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Found 17,501 results

  1. James Marusek

    Possible sleeve to bypass revision

    I am sorry to hear about your difficulties. Generally sleeve surgery is not recommended for GERD patients because the sleeve will only make that condition worse. RNY gastric bypass is the recommended procedure. I had RNY surgery about 5 years ago and one of the reasons why I went that route was because I had severe acid reflux (GERD). There are several past and present members on this board who had revisions from sleeve to RNY gastric bypass because of GERD. And they seemed to report that the revision worked for them. Perhaps some of them will speak up. But before you go forward, you might want to consider the following: According to the internet: Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present. You would want to rule out the possibility of a Helicobacter pylori infection. This is common bacterial infection but generally it is a hidden infection. About 2/3 of the people in the world have it. And this condition if you have it needs to be treated, so make sure you were tested for it, because it might be the root cause of your problems.
  2. James Marusek

    Lost 110lbs since 8/15/17 and not doin well

    I am sorry to hear about your problems. The three most important elements after weight loss surgery are to meet your daily protein, fluid and vitamin requirements. Food is secondary because your body is converting your stored fat into the energy that drives your body. According to the internet for RNY gastric bypass patients: Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present. The gastric sleeve is different but these observations above may also apply. So the points made above are: * Avoid NSAIDs such as aspirin, excedrin. * Use a proton-pump inhibitor, such as Prilosec (omeprazole). [In your case Prevacid Solutab (Lansoprazole) is a proton pump inhibitor]. * Make sure you do not have a H pylori infection and if you do have it treated. (Helicobacter pylori (H. pylori) is a type of bacteria that causes infection in the stomach. It is found in about two-thirds of the world's population.) As far as the kidney stones are concerned, it may be a sign that you are not getting in the required amount of fluids. https://www.health.harvard.edu/blog/5-steps-for-preventing-kidney-stones-201310046721 So make sure that you drink more water.
  3. LaLaDee

