Glastic bypass

[xKimmiex]

Can someone help me? Ive been thinking about having the glastic bypass/band. i did cambridge as you can see from my sig but i have put nearly all the weight back on :cry::break_diet:. Could someone please give me some proper infomation on these two things, and what is the major diffrence between them? And also, could toy get them on nhs? x

 

[serenitylove]

i had the band done its a band that goes round the tummy to make a pouch and it stops you eating as much it also limits the type of foods you can eat, weightloss is much slower than with the bypass and it can take a while to get it filled as it done gradually but the op not as serious as they bypass and your home next day, bypass surgically makes your tummy smaller and it goes straight your your intestine when you eat so not so many calories absorbed it a much more serious op you will most of weight in first year it is very succsefull but is perminant where band can be emptyed or removed, it depends on what type of eater you are as to what best for you , having on nhs would depend on the criteria for your area but usually goes on bmi and any co morbiditys

 

[charliegirl]

I had the bypass, I had to fight to get it as I was not that overweight but did have medical problems which the bypass and weight loss can resolve. The bypass is more permanet, not only is your stomach made smaller but they also bypass some of your intestines so only 30% of calories and nutrients are absorbed by the body. It depends on your eating habits as to which surgery suits you best...good luck in what ever you decide. xx

 

[phatgirl]

Hi & welcome to the wls side of minimins!

Here are some threads that will help you get some ideas about the wls options:

http://www.minimins.com/surgical-weight-loss/65173-gastric-bypass-vs-gastric-band.html

http://www.minimins.com/surgical-weight-loss/50216-band-vs-bypass-what-made-you-decide.html

Here is a link about NHS funding for wls:

http://www.minimins.com/surgical-weight-loss/66792-nhs-funding-surgery-where-start.html

Here are some links to personal stories of people who had the band & the bypass:

http://www.minimins.com/surgical-we...nder-2-fills-70lbs-off-2009-looking-good.html


http://www.minimins.com/surgical-weight-loss/48032-my-bypass-diary-16th-july-macclesfield.html

Check these links out and let us know if you have any questions.

Nic

 

[tesmaralda]

hi and welcome to this section of minis pg has given you some great threads to read thriugh have a look and if you still got any questions feel free to ask away.

 

[j.u.s.t.l.i.z.]

i have a band it was nhs funded, it depends where you live on if they will fund the op for you.

 

[Silversurfer]

Hi Kim

Some good advice so far, i've added this, sorry its long but does answer most of the questions your likely to have quickly without going searching.




Common gastric bypass questions

The following are some of the most commonly asked questions in relation to gastric bypass.

HOW MUCH WEIGHT CAN I EXPECT TO LOSE

On average we expect gastric bypass patients to lose 60-70% of their excess weight. Obviously some people will do better and some not as well as this.

CAN A GASTRIC BYPASS ALWAYS BE DONE WITH KEY HOLE SURGERY

No. In some cases of extreme obesity it may actually be less risky to perform surgery through as a standard “open” procedure. However, in most cases gastric bypass can be done as a laparoscopic (keyhole) intervention.

wILL I LOSE MORE WEIGHT WITH A BYPASS THAN WITH A GASTRIC BAND

Not necessarily. Although initial weight loss with the gastric bypass tends to be greater, some recent studies show that after 3-5 years, there is actually very little difference between the excess weight lost following gastric banding and gastric bypass. A major factor is the level of post-operative support available to the patient undergoing gastric banding. Some surgeons prefer to perform gastric bypass simply because they are unable to provide the level of behavioural and lifestyle support which is essential in the follow-up of gastric band patients. Hence the selection of one procedure rather than another is to a large extent a function of patient choice and surgeon preference, rather than any hard evidence that one procedure is more effective than another. Because there is no reliable way of predicting which patient will succeed with which procedure, in the end it comes down to the preference of the patient and the surgeon. Nevertheless, given that patient safety is the first consideration it must always be borne in mind that laparoscopic banding is a very much less risky surgical option than gastric bypass.

iS GASTRIC BYPASS AN EFFECTIVE PROCEDURE

Yes. Gastric bypass remains one of the most effective surgical treatments for obesity, with an excess weight loss of 60-70% in the best centres.

wHAT DOES MY BMI NEED TO BE TO BE CONSIDERED FOR A BYPASS

We will normally consider patients with a BMI of 30 kg/m2 or more for laparoscopic gastric banding.

