Guest guest Posted June 9, 2001 Report Share Posted June 9, 2001 Hello, I am new to this email group, trying to get as much information as possible on the surgery. I am trying to decide between the duodenal switch and the gastric bypass. The switch looks much easier and safer to me because you are less restrictive on the foods. The bypass appeals to me because I wouldn't be tempted again to overeat, especially on sweets, or I'd become ill, but that also scares me. I guess my question is, since one article I read about the switch said that in 2 years the stomach stretches to a normal size, what is it about the surgery that will prevent you gaining the weight back? Thank you, Sheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2001 Report Share Posted June 9, 2001 Thank you very much, now I understand, and I'm now for sure veering toward the switch Sheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2001 Report Share Posted June 9, 2001 Hi Cindy, I see that Dr Elariny does it laproscopically too. I'll have to go out of state anyway since I'm in Michigan and I want it done with the lap if possible. It's such a hard decision...did you like your dr? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2001 Report Share Posted June 9, 2001 Thanks Nan, maybe what I read wasn't from a Dr, it might have been from a patient who didn't understand correctly. I've read so much lately I can't keep it all straight! Good luck to you in your surgery too, Sheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2001 Report Share Posted June 9, 2001 Sheryl- The stomach stretches after 2 years to insure that you can maintain your normalized weight.. the vast majority of the mechanism of action with this surgery is that you get a distal intestinal bypass.. this works forever to prevent weight regain.. the stomach works to help get the excess off sooner. my .02 Liane ps-welcome! > Hello, > I am new to this email group, trying to get as much information as possible > on the surgery. I am trying to decide between the duodenal switch and the > gastric bypass. The switch looks much easier and safer to me because you are > less restrictive on the foods. The bypass appeals to me because I wouldn't be > tempted again to overeat, especially on sweets, or I'd become ill, but that > also scares me. I guess my question is, since one article I read about the > switch said that in 2 years the stomach stretches to a normal size, what is > it about the surgery that will prevent you gaining the weight back? > > Thank you, > Sheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2001 Report Share Posted June 9, 2001 I guess each surgeon must cut the stomach differently...I went to Dr. Elariny in VA and the way he cuts the stomach, it does not strech. It's left in it's original size, kinda like a banana. Welcome to the group Cindy > Hello, > I am new to this email group, trying to get as much information as possible > on the surgery. I am trying to decide between the duodenal switch and the > gastric bypass. The switch looks much easier and safer to me because you are > less restrictive on the foods. The bypass appeals to me because I wouldn't be > tempted again to overeat, especially on sweets, or I'd become ill, but that > also scares me. I guess my question is, since one article I read about the > switch said that in 2 years the stomach stretches to a normal size, what is > it about the surgery that will prevent you gaining the weight back? > > Thank you, > Sheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2001 Report Share Posted June 9, 2001 At 11:56 PM -0400 6/9/01, SKeib13337@... wrote: >Hi Cindy, >I see that Dr Elariny does it laproscopically too. I'll have to go out of >state anyway since I'm in Michigan and I want it done with the lap if >possible. It's such a hard decision...did you like your dr? Dr. Elariny is a superb and caring surgeon. He is doing Lap DS's in about 3-1/2 hours. --Steve -- Steve Goldstein, age 61 Lap BPD/DS on May 2, 2001 Dr. Elariny, INOVA Fairfax Hospital, Virginia Starting (05/02/01) BMI = 51 BMI on 06/09 = 44.7 (-35 lb) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2001 Report Share Posted June 9, 2001 I guess my question is, since one article I read > about the > switch said that in 2 years the stomach stretches to a normal size, > what is > it about the surgery that will prevent you gaining the weight back? Hey Sheryl-- welcome aboard! the stomach never gets to normal size again, as I understand it, but it does stretch enough to get in a small meal. (like maybe a cup or so, not the couple quarts we can get in now) What keeps the weight off is the malabsorbtion caused by having two limbs of intestine that only meet a little ways from the large intestine. full digestion of fats especially does not take place without bile, which doesn't get into the mix until the last 100 or so cm. There is better long term weight maintenance with the bpd/ds than the rny (which is what I think you are referring to as your other choice). The one side effect that you have to monitor is your vitamins and calcium which also get improperly absorbed, so your doc does blood work and you take supplements. Other folks will chime in , I am sure! Nan E, pre-op, BMI71, 5'2 " and 386 lbs.