    Lost 110lbs since 8/15/17 and not doin well

    Not sure what to say. It really sounds like you've had a terrible time. You definitely need medical advice. I would definitely get a second opinion from another bariatric surgeon. It sounds like your surgeon may have missed something (or possible even had a complication with the surgery). I have had neuro problems and unusual MRIs that were triggered by my surgery (I basically had an immune system break down). I have a neurologist who is monitoring it. Sometimes our bodies freak out after the trauma of surgery. Unfortunately, I think you're going to be stuck doing a lot of medical tests until they can figure it out. I'm so sorry this is happening to you. Your surgery shouldn't be like this. Describe every symptom and advocate for yourself! I think you may have a couple of different problems there which is going to make a diagnosis difficult. Make the doctors listen to you. Don't give up hope! They will figure out what is wrong with you!
  4. I had the sleeve on8/15/17, I was hospitalized in October for pancreatitis, gastroenteritis, colitis, malnutrition and dehydration. I was in there for 17 days. Got out on 11/1 and i have been off work ever since. Thanksgiving weekend i started hurting only to find out that i had 4 kidney stones, 2 in each kidney. So more surgery and dehydration. Two weeks later another kidney stone surgery. Never have i ever been able to eat and my food feel like it goes all the way to my stomach pouch. I’ve been passing out and can’t eat more than 3 tiny bites of anything! Barium swallow test shows significant hiatal hernia. So more surgery ahead. My problem is....I’m nauseated all the time. Bariatric surgeon cut me off and sent me to my general physician to deal with this aftermath. But of course he still wants me to come in and weigh for his records. My general physician is who is trying to figure out what is wrong with me and she is the one who ordered the swallow test. She said this is the reason my food gets stuck. It’s sitting at the base of my hemidiaphram and it’s causing GERD all the way to my clavicular bone which i have to take a Prevacid solutab every single day because the GERD is so bad. Saw my Bariatric dr this past week and my general dr had consulted him about the hernia and he sat there and told me i didn’t have a hernia. I am losing weight every day and i feel so terrible. I am weak. I can’t even take a shower without almost passing out. I am wondering if anyone else is experiencing any of these problems. I’m so malnourished that she sent me for an mri of my brain because of the passing out and now I’m told i have 3 hazy spots of white matter and demyelination so now i have to see a neuro dr. I feel like I’m falling apart. My kids are worried and my family is worried and i feel like i need to be hospitalized but i don’t really know what they could do for me at this point. Please help! Any advice is appreciated. I’m waiting on second opinion on the hernia. Thanks!
  5. Im still in the full liquid phase and I’m struggling so much trying to figure out what I should be focusing on. On one hand, I want to stick with a diet specifically meant for bariatric patients. On the other hand I’m lactose intolerant, have high cholesterol(so I don’t eat eggs) and I had a hard time digesting red meat even BEFORE my surgery. Is anyone on a plant based diet or know where I can find more info on one? Thanks so much, pic for attention!
  6. This is a tough decision and one that needs a lot of back and forth with the docs - medical care is often a game of compromises and trade offs. WLS is not an ideal thing, either, but it beats the alternative of a remaining life of obesity and its complications. You certainly seem to recognize the conflicts involved and sometimes we end up having to choose the "least worst" case. On dumping, I've see numbers of somewhere around 30% of RNY patients dump, and there are indications that the figure probably improves some over time after surgery. Our luck would usually be that if you want dumping as an aversion therapy, you won't dump! Dumping can hit VSG patients or even non-WLS people, but it is much more rare. Since dumping if basically from the rapid introduction of the sugars (and some fats) into the intestines without things being slowed down by the stomach and pyloric valve, non-RNY people can get it if they introduce simple sugars, particularly liquids, that don't trigger the pyloric valve to close. Early on, if I ate a small piece of chocolate on an empty stomach, I would get a quick "I shouldn't have done that..." feeling, that would pass just as quickly. Call it "dumping lite". With a normal sized stomach, things would be slowed down a bit more than with the small sleeved stomach. A bit of history on the NSAID thing. The bypass has a weakness at the anastomosis between the stomach pouch and the intestines. Unlike the duodenum (the part of the small intestines immediately below the stomach, which gets bypassed along with most of the stomach in the RNY,) the part of the small intestine where the new pouch joins it is not resistant to stomach acid, so that joint is very sensitive and prone to ulcers, so you treat it very gently and stay away from any meds that induce stomach irritation, such as NSAIDs. When the Duodenal Switch came along, one of its big selling points was that it could tolerate NSAIDs better than the RNY. As the DS is based upon the sleeve, the VSG carries this same basic advantage. In parallel, over the past 25 years or so, as NSAIDs came off of prescription and into wider use on the OTC market, some problems have been noted within the general population, regarding stomach upset and liver issues with consistent long term use, so most docs have become more cautious in their use overall. In the bariatric world, which has been dominated by the RNY for much of the past 40 years, NSAID aversion has become pretty standard for bariatrics, despite there being some differences in sensitivity between the different procedures. The DS has been performed by a small minority of surgeons (who also originated the VSG as a stand alone procedure) and the VSG is fairly new on the scene for most surgeons, so the NSAID aversion has remained prominent in the business overall. As more surgeons get more comfortable with the VSG, more are recognizing the differences and are more accepting of at least limited NSAID use where appropriate with their VSG patients. From our online population, you will see people who have been instructed to avoid NSAIDs at all costs for all procedures with others who have been given fairly liberal instructions on their use (our doc is fine with them as soon as narcotic pain relievers are no longer appropriate, but that comes from a primarily DS practice that is experienced with them.) Many docs will be accepting of them after some months of healing, and often advise using a PPI along with them. Best answer - talk it over with your surgeon as he is running your show for you.
  7. Well every surgical dude and dudette runs Bariatrics different but they may do yours when your blood work, EKG and x rays before surgery get done. I'm old and they probably wanted to make sure everything wasn't broke down too bad before any operation. It'll all come out in the wash, darling. Sent from my VS880PP using BariatricPal mobile app
  8. BirchTex18

    Mexico Location's - Please Help

    I went through Dr Rodriguez at Mexico Bariatric Center who works out of Mi Doctora in Tijuana. I am so happy and had a great experience. The forst 36 hours hurt, but now I'm on day 3 and I'm moving around and drinking gatorade like I never missed a beat. Sent from my SM-G930P using BariatricPal mobile app
  9. I got a personal loan at 5.99% through Discover which covered my flight, 2 nights at a hotel, 2 nights at a hospital, and and an amazing surgeon, Dr. Rodriguez through Mexico Bariatrics. I am 3 days out and had the most amazing experience! Worth every penny (: Sent from my SM-G930P using BariatricPal mobile app
  10. Has anyone had experience with the Novant Bariatric Solutions group in Charlotte?
  11. ZaylaEmora24

