150cm common channel

So I'm all set to have surgery on November 24 my surgeon tells me he wants to do 150 cm. common channel on me because he doesn't want me to lose too much weight.I have 150 pounds to lose. Do you think I have trouble down the line with weight gain? Will have less bathroom issues and be able to absorb more?

thanks

Shawn

I would have a problem with that, too.

My cc is 100cm and I lost 145 lbs and came back up 20 over the years and it has been very manageable.  The last thing you want is to NOT lose the weight because of too long a cc.

I agree with to Valerie. I'm very very glad I have a short CC. I'm trying to loose a regain right now and it isn't easy!!

I have never understood why even bariatric surgeons are so afraid we'll get into nutritional problems when we are people who have struggled for YEARS, often since childhood, with obesity.

I have a 100 cm common channel. I'm very, very glad it isn't longer. If it were me, I would tell my surgeon that I'm far more worried about needing a shorter cc than I would be about the very small chance I would lose too much weight and need my cc lengthened. See what you can negotiate.

And I would also be pissed that he didn't bring it up til now, but that's just me.

Larra

ahhh the common channel issue.  this is like the vsg size.  well how was the cchannel measured, was it streched?  there are 75 cchannels that are "longer" than 125cchannel when they are measured correctly-stretched.  between the vsg and the bypass there is such a great variation on surgical outcomes (that can be good, but damm that can be bad for standardization) I too have a longer than average cchannel, I dont think it is about losing too much weight, seriously how many people do you hear after they reach intestinal absorption lose too much weight for example at 4 years PO?  none?, so that is a bunch of crap, the actual reason is the dr doesnt want to take you back to the OR for deficiencies plain and simple.  many ds surgeons are actually making the cchannel longer now than they did 8 years ago and yes it was because as one ds surgeon said the he now makes the cchannel from 75 cm like he used to,  to 150cm due to having to taking a patient to the or to reverse the bypass and if someone else has to go in for a reversal at 150cm he will increase it again.  so no it is not about losing to much weight, ask your surgeon how many of his patients are underweight 4+ years out, I am sure the answer will be none, that is the truth.

Yes Airbender that is pretty much what he told me was he didn't want to have to do a revision on me later. I just want to make sure it's a one time deal. Thanks for the info

yes we all do, and try to make the best decision at the time, but you also have to realize that obesity is a life long illness and revisions are not uncommon.  you will not get a >150 cm cchannel as most insurance carriers will not pay for cchannel DSs that are longer than 150...i wish you well for your sugery

I have a 150cc, I spoke at length with my surgeon about it. I actually didn't want much shorter, I was only willing to go to 100. I am glad that I got 150. I haven't had any labs done yet, but I would much rather have a "longer" common channel than have way too much weight loss. Even at 4 months out my surgeon is really impressed with how fast I am loosing weight and even wants me to slow down. 

SO basically, talk to your surgeon, look at the pro's and con's of both options. 

Shawn, Larra, Valerie and anyone else,  my surgeon, is also saying the same thing, 150. Since I am a super absorber of everything I eat, I was wandering if this may be a problem too? But, I also really only care about loosing 100-130 lbs which would make me around 220 ish which I could be ok with?

After doing all the research I have done, intensely, for 6 months, I really think 125 should be my absolute max? Can I (is there a way) to make that a requirement with him?

I  do not know who you surgeon is, but 150 to 125 for a man probably will make no difference.  If you said 75 to 150 that is a different story.  how possibly would you know you were a super absorber of everything you eat?  we are MO for many reasons, genetics, enviroment, gender, the list is quite long.   making a requirment with your surgeon i think you have a better chance of seeing God.  you will also notice the trends toward longer cchannels and smaller sleeves.....or unfortunetly same size sleeves and longer cchannels then it is re-sleeve time, and for some reason in the USA drs are chicken ****s about resleeving when done with a revision surgeon -properly the complication rates are still low.