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Post by Deleted on Feb 7, 2014 19:53:25 GMT -5
My surgeon says he plans a 60cc gastric re-sleeve and a 100cm common channel. I had heard 15-60cc of sleeve, so mine will be the largest. I think he is reducing the pressure of the system to avoid increasing reflux. Does that seem about right?
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Post by PrettyGirlBounce on Feb 7, 2014 20:25:31 GMT -5
My surgeon says he plans a 60cc gastric re-sleeve and a 100cm common channel. I had heard 15-60cc of sleeve, so mine will be the largest. I think he is reducing the pressure of the system to avoid increasing reflux. Does that seem about right? We have a member on here named NYUboi who just had his revision to DS done about 3 months ago. He had serious reflux issues and his chosen surgeon did in fact end up giving him a larger sleeve for that specific reason. He just posted about his experience yesterday in great detail. Perhaps that is a good thread for you to follow or read since you are facing similar circumstances. It could be a great reference point. I will post a link for you to that thread in a second. Hope it helps.
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Post by PrettyGirlBounce on Feb 7, 2014 20:26:19 GMT -5
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Post by nursemelanie on Feb 7, 2014 21:09:29 GMT -5
Have you tried taking Dexilant? I had reflux before my 2010 sleeve and even more after. Dexilant is the only thing that has worked.
VSG 3-2010 but working towards a DS ASAP/Dr Boyce consult 2-14-14/Age 41/5'8"/HW 287/CW 279
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Post by Deleted on Feb 7, 2014 22:48:11 GMT -5
As they say, "Dexilant is Excellent!" I also take Zantac...Surgeon told me only 5% of his DSers experience serious reflux issues. He is going to reinforce hiatal fix done in 2010.
I wonder if others with a larger stomach, like 60cc, have had slower loss, or hunger sooner?
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Post by Deleted on Feb 7, 2014 22:49:43 GMT -5
Thanks, Lisa. yes I have been following... :-)
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Post by Deleted on Feb 7, 2014 23:09:03 GMT -5
Have you tried taking Dexilant? I had reflux before my 2010 sleeve and even more after. Dexilant is the only thing that has worked. VSG 3-2010 but working towards a DS ASAP/Dr Boyce consult 2-14-14/Age 41/5'8"/HW 287/CW 279 Some PPI's work for some, for others that PPI won't work. My son was on Dexilant after chemo and ended up having a Nissen Fundoplication because while on the Dexilant he was refluxing 70 plus times a day. That Nissen wrap came lose after 9 months and his diaphragm tore. The repair was a 6 hour surgery and as a result he had a massive lung contusion and a chest drain inserted for a week. I have Barrett's esophagus and am currently on Omeprazole 40mg 2/day. It is working well for me now, but early on after surgery the reflux was very hard on me. FYI I have been told that Dexilant is not any stronger than Prilosec, Protonix or Nexium...they all just work slightly differently on each of us....some don't work at all. In any case my DS and sleeve gastrectomy was done using a 56 fr bougie which yields about 4-5 oz stomach depending on how tight the surgeon stitches. I do think a larger sleeve is 100% the correct way to go for somebody with GERD because small sleeves to me create issues (like potential reflux) and make it very hard to get in liquids and protein early on. I also don't believe sleeve size has much to do with weight loss either and I am a firm believer that the weight loss comes predominantly from the malabsorbtion. Many disagree with me on this, but I have seen know studies showing that smaller sleeves lead to more weight loss. Just my two cents.
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Post by Deleted on Feb 7, 2014 23:12:46 GMT -5
As they say, "Dexilant is Excellent!" I also take Zantac...Surgeon told me only 5% of his DSers experience serious reflux issues. He is going to reinforce hiatal fix done in 2010. I wonder if others with a larger stomach, like 60cc, have had slower loss, or hunger sooner?There is no evidence I have seen to show that sleeve size has any bearing on weight loss with the DS. I don't understand the 2nd part of your statement. Hunger is not a bad thing and you will learn from this board that you need to feed your DS. Protein is required to keep your metabolism humming, so I am not certain that either concern is valid (it is valid to wonder about the possible impact but I have just not seen any data to prove that a larger sleeve causes less weight loss).
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Post by Deleted on Feb 8, 2014 0:34:12 GMT -5
BTW, I just looked up the 60 CC equivalent in oz. That is only a 2 oz stomach and is a very small sleeve.
