how many have had gastric by pass and please explain it all (Full Version)

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winterlight -> how many have had gastric by pass and please explain it all (9/15/2007 9:53:27 AM)

The surgery itself, eating etc. Has it worked for you. I have a friend that has to lose weight fast due to one (only) kidney failing. Do you have to lose weight before the surgery?

thanks for your help!!



YourhandMyAss -> RE: how many have had gastric by pass and please explain it all (9/15/2007 10:21:24 AM)

I wouldn't recommend gastric surgeries, ther'es a lot of nasty complications and secret's dr's don't tell you. Plus your stomach is a lot smaller so you can't eat like you did before or you'd become sick.,



pahunkboy -> RE: how many have had gastric by pass and please explain it all (9/15/2007 10:25:29 AM)

locally one must attend counselling/group to get teh surgery.

it is not a magic pill.  i would not do it for vanity. my best friend did it for his health as he had d iabetes.

my observation- it is in fact multiple surgeries. 2. the revocery time is lenghthy. 3. the deit after wards is very restrictive/

in Jims case he no longer needs diabetes meds- his bloodwork is better then mine. so he was a good candidate. i myself would not be discinplaiend enuff for this surergy.

there is alot they dont tell you!!   as we found out with Jim



proudsub -> RE: how many have had gastric by pass and please explain it all (9/15/2007 4:45:47 PM)

My sister in law and her son both had it.  She is dong well but had to have a lot of plastic surgery for hanging skin because the weight loss was so rapid.  She also gets drunk on one or two drinks now.  Her son didn't have the sagging skin problem probably because he was pretty young but he has had problems with infections.



taintedlove75 -> RE: how many have had gastric by pass and please explain it all (9/15/2007 5:30:13 PM)

I have had the surgery in May of this year and while I would do it over again in a heartbeat, there is alot to consider, reconsider then reconsider again before doing it. I know about 6 people who had it done and who all recommended it so I plunged right in. I did do alot of research but nothing really prepares you when actual people who have had the surgery are not telling you the negatives. Its sort of like childbirth, when its all over and done with you forget the annoying agonizing painful things that got you from point A to point B. Some programs will have you lose weight before the surgery. There is a debate among surgeons that do gastric byypass that those who lose weight first are more committed to the lifestyle changes that have to occur after surgery and therefore have a better recovery. Some doctors say it doesn't make a bit of statistical difference. Personally I first chose a program that required a 10 percent weight loss right at Christmas time, needless to say, with the lifestyle that got me into needing the surgery in the first place, I gained 20 pounds in about 3 months. I am sure I will be flamed with stuff about discpline and such but those who do not have this particular eating disorder can't fully understand that surgery is, for some, the only hope. I later found a program that did not require the weight loss first and got right in. The requirements that have to be met before you are a candidate for surgery are determined by your doctor and your insurance company. For me, I had to undergo a full physical, blood workup, psychological evaluation, ultrasound of my heart and intestines, EKG, ECG, and a chest x-ray. Many of those things are what my insurance required. The doctor will determine if you are healthy enough to undergo surgery.

As for the surgery itself, I had no complications at all except for the fact that I was unaware that I do not tolerate morphine well and that put me in the hospital an extra day. Before surgery you will have to fast and clean yourself out with a emetic(sp?) The day of the surgery you are not allowed any food or fluids except for a sip of water to wash down any mandatory medications you have to take daily. One thing no one really told me was about gas pain. I understood that they fill your abdomin with gas during the surgery so they can do what they need to do but no one mentioned how painful that gas is once you wake. I have never cried and begged and pleaded to pass gas before but I was doing it for the week after my surgery. You feel very weak and it is difficult to move for the first few days. Your stomach will be distended, tender, and bruised around your incisions. You will not want to eat or drink but they will bring you trays filled with jello, juice, water, tea, broth, popsicles. It is really important to keep your fluids up. It is really not painful to drink but you have this full feeling and you wont want to. A few days out it gets easier and easier. About a week after you can have things like creamy soups and such and then from there you follow your doctors nutrition plan as far as when you can graduate from clear to full liquids, then from full liquids to soft foods, then to more solid foods. It took two months of babyfood for me because I just didn't tolerate things well.