-- Dr. Anthone at USC ________________________________________________________________ GET INTERNET ACCESS FROM JUNO! Juno offers FREE or PREMIUM Internet access for less! Join Juno today! For your FREE software, visit: http://dl.www.juno.com/get/tagj. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2001 Report Share Posted June 9, 2001 Hi Cindy, I have made my appointment with Dr. Elariny for Thursday the 21st. I got my packet in the mail this past Thursday and I'll be filling it out this coming week. I didn't know that about Dr. E.'s prodedure in that it does not stretch. Is this a good thing or a bad thing? I like the DS type of surgery because it will allow me to eventually eat fairly normally...however from what you said the way Dr. E. does it I wouldn't have that...or am I misunderstanding? Thanks! Woodbridge, VA Pre-Consult 6/21/01 346 BMI 45 Re: A question please? I guess each surgeon must cut the stomach differently...I went to Dr. Elariny in VA and the way he cuts the stomach, it does not strech. It's left in it's original size, kinda like a banana. Welcome to the group Cindy > Hello, > I am new to this email group, trying to get as much information as possible > on the surgery. I am trying to decide between the duodenal switch and the > gastric bypass. The switch looks much easier and safer to me because you are > less restrictive on the foods. The bypass appeals to me because I wouldn't be > tempted again to overeat, especially on sweets, or I'd become ill, but that > also scares me. I guess my question is, since one article I read about the > switch said that in 2 years the stomach stretches to a normal size, what is > it about the surgery that will prevent you gaining the weight back? > > Thank you, > Sheryl ---------------------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2001 Report Share Posted June 9, 2001 In a message dated 6/9/01 11:21:17 PM, duodenalswitch writes: << I guess each surgeon must cut the stomach differently...I went to Dr. Elariny in VA and the way he cuts the stomach, it does not strech. It's left in it's original size, kinda like a banana. >> Cindy: The basic shape of the DS sleeve gastrectomy is a banana shape. I don't think surgeons vary that greatly on this. However, a person's pre-op size can have some effect on the post-op size and that may vary slightly. It is true that the stomach stretches and also the intestines (the 5 cm of duodenum and the common channel) become more efficient at absorption at about 2 years out. That's the reason why our weight loss window stops about that time and the weight is maintained mainly by malapsorption. I don't think the stomach ever regains it's pre-op capacity but I do believe it does get somewhat larger over time? all the best, lap ds with gallbladder removal January 25, 2001 four months post-op and still feelin' fab! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2001 Report Share Posted June 10, 2001 And the good thing about the group appointment (and a one on one afterward) is that we may not have to wait as long for an initial appointment. I love it! Sheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2001 Report Share Posted June 10, 2001 Folks, I asked Dr. Elariny about the stomach stretching in our first orientation consult. The answer that he gave me was: (1) surprise at reports that said that the stomach stretched appreciably, and (2) an explanation that the part of the stomach that remains after the procedure is the part with the thickest muscle wall, and, therefore the least likely to stretch. He readily admitted that there could be some stretching, maybe as much as 50%, but that would be 50% of a 4-to-5-ounce volume as opposed the 1-1/2 quart capacity (as I recall the number) of the stomach before the procedure. As for eating normally, yes as to content. No as to quantity. Good luck with your appointment. If Dr. E is on time, consider yourself lucky, and also expect that other potential patients might be there with you for a group orientation before individual exam/consults. --Steve At 12:50 AM -0400 6/10/01, E. Nahodil wrote: >Hi Cindy, > >... I didn't know that about Dr. E.'s prodedure in that it does not >stretch. Is this a good thing or a bad thing? I like the DS type of surgery >because it will allow me to eventually eat fairly normally...however from >what you said the way Dr. E. does it I wouldn't have that...or am I >misunderstanding? > >Thanks! > > > > > Re: A question please? > > >I guess each surgeon must cut the stomach differently...I went to Dr. >Elariny in VA and the way he cuts the stomach, it