RNY May be switched to Sleeve

Has anyone had the type of surgery changed last minute? I'm so scared to have the surgery but even more scared that the Dr. will find problems once surgery starts and have to change his plan.

I read the Drs. notes after my pre-admission appointment last week and he's saying RNY likely to be changed to sleeve. He suspects I may have adhesions from prior surgeries for hernia repairs. Not sure how I feel about this as I've been told RNY is the gold standard.

I'm so thankful to be finished with those SlimTime shakes but OMG I'm nervous about surgery tomorrow

There are good reasons to have both surgeries. While RNY has more data on it, many people are VERY successful with the sleeve as well!

I was also very scared to go under the knife. My doctor told me that was actually a very good sign; he said I wouldn't be afraid if I didn't understand what a Really Big Deal this was, and he said that nervousness meant I was taking it seriously.

Fingers crossed for you that everything goes well!

Thank you so much for your encouragement. Yes I am taking this seriously. I do have diabetes so that's why I'm so pro RNY for me. I've had three prior hernia repairs and Dr. said last week that the extent of the scar tissue from those surgeries will decide if he switches to sleeve. I'm just shocked this was not brought up during the last 18 months since my referral. Only brought up one week before surgery.

Sleeve here, also diabetic (see ticker info below). My diabetes went into remission immediately after surgery, and I've not needed medication since (A1C 5.4 and there abouts). I know I'm just one data point here, but for me the sleeve and subsequent changes in food choices and quantities have had positive results.

I hope the best for you--exciting times ahead.

Wow that's amazing! I'm feeling better already about tomorrow. Thanks you so much for your msg as I was under the impression sleeve would have no impact on my diabetes. I hope I get to experience the same results as you. I'm just going to accept whatever happens and know that the Dr. knows what's best for me. Thank you again!

There's a misperception that the sleeve does not alter metabolism, and that only the RNY and DS do so. GLP-1 is one of the big players in this regard, and a lot of research discusses it's also elevated after the VSG, albeit, to a much lesser degree. There are others at work, but that's a quick example.

You definitely can lose a lot of weight and keep it off with a VSG, just as you can gain weight with a DS. It all depends what you do with it, and how you use it. I lost about 140 pounds with mine before I had to revise due to the GERD, for instance. Others were far more successful than I by far. :)

Donna! How the heck are you doing?

I cringe every time I see VSG referred to as a "restriction only" procedure. It's not. It's not even the most significant effect if the surgery.

There are lots of other misconceptions and myths that I tire of, but this is one of them.

Or the least invasive - that gem always gets me

Yes! Drives me nuts. Add: VSG don't need to worry about vitamins, DS can eat all the things and still be skinny, and trickle-down economics is good for those on the bottom.

It's been... a bit of a wild ride. I should post an update. I am not unwell, though. I have been offline mostly aside from FB drive-by posts to work on getting my life in order. Just had hernia surgery in February. I hope you are doing well, Grim. :)

I think that nutrition and metabolism in general aren't understood well, never mind surgery. I consider my own knowledge basic since I'm obviously not a surgeon. It's still possible to get a decent education about it, though.

I should compile a list of publicly accessible studies I have and post it at some point. I use my old university account to access a lot (they give us free access for life to databases) but there's quite a bit everyone can see on PubMed about all the procedures.