Question:
To all post-ops............
Can you please tell me how much you were bypassed. I have a decision to make and need to know what most Dr.'s who do this bypassed on each of you. I'm not looking for just the words Distal and Proximal. I'm looking for cm, feet or inches. All your help will be greatly appreciated...Thanks!! Darlene C. — Darlene C. (posted on April 2, 2003)
April 2, 2003
I was bypassed 75 cm and have a 2 oz pouch. I was operated on 7/17/02 and
have lost 167 pounds from my pre-op weight of 427 to currently weigh 260 as
of last night...JR
— John Rushton
April 2, 2003
Hi...per my surgical records, I am bypassed 48 inches, or about 122 cm. My
bypass is considered proximal.
— [Deactivated Member]
April 2, 2003
I had Lap RNY on 1/13/03 and had 200cm bypassed. In the last 2 1/2 months
I have lost 95 lbs!! I was 518lbs at the time of surgery, down to 423lbs
right now and hope to get down to 170lbs at 5'7". Good luck to you!!
— thumpiez
April 2, 2003
Open RNY 5 weeks post-op I had 125cm bypassed
40lbs lost BMI of 40.1
— Cindy D.
April 2, 2003
120 cm bypassed in a lap RnY 11/12. I started at 285 (I'm 5-5 and was in a
26-28) and have lost over 70 pounds and six sizes (I'm in a 16/18.) Hope
it helps.
— Mrs. Rich
April 2, 2003
Darlene, I was bypassed 150cm and my pouch was 15cc, or about 1/2 the size
of a medicine cup. Started at 260, down 60 lbs now, and had surgery in
December 2002. Good luck to you in whatever you decide, but I can tell you
I am not sorry at all...only that I didn't do this sooner! Teresa
— teresa H.
April 2, 2003
I was bypassed 100cm. I think the surgeon is the one who makes that
decision not you. He makes it based on the amount of weight you need to
lose. But, my surgeon never bypasses more than 100 cm's.
— Delores S.
April 2, 2003
I had 75 cm bypassed. I am 7 weeks post op and have lost 40 pounds and a
lot of inches. I am 5'4" and was weighing 250 at the time of surgery.
— Hazel S.
April 2, 2003
Proximal RNY, 75 cm bypassed. Starting wgt, 256 lbs. (day of surgery) --
40 BMI. Reached goal (147 lbs.) at just under nine months. Now ten months
out.
— Suzy C.
April 2, 2003
I asked this question at our last support group, and was told that the
average distal bypass length that my surgeon does is 150cm which she said
was approx. half the small intestine. I'm not sure of the pouch size. The
nutritionist said about the size of 2 ice cubes, the surgeon says approx. 1
to 2 oz..
— Fixnmyself
April 2, 2003
Hi. I had 150cm bypassed and my pouch was 30cc's or 1 fluid ounce. It's
been 7 months since my surgery...started at 338 and am currently 215 for a
loss of 123 pounds to date and still going pretty strong. Good luck!
— Christie N.
April 2, 2003
I am extremely distal, with a common channel of 40" (appx 100cm). I do
not have the bypassed figure, but it is about 15-18 ft, give or take. My
distal RNY was 10/94, I was 262 (5'1") and now about 110 or so. Have
maintained my wt all this time (except when I had SLD & had to be
revised--I gained 12#). The loss was 150 over 13 months. The maintenance
is do-able. It's not a freebie, but a little work does it.
— vitalady
April 2, 2003
I had 150 cm bypassed. My surgeon performs this standard on everyone
regardless of startout weight.
— Linda A.
April 2, 2003
My insurance co. approved me for 100 cm bypassed, even though my surgeon
routinely bypasses 200 cm. I had 100 cm bypassed 9 weeks ago and am down
40 pounds and 27 inches. I am 5'4" and started at 242. Good luck!
— barbdeane
April 2, 2003
I am bypassed an "amount appropriate for my BMI" is how it reads
in my surgery report - for insurance purposes only. The limits on the
procedure code (100 cm) forces one to be creative. My surgeon typically
does 100cm on people with lower BMI's in the 40's and maybe low 50's and
150 cm on anyone about that. I do not know if he has ever done more than
150cm. He has operated on patients in the high 500's and 600's and I'm not
sure if he opted to bypass like 200 cm on them. At a 48 BMI you could
probably go either way - 100cm or 150cm and anywhere in between. The
slightly longer bypass of 150cm should not cause any major malabsorption
problems. I only have to take 2 multi-vitamins and 1200mg of calcium every
day and sublingual B-12 once a week. So it's no big deal and I think it's
the same regimine for the 100cm bypassed people also.
<p>It's more than just the amount bypassed also. The size of the
pouch factors in also and how the surgery is done. My surgeon does a
15-20cc pouch (1/2 ounce) I believe on everyone. He also uses a round
stapler to create the stoma which prevents it from ever getting larger. So
even as your pouch stretches you ability to eat a lot more food will still
be restricted as the food will not be able to move through very quickly as
it has to go through the tiny stoma. So the full feeling will come quicker
than someone who's stoma is allowed to stretch. So there are a number of
components that factor it. It's the total system your surgeon does, not
just the amount bypassed. Talk with your surgeon more and I would go with
what he recommends unless you have a reason to fight him or her on it.
When my surgeon talked about the longer bypass I had already read that was
appropriate for my BMI (64). I was shocked at the pouch size and argues a
little bit but decided he knew what he was doing since he had been doing
RNY's for 6-7 years and bariatric surgery for 15 years. I've had no
problems with the pouch size and it does limit the amount of food I can
eat. At 2 months I am very satisfied at 3-4 ounces per meal, 3 meals a
day. I do have the occassional "snack" at night if I'm feeling
very hungry but it's always protein, like a piece of string cheese.
— zoedogcbr
April 2, 2003
I had 75 cm bypassed on 3.13.03 and my pouch is 1-2 oz. I'm 5'1" and
started at 254. Have lost 18 lbs since surgery. Many blessings, Robin
— rebalspirit
April 3, 2003
As you can see there are many different doctors doing many different
things...I've even seen someone's profile where they only had 18 inches
bypassed and still lost a lot of weight! My doctor used to do 100, 150 or
200cm based on weight but has now gone to 150cm for most people (including
me) and up to 200 for those that have maybe 200+ pounds to lose. I would
talk to your doctor and try to decided what is going to be best for you not
just from the weight loss standpoint but from a long term health
perspective as well. Good luck with what ever you decide!
— eaamc
April 3, 2003
110 cm bypassed, lap RNY, 2-3 oz pouch.
— Cindy R.
April 3, 2003
157cm bypassed. Don't know the pouch size. I believe he bypasses the same
amount on every patient. He says the average weight loss is 70% of excess
weight. Ive lost 84%.
(160 of the 190 pounds I wanted to lose).
— Danmark
April 7, 2003
Hi! Mine was proximal and I was bypassed 100 cm and transected. I just
wanna share with the WHOLE WORLD that I just hit my 100th lb lost on
4/3/03!! Hope this helps! *YourDivaness* Lap RNY 9/3/02 265/165/115
— yourdivaness
April 7, 2003
Hi! Mine was proximal and I was bypassed 100cm and transected. My pouch is
(was) 3ozs. I just wanna share with the WHOLE WORLD that I just hit my
100th lb lost on 4/3/03!! Hope this helps! *YourDivaness* Lap RNY 9/3/02
265/165/115...
— yourdivaness
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