However, given that the risks for gastric bypass are considerably higher than for gastric banding, we usually require that the bypass candidate should have a BMI of 40 kg/m2 or more. Nevertheless, each case is different and has to be considered taking into account the pattern of weight gain, the presence of co-morbidities such as diabetes, hypertension etc.

WILL I ONLY BE ABLE TO EAT TINY AMOUNT OF FOOD FOR THE REST OF MY LIFE

At the beginning you will likely only eat approximately two to four tablespoons of food. You will gradually advance your diet and by around eight weeks you should be eating "regular" food. Your capacity will increase over the first six to nine months of surgery. The stomach pouch and small intestine learn how to work together over a period of months. Many patients notice a dramatic increase in the amount of food they can handle comfortably. This is normal in most cases. This is the time when the good habits developed in the first few months will support further weight loss.

DO I HAVE TO TAKE VITIMINS FOR EVER

Yes.Because gastric bypass limits absorption of calories, it can also limit the absorption of essential vitamins and minerals. This is why daily vitamin and mineral supplementation is essentialto your long-term health following gastric bypass.

WHAT ABOUT BLOOD TESTS

To ensure that you are maintaining the necessary levels of essential vitamins and minerals, you will need to have regular blood tests for the rest of your life. In the Healthier Weight package, your first blood checks will be carried out at 6 months and then 12 months. Depending on the results, the doctor will then be able to advise you on future testing frequency.

WHAT IS DUMPING SYNDROME

Dumping syndrome is a group of signs and symptoms that develops most often in people who have had surgery to remove all or part of their stomach, or in whom much of their stomach has been surgically bypassed to help lose weight. It may occur early or late.


Early dumping - (rapid gastric emptying) typically starts during a meal or within 15-30 minutes following a meal. It is caused by foods which are high in sugar passing too quickly from the stomach pouch into the small intestine. Because the food is very concentrated (dense) it attracts a correspondingly large amount of fluid into the gut causing it to become stretched and painful. Symptoms include:

• Nausea
• Vomiting
• Abdominal pain, cramps
• Diarrhea
• Dizziness, light headedness
• Bloating, belching
• Fatigue
• Heart palpitations, rapid heart rate

Late dumping (rapid gastric emptying) typically occurs 1-3 hours after eating. Late dumping is caused by marked fluctuations in blood glucose levels among patients whose digestive anatomy has been altered by surgery, like gastric bypass. When sugar is eaten it is quickly absorbed into the bloodstream triggering a rapid rise in blood sugar levels. The pancreas responds by secreting an equally large amount of insulin to soak up the excess blood sugar. However, sometimes the pancreas produces too much insulin, resulting in a low blood sugar level (hypoglycaemia). Symptoms of late dumping include:

• Sweating
• Weakness, fatigue
• Dizziness, light-headedness
• Shakiness
• Feelings of anxiety, nervousness
• Heart palpitations, rapid heart rate
• Fainting
• Mental confusion

There are specific nutritional and behavioural strategies that can help to mitigate the effects of dumping syndrome.

WILL I LOSE MY HAIR/HOW DO I KEEP IT FROM FALLING OUT

While not all patients lose some hair after the bypass, many do. The reason has to do with weight loss and not surgery. Anyone who experiences a rapid, sustained weight loss will frequently also experience some temporary hair loss as well. This usually occurs between the fourth and the eighth month after surgery. You can help by maintaining a high protein diet, keeping well hydrated and taking your daily vitamin and mineral prescription (especially zinc). You may also find kelp (a seaweed extract available from health food shops) helpful. Almost all patients will experience natural hair re-growth after the initial period of loss.

CAN I GET PREGNANT AFTER WEIGHT LOSE SURGERY

When a woman of child-bearing age undergoes gastric bypass surgery, one of the first things she will hear from the nay-sayers is that after surgery she cannot have a healthy pregnancy because of presumed nutritional deficiencies. The contrary is true. Morbid obesity results in a high rate of complicated pregnancies and a high rate of miscarriage. Women who become pregnant after achieving weight loss with gastric bypass generally have lower risk pregnancies than morbidly obese women.

