & Self-Pay Weight Loss Surgery
The hospital I'm having my surgery at (on Monday) is "designated by the American College of Surgeons Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program as an Active MBSAQIP Center." It also has a five-star rating and an excellence award on HealthGrades. The hospital itself is almost new, beautiful, and it's ranked in the top 10 percent nationally for safety. My surgeon is the head of the department and people rave about him. (He's also quite cute!) Okay, the last thing wasn't a factor, just a nice bonus :-) You don't say what location you are considering--are you looking at Mexico as a possibility? There are definitely good reports by many who have been there--keep checking this site, and you'll see what people have to say. -
Bypass vs sleeve?
DropWt4Life replied to saltykisses's topic in General Weight Loss Surgery Discussions
Sorry, the chart doesn't show up well on mobile. A general outline of the advantages/disadvantages of each: VSG Advantages: Safer and less complex procedure; Limits food ingestion; reduces hunger sensations by removing the portion of the stomach that produces Ghrelin, the hunger hormone; digestion occurs naturally and does not cause nutritional deficiencies resulting from intestinal bypass; does not cause dumping syndrome as the pyloric valve is kept intact; few problematic foods; option for high-risk patients (very high BMI or medical issues such as anemia, Crohn's disease, anti-inflammatory drug use, or extensive prior surgery) VSG Disadvantages: General surgical risks including infection, bleeding, and blood clots; Leakage along the stomach sutured/stapled edge; Not reversible; Lack of long term data; considered investigational and not covered by some insurance companies. GBP Advantages: Greatly controls amount of food that can be eaten; malabsorption assists with weight loss; dumping syndrome prevents the intake of sweets; Considered the gold standard for bariatric surgery base on long-term use and results. GBP Disadvantages: General surgical risks including infection, bleeding and blood clots; complex operation; leakage along the staple line of the stomach; stoma obstruction; nutritional deficiencies; gallstones, ulcers, reflux and bowel obstruction; dumping syndrome.