Question:
Please tell me about RNY after having procedure?

At first I was going to have lapband, but I want to get the most from wls. I have diabetes and other health issues that may not disappear with lapband. I'm confused?    — Toby2 (posted on May 5, 2008)


May 5, 2008
I believe that RNY gives you the best results. I had severe sleep apnea, high blood pressure bad cholesterol high trygliderides and I have nothing now. I know people that had the band and they lost minimal weight and stopped and are still heavy. still have issues. If you follow your drs orders and do what your suppose to do you will get the best resluts from any procedure but I belive that rny is the best.
   — Joanc

May 5, 2008
Most RNY patients have an average of 75% loss of excess body fat, where lapband has 40-60% loss. There are of course acceptions to the rule. I am 5 months out from lap-RNY, lost 54 lbs, have 45 lbs to lose to get to goal. I am off all blood pressure meds, dropped 10 points on my BMI. I would do it all again. I have a friend who had diabetes and after her surgery in Nov, she has been off insulin. I am so happy that I went with RNY. You have to decide which is best for you by exploring all the information you can. Good luck! Lesleigh in Ga.
   — lesleigh07

May 5, 2008
Obviously your surgeon has not taken much time to educate you with the differences are between Lab Band and RNY. You might find a surgeon that is more up front with the information and has classes to educate you how things will be following any WLS but in particular the one you select. Lap Band is a restriction to what can go in your stomach. It does not really remove the cause of Diabetes, high blood pressure, or high cholesterol, but weight loss in general will help. Lap Band Patients can loss 100% of their excess weight and return to a normal BMI of around 25, but the average loss is only about 50% of the total overall. So a patient that has lost 100% with a Lap Band is as they say in the commercials "not typical". RNY is different because the doctor disconnects most of the stomach, and the first portion of the small intestine. This is connected to the last third of the small intestine, to carry the stomach acid made along with the by products of the gall blatter and the pancreas. This first third of the small intestine is what process fat and sugar and most carbohydrates that you now eat, and it converts them to energy if needed, otherwise, it stores them as fat. Now food will not pass through them so too much granulated sugar, or fats from eat (not Olive Oil) will make you sick, as you can not process this food now and it will pass to the large intestine and be voided out of the body via the colon. Sick is sweats, cramps, heart racing, and general discomfort. It also can be diarrhea. The throat is not connected with some of the old stomach tissue to second part of the small intestine, where the surgeon makes a pouch about the size of a man's thumb. This is your new stomach. It hold 3-4 oz of food at a time. Some foods are call slider foods because they slide through the pouch to the second part of the small intestine when you eat them (Like peaches, Okra, cottage cheese, etc). You will have malnutrition of some kind, but you take Bariatric vitamins and minerals (see www.bbvitamins.com) for the rest of your life. This might include iron. This is cheap considering that you will be off of diabetic medications within a month. I took pills and insulin, and it took me a month to be totally off all of them, but there are younger people that came off the day they came home from the hospital in my support group. I no longer take anything for high blood pressure or cholesterol. My A1C is 5.6, always was 6.4 to 6.6 for as long as I knew about it and had it under control. My blood pressure is 1105/over 55, and my Total cholesterol is 95. Can't ask for much more after just 5 months following my December 5, 2007 RNY WLS. By the way, I dropped 100 Lbs in that same 5 months. I work out at the gym every day (I was a couch potato before) and I sleep better then I ever did. I now play golf every week, and just for the fun of it, I let my friend ride the card and carry my clubs, but I prefer to walk 5-6 miles of the course and get some exercise. I use to have a hard time making it from the store to the handicap parking place outside the front door. Now I park at the end of the parking lots and walk. I hope you are no longer confused. Want success then look at RNY, but understand the changes that you will be making. I never go near a fast food, and the local ones miss me because I could eat three Whoppers at a time, I was so fat I could not tie my own shoes for the past 10 years, and now in stretching class, I can reach over my toes and grab my heals. I love life and I eat to live not live to eat. You need to know all the fact, but for the best success, I spent three years researching everything because I had to pay myself, so I feel that RNY was the only way to add years to my life, otherwise I might not see retirement age or collect the first dime from Social Security. Best of success to you, and write me if you want to hear more. Sorry I was so long, but I beleive in the sucess of this tool, Bill
   — William (Bill) wmil

May 5, 2008
I chose the RNY because it was more restrictive than the lapband. With the lapband, I could have continued to drink milkshakes and eat candy bars. The RNY changed that. I had my surgery 4 months ago, and I am down 96 lbs! Wow, I would do it again in a minute! Good luck with your decision. Research, research, and research! Know within your heart of hearts which surgery is right for you!
   — mary_rn

May 5, 2008
I had a severe case of sleep apnea... and it has pretty much gone away since RNY..although there are times i still snore. I had surgery over 5 yrs ago and I do not regret it. I think RNY is quicker in terms of results... but, everything i've read suggests that in the long run, they are comprable.... good luck!
   — 502Laxi

May 5, 2008
New studies are indicating that 5 years out, lab and RNY patients seem to be about at the same point in % weight loss. RNY will lose faster, but I've read that slow and steady loss is better for you in the long term. Also the lap is MUCH more easily reversed if complications arise.
   — clockeeper

May 5, 2008
I also was going to have the lap band but was shown the diffrence in weight loss and decided to have RNY and i am glad that i did...you are in the hospital 1 more day But i am almost 4 weeks post-op and i have lost 30lbs....I had sleep apnea and taking meds for high blood sugar...I do not use either one now...I sleep all nite and my blood sugar is at 90-114....there is more healing time with RNY...But I am glad I went this way...Good luck !!
   — british88

May 6, 2008
the best thing for you to do is start researching the two for yourself and sit down and weigh the pros and cons of each and see what is going to be best for you!!! there are many opinions out there from other people and they are good to hear and to take into consideration, but both surgeries are major and you need to do alot of research on each. also, depending on your insurance they may only cover one or the other, so if you haven't already you need to check with them and see what they will or will not cover. make an appointment with your surgeon and have he/she discuss what they think will be best for you based on your medical history, etc. they can also give you lots of info. on each one to help you with your research. good luck it's very exciting and i'm sure you will be happy with which ever you decide...hope this helps..Holly
   — RNlvnCARSON

May 6, 2008
Have you looked into the VSG or the DS? come check out both of these forums so you have information on ALL the surgeries, so you can make the best decision for you! So check out the Lapband, RNY, Duodenal Switch and VSG. Good Luck!
   — M. !!!




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