exhusted of reading, can someone explain simply for me?

(deactivated member)
on 4/22/12 4:16 am
Hi all,
Okay, so i am getting exhausted from reading so much and nothing quite sinking in.. and I dont have a printer to print the stuff off that I want.
I konw what  the lap band is and how it works.
Can someone give me short explaination of what the following are, and those of you who have any of them done let me know which is the best way to go? I want to try to have as much info as possible to take to my Dr next month, to see if he can refer me elsewhere..
thank You much in advance.

Duodenal switch
Mini Gastric Bypass
Roux-en-y Gastric Bypass (RNY)
Vertical Banned Gastroplasty 9VBG)
Verticle Sleeve (VSG)  - I believe this is the most popular one from things that I have read.

I know if i keep reading I will find all the answers myself, but i thought perhaps those of you who have any of this done could let me know the ups and downs of the different options.
Again, thank you!!
rainyone
on 4/22/12 5:49 am - Canada
VSG on 04/03/12
The 3 options available in Winnipeg right now are LAP band , VSG and RNY. VBG is not reccommended anymore and DS is not offered but is a good surgery.


The VSG makes your stomach into a banana shaped sleeve where you just have restriction. Can only eat small amounts at a time.  You still have a pyloric valve and normal intestine configuration. No malabsortion. Purely limiting how much you can eat. the extra stomach is removed so you don't produce as much of the hunger hormone gherlin.

RNY is also known as gastric bypass. They make a pouch out of your stomach about the size of an egg. The excess stomach is off to the side, along with the pyloric valve. The intestines are re routed so you can't absorb some of the food you eat. 

DS is where they make the stomach more like the VSG but it is also bypassed in a bit of a different way to make you not absorb the food. The differences between DS and RNY are basically the way the stomach or pouch is made and the way it is re routed .

VBG  isn;'t being used anymore I believe as the AMA called it a severely dangerous operation.
It uses bands and stapling... 

Mini gastric bypass hooks up the intestine differently ... I don't know much about it.

HW 295 lbs,CW 195, nuts goal-210, my goal 175 surgery date April 3 in Tijuana with Dr Ponce De Leon      

(deactivated member)
on 4/22/12 10:47 am
Thank you so much for that info!! I really appreciate it so much.
So from my personal understanding the VSG sounds like the way to go as they dont mess with the intestines etc.. I just want as much info that I can get before I see my GP the end of May.
thanks again!!! you are all so wonderful on here!!!
seeking_freedom
on 4/22/12 6:25 am - winnipeg, Canada
RNY on 06/05/12
 you might want to consider getting a book or two. everyone recommends weight loss surgery for dummies, theres another one that is really great, and its canadian, but i cant remember what its called, i own it but my mom has it right now, i know someone on here has posted about it before, maybe they will see this and post it again.
there are 3 types of surgery, restrictive( restricts the amount you can eat) , malabsorbitive( you dont absorb as much calories from the food you do eat, and both in one surgery ( rny)
 ok heres what i know, not many places still use the doudenal switch, it really causes malabsorbtion from what i understand. so unless you are going to the states and self paying, dont even worry about that one. i think it is only malabsorbative, im not sure though.
i dont know anywhere ( maybe somewhere in the usa) that does the mini gastric bypass, i know ive heard of  it, but i couldnt tell you about it. if you are thinking of staying in canada, or even going self pay in mexico, i dont think you need to worry about this one either.
now the rny, yep, thats what i would say im most informed about, seeing as how thats the one im having. lol. it is both restrictive ans malabsorbitive, it is considered the gold standard of weight loss surgeries, its been around a long time, and it has long term proven results. they make a small "pouch" out of the upper corner of your stomache, then take the bottom half of your intestines and attach it to your new pouch. the other part of your stomache, aka the remenant stomache is left in, and is still attached to your upper intestines. the uupper intestines, join up with your lower intestines a liitle down from your new pouch. the purpose of that is to have digestive juices still come in to your intestines to aid in the digestion of food, ect. hope that made sense, its easiest to draw a picture to explain it. since ive began this, ive drawn many a picture for family and friends... and even a few strangers.lol. i choose the rny, because it is both restrictive and malabsorbitive. i felt i needed the malabsorbtion to loose as much as i hope to. the downfall of this surgeryu is because you malabsorb calories, you also malabsorb nutrients, so we have to take supplements for the rest of our life! small price to pay in my book. when my surgeon told me about each of the 3 surgeries they offer, lap band, rny, vsg, the one with the most expected weight loss was the rny. i was sold then and there! oh and another possible downfall to rny, is dumping syndrome. basically if you eat to much sugar, or sometimes even to much fat, you get dumping, basically, sweats, chills, dizzy, rapid heart, basically you feel HORRIBLE for what an hour or so? then it passes. but the flip side of this is thatsome people hope they do dump, to keep them on track and away from sweets. only 30-40 % of gastric bypass patients actually do dump. another big bonus of this surgery is it tremendously help diabetes, which was another bonus for me, as i am borderline diabetic
 the vbg isnt as widly used, and all i know about it is that its a restrictive surgery. 
 the vsg is becoming very very popular, though newer. it is what is offered in winnipeg( aswell as the rny) they basically make a tube out of your stomache, and it restricts how much you can eat. they remove your remenant stomache in this one, with it, they take the part of your stomache that produces ghrenlin, the hunger hormone. that i thinkis the biggest bonus to this surgery. with this there is no dumping, but you are making alot less digestive juices so you would have to be on vitamins the rest of your life for this one aswell. there is no malabsorbtion, so according to my dr not quite as much weight loss occurs. there really isnt a ton of history, so long term results are not 100% known.
i hope that breaks it down a bit more for you. im sure others can add more especially about the vsg, alot of ladies on here had vsg so definatly know way more, lol
best of luck, i know its hard at 1st, it took awhile to sink in with me to. but as you read more, it does come.
niki
        
refered to weight wise , edmonton june 2010, asessment nov 2011, surg june 2012
(deactivated member)
on 4/22/12 10:53 am
Thank you Niki. I wish that my family GP knew more. but he doesnt. I'm thinking am I his only obese patient that he has? that totally sucks! lol
so now I'm back to thinking between the RNY and the VSG. lol
thank YOU!!
Madelaine2000
on 4/22/12 7:01 am
Can I just say Im so glad I have you knowledgeable women in my corner!
(deactivated member)
on 4/22/12 8:13 am - Canada
I also thank you for explaining this , i just put the weightloss book for dummies on my kindle but love that you explained it so well here .
(deactivated member)
on 4/22/12 10:54 am
     Agreed!!     
rainyone
on 4/22/12 8:50 am - Canada
VSG on 04/03/12
I think of the ds as a stronger rny ... Might be the wrong way to think about it but the malabsorption is stronger , as is the weight loss expected and kept off . Diabetes is resolved quicker than rny even. There isn't dumping with the ds as there is with the rny . The vsg is actually the stomach that ds'ers have ( although often a bit bigger because ds patients need more protein ) The vsg was originally done as part one in a two part operation in very high bmi patients that they thought couldn't take both parts originally . They would do the restrictive part and then 100 lbs later re operate to re route the intestines . They discovered many patients didn't need part two and vsg as a stand alone procedure was here.

HW 295 lbs,CW 195, nuts goal-210, my goal 175 surgery date April 3 in Tijuana with Dr Ponce De Leon      

(deactivated member)
on 4/22/12 10:57 am
So, I have noticed that so many of you have lost weight before your surgery? is this a requirment? and how have you done it? what kind of diet are you on? what to you eat more of and less of? any help is soo appreciated !!! xo
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