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Post by nursemelanie on Feb 8, 2014 15:23:54 GMT -5
[quote author="@illinids" My son was on Dexilant after chemo and ended up having a Nissen Fundoplication because while on the Dexilant he was refluxing 70 plus times a day. That Nissen wrap came lose after 9 months and his diaphragm tore. The repair was a 6 hour surgery and as a result he had a massive lung contusion and a chest drain inserted for a week.
I have Barrett's esophagus and am currently on Omeprazole 40mg 2/day. It is working well for me now, but early on after surgery the reflux was very hard on me. FYI I have been told that Dexilant is not any stronger than Prilosec, Protonix or Nexium...they all just work slightly differently on each of us....some don't work at all.
In any case my DS and sleeve gastrectomy was done using a 56 fr bougie which yields about 4-5 oz stomach depending on how tight the surgeon stitches. I do think a larger sleeve is 100% the correct way to go for somebody with GERD because small sleeves to me create issues (like potential reflux) and make it very hard to get in liquids and protein early on. I also don't believe sleeve size has much to do with weight loss either and I am a firm believer that the weight loss comes predominantly from the malabsorbtion. Many disagree with me on this, but I have seen know studies showing that smaller sleeves lead to more weight loss.
Just my two cents.[/quote]
Wow, very scary stuff with your child. Bless you both. Dexilant stopped me from having reflux in my sleep...which on several occasions woke me gaging and coughing and possibly aspirating some.
After having been through VSG already, I think a 4-5 oz sleeve sounds like just the right size. I'm super excited about my consult this Friday and discussing options that will be right for me.
Just wondering, what size are your CC and A limb?
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Post by nursemelanie on Feb 8, 2014 15:27:33 GMT -5
[quote author="@illinids" My son was on Dexilant after chemo and ended up having a Nissen Fundoplication because while on the Dexilant he was refluxing 70 plus times a day. That Nissen wrap came lose after 9 months and his diaphragm tore. The repair was a 6 hour surgery and as a result he had a massive lung contusion and a chest drain inserted for a week.
I have Barrett's esophagus and am currently on Omeprazole 40mg 2/day. It is working well for me now, but early on after surgery the reflux was very hard on me. FYI I have been told that Dexilant is not any stronger than Prilosec, Protonix or Nexium...they all just work slightly differently on each of us....some don't work at all.
In any case my DS and sleeve gastrectomy was done using a 56 fr bougie which yields about 4-5 oz stomach depending on how tight the surgeon stitches. I do think a larger sleeve is 100% the correct way to go for somebody with GERD because small sleeves to me create issues (like potential reflux) and make it very hard to get in liquids and protein early on. I also don't believe sleeve size has much to do with weight loss either and I am a firm believer that the weight loss comes predominantly from the malabsorbtion. Many disagree with me on this, but I have seen know studies showing that smaller sleeves lead to more weight loss.
Just my two cents.[/quote]
Wow, very scary stuff with your child. Bless you both. Dexilant stopped me from having reflux in my sleep...which on several occasions woke me gaging and coughing and possibly aspirating some.
After having been through VSG already, I think a 4-5 oz sleeve sounds like just the right size. I am interested in what size mine is now and I'm super excited about my consult this Friday and discussing options that will be right for me.
Just wondering, what size are your CC and A limb?
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Post by nursemelanie on Feb 8, 2014 15:29:52 GMT -5
Crazy thing posted twice. Sorry.
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Post by Deleted on Feb 8, 2014 17:40:49 GMT -5
[quote author="@illinids" My son was on Dexilant after chemo and ended up having a Nissen Fundoplication because while on the Dexilant he was refluxing 70 plus times a day. That Nissen wrap came lose after 9 months and his diaphragm tore. The repair was a 6 hour surgery and as a result he had a massive lung contusion and a chest drain inserted for a week. I have Barrett's esophagus and am currently on Omeprazole 40mg 2/day. It is working well for me now, but early on after surgery the reflux was very hard on me. FYI I have been told that Dexilant is not any stronger than Prilosec, Protonix or Nexium...they all just work slightly differently on each of us....some don't work at all. In any case my DS and sleeve gastrectomy was done using a 56 fr bougie which yields about 4-5 oz stomach depending on how tight the surgeon stitches. I do think a larger sleeve is 100% the correct way to go for somebody with GERD because small sleeves to me create issues (like potential reflux) and make it very hard to get in liquids and protein early on. I also don't believe sleeve size has much to do with weight loss either and I am a firm believer that the weight loss comes predominantly from the malabsorbtion. Many disagree with me on this, but I have seen know studies showing that smaller sleeves lead to more weight loss. Just my two cents. Wow, very scary stuff with your child. Bless you both. Dexilant stopped me from having reflux in my sleep...which on several occasions woke me gaging and coughing and possibly aspirating some. After having been through VSG already, I think a 4-5 oz sleeve sounds like just the right size. I am interested in what size mine is now and I'm super excited about my consult this Friday and discussing options that will be right for me. Just wondering, what size are your CC and A limb?[/quote] Yeah I had the bad night stuff and Cameron's throat was getting irritated and it was keeping him for sleeping, so that is why we opted for surgery. My CC is 100 CM Good luck with your consult and I am sure you will get taken care of well. Thanks for your kind words and thoughts.
