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WLSurgery Adjustable Gastric Band, Intragastric Balloon Systems, Mini-Gastric By-Pass. For Many, the choice to undergo surgery is a last hope. Is surgery really the best solution for you?



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Old 16th January, 2012   #1 (permalink)
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Funding: NHS
Surgery Type: Gastric Sleeve
Surgery Date: 3rd Febuary 2012
Gender: Female
Long term effects of wls!!

Hi all,

Me again!! Just wondering if anybody knows of any long term effects of having wls?? As in is it known to give u any complications later in life? Obversely there's the good effects. Being skinny but any negatives?? Xx
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Old 16th January, 2012   #2 (permalink)
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Consultant: Mr Schroeder
Funding: NHS
Surgery Type: Gastric Bypass
Surgery Date: 5th Feb 2011
Gender: Female
Start Date: forever
Start Weight: 347lb
Current Weight: 180lb
Goal Weight: 168lb
Goal Date: june 2012


Statistics:
Total Weight Loss: 167lb
Weight to Lose: 12lb
% Lost: 48.13%
Lots of loose skin but hey ho it's worth it. As long as you keep up with all your vitamins etc there shouldn't be any effects.
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Old 16th January, 2012   #3 (permalink)
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Funding: NHS
Surgery Type: Gastric Sleeve
Surgery Date: 3rd Febuary 2012
Gender: Female
Quote:
Originally Posted by happy days
Lots of loose skin but hey ho it's worth it. As long as you keep up with all your vitamins etc there shouldn't be any effects.
Yeah I can deal with loose skin, just wondering if there are any long term health issues. This is more for my other half as he is worried that there must be health risks around these ops and he's worried as there new ops there's no long tern statistics xx
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Old 16th January, 2012   #4 (permalink)
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Funding: NHS
Surgery Type: Gastric Bypass
Surgery Date: 16th July 2008
Height: 5' 11"
Gender: Female
Start Date: 1st July 2008
Start Weight: 289lb
Current Weight: 154lb
Goal Weight: 172lb
Goal Date: 27th April 2009


BMI Information:
Start BMI: 40.3
Current BMI: 21.5
Goal BMI: 24


Statistics:
Total Weight Loss: 135lb
Weight to Lose: -18lb
% Lost: 46.71%
%EWL: 122.2%
Different strokes for different folks. Malnutrition and deficiencies are the most common, but also the easiest avoided. I have 2 long term side effects; chronic malabsorption and reactive hypoglycaemia. Both are fairly uncommon though, and it's luck of the draw as to whether you end of with a complication.

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Old 16th January, 2012   #5 (permalink)
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Consultant: mr kerrigan
Funding: NHS
Surgery Type: Bypass
Surgery Date: 21.2.2011!
Height: 5' 5"
Gender: Female
Start Date: 09.2.2011
Start Weight: 267lb
Current Weight: 197lb
Goal Weight: 170lb
Goal Date: Christmas 2011


BMI Information:
Start BMI: 44.4
Current BMI: 32.8
Goal BMI: 28.3


Statistics:
Total Weight Loss: 70lb
Weight to Lose: 27lb
% Lost: 26.22%
%EWL: 59.6%
Do as you are told by your team,keep taking supplements and eat well.Exersize and generally look after yourself.
Depression can kick in post op so if you are prone or already depressed stay on your meds.I have,but on a lower dose and I have been great.Twelve months on Feb 21st,6.5st down and size 14.From 19.5st,size 26!
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Old 16th January, 2012   #6 (permalink)
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Funding: NHS
Surgery Type: Gastric Sleeve
Surgery Date: 3rd Febuary 2012
Gender: Female
Quote:
Originally Posted by shelbell
Different strokes for different folks. Malnutrition and deficiencies are the most common, but also the easiest avoided. I have 2 long term side effects; chronic malabsorption and reactive hypoglycaemia. Both are fairly uncommon though, and it's luck of the draw as to whether you end of with a complication.

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That's interesting. I'm sorry u have side effects!! do certain side effects come with the different ops? I'm having the sleeve. Are ur side effects easily controlled ? And if u cud turn back time wud u still have had the surgery? Xxx
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Old 16th January, 2012   #7 (permalink)
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Funding: NHS
Surgery Type: Gastric Sleeve
Surgery Date: 3rd Febuary 2012
Gender: Female
Quote:
Originally Posted by Big an Bouncy
Do as you are told by your team,keep taking supplements and eat well.Exersize and generally look after yourself.
Depression can kick in post op so if you are prone or already depressed stay on your meds.I have,but on a lower dose and I have been great.Twelve months on Feb 21st,6.5st down and size 14.From 19.5st,size 26!
I do suffer with depression so will be monitoring that closely, I'm expecting to feel low after surgery and expecting massive regrets but I know it will only be short term. Well done on ur weight loss that's great!! Xxx
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Old 16th January, 2012   #8 (permalink)
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Consultant: Mr koak, Homerton, London
Funding: NHS
Surgery Type: bypass RNY
Surgery Date: 4/12/09
Height: 5' 5"
Gender: Female
Start Date: 30.7.09
Start Weight: 237lb
Current Weight: 140lb
Goal Weight: 147lb
Goal Date: 11/10/2010


