Recent Posts

shoutjoy
on 6/16/09 8:50 pm - Culpeper, VA
Topic: RE: GB vs DS
Hi,

The best way to find out is to do the research.  Maybe make two columns and write down the pros and cons of each and then you can make a decision based on your findings.   Yes, getting feedback from others who have had these procedures is a big plus.  The thing is, you have to live with the decision you make.  OH has alot of information on these two procedures.  Plus, there is always google.  Web searching can make your research experience rich and informative.

I believe there are message boards on here for each of these as well.  Just like the MGB here.  I picked this procedure because of its awesome success rate and the revisability and reversability of it.  It took me about a year to make a decision and I would do it a zillion more times.

Clueless about weight loss and weight loss surgery of any kind.

    

        
ammisha
on 6/13/09 10:53 pm - High Desert, CA
Topic: GB vs DS
What are your thoughts on the two. I have been trying for the Band for many years, now looking into other more involved... would just like to hear your views.

Thank you
Barbara C.
on 6/12/09 11:47 pm - Raleigh, NC
Topic: Endocrine Society findings re: Fractures and Bariatric Patients
I received this information and wanted to share it with you. This is new data presented this week (June 10, 2009) at the annual meeting of the Endocrine Society in Washington DC.  Doctors from the Mayo clinic looked at 97 patients from the past 20 years who have had bariatric surgery.  They found that 21 of these patients had suffered a total of 31 fractures.  Most fractures occurred an average of 7 years after surgery, with the primary locations being in the hands and feet.  Other sites of fractures were the hip, spine and upper arm.
 
There are many risks for fracture in adults including age, gender, ethnicity, smoking and alcohol use, diseases like type 1 diabetes or rheumatoid arthritis, and use of medications such as steroids, antidepressants, and proton pump inhibitors (PPIs).  But nutrition is also a serious risk.  Inadequate calcium intake and poor vitamin D status are significant factors in the ability to maintain bone health after bariatric surgery.
 
The ASMBS recommended intakes for calcium after bariatric surgery are as follows:
  • Adjustable Gastric Band (AGB): 1500mg calcium
  • Gastric Bypass (RNY): 1500 to 1800mg calcium as calcium citrate
  • Duodenal Switch (DS): 1800 to 2400mg calcium as calcium citrate
 
These recommendations are for calcium intake over and above dietary intake.  While it may sound like a lot it is terribly important that your body gets the amount of calcium it needs.  You need calcium to keep your heart beating and your brain functioning (as well as for other things).  So when the body does not get enough coming in each day, it takes calcium from your bones to supply it to the heart and brain.  People will often not know this until they actually break a bone. 
 
Generally, the ASMBS recommends that AGB and RNY patients get 400 to 800 IU of vitamin D3 daily and that DS patients get 2000 IU of vitamin D3 daily.  There is a lot of data indicating that vitamin D deficiency is very common both before and after surgery, and that many patients require higher doses of D3 based on their lab findings.  If you have not had your vitamin D levels tested, it is a good idea to know what they are.  Your doctor or dietitian can help you determine the amount of vitamin D you need to take based on this test.
 
To read more about the Mayo Clinic findings, you can click on the links below:

Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145

h_mgb
on 6/10/09 2:50 am - Toronto, Canada
MissSandy
on 6/8/09 1:47 pm - Acworth, GA
Topic: RE: I'm seriously thinking of Mini Gastric Bypass but need info...

You can find information on the MGB at CLOS.net.  The many advantages are discussed there.  After a loss of almost 200 pounds, I am very satisfied that I chose this option.  Research the options, then make an educated decision.  Good luck.

Sandy
JennyJenP
on 6/8/09 1:52 am
Topic: RE: I'm seriously thinking of Mini Gastric Bypass but need info...
I'm looking into this as well!  For me, it's that the complication rate is REALLY low.  It's safer.  Though I've heard great things about GB through laproscopic means. 

The recovery time is MUCH shorter for the MGB!  In the hospital for 24 hours or less!  You could potentially go back to work the next day! 