    Workout

    Thanks He said I’m free to do what I like, not sure if that means walking. But I am finding some Bariatric easy workouts on YouTube. I did one yesterday that was 20 mins long of walking in place, kneeling and marching. My legs are sore today lol so that little workout is working
  12. Creekimp13

    Dr. Matthew Weiner

    My favorite diets are Mediterranean and Mayo Clinic Diet...which sound a lot like you describe. I'm not a fan of all this animal protein. I've started making vegetable soup with pea powder and brown rice powder in it (a complete amino acid)...to get more veggie protein in. I also eat a lot of nut butter, chia seed pudding, lentils, chickpeas, beans, etc. I like fungus protein, and do some soy. I also do chicken breast, fish, very lean red meat (super trimmed of all fat), eggs, yogurt, etc. But I try to balance it with at least equal plant protein. There is a whole section of this website that caters to vegetarian and vegan recipes for weight loss surgery. In the early weeks post surgery....you're going to have a problem with skins, and seeds...you won't digest them well and they can get caught in your suture line and cause problems. (even in smoothies the tiny seeds can be an issue) Forget about raw veggies and fruits...It all needs to be super soft at first. In the early weeks post surgery...you won't like bread. Or it won't like you. Bread is difficult at first, particularly whole grains. (But you will have a love affair with oatmeal:) ) By two months post-surgery you'll be able to eat almost anything. You can start reintroducing the foods you love. A word about protein.....you have special needs while you're in the weight loss phase as a bariatric patient. You will have a high demand for protein and if you are not consuming it, your body will consume YOUR muscles instead...and one muscle in particular is pretty important...your heart! Eating more protein protects us from muscle wasting. When your weight loss levels off...you can taper it down, but in the rapid weight loss months it's very important. I, too, am a big fan of phytonutrients...so I hear ya.
  13. Lynn1/3

    January bypass buddies??