So if you are a woman of child-bearing age and in otherwise good health, you should be able to have a baby after this surgery - but not right away. If you were to become pregnant in the first 12 months following this surgery, it could harm your health and that of a developing fetus. It is strongly recommended that women wait at least one year after the surgery before a pregnancy. Approximately one year post-operatively, your body will be fairly stable (from a weight and nutrition standpoint) and you should be able to carry a normally nourished fetus. You should consult your weight-loss specialist as you plan for pregnancy.

Women who need to take contraceptive precautions are all women who have not yet gone through menopause, as well as women who have completed menopause within the last two years. This applies even if you have not had regular periods, or if you believe that you are not capable of becoming pregnant.
Unfortunately, it is best to avoid birth control pills during the month before surgery, and for at least two months after surgery because they increase the risk of blood clots. Please be sure to talk with your family doctor or gynaecologist about a birth control method that will be best for you.

CAN I STILL TAKE MY MEDICATION AFTER SURGERY

Food passing out of your new stomach pouch must squeeze through a new small opening before it gets into the normal digestive tract. This hole, or stoma, will dictate what size medications can pass through to your digestive system. Pills or capsules that are small enough will pass through the stoma without a problem. But to be safe, you may want to crush all your medications or find liquid substitutes for them. Not all pills can be crushed (e.g., time release) and some taste too awful to be tolerated in a crushed form. Speak to your doctor about which of your medications can be taken in liquid form and which can be crushed.

ARE THERE ANY MEDICATIONS I MUST AVOID

Some medications are not to be used because they may cause ulcers or inflammation in your stomach pouch. You should permanently avoid using any type of non-steroidal anti-inflammatory drugs also known as “NSAIDs”, which include pain relievers such as aspirin, Brufen, Diclofenac, Sulindac, Celecoxib, Diflunisal, Naproxen, Piroxicam etc. If you are unsure, ask the Healthier Weight Centre for advice.

HOW LONG DOES IT TAKE TO RECOVER FROM A GASTRIC BYPASS

It takes 4-6 weeks to recover from the immediate physical effects of gastric bypass surgery, though there is considerable individual variation. However, it is by no means uncommon for patients to report fatigue, feeling tearful and generally “down” for several months afterwards. This is a common feature of any major surgical procedure and is not specifically a reflection of the gastric bypass patient.

WHAT ARE THE RISKS ?



As with any form of surgery, there are potential operative complications and risks which include the following:

• Haemorrhage (bleeding)
• Complications due to anesthesia and medications
• Deep vein thrombosis (blood clot in the legs)
• Pulmonary embolus (blood clot in the lungs)
• Dehiscence (separation of areas that are stitched or stapled together)
• Infections
• Leaks from staple lines
• Marginal ulcers
• Pulmonary problems
• Stenosis (narrowing of a loop of bowel or opening)
• Death

Fortunately, most of these are very uncommon. In fact according to the American Society for Bariatric Surgery 2004 Consensus Statement 1, the operative morbidity (complications) associated with gastric banding in the hands of an experienced surgeon is less than 5% and the risk of dying during the procedure (operative mortality) is approximately 0.1% (1:1000)1. For gastric bypass in the hands of a skilled surgeon the operative morbidity is around 5% and mortality around 0.5% (1:200).

Clearly these risks cannot be ignored. However, they have to be set against the health risks associated with obesity – heart disease, hypertension, diabetes, cancer etc. Evidence suggests that an obese 20-year-old man may have his life expectancy cut by as many as 13 years compared with normal-weight people2. For an obese 20-year-old woman, the reduction is 8 years. Even at 40 years of age, obese males and females lose approximately 7 years of life expectancy3.

Hence if you have a serious weight problem, the risks of a surgical intervention may be very much smaller than the risk of doing nothing.

 

[Brunetteandred]

Darn it, SS, the fascist system just will not let me repute you!

 

[Silversurfer]

Darn it, SS, the fascist system just will not let me repute you!

No worries - you can give me a thorough reputing later on red:8855:

 

[tesmaralda]

It let me give you one now whose the lucky one you ss or me?

 

[tesmaralda]

omg this is so turning into a repeat of the referal thread I really need to rea what i am posting first sorry.

 

[weight loss hopeful]

some very good advice. I had the band, because i didnt want the longer surgery and make up altering of the bypass. Each to their own decision tho. All the best whatever you decide x