VSG Maintenance Group
Study from the lap-band board, what do you think? x post
I still owe you the study that references 16% of sleevers dumping. I thought I had it bookmarked, but I may have downloaded it instead. It will probably faster for me to find it again online.
What's interesting is all the work that was done in this area starting in the 1940's related to gastrectomies due to ulcers. "Dumping" was also called "Post-gastrectomy" syndrome (and I guess still is) but referred mostly to procedures that removed the pylorus. One fairly recent reference (2008-2009) I found suggests even with pylorus preservation clinical dumping was seen in 10% of sub-total gatrectomy patients even with a pylorus. It's attributable to gastric emptying, undigested carb****ting the intestines which draw water out of the cells causes most of the symptoms. With the sleeve, we empty faster than 'normal' but not as fast as someone without a pylorus or, interestingly enough, someone with a DS. Apparently their sleeves are bigger but empty faster.
There was a prospective clinical trial started in April 2012 to look at RH with RNY vs. VSG. The write-up for that study suggests 3% of Sleevers experience 'dumping.'
What's interesting is all the work that was done in this area starting in the 1940's related to gastrectomies due to ulcers. "Dumping" was also called "Post-gastrectomy" syndrome (and I guess still is) but referred mostly to procedures that removed the pylorus. One fairly recent reference (2008-2009) I found suggests even with pylorus preservation clinical dumping was seen in 10% of sub-total gatrectomy patients even with a pylorus. It's attributable to gastric emptying, undigested carb****ting the intestines which draw water out of the cells causes most of the symptoms. With the sleeve, we empty faster than 'normal' but not as fast as someone without a pylorus or, interestingly enough, someone with a DS. Apparently their sleeves are bigger but empty faster.
There was a prospective clinical trial started in April 2012 to look at RH with RNY vs. VSG. The write-up for that study suggests 3% of Sleevers experience 'dumping.'
The studies you are quoting would support many of my observations on this site and in real life. Thank you for this. My concern is really more about the possibility that long term, we are more prone to developing RH. I have seen the difficulties that many RNY patients have over time, and was hoping that we can avoid their fate.
That sounds more reasonable and more like what I've seen online and in real life than the study at 6 weeks out.
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