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Post by Carol P. on Dec 17, 2011 23:28:53 GMT -5
My surgeon initially told me he would make my CC 120cm because my BMI is only 41. Well I complained about that on OH, and he or somebody in his office read that and he called me at home (boy was I shocked!) and among other things we discussed this. He now says he still wants to make it 120cm, but if I really want it at 100cm, it is my choice. Of course he tried to talk me out of 100cm, so now I'm second guessing myself. I am more worried about regain after the surgery than losing too much weight, which is why I want it at 100cm.
What would you do?
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Deleted
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Post by Deleted on Dec 17, 2011 23:37:53 GMT -5
It seems less and less likely that CC length is THAT important, especially 100 vs. 120. But I'd personally rather go with 100. Who is your surgeon? He sounds very reasonable.
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Post by Seeking Healthy on Dec 18, 2011 0:15:01 GMT -5
The DS is a VERY powerful tool. What size is he suggesting for your sleeve? Either way, I agree with Diana, the 20 cm probably will not make that much of a difference.
Some doctors use the Hess method, which measures the total length of your intestine and then a percentage is taken from that for the CC. Since everyone is different, a person with a 100 cm CC could have the same effects of a person with a CC of 120 cm if the intestines were different in length respectively.
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Post by lauralisi on Dec 18, 2011 0:41:45 GMT -5
 Hi, FWIW, Had a revision from RNY to DS at BMI of 42.5. Was given a cc of 100cm. Have done very well.
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Post by smokinstella on Dec 18, 2011 0:54:59 GMT -5
The surgeon I am using only does 75cm common channels. He likes them and sees good results from his patients who have it that sort so I am going with it.
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Post by beth28 on Dec 18, 2011 1:08:54 GMT -5
My surgeon gave me a 150cc stomach, and a 100cc common channel. I feel like I can eat almost like I was pre-op. Oh, and my BMI was 41 |
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Post by sherbearmama on Dec 18, 2011 2:26:19 GMT -5
It seems like 100 to 120 common channel is the norm. Mine gave me a 100 and said that he was being conservative. I'd rather have a longer common channel though. I don't want too too much malabsorbtion.
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Post by angelcake on Dec 18, 2011 4:29:35 GMT -5
I've got the opposite. One surgeon I've seen wants to do a 75cm CC, as he says people re-gain otherwise, although he said I'll have constant diarrhea because I was sleeved a year ago and can eat more... WTH!! BTW this surgeon ONLY does 2 stage DSs!! My BMI's 32 and gaining (I have sleep apnea & serious knee problems - trying to avoid knee replacement). I don't want to get back over a BMI of 35 again! FYI the surgeon in question is on DSfacts. Any advice is much welcomed.  |
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rena
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Post by rena on Dec 18, 2011 4:40:06 GMT -5
it is a good question to ask him about... but keep in mind that 20 cm is only 7.87inches. so it really isn't something that should make or break how your overall weightless will be.
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Post by hoosiermama on Dec 18, 2011 5:40:26 GMT -5
When doing my research, I found out that the average female small intestine is about 750 cm's. What that means is you're getting about a seventh of what you had. I don't know that 20 cms is going to make or break anything. I took into consideration that I am 50 and won't repair or start to digest correctly as quickly as them young whipper snappers and asked for the longer channel. Couple 20 years and I'll be geriatric where vitamin malabsorbtion can happen anyway. Seemed smarter to me anyway. I plan to live to 100 |
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Post by Deleted on Dec 18, 2011 7:03:35 GMT -5
Dr. Pomp gave me a 125 cm common channel. I was a lightweight (BMI of 37.5 on the day of surgery) so the longer than standard 100 cm made sense.
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Post by Deleted on Dec 18, 2011 7:58:00 GMT -5
That 20 cm difference is not a biggie. I'd be having a fit if I felt watched or spied on by my surgeon's office, though!!
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Post by clpeltz on Dec 18, 2011 10:23:02 GMT -5
Dr. Buchwald gave me an 85 cm CC because he said I started out skinnier than most, lol! But, he typically does 75 cm on most patients. I am a revision from RNY. When I was revised to DS, my BMI was 41. I am doing quite well! I love my DS!