BMI Information:
Start BMI: 39.4
Current BMI: 23.3
Goal BMI: 24.5


Statistics:
Total Weight Loss: 97lb
Weight to Lose: -7lb
% Lost: 40.93%
%EWL: 111%
Hypoglycaemia which is easily remedied as long as i keep an eye on it and act as soon as i feel it coming on
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My Weight and Health Chart:

Start weight 17 stone

Stones
Into the 16s - done
Into the 15s - done
Into the 14s - done
Into the 13s - done
Into the 12s - done
Into the 11s - done
Into the 10s - done
size 24 - done
size 22 - done
size 20 - done
size 18 - done
size 16 - done
size 14 - done
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Measurements

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Bust - 50
Waist - 40 inches
Hips - 55

Now
Bust - 35
Waist - 29 inches
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Cholestrol - 6.2

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Old 16th January, 2012   #9 (permalink)
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Funding: NHS
Surgery Type: Gastric Bypass
Surgery Date: 16th July 2008
Height: 5' 11"
Gender: Female
Start Date: 1st July 2008
Start Weight: 289lb
Current Weight: 154lb
Goal Weight: 172lb
Goal Date: 27th April 2009


BMI Information:
Start BMI: 40.3
Current BMI: 21.5
Goal BMI: 24


Statistics:
Total Weight Loss: 135lb
Weight to Lose: -18lb
% Lost: 46.71%
%EWL: 122.2%
Quote:
Originally Posted by HoPe*87*

That's interesting. I'm sorry u have side effects!! do certain side effects come with the different ops? I'm having the sleeve. Are ur side effects easily controlled ? And if u cud turn back time wud u still have had the surgery? Xxx
You shouldn't get either of my problems with a sleeve, they are bypass specific. They are managed well now, it took me a long time to learn how to manage the chronic malabsorption though. I'd do it all again tomorrow, even with the complications the benefits make it so worthwhile.

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Old 16th January, 2012   #10 (permalink)
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Consultant: Mr Pratik Sufi, Whittington Hospital
Funding: NHS
Surgery Type: Sleeve
Surgery Date: 17.04.2012
Height: 5' 7"
Gender: Female
Start Date: -
Start Weight: 330lb
Current Weight: 268lb


BMI Information:
Start BMI: 51.7
Current BMI: 42
Goal BMI:


Statistics:
Total Weight Loss: 62lb
% Lost: 18.79%
%EWL: 36.3%
Quote:
Originally Posted by HoPe*87* View Post
That's interesting. I'm sorry u have side effects!! do certain side effects come with the different ops? I'm having the sleeve. Are ur side effects easily controlled ? And if u cud turn back time wud u still have had the surgery? Xxx
Hope,

The side effects that Shelbell is referring to are from a bypass, not a sleeve (Shelbell's info and stats and type of surgery are displayed down the left hand side).

The most likely long term side effects I have been told about from a sleeve are acid reflux (which can be controlled with meds), possible ulcers (but this can also happen with RNY bypass), possibly slightly less likely to reach goal weight (but this is an estimation -- many doctors keep "saying" the RNY leads to greater weight loss, but the most recent stats suggest very similar weight loss outcomes at 2 years from both ops).

The most likely long term side effects from a bypass are: malnutrition / malabsorption (for which over-correction -- eating higher quantities of protein and vitamin supplements is required, as Shelbell does) .... and possibly twisted bowels (because with the RNY the remaining stomach and upper intestinal tract is left floating, slightly lose, now disjoined from the new pouch -- whereas with the sleeve, the excess stomach is removed and the remaining intestinal tract remains as it was, unaltered).

The malnutrition can in a few EXTREME cases be so severe that the patient cannot keep food down and requires hospitalisation. (Unfortunately I have met 2 post RNY bypass patients who have had this level of malnutrition, and even if they are unusual, it is not something I want to go thru myself -- one of them spent 9 months in hospital being tube fed and is still now seriously underweight. I would rather take the risk with the sleeve of ending up a few stones overweight, but "healthy" than seriously malnourished and underweight and fighting to keep food down.)