My neighbor recently went through GB and the first week she was so miserable and hurt, that it truly scared me (I have no tolerance for pain), by the 2nd week, she wasn't in so much pain, but she was very sore.  By the 3rd week, she was okay.  By week 6, she was good.  She had her surgery January 30th and she's lost 66 lbs!!!!  40 more to go.

I'm very interested in the MGB.  I have 3 children.  They are pretty young and I need to be able to take care of them when I'm done with the surgery.  My mom and husband will help, but you know how it is as a mom.  You truly can't ever be in bed or resting when your kids are around.  They naturally want you and you naturally want to help them and be with them.  So I'm very excited about MGB!
shoutjoy
on 6/7/09 8:58 pm - Culpeper, VA
Topic: RE: I'm seriously thinking of Mini Gastric Bypass but need info...
Hi,

The mini does not mean it is mini.  The actual name for it is very long so De Rutledge came up with the MGB name.

The difference, well, the RNY gives you a small pouch and bypasses about 13 inches of the small intestines.  There is a "Y" connection of some sort.  The cons of this surgery is weight gain and the ability to stretch the pouch. You still have to watch your calories and food choices. Insurance companies cover this so that is an incentive.

The MGB gives you a small stomach.  He bypasses 6-7 feet of the small intestines and cuts the Vagas nerve.  This mixes up the hunger messages to the brain.  There is no way you can over eat.  You would get very sick.  He just says to eat healthy.  The do's and don'ts are pretty typical for all wls patients. It is highly affective.  It can also be revised.  If you don't lose enough, he can bypass more.  If you lose too much, he can shorten the bypass.  All in about 30 minutes.  I, myself, would do this a zillion more times!!!!!!!!!!!

http://clos.net


I hope this helps.

Clueless about weight loss and weight loss surgery of any kind.

    

        
Shnarby
on 6/7/09 10:06 am - Canada
Topic: I'm seriously thinking of Mini Gastric Bypass but need info...
I just had my doctor put an application in to get approval for OHIP for Gastric Bypass Surgery.  But i'm now looking at the Mini Gastric Bypass.  Can anyone tell me the difference between the two?

Why do some people opt for the mini and others go with the "regular".

I am just starting to do some investigating with all the different kinds of options so any help or advice would be great!

Thanks!

Barb
Barbara C.
on 6/6/09 8:16 am - Raleigh, NC
Topic: What I do FOR myself vs What I do TO Myself ...xpost

I met some of my OH friends for breakfast this morning and while I was talking to them about my second year post op and looking forward to my third year, I told them that I think that I think that it mostly breaks down to two things:

What I do FOR myself

versus

What I do TO myself

When I am doing things FOR myself, I find that I'm funtioning in a more planned, thoughtful mode. I am thinking about what will best serve my long term goals. When I think in terms of meeting my long term goals, I make decisions that empower me. They make me feel good about what I'm doing for me. I tend to make healthier decisions because in the long term, I want to live a longer, healthier life and those decisions move me in that direction. This includes decisions about what I choose to eat and activities I choose to engage in.

When I am doing things TO myself, I tend to find that I'm functioning in a reactive mode. When this happens I find that I am being less accountable to myself and tossing my 'plans' out the window. For me, this leads to doing things like reaching for carbs over protien, not going for a walk, etc... I find that these tend to be self-defeating and sabotaging things that tend to make me feel worse, instead of better.

Now, I'm looking at what I'm doing and I ask myself "Am I doing this FOR myself or TO myself." When I take the time to stop and ask myself that question, I find that I more often choose to do things FOR myself.

Do you find yourself doing things FOR yourself more now than you did before? If so, would you mind sharing some of the things you do FOR yourself?

Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145

Midge0138
on 6/6/09 12:08 am - Bala Cynwyd, PA
Topic: RE: good doctors in Philadelphia area?
I had the MGB in June 2004... It was the right choice for me.

Low down time, high results, good support network. Minimal complications and issues.

I know of three active locations: Las Vegas, FLA, and NC.

Mine was done in NC. I live in the Philadelphia area.

Checking out the CLOS site is a good idea.
Also the HP Regional Bariatric center if you are east coast. These Drs were trained by Dr. Rutledge.

Good luck, whatever you decide!!
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