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Post by lauralisi on Dec 18, 2011 10:38:12 GMT -5
That 20 cm difference is not a biggie. I'd be having a fit if I felt watched or spied on by my surgeon's office, though!! like!!!!!! |
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Post by Deleted on Dec 18, 2011 12:42:29 GMT -5
When doing my research, I found out that the average female small intestine is about 750 cm's. What that means is you're getting about a seventh of what you had. I don't know that 20 cms is going to make or break anything. I took into consideration that I am 50 and won't repair or start to digest correctly as quickly as them young whipper snappers and asked for the longer channel. Couple 20 years and I'll be geriatric where vitamin malabsorbtion can happen anyway. Seemed smarter to me anyway. I plan to live to 100 hoosiermama, the amount of "a seventh of what you had" is not entirely correct. The common channel is only one part of the equation for us. There is also the alimentary limb which comes into play when considering how much small bowel is doing absorbing. It is the common channel where fats are absorbed because fats need digestive juices in order to be absorbed and the digestive juices meet up with our food down in the common channel. However, other nutrients are absorbed all along the alimentary limb. So, you see it's not one seventh but actually much more, depending on how an individual surgeon divides the intestines during surgery. That varies from doctor to doctor, by the way. Hope that helps a bit. |
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Post by patxyz on Dec 18, 2011 14:28:52 GMT -5
My surgeon uses a 40fb and does 75cm or 100cm common channels. As I'm starting with a BMI of about 43 I'm getting a 100cm CC.
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Post by Mary_J on Dec 18, 2011 15:25:26 GMT -5
The surgeon I am using only does 75cm common channels. He likes them and sees good results from his patients who have it that sort so I am going with it. Stella, I think Dr B is changing his 'standard' to 85cm, from what I've been told. But I know he has almost always done the 75cm up until lately. |
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Post by Deleted on Dec 18, 2011 18:56:20 GMT -5
FWIW, Dr. Anthone gave me a 200 cm common channel. I lost 180 lbs in 18 months and I've had no problems keeping it off. I'm almost 3 years out and have not had any significant lab problems, either.
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lo
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DS - Dr. Gilberto Ungson - 06/21/2011
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Post by lo on Dec 18, 2011 19:03:37 GMT -5
FWIW, Dr. Anthone gave me a 200 cm common channel. I lost 180 lbs in 18 months and I've had no problems keeping it off. I'm almost 3 years out and have not had any significant lab problems, either. If you don't mind me asking, how long is your alimentary limb? |
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Post by newyorkbitch on Dec 18, 2011 19:24:30 GMT -5
I have a 75cm cc and I'm very glad I do. I'm almost 12 years out. If I were you, I'd do the 100cm.
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Post by baileymouse on Dec 18, 2011 19:27:28 GMT -5
Mine is 75cm. I still haven't hit goal, so I think that the idea that it's too drastic is pretty funny, but that's just me.
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Post by Carol P. on Dec 18, 2011 19:38:40 GMT -5
Thanks for all your replies. You've given me food for thought, but I guess it's not as big a deal as I thought. I'm still going to ask for 100cm, I think.
EN, I pretty much stopped posting much on OH after getting the phone call from my surgeon. I'm glad we discussed what we did, but I definitely was shocked to get the call in the first place. I don't know if things from this board will get back to him, but I figure I got a little leeway at the beginning.
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Post by dentongirl on Dec 20, 2011 18:53:16 GMT -5
I had the same question. My surgeon is Dr. Stewart. I think I read that he does a standard 100 length common channel.
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Post by Deleted on Dec 20, 2011 19:14:52 GMT -5
Thanks for all your replies. You've given me food for thought, but I guess it's not as big a deal as I thought. I'm still going to ask for 100cm, I think. EN, I pretty much stopped posting much on OH after getting the phone call from my surgeon. I'm glad we discussed what we did, but I definitely was shocked to get the call in the first place. I don't know if things from this board will get back to him, but I figure I got a little leeway at the beginning. I'd fire his ass for that. |
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Post by sherbearmama on Dec 21, 2011 19:31:39 GMT -5
My BMI was 39, I had a 400 length intestines, 240 Biliary, 160 alimentary limb and 100 common channel.
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YeahItsCase
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Post by YeahItsCase on Dec 21, 2011 20:05:27 GMT -5
I had the same question. My surgeon is Dr. Stewart. I think I read that he does a standard 100 length common channel. I think Dr. Stewart actually told me he does 75 or 85 usually for women..I asked for 100 simply because I did not want to have major malabsorption issues (debatable, I know) since I am only 23. |
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Post by BobbiesgirlRee on Dec 24, 2011 19:24:04 GMT -5
FWIW- I have a 50cc and I have to take Miralax everyday to poop at least once a day- I take the min Vitalady vites and I have had no problems (knock on wood). Everybody is different i guess. Oh and i've lost 105 lbs in 12 mos and 50 to go. Slow and steady |
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Hi, FWIW, Had a revision from RNY to DS at BMI of 42.5. Was given a cc of 100cm. Have done very well. 