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indianamom
Full Member
Posts: 210
Surgery Type: DS
Surgery Date: January 17, 2014
Surgeon: Dr. Vivek Prachand (Univ. of Chicago)
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Post by indianamom on Feb 9, 2014 7:07:04 GMT -5
As they say, "Dexilant is Excellent!" I also take Zantac...Surgeon told me only 5% of his DSers experience serious reflux issues. He is going to reinforce hiatal fix done in 2010. I wonder if others with a larger stomach, like 60cc, have had slower loss, or hunger sooner?There is no evidence I have seen to show that sleeve size has any bearing on weight loss with the DS. I don't understand the 2nd part of your statement. Hunger is not a bad thing and you will learn from this board that you need to feed your DS. Protein is required to keep your metabolism humming, so I am not certain that either concern is valid (it is valid to wonder about the possible impact but I have just not seen any data to prove that a larger sleeve causes less weight loss). I could be mistaken, but I believe that Dr. Prachand wrote or co-authored an article that talks about the larger sleeve size for the DS. I have a 60 french bougie sleeve. (100 channel) He does between a 50-60 French bougie on DS patients. Different doctors may do it differently, but having a "larger" sleeve is not an issue as far as my doctor is concerned. Also, look at the difference in size between a 32 and 56. The difference between a pen and a highlighter... Or something lije that. My highlighter- sized stomach is having a hard time getting 1/4 cup soft food in.... I don't want less. For me, I need the stomach I have to get in my food, water and vitamins. Please understand, everyone may be different... This is just what my situation is. If your doctor did something different I'm not saying they are bad or wrong... everyone is unique.
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Post by Deleted on Feb 9, 2014 8:19:59 GMT -5
There is no evidence I have seen to show that sleeve size has any bearing on weight loss with the DS. I don't understand the 2nd part of your statement. Hunger is not a bad thing and you will learn from this board that you need to feed your DS. Protein is required to keep your metabolism humming, so I am not certain that either concern is valid (it is valid to wonder about the possible impact but I have just not seen any data to prove that a larger sleeve causes less weight loss). I could be mistaken, but I believe that Dr. Prachand wrote or co-authored an article that talks about the larger sleeve size for the DS. I have a 60 french bougie sleeve. (100 channel) He does between a 50-60 French bougie on DS patients. Different doctors may do it differently, but having a "larger" sleeve is not an issue as far as my doctor is concerned. Also, look at the difference in size between a 32 and 56. The difference between a pen and a highlighter... Or something lije that. My highlighter- sized stomach is having a hard time getting 1/4 cup soft food in.... I don't want less. For me, I need the stomach I have to get in my food, water and vitamins. Please understand, everyone may be different... This is just what my situation is. If your doctor did something different I'm not saying they are bad or wrong... everyone is unique. I have seen some anectodal articles, I think either Roslin or kesheshasin put one out, and they agree with what you believe Prachand said (smaller bougies do not lead to more weight loss than larger....which tells me all should be the 56-60 range). There just hasn't been any full scale studies with control groups. I am of the same belief as you in that even the "big sleeve" hurts like hell in the beginning and provides TONS OF RESTRICTION for great weight loss (no different than a smaller sleeve). So my thesis is why should you cause patients extra discomfort when there is no documented benefit? and here is a picture that shows bougie size equivalents
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Post by Deleted on Feb 9, 2014 8:45:17 GMT -5
Interesting study I just found on Sleeve size relative to the Bougie.
This quote function does a terrible job bringing in charts....sorry.
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