Dear OH Member, It’s a New Year, a New You and for ONE month only, a NEW lower OH Magazine subscription price! You can now subscribe to OH Magazine through January 31st for the lowest price ever: just $14.95 a year! (Regular price is $25 a year.) Your one-year subscription will bring you six great issues filled with Health Tips, Recipes, Advice, Laughter, Hope and Inspiration. OH Magazine is the IDEAL gift for yourself or someone you love! Make it one of your New Year’s resolutions to take advantage of this limited time offer. Subscribe for yourself today or give a gift subscription! Visit: http://www.obesityhelp.com/store/action,items/typeId,2/ or click on the OH Magazine cover at the top of the ObesityHelp pages. To order by telephone: 1-866-297-4966 OH Magazine—Real Lives, Real People, Real Solutions Here’s to a Happy New Year and Healthy You! *2 year subscription-Save $15   3 year subscription-Save $20

 

I would like to know, if it is possible to have a mini gastric bypass done, if you do not reach the amount of weight you need to loose after a reasonable time with the vertical gastric sleeve?.

Awaiting your soonest comments

Regards Pedrof.

 

I did a LOT of research on this before my MGB and although it is not a CLOS guideline I would suggest anyone consider this when considering their Bypass. I think the question of how much to bypass depends on the kind of obese person you are and how much you weigh.  If you were obese in childhood and weigh over 350 for a woman and 400 for a man I would get teh 7ft bypass (GROUP1).  If you are at least 100lbs overweight and less than 350/440 then I would suggest a 6ft bypass(GROUP2).   If you are less than 100lbs overweight I would seriously question whether WL surgery is the right solution for you, UNLESS you have comorbidities such as High Blood Pressure, Sleep Apnea, Cardiac, Diabetes etc.  In which case a 5ft bypass would be my suggestion ((GROUP3).. I am not a medic but I did a huge amount of analysis on this before my MGB, I spoke to 80 to 90 MGB patients, those in Group1 who had less than 7ft lost a lot of weight but not quite enough, they were very happy but would liked to have lost more.  If you look at the how the weight is gained for group2 you find it goes up and down a lot through their lives.  I met some of these at a recent reunion and some looked as if they had never been obese, they looked healthy though.  For group3 I have concerns about whether WL is really for you, I think you will lose too much because you are not that overweight compared to someone who has 200lbs to lose. Ultimately it is a tool, if you do not use it properly (particularly in the 1st 2 years) you will impact the final result.

It is not the surgery that is the same as the billroth II but the connection, this type of connection was pioneered in the 1800's and is routinely used in about 16,000 non bariatric surgeries in the US per annum for things  like Cancer and Gun Shot wounds. The surgery is less invasive, less cutting leaves the original stomach intact and connects to the side of the small bowel rather than splcing it as they do in the RnY.  This is important as it makes it much easier to reverse an MGB (35 minutes) than a RnY ( 3 hours). The patient consent form of the MGB says that you agree to reverse the surgery if there is excessive weight loss, that is a responsible position.   I have seen two newspaper articles of RnY where patients have died of starvation.  I saw a RnY patient  at a recent meeting and she looked really too thin and quite ill. The other thing they do in the MGB is some very discreet work on teh vagus nerve terminal fibres, this is much more subtle than a vagotomy (complete cut of Vagus nerve) and leads to the reduction of Ghrelin which is a hormone related to hunger. So there are 3 WL factors in the MGB, reduced hunger, reduced capacity and reduced absorbsion.  Of course there are side effects as in all WL surgery but they want you about them and you confirm your understanding with a 17 pages consent form where you have to answer questions about the impact. (you do this for the packet as well). So why are people bad mouthing the MGB, well Doctors are full of ego and often knock each other and it might have something to do with the fact that alternative surgery costs more!

Not going to get "mad" but if you have no data to backup your proposition you just sound ignorant. Why not tell us more about the VSG, how many years it has been performed and all the imperical data?