Question:
which wls can i lose the most and unlikely to gain back im 31..5'6 & 437lbs
— tessie306 (posted on June 4, 2009)
June 4, 2009
Your doctor will help you with that!! As far as gaining back the weight you
will be the person in charge of that
no matter what wls you choose!!
Mike
— matigian
June 4, 2009
Hi,
The short answer to your question is to talk to your surgeon about what
they feel would be best for you. There are 4 current main types of surgery.
The most intense is actually two operations, the duodenal switch. It is the
least common surgery, has the greatest average total weight gain, has the
most malabsorption but also has restriction of how much you can eat.
Roux-en-Y gastric bypass, is also mixed restriction and malabsorption with
usual weight loss of 80-85% of excess body weight, this is currently the
most common surgery. Vertical sleeve is the new kid on the block and is a
restrictive only procedure which means most people don't get into the
vitamin deficits that are a problem with the other two procedures as you
are still using 15% of your stomach including your pylorus (the stomach
outlet control) and the duodenum (the first part of the small intestine).
The main problem with this option is that many insurances don't cover it
yet as it doesn't have as established a track record. I had RNY and am
having good results but I expect the vertical sleeve to become the most
popular option in the long term. Last is the lap band. It is the least
invasive surgery and has the slowest weight loss. ALL types are tools,
there is no miracle cure. With all of them we must change our eating habits
and exercise. There are people who have lost and maintained large amount of
weight loss with the lap band, and those who have regained with rny and
duodenal switch so there is no perfect procedure. The fact that you are
asking questions and researching means you can do well with any of the
surgeries. One thing that I did was went to Amazon.com and searched for
books written by people who were long term successful at weight loss with
different surgeries. I felt that I could lose weight with any of the
surgeries but I knew weight maintainence will be my problem, so I read all
the books I could find to help me with what successful people did to lose
and maintain weight. I am currently losing weight quickly but more
importantly I'm practicing meal planning, high quality protein food
preperation, journeling my eating and exercise, and exercising regularly. I
hope that this practice will help me in maintaining these habits when I get
to weight maintainence. Again I encourage you to learn all you can about
the options, their relative risks and benefits and then discuss with your
surgeon which one will be best for you (also check with your insurance on
which are covered). If your surgeon doesn't want to spend enough time to
cover your options and questions I would advise finding a different
surgeon. Also important in the choice of a surgeon is the support personel.
Can you easily access the nurtionist, is there an exercise physiologist,
are there support group meetings that are readily available to your
schedule, and are there support group meetings led by psychologists as well
as patient led? Lots of things to consider and prepare for. It is daunting
but exciting. There is no wrong or right decision but you can try to find
the choice that has the most advantage least disadvantage for you
personally. Hang in there. Kevin
— hapkidodoc
June 4, 2009
RNY definately, you will learn that at seminar. If you havent attended one
you need to get to one.. All your questions will be answered.
— lesleigh07
June 4, 2009
The Duodenal Switch is by far the most effective weight loss surgery, with
the least chance of regain. It has been proven to be much better than RNY
in the long term, especially for patients with a high BMI. An excellent web
site is http://www.dsfacts.com. Medical articles are linked there which
show the data proving the superiority of DS for higher BMI patients.
It also offers a better quality of life. DS patients eat normal amounts and
a greater variety of foods. There is no dumping syndrome as with RNY. The
chance of stricture and ulcers is much less. There is no blind stomach.
After DS, it is still possible to take NSAID drugs, and drink with meals.
As with any malabsorptive surgery, it is necessary to be vigilant with lab
work and take vitamins and supplements accordingly every day for the rest
of your life. You must be committed to that regimen in order to maintain
your health after DS.
— Anna G.
June 5, 2009
I had VSG surgery 6-23-08, I've lost 150#. I'm 58, 5'7" tall and I
weighed 457 before surgery. You will lose weight faster with RNY, however
with the sleeve you do not have dumping or the malabsorbtion. For me that
was the most important thing. I am so thankful that I can walk again, I'm
out of the wheel chair, I can drive again, I have a life! Whichever surgery
you choose you will be happy with the end results, but you are the only one
who can make it successful. May God Bless You Abundantly, Kathie
— KathieV
June 5, 2009
Research every angle and try to talk to someone in person that may have had
these types of surgery. I am gunning for VSG but will settle for RNY if I
don't win my appeals for VSG. I am 5'1.5, 29, 275 lbs and both my mother
and sister had RNY. My mother was 4'10 or 4'11, weighed 439 at one point.
She passed away in a car accident (not related to WLS) but maintained her
weight of 128-138 (without having any plastic surgery or she would have
been less) until she died almost 10 years after WLS. I know a lot of people
are going to be mad at this but she didn't follow that diet past the first
month (I don't recommend not following the diet) and still lost significant
weight. So just do your research and work really hard to succeed at
whatever surgery you choose.
— Papoose79
June 6, 2009
I would go with the gastric bypass I was like you 35 5'7 and 424 I am
almost 6 months and I am at 295 out of 400's and out of 300's and never
going back. Feel great.
Angela
— teddybear74
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