    Good luck Cowgirl12!! There are a lot of good surgeons. My surgeon, Dr. Thomas Cerabona, has been doing all bariatric procedures for 30+ years and has an extremely high success rate. I am now 2 almost 3 weeks post op. Surgery is no picnic but had no complications at all. Wishing you the best!!!
  14. Only a very small percentage of bypass patients and sleeve patients experience dumping: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4875983/ If your wife opts for a bypass, there's no guarantee that she'll experience adverse reactions to ingested sweets and simple carbs. If your wife cannot control her sweet tooth, she might need to abstain from simple sugars regardless of the bariatric procedure she chooses to undergo,
  15. Finally!!!! I’m excited and nervous... not new to surgeries as I’m in late 50’s but now my new chapter! Been working towards this day since last July, paid the first 4 months out of pocket as I had an insurance at that time that I would no way have the surgery with (Kaiser) and feel extremely confident in the dr I do have.. his bariatric team is awesome! They now feel like family at this point. Hard part is I don’t have any family near me (I live in Hawai‘i) so a bit sad in that.... but the team is awesome and I know I can contact them anytime. It would be great to have a surgery buddy here.... I’m having the bypass... 😊 🎉🎉
  16. Finally!!!! I’m excited and nervous... not new to surgeries as I’m in late 50’s but now my new chapter! Been working towards this day since last July, paid the first 4 months out of pocket as I had an insurance at that time that I would no way have the surgery with (Kaiser) and feel extremely confident in the dr I do have.. his bariatric team is awesome! They now feel like family at this point. Hard part is I don’t have any family near me (I live in Hawai‘i) so a bit sad in that.... but the team is awesome and I know I can contact them anytime. It would be great to have a surgery buddy here.... I’m having the bypass... 😊 🎉🎉
  17. My insurance also required a 6 month supervised weight loss management, although when I started I was on a different insurance company that I would no way have surgery through them but knew I would have different insurance because of a new job I was getting. So I paid out of pocket for the first 4 months but glad I did. I also was worried that I didn’t lose enough or too much to still be able to qualify... what I was told was that they do go by your original weight, even if you should go under the BMI requirements that they know some of us just can’t keep it off without the surgery so no problem there. I am lucky that I only have about 100 lbs to lose, and being allergic to dairy helps me as I won’t have as much transition for that issue. I was worried when I felt I hadn’t lost enough for my monthly weigh in and appt with the dietitian but she said she saw that my muscle mass was going up and fat mass going down even though I wasn’t losing a lot of weight but over all the trend was going down.. that made me feel a lot better.. i am very blessed I have an awesome bariatric team where I am getting my surgery done. I think that is a huge help on this journey. i just found out yesterday that my surgery date is January 30th!!! But I still working on a goal weight I have in my mind before I get on the table! 😊 good luck and keep in touch!
  18. Hi Sunn, You'll get up and walk as much as possible right after surgery, You'll be hooked up to an IV & your nurse will help you set the pace. I walked hourly and after 8 hours, 2-3x's in a loop. You'll get ice chips at first, and medications for nausea & pain. You'll only be able to consume 2 oz at atime of: broth, SF Italian Ices, SF jellos, SF puddings, SF popsicles & SF drinks at first, then 4 oz by the time you leave the hsp in one hour's time. H20 is so difficult for the next months, so the SF Great Value drinks at Walmart are your best bet, costing less than Crystal Light, you get more & have a great variety. Like most, I was discharged the next day, after I'd been given the SF shakes to try & after my surgeon checked in w me. Your pain & anti nausea meds will be filled before you leave the hsp, and you will need them. Your stomach will be very sore, so sitting or lying down & being propped up with a heating pad on your stomach/abdomen is a good thing to do for yourself. I walked my dogs up and down over and around the sidewalks near my home, By day two I increased my distance & walking speed. During this time I drank my shakes slowly & I built up to 8 oz/per hour. I included in the hour: 8 oz of broth & 8oz of my SF drinks, the SF jellos & 1/2 the bar of SF popsicles, dreamsicles or fudgesicles. Fudgesicles were/are my favorite. You might feel that when you drink anything, right in the middle of your esophagus, you're blocked or have pain: so stop drinking or chewing & let what you've consumed settle. The heating pad's a great help. After 10-15 min, you'll be able to continue on & finish up what you're consuming. I weighed myself everyday, and couldn't quite believe the weightloss, but it's real--you lose weight fast. I got cold during rapid the weightloss all summer. I live in Las Vegas, so it's hot as hell & in the teens by morning with the hottest part of the day around 5 pm. Before sun up, it's steaming. Two weeks post-op, I was cleared to use the treadmill & recumbent bike. Three weeks post-op, I was cleared to begin teaching H20 aerobics, Pilates Reformer, Yoga, etc. 2x's daily. I teach to people with various disabilities/rehabbing injuries, etc. I didn't move quickly, just nice & slow like the turtle. I started walking 2.5 mi to & from the dog parks, and all over inside the dog park following my dogs, I don't stand still & chat or sit down. I've got an Italian Cane Corso Mastiff (2 yrs, 150 lbs), a Giant Schnauzer (2 yrs, 80 lbs) & a mixed Wire-haired Terrier (3 yrs, 20 lbs). Walking them at night was great for me & them, because that's when the heat of the day was dissapaiting & I sweated bullets. Then we'd all hit the pool to swim & cool off. I'd shower us off using our outside showers & we'd air dry quickly. We'd go inside & all of us went right to sleep. When the weather cooled in Nov, no more outdoor pool work, since the pools here aren't heated, unless they're indoors. So that meant morning & evening walks/hikes. A week post-op I was ok'd to add the chewable bariatric multi vitimins, biotin & calcium citrate. By the 2nd week post-op, I was ok'd to start eating up to 3 oz of NF: Cottage Cheese, Greek Yogurt, Cheeses, Fish, Chicken & an egg. Remember your stomach's the size of a sunnyside up egg. I got in an egg & was full. I still continue to drink my 3 protein shakes daily. I sometimes add a tsp of cheese to a scramble egg or make one into a tiny omelette. Eating tiny bits slowly is still an issue for me: I want to eat so much more quickly, but trust me, if you eat quickly it's all going to come right back up & into your washbasin! Fish is easiest for me, followed by chicken/fowl: I can't do beef, pork, etc., can't do salads or raw veggies. I also see a therapist to deal with my emotional eating issues. You'll need to do exactly what your surgeon, PA & nutritionist tells you to do. Mine offers 3 support groups per month all free, so if yours does, go to them. I also belong to an online bariatric support group in my vicinity. One thing I shouldn't be surprised by but still am, is wearing clothes 6 sizes smaller than when I started post-op & seeing how baggy they are! Also, getting compliments & being told how slim & fit I am by my neighbors & clients. I still see that 218 lb. person in my head. From the beginning, post-op, I meditate & do affirmations daily/nightly. Louise Hay, YouTube, has my favorites, but I listen to many others. Hopefully this bio helps you so you can wear your yoga pants & whatever you feel like with confidence & know you've done the greatest thing possible to become healthy. Namaste.
  19. AmsWag

