What is the right bougie size to get a tight sleeve?
HW 302 lbs. SW 279.8 lbs. CW 193.8 lbs MFP Jarabacoagirl Preop diets 22.2 lbs, 1st month 21.2 lbs, 2nd month 14.6 lbs, 3rd month 11.2 lbs, 4th month 7 lbs, 5th month 7 lbs, 6th month 6.8 lbs, 7th month 5.2 lbs, 8th month 4.4 lbs 9 and 10th months slowed down didn't record exactly
108.2 lbs lost from highest weight!
(86.2 lbs of that was lost since surgery date)
Does the surgeon staple tight to the bougie or loose? Do they oversew? Do they start close to or far from the valves at the pylorus and esophagus (we've seen sleeves that looked like barbells there was so much stretchy tissue at the top and bottom)?
My surgeon used a 40f on me. I still cannot eat 2 oz of lean meat. Takes me 1/2 an hour or more to finish a small cup of yogurt. Have to break a Quest bar into two servings. At one year, my sleeve is much tighter than a lot of folks who had 32f sleeves. We have seen 32f sleeves made so loose at the top and bottom that they can eat 4 oz a month pre-op.
It's good to ask the questions, but your best way of judging is to see how your surgeon's existing sleeve patients are doing.
Highest weight: 335 lbs, BMI 50.9
Pre-op weight: 319 lbs, BMI 48.5
Current range: 140-144, BMI 21.3 - 22
175+ lbs lost, maintaining since February 2012
http://www.youtube.com/watch?v=g3G4dSmJUro
HW 302 lbs. SW 279.8 lbs. CW 193.8 lbs MFP Jarabacoagirl Preop diets 22.2 lbs, 1st month 21.2 lbs, 2nd month 14.6 lbs, 3rd month 11.2 lbs, 4th month 7 lbs, 5th month 7 lbs, 6th month 6.8 lbs, 7th month 5.2 lbs, 8th month 4.4 lbs 9 and 10th months slowed down didn't record exactly
108.2 lbs lost from highest weight!
(86.2 lbs of that was lost since surgery date)
I know there are some Dr. Alvarez patients on the sleeve board. Why not post a query there with his name in the topic line and ask them if they feel their sleeves are nice and tight?
Highest weight: 335 lbs, BMI 50.9
Pre-op weight: 319 lbs, BMI 48.5
Current range: 140-144, BMI 21.3 - 22
175+ lbs lost, maintaining since February 2012
HW 302 lbs. SW 279.8 lbs. CW 193.8 lbs MFP Jarabacoagirl Preop diets 22.2 lbs, 1st month 21.2 lbs, 2nd month 14.6 lbs, 3rd month 11.2 lbs, 4th month 7 lbs, 5th month 7 lbs, 6th month 6.8 lbs, 7th month 5.2 lbs, 8th month 4.4 lbs 9 and 10th months slowed down didn't record exactly
108.2 lbs lost from highest weight!
(86.2 lbs of that was lost since surgery date)
VSG Surgery May 1, 2012
If you're afraid that portion control isn't going to give you all the help you need, have you considered going with the full DS? Same Sleeved stomach, plus an intestinal bypass to give permanent malabsorption of calories, and the very BEST long-term, maintained weight-loss stats.