After I started experimenting with solid food I discovered the dreaded dumping stage. You will eat something that your body can no longer tolerate and it comes out one of two possible ways. I'll leave that to your imagination but it is not pleasant. I also discovered that my tastes had changed and many foods that I used to love I can no longer eat or tolerate at all like chicken. It just makes me nauseous. It is strange too that you will sometimes feel like they didn't really do anything and that you can eat that bite of food that you know you shouldn't but yuour body reminds you very quickly that it has changed and you will throw up. After surgery your stomach no longer breaks food down into smaller particles like a normal stomach does. That job now belongs to the mouth. Chew and chew and chew until the food is the consistancy of applesauce and it should go down fine. Also, you can no longer drink with meals. Fluids fill up the stomach and there is no room in the new tiny tummy for drinks plus food. If you eat and drink at the same time, you will throw up. Fluids too soon after eating also wash the food out of the stomach before they get the maximum amout of time to absorb nutrients. And speaking of nutrients, you will take vitamin and mineral supplements for the rest of your life. Its called a bypass because it bypasses some of the intestine that absorbs certain nurients and minerals like calcium, vitamin D, B-12. You can no longer get these from food so you need to supplement or your systems will eventually break down and you can suffer nerve damage or die.

I can eat almost anything now except for fiberous raw vegetables, rice, pasta, big chunks of meat and soft breads. Rice expands in your tummy and will make you sick as well as breads, They turn into a soft gummy paste and do not go down. Carbonated beverages turn into foamy phlem that will come right back up. I eat tons of canned chili, canned soups, or I make my own for the less sodium factor. I eat fish and shrimp which is funny cause I couldn't stand fish before the surgery! But now its a great source of soft digestable protein. Basically cook the hell out of whatever you are going to eat and chew the hell out of it and you may be okay. Sugar is an issue for some and they can't eat it at all without dumping, Sugar for me, is fine and I do not dump it. It is all very individualized and everyone will have different reactons to different foods. You may get new allergies or lose old ones.

So far I have lost over 70 pounds and yes I have sagging skin but I didn't have the surgery for my looks. That can be dealt with later or I can just accept it as battle scars. Or hell, I can always just get a moonlighting job at the circus as the worlds first human flying squirrel. So far the skin has not been any worse an issue as when it was filled with fat. That's what industrial strength bras and corsets are for right?

Yes the surgery is extreme but for some it is their only lifeline. You can look at those people as lazy or undisciplined for not being able to diet the weight away or you can look at obesity as a medical issue and be happy for the people who have found a medical way of dealing with that particular health issue. For me, it was, either have the surgery or keep beating my head against the brick wall I have been beating against my whole life.

If you or your friend have any questions please feel free to ask here or on the other side. I am very happy with my surgery and more than willing to share my experience with it. There is no going back after you do it so embrace all the changes and have fun with it!



MasterRobsalayna -> RE: how many have had gastric by pass and please explain it all (9/15/2007 5:48:56 PM)

Had the surgery in September 2000. Will give you alayna's personal experience and knowledge. Immediately after surgery your stomach, or pouch as it is now referred, is able to hold about 1/2 an ounce of liquid.  Gradually that increases until eventually, your stomach can hold about 20 ounces (the "normal" stomach holds about 40 ounces of food/liquid.)  Most lose the majority of their weight in the first year as you literally cannot eat much.  If you eat sugar in the early stages 99 percent of people will get "dumping syndrome."  It is called that because the body, reacting to immediate sugar (the body now absorbs substances differently and sugar and alcohol are absorbed essentially immediately) anyway, the body literally "dumps" a large quantity of insulin to normalize the large uptake in blood sugar.  This causes what is best described as a hyper-intense hypoglycemic attack.  Dizziness, sweating, gray pallor, passing out and/or vomiting occurs.  This is a great deterrant to eating sugar!

Early on eating pasta or bread in any shape or form will cause almost immediate projectile vomiting.  Not pretty nor pleasant.  Overstuffing the pouch or not pre-digesting (chewing chewing chewing) can/will cause regular vomiting.  There is also the possibility of food getting "stuck" in the pouch.  When this happens, usually you are instructed by the doctor to take 1 tablespoon of MSG (Accent, Meat Tenderizer) and dissolve it in 1 cup of very warm water and sip on it till it's gone.  This is to break down whatever food is stuck.  If, after one hour, the pain (and it is VERY painful) repeat the process.  If it is STILL stuck an emergency Endoscopy must be performed to push the food thru the pouch.