does not strech. >It's left in it's original size, kinda like a banana. >Welcome to the group >Cindy > > > > > Hello,... one article I read >about the >> switch said that in 2 years the stomach stretches to a normal size, >what is >> it about the surgery that will prevent you gaining the weight back? >> >> Thank you, > > Sheryl -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2001 Report Share Posted June 10, 2001 In a message dated 06/10/2001 10:42:41 AM Central Daylight Time, tcr3384@... writes: << Good luck with your apt with Dr. E .... Like Steve has told you.....from my many questions to Dr Elariny..he told me during the healing process your new stomach will hold 4 to 6 oz....once all healed it can go to 8oz..depends on the person. So to say you can go back to eating normally, you mean as a MO person? >> I am one year post op. My stomach is able to take more than immediately post op. My stomach was made 3 ounces at the time of surgery. Immediately post op (due to swelling) I could only eat a tablespoon or two. Now at one year out, my stomach holds when eating a a fairly quick pace, I banana. Now if I eat slowly it holds more. But I have noticed that if I " down " a banana, I feel a full stomach with just a ting of ouch that it is to capacity. So I would guess this is the size that it is. If I eat slowly over a conversation over say a 30 minute period, I can eat about twice that. Sometimes I feel like I can eat alot, but then I remember. I NEVER eat a " big " meal like before surgery. And when you never eat in quanitiy like that it really adds up (and the malabsorbtion definately takes a big role too). Dawn 4/27/00 Dr. Hess, Bowling Green, OH BPD/DS www.duodenalswitch.com 267 to 165 size 22 to size 10 have made size goal, weight goal may need to be adjusted. no more high blood pressure, sore feet, or dieting! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2001 Report Share Posted June 10, 2001 Good luck with your apt with Dr. E .... Like Steve has told you.....from my many questions to Dr Elariny..he told me during the healing process your new stomach will hold 4 to 6 oz....once all healed it can go to 8oz..depends on the person. So to say you can go back to eating normally, you mean as a MO person? No....as a normal person who eats small amounts..yes. I am only a little over a week post-op and the amount I can eat is different each day. Somedays I can get 6oz, and some days 4oz. You asked is that a good thing or bad? Well, for me, it's a great thing. If it did strech, I'd be back for more surgery..cuz i's strech that thing out once I was healed, no question about it. Also, keep in mind..like Steve said. Dr. Elariny does group apts. So when you go, there maybe as many as 5 people. He'll take you back after the group meeting for one on one. At first I was pissed I was sitting with a group, but since then I have made some great friendships with these people! All going through the same things. Yes, he does Lap or open. A gifted skilled surgeon!!! Good luck, Cindy let me know if you want the link to Dr. E's group.. > > > Hello,... one article I read > >about the > >> switch said that in 2 years the stomach stretches to a normal size, > >what is > >> it about the surgery that will prevent you gaining the weight back? > >> > >> Thank you, > > > Sheryl > > -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2001 Report Share Posted June 10, 2001 I appreciate all of the " heads up " on what to expect in the initial consult and the group nature of it and the waiting etc. I am still excited and can't wait for mine (6/29) with Dr. E. It does help to know what to expect though. in Atlanta Pre op BMI=61 Dr. Elariny > And the good thing about the group appointment (and a one on one afterward) > is that we may not have to wait as long for an initial appointment. I love it! > Sheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2001 Report Share Posted June 11, 2001 Hi Steve, Thanks again for that answer and giving me a better understanding. To eat just a little bit and then feel full for a long time is almost like a dream, hard to imagine. But it must be true! :-) If you get tired of my questions, please let me know...I'm bound to have a lot of them. I don't mean to latch onto your coat tails but you're a " guy " and no offense to the women who have this proceedure I find their input very valuable, but I find myself wanting to touch base with other men who have had this proceedure. Thanks again for all your help. My next question to you is did you have the lap procedure? How was your recovery at two weeks out? If you had an office position and you did not have to do a lot of physical labor, do you think you could have gone back to work? I ask this because today I found out my employer only offers short term disability if you have more than 4 weeks off and even worse you will only get paid after 4 weeks. I think I can swing two weeks off