Why did you choose your specific WLS

but what happens if you end up one of those people who dont' dump?  And you gorge?

I'm finding that gorging is my downfall.. big time... come home from work and raid the cabinets while I cook.   It's horrible :-(

The thing about dumping is that some people (but not me, LOL) stay away from ALL sweets from day one post-op out of fear of dumping AND out fo fear of finding out that they DON'T dump... so they figure that if they just add "no sweets" as a "rule" they don;t have to worry about whether or not they really do dump.  Also, some people who dump early on with RNY don't dump down the road... so you really are relying on the TRHEAT of dumping as your motivating factor early on when you are re-learning healthier eating habits.

If you have an issue with gorging yourself, the RNY or Lap Band would probably be more useful for you than the DS or the sleeve because you will become MIGHTY uncomfortable VERY quickly if you try to put too much food in your pouch.  Because the tomach is significantly bigger with the sleeve or DS, it would enable you to eat much more before you felt physically bad.

I do want to add that for some people it is VERY helpful to also have counseling (before and after surgery) to help deal with the bad eating behaviors because having surgery -- ANY surgery -- does not magically fix your brain... those old habits are still there waiting to jump back out.  Some people still struggle with negative urges (to binge, or to eat for emotional comfort, or to give in to a carb craving, etc.) right away after surgery; for others those things can gradually reappear.  (I was doing pretty good until my dad died in May and then the urge to eat for emotional comfort came back with a vengeance).   Just something to consider because, as they say, the surgery addresses your body but not your mind, and to be successful long-term, you need to address the psychological aspects, too.

(Hopefully Val will see your post and provide some additional insight on why she chose the DS.)

Lora

Thanks Lora!

I'm assuming that I can do more counseling with the on site Psych person at either kettering or sycamore?   I sat in on both support groups and I liked both of the facilitators very much.  Maybe I'll pull the Sycamore lady aside next week when I go to the Sycamore support group and ask her about this.  I know it's not something that will happen over night.   I just assumed all of this would be ironed out in the psych evaluation... or is that not what its for?

I sent you a private message to repsond to part of this, but as far as the psych eval... all it is really designed to do is to make sure that you understand the surgery you are about to have, that you understand (and are prepared to make) the changes the surgery will require, and that you don't have any current mental health issues or serious eating disorders that would keep you from making a well-reasoned decision about the surgery or prevent you from being compliant after surgery.  It is a psychological evaluation, not counseling. 

Lora

I researched WLS for over 5 years and I had made up my mind to go with the Band. But after going to the seminar and meeting my Doctor, I had no choice but to switch to RNY. Dr. Dan told us all at the seminar that Bands are mainly done for patients under a certain age, weight, and BMI. And, due to the fact that I'm a binge eater at times, he said the band wouldn't be the best for me. With me being over 300 pounds, 40 years old, and a BMI of almost 50..the band is best for me!I had to agree with him after hearing what he had to say.

The choice of surgery is personal and needs to be done in consultation with your surgeon and primary care physician. I had gone in wanting lapband. My partner has been immensely successful with roux-en-y. I had an open mind during my initial consult. Dr. Z and I walked through the surgeries, looked at the probable results and at my habits, goals and life. The decision was lapband.

I had had open heart surgery 3 year ago and as not looking forward to a long surgery like roux-en-y. I do not have a large amount of weight to lose. When Dr. Z compared both surgeries outcomes, he said I could lose maybe 10-15 more pounds with roux-en-y but the health outcome would be the same as lapband. I did this for my health. I do not want a repeat performance of my heart attack. I chose the surgery that made sense and had the least risk.

 

I am glad I made the choice I did. It has forced me to e a healthier person. I exercise every morning. I never did that before. I am early in the process, but have made health and diet my priority.

 

Good luck on your choice. You will know what is right for you. Some people with good success have responded already.

 

Tom from Akron  

Please don't forget the "gastric sleeve"  

You can find information the on VSG forum...........

Phyllis................