Monthly vitamin B-12 shots are required for the remainder of your life.  Doubling up on most vitamins is necessary due to malabsorption (that's the bypass part.)  Twice now alayna has had to have 20 iron infusions and will likely require them about every 3 years for the remainder of alayna's life.  The iron deficiency was so bad that alayna developed PICA (ingesting foreign items such as clay, dirt, etc to get the lacking mineral).  In alayna's case it was incessent (almost 24/7) ice crunching and eating cigarette ashes (CRAVING THEM) and alayna does not smoke!  Have much greater risk of osteoporosis (although the last bone scan showed increased bone where it was thinning due to large intake of calcium, vitamins A and D including prescription vitamins and weight bearing exercise).

Bowels in the beginning are loose/runny and VERY smelly.  This can occur forever but usually not as constant as in the beginning.  Just has endoscopy and colonoscopy and have 3 ulcers in the intestines along with many erosions the doctor is biopsying (sp?).  Medications, OTC and Rx have to be monitored and adjusted as the body absorbs differently now.  At one point had to get antibiotics by injection because an infection wouldn't go away no matter how the doc adjusted the medicine. 

Junk food:  alayna learned how to "eat around the pouch."  Junk food goes right thru the pouch almost immediately.  Once alayna learned how to eat sugar and carbs without dumping or vomiting (still get nauseated if ingested) those things just go right thru and one can eat and eat and eat and eat.  Chips, cookies, nuts, candy bars.  When alayna is "eating right" it still takes a long time to consume a meal as "real food" fills the pouch and takes time to empty.  alayna can eat all the food on the food plan at www.kaysheppard.com, but it takes time.  Generally the order for food ingestion once one is able to eat is:  protein, veg, grain, fruit.  Protein first always.  Hair loss is common around the 3-6 month mark (due to protein loss).  Lactose intolerance becomes an issue for many (hence more bowel issues).

For the two years seeing the surgeon post op, there was not one time that alayna did not hear at least one, usually more, people say:  "i thought it was going to fix me."  Many people go for revisions, some more than once.  Usually after a revision, the food must be pureed to be consumed. 

alayna's personal opinion is that too many are doing it for the quick fix (including alayna).  Pre-op usually takes 3-6 months for inusrance to approve (it may be shorter now).  Usually one must document ALL the things one has done to lose weight.  Must see a psychiatrist (one visit) and do the visit with the "nutritionist."  Most insurance companies require (and the doctor, too) that you try to lose 10 pounds or more prior to surgery. 

If one is over 400 pounds, maybe then it should be considered.  alayna was 325 prior to surgery.  It does help many people and those who follow the rules and do the support group meetings are usually the ones who are most successful.  If alayna had the choice to do it over, alayna would not do it and would not recommend it (except in the most dire of circumstances).



pahunkboy -> RE: how many have had gastric by pass and please explain it all (9/15/2007 6:05:44 PM)

past 2 replies- very informative. i had forgotten Jims meds effect him differently as teh absorption is different. he got in 4 days before the insurance company classified it as vanity surgery. thus saving him 50k- the cost of this surgery.

he can not eat olives.



velvetears -> RE: how many have had gastric by pass and please explain it all (9/15/2007 7:30:10 PM)

It seems to me all the surgery is doing is make it impossible to eat the way you used to but in a rather dangerous and bad way.  Someone goes through the trauma of permanently altering their body so it can no longer tolerate food. You then have to eat food in a very limited way or you get very sick and suffer great pain. You are now dependant on supplements for the rest of your life , thats expensive!  This all makes no sense to me. Why not just do all those things anyway and save yourself the risk, cost, and permanent disability this surgery seems to produce?  i am thankful you shared your story but all it did was convince me this is an insane approach. 



nyrisa -> RE: how many have had gastric by pass and please explain it all (9/15/2007 8:04:45 PM)

I had the surgery about 5 or 6 years ago, and my only regret is that I didn't do it earlier. I had very few problems afterwards. I never had problems with vomiting: I had really bad gastric reflux prior to surgery, so the doctor tightened a fold around the top of my stomach so that acid would not backflow. Now I very very rarely vomit, even if I am sick.