from vacation time and sick time...but not sure if that's within reason. (I'm speaking of a quick recovery with a lap procedure). Am I delusional? I had a fast recovery when I had my gallbladder removed via lap. ....and if this is a Question for Dr. E. (and I will be asking him either way) I won't be upset if you can't answer...and I respect that everyones recovery might be different depending on them. Thanks again, RE: Re: A question please? At 11:58 PM -0400 6/10/01, E. Nahodil wrote: >Thanks Steve! > >Those numbers make a lot of sense. Yes, I meant " Eating like most thin >people do " in terms of what I eat and not how much I eat. I will be >(thankfully) eating considerably less ......I just can't fathom it at this >point. Imagine..getting stuffed after a few bites...does the feeling of >satiety stay for a long time? > , I am only out 5+ weeks, almost 6 weeks. Things are still changing with me, so I cannot give you a really good answer. At first, there was something like a switch in my little stomach; when I took just one bite of food too much, it hurt like Hell for about 1/2-hour. It is not so bad now, and, maybe I have also learned to detect more subtle signals. But, yes, the feeling of satiety lasts for quite a while. When I eat too much, I get the hiccups for about five minutes; others have to barf up the last mouthful; yet others get off scot-free. To be honest, lately I have not had much of a desire to eat anything, and I have been eating to keep healthy, not because of any great desire for the food itself--what a change!!! But I think that it may be because I am still giving intestinal tuba symphonies complete with oil spray (yeah, get ready to see globules of oil floating around in the toilet bowl--nobody said that recovery would be a cakewalk), and eating just means more fuel for the music machine. I am assured by veterans on the DS_PostOpFriends list that it gets better, and, in fact, it is starting to get better. But, I still affix a thin Maxi-pad to the inside of my underpants to absorb the oil spray (which is yukky orange) and protect my under and outer pants (it works, too). YMMV. Would I do it again, if I had it to do over? You bet your sweet bippy I would! Good luck, Steve -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2001 Report Share Posted June 11, 2001 At 7:45 PM -0400 6/11/01, E. Nahodil wrote: >Hi Steve, > >Thanks again for that answer and giving me a better understanding. To eat >just a little bit and then feel full for a long time is almost like a dream, >hard to imagine. But it must be true! :-) it's true. > >If you get tired of my questions, please let me know...I'm bound to have a OK, but I go on vacation for a week on Friday and may not be logging on very much during the week. >lot of them. I don't mean to latch onto your coat tails but you're a " guy " Awwwright! >and no offense to the women who have this proceedure I find their input very >valuable, but I find myself wanting to touch base with other men who have >had this proceedure. Thanks again for all your help. > >My next question to you is did you have the lap procedure? yes. 3-1/2 hours start-to-finish. >How was your recovery at two weeks out? OK for the major surgery it was, but not at all ready for prime time. >If you had an office position i do. >and you did not >have to do a lot of physical labor, do you think you could have gone back to >work? No way. My bowels are JUST BEGINNING to cooperate. I am 61. Maybe younger folk are ready to go back earlier, but if you have the full DS (stomach plus intestinal), I just cannot see going back in less than four weeks. I will take six weeks plus a week of vacation. As I type here, my colon is twitching and gurgling like a kicking fetus. >I ask this because today I found out my employer only offers short >term disability if you have more than 4 weeks off and even worse you will >only get paid after 4 weeks. I don't understand what you wrote. >I think I can swing two weeks off from >vacation time and sick time...but not sure if that's within reason. (I'm >speaking of a quick recovery with a lap procedure). Am I delusional? Everybody is different. Luckily, I had 21 weeks of accumulated sick leave. So, six weeks was no bog deal for me. >I had a fast recovery when I had my gallbladder removed via lap. Yes, but this is VERY different. > >...and if this is a Question for Dr. E. (and I will be asking him either >way) I won't be upset if you can't answer...and I respect that everyones >recovery might be different depending on them. It is totally unpredictable, . It is possible that if everything goes just right, you could return to work (and doze on the job) after two weeks. There was certainly no way that I could have done that, and I had no real complications. > >Thanks again, You bet, Steve -- Quote Link to comment Share on other sites More sharing options...
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