Anyone heard of the gastric sleeve - Page 2 - ThinnerTimes

flutterbies · 05-25-2006, 11:36 AM

You got me! I know c0nfused_Brunette had it done and she had a link in one of her post about the sleeve. It was very interesting.

mindycure · 05-25-2006, 11:38 AM

well i think it is very odd too that someone would get the one operation knowing they would get the other later on. So why bother with the first one. They just made it sound less risky on the interview this morning so people were opting to get it. So if it was less risky then why do them both? Makes no sense.

Zenomia · 05-25-2006, 12:39 PM

Quote:

Originally Posted by mindycure

well i think it is very odd too that someone would get the one operation knowing they would get the other later on. So why bother with the first one. They just made it sound less risky on the interview this morning so people were opting to get it. So if it was less risky then why do them both? Makes no sense.

The way I understood it was they were doing the two part surgery because the patients that were having it done were super obese and the risk of the RNY immediately was too much. So they do the sleeve first, allow them to lose a large amount of weight, then convert to the RNY at a later date. At least this is my understanding for the two-part surgery. I don't think the originator of this thread was talking about the two-part surgery, but just the Sleeve.

Personally, I think any surgery where you are under general anesthesia and they are working with your internal organs is going to have the same and similar risks. Nothing should be taken lightly...major problems can happen with the band or RNY or the sleeve...it's the individual patients health that is the major factor as well as the skill of the surgeon. RESEARCH is key to a good outcome and safe procedure no matter what surgery you go with.

VanessaSFL · 05-25-2006, 01:10 PM

That is exactly what the two in my support group said.They went to Miami because of their BMI and the Dr.who does them is in Miami.

They have lost weight for sure.I wonder if the 2nd surgery is mandatory?

V

The medical field is always changing...shoot what about the face transplant lady.Almost anything is possible.

Zenomia · 05-25-2006, 01:30 PM

Quote:

Originally Posted by VanessaSFL

That is exactly what the two in my support group said.They went to Miami because of their BMI and the Dr.who does them is in Miami.

They have lost weight for sure.I wonder if the 2nd surgery is mandatory?

V

The medical field is always changing...shoot what about the face transplant lady.Almost anything is possible.

I saw that woman on Good Morning America Van!! WOW!! It's so amazing the things that are happening in medicine today. They are doing a whole special on the face transplant lady on one of the news shows tonight with Barbara Walters. Shocking what amazing advances we have made this century isn't it??

Nanette · 05-31-2006, 08:47 PM

Hi Lea,
It's me again - your neighbor east of you.

When you say the lap band isn't as effective, are you quoting from statistics, or reflecting on feelings you have about that type of surgery? I'm not trying to be combative (email/forum posts suck for this reason - no voice inflection...), just wanting to learn.

If it's calories that make or keep us FAT, then a shake for diabetics (no sugar) or ice cream, whatever, would still allow even an RNY patient to regain weight, or stay fat.

As a hopeful for lap band, I am putting a lot of faith and doing my best at focusing on learning a new lifestyle - trying to not have a "food-centered" life, as Dr Callery put it. (OUCH) I'm even breaking in my new Venus and Serena tennis racket - $19.99 at Target!

Calories consumed make us overweight, not sugar... post-op patients from either surgery can experience dumping, and vomiting, if they eat too much. I've heard & read that it's a learning process how much one can eat to feel full, and then not go beyond that point. To learn where that new set point is and get used to what it feels like is key to a smooth transition.

I hope anyone reading this will keep their options open for lap if that's what they really want. That's what I want.

Hugs,
Nanette (in Fallbrook)
<><

Quote:

Originally Posted by lealphachienne

I worry about docs in FL... many are crooks and are doing procedures that aren't approved yet.

It appears as a spin off of the mini-bypass. I would hesitate about any procedure that removes a healthy stomach. With RNY bypass, nothing is removed, just rearranged so all parts still function to a certain degree. If the worse case scenario, the RNY can be reversed.

Basically the gastric sleeve is just creating a very long, narrow esophagus that is unobstructed. I assume they leave the duodenum intact, so you won't have any problems with dumping. I can see how you can easily regain all the weight if you only eat soft foods and drinks lots of shakes and eat ice cream all day. That's also why the Lap-Band isn't as effective.

Duckie · 06-01-2006, 12:19 AM

Nanette, most RNY patient's cannot eat/drink that high calorie stuff such as milkshakes. It makes us dump. Lap band patients DO NOT DUMP. Everything is still intact, it just has a band around it. There are big differences. It is much easier to "cheat" with a lap band.

Duckie · 06-01-2006, 12:20 AM

Also, as Marie stated, how on earth can they do an RNY once they have already removed the stomach? That makes absolutely NO anatomical sense!

Loove · 06-01-2006, 02:40 AM

What i´ve heard is that the do a gastric sleeve when they want to do a duodenal switch in two steps.

Nanette: Vomitting is not a very common thing after a gastric bypass. If there is alot of vomitting there is most likely also a strikture involved. Vomitting is very common after a lap band on the other hand.

Lovisa

Dyann · 06-01-2006, 06:12 AM

Funny you should bring it up. Moises Jacobs was one of the surgeons who trained me among many others. (I did my medical school and residency in miami) The gastric sleeve is a restrictive procedure and in my eyes replaces the lap band and its complications, a bridge to rny for super morbidly obese, or is a middle road for those who are "afraid" of the rny. There is no malabsorptive component, which for some is good, but for others is bad. No dumping...great, but is it a good tool to teach you good eating habits? I wouldn't get it for the same reasons I wouldn't get a banding....If I could eat a wendy's frosty, I would. High calorie liquids will go down quite nicely. Yes, RNY GBP is a bigger surgery, but leaks from the staple line and bowel obstruction will be seen with both. The difference is we have 3 areas that can leak and they have 1. I personally like the idea of still having my stomach there. If there were tremendous complications, It could have been reversed. If your stomach is out and the sleeve falls apart, there is no back up and the reconstruction is much more difficult and morbid. I think all the procedures will work, picking the procedure isn't the hard part, picking your surgeon is the most important aspect. A good surgeon will perform them all well with minimal risk.

To have it as a staged procedure, they reroute the small intestine on the second part adding the malabsorptive component. To use it as a bridge to rny, I feel a lap band is safer. This is still a big surgery