I lost a lot of weight; I gained a little back, but am still pleased with the results. I eat a normal diet, just in smaller amounts. I eat about the amount that a 6 year old would eat. There is nothing really that I can't eat. I just avoid things that would be bad for me, anyway. I can still have a piece of birthday cake, for example, but I scrape off the icing because it just tastes too sweet to me now.

Someone asked, why not just eat the diet, without the surgery? The diet that I eat is what an average person eats. Before, when I ate the amount that an average person would eat, I would gain weight. To eat the amount I eat now, I would have been constantly hungry. For comparison's sake, just order the kiddie meal at a restaurant, for each meal, then eat half of it, and see how you feel at the end of a few days. Or, you can eat larger amounts of lower calorie food, but research has shown that people cannot stay on a very low calorie diet indefinitely. All the weight that is initially lost is regained, because people can't so severely restrict their diet.

After the surgery, I would eat a spoonful of each dish served at dinner, and be totally satisfied. Even though it only totalled a palm-sized amount of food, it was enough. I did not feel hungry, I did not have to force myself to eat carrots and celery while everyone else ate a real meal. And there was no incentive to "cheat" or fall off of a diet, because there WAS no diet. It was just ordinary eating. Food lost it's power. Eating was just a part of life, not a big struggle or trauma or source of guilt. Restricting the amount of food it took to make me feel full brought my intake down to what my body needed to remain at a normal weight.

So, everyone should do some deep, intensive research when considering this surgery. For some, it is not successful, just like not every total hip replacement or heart translpant is successful. But for many, it is a new life.



Daddysgirl19 -> RE: how many have had gastric by pass and please explain it all (9/15/2007 8:10:05 PM)

I had this surgery and YES there are side affects.. BUT in the long run I felt like I was willing to risk having some of them and become healthy. I reccommend you check out obesityhelp.com the people there are great, and they will be honest about everything. Its something to really think about before you do it, research your doctors!!! It is an extreme thing to do and there are lots of hoops you have to jump to be approved.. but in the long run would I do it again? I would.... no doubt about it, it has given me my life back.



taintedlove75 -> RE: how many have had gastric by pass and please explain it all (9/15/2007 8:53:01 PM)

quote:

ORIGINAL: velvetears

It seems to me all the surgery is doing is make it impossible to eat the way you used to but in a rather dangerous and bad way.  Someone goes through the trauma of permanently altering their body so it can no longer tolerate food. You then have to eat food in a very limited way or you get very sick and suffer great pain. You are now dependant on supplements for the rest of your life , thats expensive!  This all makes no sense to me. Why not just do all those things anyway and save yourself the risk, cost, and permanent disability this surgery seems to produce?  i am thankful you shared your story but all it did was convince me this is an insane approach. 


Many surgery's that need to be done to save someones life seem insane and risky. What about a patient who has kidney failure and who must recive a transplant and take anti-rejection drugs for the rest of thier life? What about a diabetes patient who must take insulin shots to stay alive? We don't condemn those people for undertaking the medical treatment they need. That's what this surgery is for and what so many people don't understand. People who are MORBIDLY OBESE are people who will die due to complications from their excess weight just like those who will die from any other disease without medical treatment. This surgery is performed to save the life of someone who CANNOT stop their out of control eating. Yet, society has placed such a stigma on people who are overweigfht that they are lazy or selfish or too stupid to eat properly. There is still such a misunderstanding and disbelief that people who are overweight are that way for medical reasons totally beyond their control or simple will power. Do we ask a cancer patient to use nothing but will power to make themselves better? Its possible, there are documented cases where a cancer patient has taken a totally natural mind over matter approach to cancer and beaten it. But how many people can do that? What percentage of cancer patients will go into remission using that approach? Now obesity is not cancer. I am not making that comparison, what I am saying is that until people realise that obesity is a disease that can and in many cases should be treated medically, there is always going to be people looking down their noses at people who use medical science to overcome their weight problem.

The surgery does make it impossible to eat the way you did before, which for those of us who are morbidly obese, thats a very good thing that we can't eat that way anymore!!!!!! As for saying why don't all us fat people just eat the right way like the surgery forces you to do, it always makes me laugh when people say that. I am not putting down your comment but gee, if it were so simple to do that, there would be no fat people in the world would there? Ever wonder why fat people don't just stop eating they way they eat? Do thin people think that we like to be fat and out of shape and unhealthy? That we really are just lazy?

