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Member | momjan posts 142 10:05 am April 16, 2011
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I had a wonderful article written about revision surgery after weight loss surgery. Accidentally hit 'enter' and lost the whole cursed thing. Of course, I was on a roll and am not going to remember it all now. Ron – there's got to be some way to stop this from happening!!!!!
Anyways, I will try again; it's one of the reasons I don't post much – hate losing the thread…..
It's good to see more spots opening up for surgery; it will be a blessing for the ones still waiting.
While you are waiting for your date, you might be thinking about what types of surgeries, why they are chosen, etc. I found a great article that explains the surgeries really well, their pros, cons, etc. and might help you make a better decision. I personally would have requested VSG surgery if I had read this article. Why? Because the part of your stomach left behind after RnY surgery produces GHERELIN, the hormone that makes you hungry. That closed off section of your stomach starts producing gherelin about a year or so after surgery and can start the hunger pangs going. By removing that part of the stomach, or having VSG, where the unused stomach is taken out, you won't get the hunger pangs back again. In fact, a lot of people after VSG don't experience hunger and have to remember to eat. Of course, with any surgery, there are pros and cons, but it appears the long term studies are pointing to VSG as a longer lasting solution to obesity.
I belong to an American site where people after surgery are still keeping on contact, which is good for the people just starting out on this process as they get information from people that have gone through the surgeries. I notice most people fade away pretty quickly on this site and wlsforum.net once their surgery has been completed. It's too bad; your experiences would help pre-ops make better decisions and provide them with much needed information.
Anyways, this isn't the same quality of information I had written the first, time, but I'm running out of time. Check out this website, read the operations/revision information, nutritional info. and maybe start a discussion about weight gains after surgery, types of surgery you think best, etc.
http://www.bariatric-surgery-source.com/gastric-bypass-revision.html
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Admin
| Ron posts 871 12:02 am April 17, 2011
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OHHHH This has SO happened to me :( I've now taken to writing any long response or artcile in my Word Processor. (Open Office is the best for retaining capabilities.)Anyway – write article in wprd processor, copy & paste into web form submissions.
Ron
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Member | bbwvixen posts 387 7:32 pm April 17, 2011
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I actully did not know of the sleeve until about a six months before my surgery. By then I had already told them the RNY. The main reason for not chosing it though was because I wanted to dump – I need the slap on the wrist if I'm *bad*
Well, I don't dump :( I think I may have gone for the sleeve if I knew about the hungar pangs.
I find that I get them alot, and I can eat more then I think I should be able at this point ( a year out next month)
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 RNY W/Dr. Malik May 4/10
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Moderator
| Blake posts 640 9:04 pm April 17, 2011
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Like BBWVixen I too am looking at having the RNY because I want that slap on the wrist too. When I started this three years ago, the stats on a VSG were not in. At that time the success rate – measured five years after surgery – was the best for an RNY. Now VSG is coming up there and the idea of taking less vitamins and losing the hunger part is very appealing. Still it is possible to fail with both kinds of surgery; I am having trouble deciding. But I look at it this way, my first choice is still going to be with an RNY but if Dr. A goes in and says "wow this guy would do better with a sleeve" then he is free to do that.
I still believe that success for me is going to come in changing my lifestyle to not be hungry for things when I am looking for emotional satisfaction. To look at food as a source of energy and fuel and not a pleasure device or diversion. To embrace exercise with enthusiasm and regular work out for a minimum of one hour five times a week. Finally, I need to use the resources here to ensure I maintain my lifestyle and pass what I know and encouragement to those around me.
Now all I need is the date – maybe in a year or two.
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HW – 339 //Sugery W – 299.8 Oct 19, 11/ CW – 248 //March 25, 2012 // 1st Appt. Apr 1/09 If you are interested in working out – join me an others at My Large Friends – Saanich G.R. Pearkes Rec Center on Thursday evenings. Or if you would like to go walking I have a walking group each Saturday morning at 9am in Victoria. PM me for details.
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Admin
| Ron posts 871 9:42 pm April 17, 2011
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As you guys know, I had the RnY and I get dumping when I abuse myself, so I can certainly say it's a very strong tool to keep me on the straight and narrow.
I do get hungry at times, but honestly can't say that's a major factor in my eating. Frankly it's still about what my "head" wants rather than physical.
I think each person has to make the choice that they think will work for them, taking into consideration what their surgeon suggests and all the info avail re each choice. In the end it will come down to using the tool and you own desire to stay healthy.
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Member | momjan posts 142 10:15 pm April 17, 2011
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I agree with Ron; the dumping is a good tool, but not everyone gets it. But everyone with RnY will find hunger pangs come back; that`s the gherelin kicking in. I am certainly not saying that the RnY is bad; it has saved many lives, mine including. I was curious about the `why`of people gaining weight back and came across this article. I regularly read an American site and noticed that many people have re-gains and I wondered why.
RnY is considered the gold standard, because it has been around the longer and more tests have been done on it in the long term. That being said, I think this article shows that that thinking may be changing. Super-obese people usually have the VSG then get revision surgery to RnY. That means that they have the advantage of the sleeve to start with, and are also without the part of the stomach that manufactures gherelin. Doctors chose to do the RnY on people to `give`them the tool of dumping sugars and fats. The VSG doesn`t cause dumping but you don`t digest the food tme; it travels more quickly into your intestines. You have to make sure you are getting enough nutrition; that`s the disadvantage of VSG over RnY.
I think it`s a good article to read and if your doctor recommends RnY you might want to ask him why one over the other. By doing your homework you may be able to discuss the pros and cons of each surgery and come up with the best type of surgery for you.
VSG is apparently proving itself to keep weight off for more people for a longer period of time. For people that haven`t had surgery yet, read, review, ask questions and understand the differences of the two types of surgeries. A doctor may recommend one over the other for many reasons; make sure the reasons are valid for you. I am not saying it happens, but a doctor could recommend one over the other because he/she is more comfortable with that procedure, or any other reason.
I do agree we have to use the tool provided and 'work' it, but in the end, if hunger pangs are starting to increase your appetite, you may end up gaining weight and your self esteem can go down the tubes as you think you have failed, rather than understanding that the gherelin has taken over.
Happy reading.
http://www.bariatric-surgery-source.com/gastric-bypass-revision.html
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Member | Kristina posts 7 11:12 pm April 17, 2011
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I had the lap band surgery just very recently. Does anyone here have reports on hunger pangs or over-eating with lap band (as compared to RNY and VSG)? I guess revision surgery for the lap band isn't going to be possible – it would need to be a whole different surgery if the lap band doesn't work.
Kristina
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Member | Liz posts 37 7:07 am April 18, 2011
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Hi Kristina,
With the band it is posible to over eat, you just have to really pay attention eat small bites, eat slowly and pay attention to you full cues. As for hunger pangs, I cant say that I really get hunger pangs, I do get hungry, I just make sure that I eat every 3 hours and that seems to solve the problem for me and to date I have had no real issues. It;s a matter of finding what works for you and staying within the guidlines that your surgeon has given you. I have been very sucessful with my surgery, am doing thing that I could have never thought possible, and have faith that it WILL work for you as well.
Liz
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