Is it that easy?

Bigbub75
on 7/10/07 8:24 am
Hey guys, my surgery is coming up next week and in preparation I have been reading everything I can get my hands on about the procedure.  I have come across a lot of information about revisions and stuff like that.  I thought one of the benefits of the surgery was that it made it difficult to regain weight, and that it had a high success rate of people who kept the weight off for long periods of time, etc.  I know that maintaining your weight loss also comes along with hard work.  But is it really that easy to gain back weight?  Does your pouch stretch over time, or are people just really creative in finding ways to "cheat" the system and regain weight? Thanks in Advance Aaron
sjbob
on 7/10/07 8:49 am - Willingboro, NJ
You can stretch your pouch and you can gain weight if you don't follow the pouch rules and/or if you are a food addict and eat between meals.  I had a revision because I had a staple line disruption;  it doesn't occur often.  My subsequent problems have not been with the pouch.  Rather, I am an admitted carb addict and I just keep eating them all day long.  I've been through OA, addictions counselling, hypnotherapy, and specialized therapy (for over a year) prior to the surgery and I haven't been able to overcome this addiction.  However, I haven't gained much weight since the surgery because I don't stuff myself with snacks and I have started an exercise program.  You are better off if you can follow Dx E's advice and that of many men on this site.  I eat slowly at my meals and stop when I begin to feel full.
carbonblob
on 7/10/07 4:04 pm - los angeles, CA
not to highjack your thread aaron but wow, i didn't know that or forgot that about you sjbob. that is serious. i know i have to keep the chips as far away as possible from my reach. i know where you're coming from. when i do indulge, i do what you do, stop when i'm full. if we have crackers in the house we'll throw them out after the party just so i won't go near them!

as for the original thread, yep, you can cheat your way out. just read up on Dx's posts and you'll get the whole poop on the subject. the really good thing i learned was to stop when full. i blow it sometimes but that's a really good eating habit to start to learn from day one after your surgery. good luck.......carbonblob
(deactivated member)
on 7/10/07 9:03 am - Houston, TX
Hey Aaron,,,, great question.....the way I understand it....there was an old type of rny, or some type of operation, where they just stiched down the stomach, and didn;t really seperate the two halves...then as time goes by, that seam would come unravelled and give them problems....so there for the revision..... but your stomach does....relax a bit, and the stoma loosens, and yes...w learn to eat around the surgery.... Example.....if I eat 6 m&m's I will dump...so I eat 5 m&m's...if I eat 5 every 30 mins I will not dump, but I can eat a 3 pound bag in one day...and I have a lard aZz again;....this is just an example....by a lady in my support group...shhhhhhh hope this helps russ
Dx E
on 7/10/07 11:03 am - Northern, MS
Russ, Does she make trips to Mississippi? I've met her!!! Best Wishes- Dx
Dx E
on 7/10/07 10:53 am - Northern, MS

Aaron, Statistically, about 7 out of 10 folks have complete success, and that’s looking at 10 years of maintaining loss. (and it’s give or take approx. 8% depending on the type of procedure) Out of that 30% who don’t maintain a loss of 65% or more of their excess fat, a small percentage actually have mechanical failure of their surgery. For some it is enlarged stoma - (typically caused by continued compulsive eating beyond limits to the point of pain) and for some it is a staple-line disruption. Rare, but happens. That’s where the ‘pouch portion’ of the stomach Is only stapled off from the remaining "old stomach" with out being ‘transected’ or surgically separated, and the staples "give loose. The pouch sort of opens up like a zipper, and suddenly There is No "full after a small meal" Just big hungry stomach, but now with two opening into the intestines. Goes from small pouch and feeling of fullness to more capacity and desire to eat Than before the surgery. I know someone who has had this happen. I’ve even seen the endoscopy photos. Wow! But, like I said, it is very rare. In that case, a Revision is needed. And most docs will perform one and in most cases it is even covered by surgery. BUT- there is also a percentage of folks, who have serious emotional eating compulsions. We all CAN out eat the surgeries. Band, RNY or DS. It takes some effort, but very doable. Those folks who find themselves not losing And still eating as much as they possibly can due to compulsive urges Find it difficult to get a "Revision" in order to get a smaller pouch or more intestine bypassed to further decrease absorption, etc… Some do, even if only by swapping to a different surgical procedure. Some of them don’t even succeed in keeping off the weight after a second surgery. Those folks needed to start with a head doc before they found a gut doc. WLS is in NO WAY a magic bullet. It’s only a tool to aid life style change. Long-term maintenance of a Normal range BMI is dependant on Post-Ops

Using the first year to set up New eating habits and exercise habits to serve the rest of their life. There are multiple ways to "out eat" bariatric surgeries... Ice Cream would do it for me, if I didn't dump.... Fried food doesn't seem to bother me much at all And I CAN eat a great deal of it. Because I CAN, doesn't mean I DO... I have an old post about "pouch-stretching" I’ll dig up…. Hope all this babble helped explain a bit… Have the Greatest Next Week! Best Wishes- Dx

Beam me up Scottie
on 7/10/07 2:57 pm
As it's been said, surgery is not a magic bullet....depending on which surgery you have....the long term effectiveness of the surgery will make it more difficult to regain weight or not.   Distal RNY and the DS have shorter common channels ( DS common channels are around 100cm and Distal RNY common channels are longer, but I'm not excactly sure how long)..meaning that they allow you to absorb far less then proximal RNYs because they bypass more intestines.  Long term those surgeries will really help you prevent weight regain.   The more malabsorbtion the harder it is to outeat the WLS.  Scott  
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