When a person becomes so overweight to the point that they are morbidly obese, the body takes over. There are enzymes and hormones that start getting produced that keep your body out of whack and once you top that one hundred pounds overweight mark, you are fighting a battle that the majority of people just can't win. Please remember this surgery is not just a quick fix for some overweight person who is too lazy to diet. This surgery should only be used as a last resort when all else has failed and the extra weight is making the persons life in danger. Yes, the surgery is complicated and risky and way too extreme for a healthy person who has packed on a few extra pounds. Surgery is a ludacris option for such people. The surgery is not for normal healthy people. Keep that in mind. Morbid obesity is very similar to a heroin addict. The body demands the food to stay in the hormonal balance it has achieved with the weight. Statistically, only 5% of morbidly obese people who only diet will get the weight off and keep it off. Those are extremely poor odds and if dieting worked like you assume it does, that number would be much higher.

I tried everything to lose weight and diet. I am a very strong willed confident woman yet I failed to lose the weight, failed to stick to the diets. I would eat and cry at the same time not understanding why I couldn't stop myself. I fought and fought for ten years as my waistline and my blood pressure climbed higher and higher. My heart was enlarged, my blood pressure was out of control, my liver was enlarged, I have heart valve regurgitation. My doctor told me if I didn't do something I was looking at a heart attack in the next ten years. I am only 32 years old and I don't want to die that soon. If I did not have the health issues that I have, would I have still had the surgery just to lose the weight? Hell no, way too complicated and risky to do it for vanity only. As for the supplements, that, to me, is a silly argument. There are many many happy healthy people who take vitamins every day just to ensure they are getting all their nutrition. I take three pills in the morning and two at night. I get my vitamins from the local Longs Drug store. Not outrageously expensive, no special ordering or insane rituals to take the vitamins.

And permanent disability? Only if you hurt yourself by not following the doctors instructions or if you have some sort of complication from the surgery which is fairly rare.



velvetears -> RE: how many have had gastric by pass and please explain it all (9/15/2007 9:14:47 PM)

i am glad the surgery was a success for you and that you are happy with the results.  Any surgery is risky and not to be taken lightly and if some feel the need to go to the extreme as to make it impossible to eat food in the quantities they are used to, then that's what they must do i suppose.  i do know a nurse who had the surgery and while she did loose a LOT of weight the surgery did not address the emotional aspect of why she ate so much and she ended up an alcoholic. She told me that even though you cannot eat you still crave eating and that void has to be filled in some way - for her it was turning to alcohol. She would sip beer all day long through a straw till she is ossified.  She's been in and out of rehabs. She was not a drinker before the surgery.  i don't know that all people feel that void but i would worry about the emotional impact this kind of surgery would have on me.  i certainly hope you don't feel i was looking down my nose at anyone facing this dilemma, for that was not my intention at all.  i myself have a substantial amount of weight to loose and have struggled with this issue for a number of years.  i can empathise with others who struggle with overweight issues, i just question a surgery that so drastically alters a persons internal structure and it's irreversible. 



DiurnalVampire -> RE: how many have had gastric by pass and please explain it all (9/15/2007 9:19:30 PM)

My exhusband had the surgery about 2 years ago now.  He has manaed to stretch his stomach back out by eatting inproperly, and he has regained a good part ofthe weight he initially lost on it.
The surgery is a step, not a goal. It is a tool to promote and enforce a change in lifestyle and eatting habits, and to assist you in maintaining yourself.  It does NOT make everything better if you do not treat yourself properly.
He had to go to counceling before, and should have after.  With proper maintenence, it can be a wonderful and life altering assist in weight loss. If you think that ebcasue you have had surgery you no longer have to put the effort into anything, it will not be any more useful to you long term than thermal suits and sauna belts.
DV



velvetears -> RE: how many have had gastric by pass and please explain it all (9/15/2007 9:30:28 PM)

excellent point DV and i think it's criminal if doctors do this surgery without getting some kind of committment from the patients that they will get counseling of some sort after the surgery.  As much as those supplements are essential so is counseling.   my nurse friend told me it's not part and parcel to it.  She is also gaining back the weight as well. She told me you can stretch the stomach back out and regain weight.   Another problem she mentioned is that when you are thirsty you can't drnk liquids fast - she missed being able to do that.... i think that would really bother me as well.  Ever been so thirsty you drink water fast and theres that ahhhhhhhhhhh... quench your thirst feeling.   How would you even know that unless someone you know, who had the surgery, explained it to you?



