Doctor insights on:
How Much Overweight For Gastric Sleeve
Need your opinions pls. I'm 100 pounds over weight. Obgyn suggested gastric sleeve. Have pcos (VERY hard to loose weight) down 7lbs-3wks on my own??
Bariatric surgeon: When weight loss surgery is discussed, a weight loss surgery center should be consulted as well as the health plan. Weight loss is a coordinated effort that involves dietary counseling, attempt to intentionally loose weight, and then bariatric surgery, plus follow up to help with maintaining the life style changes that are required to prevent gaining weight again. ...Read more
What are the effects of a gastric sleeve 5, 10, 20 years post-op? Will the sleeve still be intact, working order? How much can/will it stretch? Regain?
Sleeve gastrectomy: No one knows for certain what the outcomes of vertical sleeve gastrectomy will be at more than 5 years. We know that patients having similar gastrectomies tolerate it well. It may stretch some over time but it does not stretch a great deal. Its success depends on your dietary compliance. ...Read more
Depends on you: Sleeve gastrectomy is a physiologic restrictive operation. The average weight loss is about 70% of the excess weight. However, it depends on the patient and his/her initial weight before surgery. Nothing say that you cant lose all your excess weight if you follow the instruction of the diet and exercise. I have several patients who lost more than 100 lbs. In the first 6 month after the surgery. ...Read more
Sleeve surgery: Is safe and effective. It works through several hormonal pathways and not just restriction (e.g. Ghrelin, glp-1, pyy, etc). These honors take hunger away. Lifestyle changes are required for all bariatric surgeries. When all goes away, patients lose 60-75 lbs, for every 100 lbs they are over weight. ...Read more
Gastric sleeve surg: Gastric sleeve surgery is successful in helping patients loose weight. Depending on your diet, exercise regime, most patients lose about 60-70% of their excess weight. (Bariatric Surgery, A Systemic Review and Meta Analysis, 2004). What type of diet are you on currently? Let us know your risk factors to give you a more precise answer. ...Read more
It does not: Gastric sleeve is surgical weight loss procedure in which a major portion of the stomach is removed along the lesser curve of the stomach. This leave a banana shaped stomach. Unlike gastric banding where a band is applied along the top of the stomach, the gastric sleeve is not associated with slippage. I hope my answer is well descriptive. ...Read more
Sleeve gastrectomy: The sleeve gastrectomy is very effective and has a high success rate. Patients typically lose about 60-65% of their excess body weight by a year to year and a half. That means if you are 100lbs overweight, you would lose 60-65 lbs. If you are 200 lbs overweight, you would lose 120-130 lbs. This doesn't mean you lose the weight automatically. You have to eat the right foods and exercise as well. ...Read more
Common result: This result should have been discussed with you prior to the surgery, as food intolerances are not uncommon after this type of surgery. Speak with the surgeon and a dietician well versed in post-bariatric surgery diets to find out what type of foods are best and worst for you, and how to best lose your weight without being miserable every time you eat. You can finds foods that you can tolerate. ...Read more
Ask your surgeon...: ... who should be the "best" one to give you the answer to this Q since s/he knows more about why & how your gastric sleeve was done than anyone sporadically online. But, generally, may apply common sense and listen to what your stomach & body may tell you so to adjust what you can adopt and adapt to new post-surgical "setup" of gastrointestinal tract. ...Read more
Can be: This is one of several recognized bariatric procedures for weight loss. You will want to discuss with your surgeon his or her experience with this procedure vs others, such as gastric bypass, lap-band, etc. You should ask how many of these surgeries they have done and their success and complications rates. For the right patient, gastric sleeve can be a good option. ...Read more
If denied insurance coverage for gastric sleeve procedure because no co morbidities, what are the options? Qnexa?
I have recently begun using therapeutic grade essential oils in capsules. Can someone that has had a gastric sleeve take them in a capsule as well?
Yes: You can take capsules if you are over 3 months out if your sleeve and had no problems until now. ...Read more
What is the quickest most effective way to loose weight. I had the gastric sleeve back in 2010 but I have about 50 to 60 lbs to loose I lost about 100 but need to loose more?
Resistance Exercise: Weight loss is the balance between calories in and your metabolism. Typically after bariatric surgery the calorie intake is restricted, so the next step is to increase metabolism. Remember, metabolism = lean muscle. To increase metabolism, increase lean muscle. Resistance exercise (weights, etc) are the best was of accomplishing this! ...Read more
2 points: Check with:
Your surgeon about how much you will likely lose.
2ndly you meant how much would you lose (not how much did I lose)? ...Read more
What do you suggest if I am 230 pounds and I am scheduled for my gastric sleeve surgery, how much weight would I lose?
It depends on you...: Studies site b/w a 60-80% excess body weight loss with the sleeve (so if you are 100 pounds overweight, you could expect a 60-80 lb weight loss). However, surgery is no magic bullet. The best results are seen in patients who are motivated, follow the diet guidelines and exercise regularly. Attending support groups and making sure to follow up with your surgeon are also keys to success. Good luck! ...Read more
At this point: Most surgeons including myself recommend waiting about 4 weeks prior to exercising after major surgery. Keep in mind every one is different so you really should just call your surgeon to confirm if it is okay to start exercising. Incidentally you are 1 month postop so you should be following up with your bariatric surgeon anyway. ...Read more
Banana stomach: Basically we take your stomach from the size of a football and cut in down to the size of a banana. And throw the excess stomach away. The sleeve has an expected weight loss of about 60-70% of your excess weight at about 12-18 months. ...Read more
We can not answer it for you without knowing your bmi, your other co existing conditions like high bp, diabetes and others and your family history
you should get educated about the procedure, talk to the surgeon and ask all the questions about what kind of results you will achieve and what the side effects are and do your own research about the procedure and the surgeon. ...Read more
Band to sleeve: It is acceptable to have a revision from a band to sleeve gastrectomy or gastric bypass in a single stage operation. I routinely perform this. However, it really depends on how difficult the band removal is and how much scar tissue is present. There are times where I will choose to only remove the band and do the sleeve or bypass at a later date. ...Read more
I've had a gastric sleeve done about a year and 4 months ago I've put the weight back on. What do I do?
Please see the doc:
Please see your bariatric surgeon to discuss if you need further revision.
Please read the material from the link below.
http://www. Ncbi. Nlm. Nih. Gov/pubmed/24170068. ...Read more
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