Question:
How much can be bypassed?
I am having surgery on Dec. 11 and my daughter-in-law just found out I am having 200 cm bypassed. She was very concerned. Let me know how much you have had bypassed. — Chris B. (posted on December 7, 2003)
December 6, 2003
I had 150cm bypassed which I believe is about 5 feet. This was a distal
bypass vs. proximal where not as much intestine is taken. Sounds like
you're going to be very distal which works fine for calorie/fat
malabsorption but you have to be ultra-diligent in making sure you get ALL
the recommended nutrition, vitamins and supplements in daily. I'm 8 months
post op and bloodwork is all normal but it is a conscious effort every day
to play by the rules. You won't be disapponited! Congrats!
— Vicki S.
December 7, 2003
Chris, 200cm is longer than the norm but not too drastic. A few RNY's are
bypassed everything but about 40" which is actually then known as a
common channel rather than amount bypassed. In my personal opinion, I know
some will disagree which is their perogative, I do not think anyone with an
RNY should ever end up with a common channel as it gets extremely difficult
to get in enough nutrients to stay healthy. Maybe if it's a revision but
not the first time around. It means a life long committment to 4-6 protein
drinks a day plus whatever food they can get in. In my opinion the common
channel type surgeries should be left to the DS/BPD as that surgery is
designed to be safe with a short common channel. The RNY has such a tiny
pouch that I would be scared of starving to death, but that is me.
<p>The 200cm will give you more malabsorption and it may create a
need to use a protein drink here or there every day for the rest of your
life and it might not. There are tons of people in the world living with
150cm and less bypasses and having zero problems with getting in enough
nutrition from food and minimal supplements, so personally I would stick
with the standard. Your BMI is not that outrageously high so I would
question the 200cm bypass. I was a 65.3 BMI and am now a 35.1 BMI, all in
10 months, so 150cm bypass does work. I am extremely healthy and able to
do whatever I can. Talk to the doctor and if he or she gives a reasonable
explanation as to why they feel this is best. If you are comfortable with
the explanation then I would not sweat it, but you will have to be diligent
about your supplements and protein etc. It might be that your surgeon does
a larger pouch so you can eat a bit more and then combines it with a
slightly longer bypass, which would make sense. I was given a 1/2 ounce
pouch, so anything longer than 150cm would have been pretty risky. I'm
sure it's larger now based on what I can eat, but it's definitely small
enough to tell me when to stop eating.
<p>Good luck on your surgery and I'll be rooting for you! Come home
soon!
— zoedogcbr
December 7, 2003
I had 157cm bypassed. Sure wish I had had 200cm instead.
— Danmark
December 7, 2003
I have appx double that bypassed. No way of knowing, since I am very distal
and am measured by common channel. I tend to agree that 40" CC might
be pushing the limit. I do work hard to stay nourished, and not everyone is
willing to. But this is what I was issued back in the olden days, along
with a fairly complete set of instructions. I don't have to work as hard
at maintaining my wt, however. I avoid milk, sugar & grazing. I use
protein shakes to meet my basic needs and to control carb, volume and
appetite cravings. I take a lot of vites & minerals. It's ok with ME
personally, because I never had a problem putting things INTO my face, the
problem was keeping them out. But I am speaking for myself here. By the
same token, I have hosted many people with very short bypasses when they
have come here to be revised to a more distal procedure (usually 60"
these days). Seems to be rather like trying to see into the future to
figure what is right for each person. Since I was done 4 years before I was
ever on line, there were no choices at all. It turned out to be right for
me.
— vitalady
December 8, 2003
That is definitely distal but not outrageously so. It means, as the others
have stated, that you will have to be more diligent about getting in your
vitamins and supplements and getting regular bloodwork to ensure that
things stay in balance. You may want to ask your doctor if he/she can do
150 instead of 200. Those with bypasses of just 75 cm, or 100 cm, do just
as well in losing large amounts of weight. So why have that much
malabsorption?
— Cindy R.
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