asimplegirl -> RE: how many have had gastric by pass and please explain it all (9/15/2007 9:33:04 PM)

I had a friend that had this surgery done and it nearly killed him.  His bowels impacted, caused a massive infection that stemmed through his entire body.  Yes, he lost weight and he's doing great now, but he would not recommend it for anyone.
An alternative might be the lapband surgery, often the surgery is done laproscopic and doesn't require the huge incision that bypass does.  It is adjustable and removable, so it's not a "rest of your life" situation. 



allyC -> RE: how many have had gastric by pass and please explain it all (9/15/2007 9:34:45 PM)

quote:

ORIGINAL: winterlight

I have a friend that has to lose weight fast due to one (only) kidney failing. 
 Hello winterlight. I have not had gastric bypass surgery, however, I would like to offer something if I may... There are other ways to lose weight quickly that do not involve surgery and are quite healthy.  Maybe not as fast, but fast nonetheless. In 8 months I lost close to 100 lbs.  I had no surgery, no specially purchased food, no diet drinks, bars, or super-heavy-duty exercise routine. I ate 1200-1500 calories per day, period.  I pushed myself to become more active a little bit at a time.   That is always an option.  Granted it isn't 200 lbs in a year, however, it is possible to lose a significant amount of weight fairly quickly by counting calories and getting more active. Well wishes, -Cav's ally



velvetears -> RE: how many have had gastric by pass and please explain it all (9/15/2007 9:42:38 PM)

Congratulations ally!!  With enough determination and motivation it can be done. Like you said it might not be as quickly but you will loose weight.  Your Master must be very proud of you :-)

Nice to see you btw..... i am one of two who was trapped in the pool when the stairs broke *winks*



allyC -> RE: how many have had gastric by pass and please explain it all (9/15/2007 9:50:33 PM)

quote:

ORIGINAL: velvetears

Congratulations ally!!  With enough determination and motivation it can be done. Like you said it might not be as quickly but you will loose weight.  You're Master must be very proud of you :-)

Nice to see you btw..... i am one of two who was trapped in the pool when the stairs broke *winks*
 Thanks!!!  He is very proud and very supportive, thanks :)   As I just mentioned in another post though, I have hit a major plateau and have gone off my plan for a wee bit to offset and throw off my body's metabolic clock.  *grin*  I have to hit the ground running soon though or I will get used to eating all of the crazy stuff again! Hehehe at the pool thing.  It took me a minute to remember!!!  We have since resurfaced the built-in pool and I use it every day!  The days of the old, blue pool are long gone now.  :) :) Hope all is well with you!! -Cav's ally



BlackKnight -> RE: how many have had gastric by pass and please explain it all (9/15/2007 9:53:11 PM)

the surgery is reckless abominal evil wrong in so many ways. I've know quite a few people who have undergone this torture, and after they get thru the not being able to eat, not eat what they want, pain, vomiting, they loose the weight they wanted to lose. At first. Eventually it comes back. the operation takes care of a symptom temporarily. After your body goes thru the shock for you being gutted like a fish. and adjust to changes to the body, what's to stop you from continuing to abuse it. everyone I know restretched out ther stomachs 'pouches'. We need to eat properly, and exercise! after the operation your supposed to do that, why not start before you get yourself fileted?
I realize that some people may actually need this, but not as many people that get the operation. cure the problem, not hold off the symptom . I have a friend who weight 400lbs, got on nutrisystem and dropped to 220, and he looked good! Then he discovered he lost the weight for the wrong reason, cause he thought he would be 'accepted'. Then he realized he really didn't like people, and stopped eating correctly, and abused food. He used food to push people away from him. (that and the comfort thing). Now he's back to where he started. That's the human mind. I knew a woman who underwent the 'surgury' lost alot of weight, looked damn good! husband and her got sepperated/divorced and she put most of it back on. I find myself praying for Zena every now and then



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