I'm so confused about the types of surgeries

Angela K.
on 1/19/09 8:46 am
I've read the information on the different type of surgeries but what are your opinions.  I have about 270 lbs to lose and I am only listed with the 2 NB surgeons.  Any advise is welcomed

Thanks
Angela

Angela
   
       
catinthefiddle
on 1/19/09 8:55 am
Kitty_mom
on 1/19/09 10:30 am - New Maryland, Canada
Hi Angela,
Both  NB surgeons do the lap band-  It is the only surgery that Dr B will do on women over 55 and the only procedure he will do on New Brunswick women with a BMI under 60. I am assuming that he will do gastric by-pass on out of province women because the band is not covered by Nova Scotia.
Dr B also does the gastric by-pass. Dr Savoie also does the duodenal switch and I think the vertical sleeve.
The gastric band (AKA Lap Band)  is the least invasive of the surgeries. It is like putting an elastic around the top portion of your stomach to create a small pouch. This elastic band is hollow and can be make tighter by filling it with liquid (saline- sterile salt & water).  When the band has the right amount of fill, it limits the amount of food you can eat. The rest of you anatomy remains untouched. This method works by restricting the amount of food you can eat.

The by-pass Dr B does is the roux-en-y. This method causes you to loose weight because the stomach  is altered to creating a smaller stomach. Plus part of the bowls are by-passed and the new stomach is connected further along the bowls. This causes weight loss because food is not fully absorbed by the body. 

I don't know much about the other two surgeries done in NB.  If I got any of it wrong, my friends will correct me. 

I hope this helpful. There are web sites that explain the options well, but I can't think of one at the moment.

 

prancing_nougat
on 1/19/09 11:16 am - Saint John, Canada
I'll add to Charline's descriptions on Dr. Beausoleil's surgeries with a description of the other two that Dr. Savoie does:

VSG (vertical sleeve gastrectomy): this surgery removes around 80% of your stomach, leaving a banana-shaped stomach. This is a restrictive surgery that works much like the lap-band. Some people know this type of surgery as the first stage of the DS procedure.

DS (Duodenal Switch): The DS involves restricting the amount of food that you eat, and malabsorpting the calories from the food that you eat (this is the key to keeping the weight off). First the surgeon performs a VSG, leaving you with a banana-shaped stomach, then he reroutes your small intestines into two pathways, and gives you a common channel - one pathway (the shorter one) takes food from your stomach to the common channel, and the longer pathway takes the bile from your liver to the common channel. This reduces the amount of calories captured in teh samll intestine. This also limits the amount of fat you digest, but the malabsorption requires you to eat  90-100 grams (or whatever the surgeon suggests) of protein per day, and you have to take certain vitamins and minerals everyday of the rest of your life. You have to take the vitamins and follow the protein first rule with the RNY as well.

Hope this didn't scare you off or confuse you more!

There's a lot of information on the surgery boards about the different types of surgery you can have as well.
prancing_nougat
on 1/19/09 11:16 am - Saint John, Canada
CANADIAN GASTRIC
CHICKY

on 1/19/09 11:08 am - Canada
Hi Angela

Just chk out the info that OH has poted on the different types of surgeries. They explain each surgery . I think you can get to it from the main page.

Also google the surgeries and you can get a lot of info that way.

There are also good books out there sold online at chapters and amazon- just look under weight loss surgery.

Be sure to do your research- I think it is very important to choose your own surgery and not limit yourself to one in particular because that is what a certain doctor only does.

They all (WLS)  seem to basically achieve the part of weight loss - how quick - how much and how invasive the surgery is- is where they differ.

The specialists will also make recommendations based on your age and BMI- also look at the long term studies - pertaining to keeping off the weight - complications and post op life.

Usually if a dr only performs one surgery he will recommend that to you and I have read this as well as many on the Ontario boards will also tell you this from experience.

Take your time to be sure you get the surgery you want - some are not reversible so you have to be happy with your decision and willing to live the new life that you have chosen

I understand the info overload -it took me 2 years to research the surgeries learn all about them find a surgeon and make my decision.

Its not an overnight decision.

Good luck- any of us who are post op are only happy to answer any questions you may have about what we had done.

Deb


                                                           
        STARTING 2010 WITH A BANG! 160 LBS LOST!

  
    WLS JOURNEY: HW-292/SW-273/CW-132-GOAL 125LBS
        WHO WOULD HAVE THUNK IT - ME - 132 LBS ! omg
           
                 - Happy to be Brenda B's angel !

            
CANADIAN GASTRIC
CHICKY

on 1/19/09 11:17 am - Canada
CANADIAN GASTRIC
CHICKY

on 1/19/09 11:17 am - Canada
CANADIAN GASTRIC
CHICKY

on 1/19/09 11:18 am - Canada
prancing_nougat
on 1/19/09 11:20 am - Saint John, Canada
You had my problem too eh? :-D I didn't think that my message went through, and I thought that maybe mine was too big so I went and deleted some of it, and was going to repost the other half, but when I refreshed I noticed that it had posted everything. There must have been some hiccup with the OH server or something. :-D
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