None of these complications happen to EVERYONE, only a small percentage of patients run into complications for either operation.
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Pre-op weight loss: 43 lbs (330 lbs --> 287 lbs)

Weight from op date onwards:
Op day ....... 17 Apr ....... 20 st 7 lbs ....... (287 lbs) ....... 130 Kgs
Week 1 ....... 24 Apr ....... 20 st 0 lbs ....... -7
Week 2 ....... 1 May ....... 19 st 10 lbs....... -4
Week 3 ....... 8 May ....... 19 st 7 lbs ......... -3
Week 4 ....... 15 May ..... 19 st 4 lbs ......... -3
Week 5 ....... 22 May ..... 19 st 2 lbs ......... -2
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Old 16th January, 2012   #11 (permalink)
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Consultant: Mr Ahmed
Funding: NHS
Surgery Type: Gastric Bypass
Surgery Date: 23rd December 2011
Height: 5' 10"
Gender: Female
Start Date: Some point in the 1990s!
Start Weight: 343lb
Current Weight: 271lb
Goal Weight: 168lb


BMI Information:
Start BMI: 49.2
Current BMI: 38.9
Goal BMI: 24.1


Statistics:
Total Weight Loss: 72lb
Weight to Lose: 103lb
% Lost: 20.99%
%EWL: 42.5%
I was told that as I lose weight the fat in my body cavity will decrease unevenly forming pockets and that my intestines could slip into these pockets and get stuck or twisted, called a peterson's hernia apparently. It's fairly rare though I think.

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Old 16th January, 2012   #12 (permalink)
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Funding: NHS
Surgery Type: Gastric Sleeve
Surgery Date: 3rd Febuary 2012
Gender: Female
Quote:
Originally Posted by Sharonimo

Hope,

The side effects that Shelbell is referring to are from a bypass, not a sleeve (Shelbell's info and stats and type of surgery are displayed down the left hand side).

The most likely long term side effects I have been told about from a sleeve are acid reflux (which can be controlled with meds), possible ulcers (but this can also happen with RNY bypass), possibly slightly less likely to reach goal weight (but this is an estimation -- many doctors keep "saying" the RNY leads to greater weight loss, but the most recent stats suggest very similar weight loss outcomes at 2 years from both ops).

The most likely long term side effects from a bypass are: malnutrition / malabsorption (for which over-correction -- eating higher quantities of protein and vitamin supplements is required, as Shelbell does) .... and possibly twisted bowels (because with the RNY the remaining stomach and upper intestinal tract is left floating, slightly lose, now disjoined from the new pouch -- whereas with the sleeve, the excess stomach is removed and the remaining intestinal tract remains as it was, unaltered).

The malnutrition can in a few EXTREME cases be so severe that the patient cannot keep food down and requires hospitalisation. (Unfortunately I have met 2 post RNY bypass patients who have had this level of malnutrition, and even if they are unusual, it is not something I want to go thru myself -- one of them spent 9 months in hospital being tube fed and is still now seriously underweight. I would rather take the risk with the sleeve of ending up a few stones overweight, but "healthy" than seriously malnourished and underweight and fighting to keep food down.)

None of these complications happen to EVERYONE, only a small percentage of patients run into complications for either operation.
Thanks, I really should read up on things more by the sounds of it the sleeve poses less risks but with the bypass having been around longer I think that's maybe why there is more info about it. I think it's just look of the draw just have to do my best to work with my new body and follow exactly wot my team ask of me xxx
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Old 16th January, 2012   #13 (permalink)
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Consultant: Mr A Patel
Funding: Private
Surgery Type: Gastric Bypass.
Surgery Date: 26th February 2012
Gender: Female
Start Date: the day I was born!
Start Weight: 332lb
Current Weight: 279lb
Goal Weight: 166lb
Goal Date: a year post op


Statistics:
Total Weight Loss: 53lb
Weight to Lose: 113lb
% Lost: 15.96%
For me all those risks mentioned are all better than developing T2D, CVD, arthritis, chronic back ache, breathlessness etc etc...the list for being fat is endless; it's about 'risk v benefit' and for me being healthy and smaller would win every time! Thank you though interesting info on pro's and cons of sleeve and RNY x
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Old 16th January, 2012   #14 (permalink)
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Funding: NHS
Surgery Type: Gastric Sleeve
Surgery Date: 3rd Febuary 2012
Gender: Female
Quote:
Originally Posted by OOnion
For me all those risks mentioned are all better than developing T2D, CVD, arthritis, chronic back ache, breathlessness etc etc...the list for being fat is endless; it's about 'risk v benefit' and for me being healthy and smaller would win every time! Thank you though interesting info on pro's and cons of sleeve and RNY x
I totally agree with u there!! Xxx
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