    Ladies, PCOS, weight loss & B/C

    I have an IUD and I don’t have cycles. I started having bleeding the day after surgery. It wasn’t heavy, just annoying. My GYN said it could’ve been started by the Heparin shots I was given. She also said she sees this happen a lot with bariatric surgery patients. Our fat cells store estrogen so when you have rapid weight loss, all that extra estrogen is then released. Unfortunately, it can happen for a while until weight loss stabilizes.
  20. @Bariatric Baddie i think most OP are happy with their sleeve. i believe one of the main reason for sleeve to bypass revision is bad heartburn. sleeve can be associated with heart burn. frequently this problem is helped by the bypass. are you in any pain? uncomfortable, hungry? problems eating and/or drinking? is the only reason you are questioning WLS because some OP have had problems? pain/etc. if you are doing well/or not - don't compare yourself with OP sleevers, RNY, or others. be happy where you are. many peeps tell about their pain etc. those are the comments you remember. for the past 6 years and counting - i have been over joyed with my good health that the sleeve has helped me acquire. many/more people are happy with their WLS. Count me as feeling great, 6 years PO and counting, 105 lbs down GOAL - no problems with surgery/recovery - try and feel better and optimistic - good luck bud kathy
  21. Neil P

    Inverted Gastric Sleeve

    Did you find DFW Bariatrics (Kim's Office) helpful? Biggest challenge I find is talking to someone personally. They keep sending One-Liner email so hard to try and get appointment or any information. Any suggestions as to how they treat patients and have their phone number where i can contact them directly to cut the email chase?
  22. Jerseygirl4523

    Anthem BCBS 6 Months Pre-Op Diet

    Thanks! My journey started a little differently. My gyno referred me to the bariatric clinic when I saw her in October and I was at my highest weight, 230. I have pcos and went off birth control for two months...instant 15 lbs. I called my insurance before my consult and found out about the 6 months. I made an appointment with my primary 2 weeks before the consult in November and have been seeing him every month since.
  23. I was cleared to exercise at 6 weeks and started a Bariatric wellness program at a gym. I spoke with the office and don’t have any restrictions but when I asked about skiing she said to be careful. Six weeks is just a number and I need to listen to my body. She didn’t say no but a little vague. I didn’t ski that weekend but now I’m a little nervous doing crunches at the gym or too hard a workout. I feel good and doesn’t even feel like I had surgery. Curious how other people started working out and did you have any restrictions. I’m 7 weeks now. Thanks!
  24. kakatlady612

    Medicare

    Retired Dude, did you get your surgery yet? I'm also in Ohio, Medicare's covering me without a flinch on their part. I'm in Central Ohio 14 miles from the Geographic Center, if you know your Ohio geography you'll know where I live. Where are you located? I've heard from somebody in Zanesville, she has been the closest to me on Bariatric Pal. At any rate best wishes to you and anybody else reading this. Sent from my VS880PP using BariatricPal mobile app
  25. john60605

    Keto diet

    For one example... My brother-in-law has been doing the keto diet mostly for over a year (did not have bariatric surgery). He lost 100lbs on it and is keeping it off. Also he used to be on cholesterol lowering drugs but he now has his cholesterol in check and doesn't need them anymore. His BP is also great. I can't figure out why so many people bash this diet. Just because it goes against the thinking that we've all been taught (low fat) for years doesn't mean it's wrong. When he talk to his doctor about it, his doctor told him just keep doing whatever you're doing because it's working great for you. I don't know how us "sleevers" would do on it since we now have a modified stomach, but if in a years time if I don't hit my goal weight with the diet my dietitian recommended, I'm going to try it for sure.

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