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Post by jmckel1 on Dec 24, 2011 17:15:30 GMT -5
Hi,
Just wondering if anyone knows the typical size of the sleeve Dr. Gagner gives his patients?
I am three days post-op, having undergone lap-band to VSG revision surgery (performed laparoscopically) by Dr. Gagner.
I went in hoping for a revision to the full DS, but Dr. Gagner said that under the circumstances (thick abdominal wall which hindered the inflation of my abdominal cavity and two tunnels he had to repair resulting from two previous lap-band surgeries), he didn't feel it was safe to go further than the VSG. He said there's a good chance I will lose my excess weight with the VSG, but if I want to get the DS portion down the road, I will be able to.
In my stupor, I didn't ask the size of my sleeve, though he said it would hold 50-60 ml. On the sleeve size scale, where does that fall? Is it of typical size, larger, smaller?
Thanks, and happy holidays,
Julie
BMI: 37
Pre-op weight 256
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Post by wanttolose on Dec 24, 2011 18:19:43 GMT -5
I will have surgery by Dr Gagner in late April also. Was scheduled for January but found out I have an ulcer that I need to heal first. When I met him he said he uses anywhere from 34f and up depending on what he sees inside. He said that most of the time it is 36f or 38f. Apparently less nausea and better quality of life. Post if you found out what you got. Also, how was the whole experience? Is he as good as everyone says? I hope so!! And I get the feeling he is. Hope you have a good recovery.
Julia
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Post by karenflorida on Dec 26, 2011 21:40:16 GMT -5
My operative report states that he used a 36f bougie as a guide but stapled loosely adjacent to it to create approximately 60f bougie for the stomach size. Hope that helps. 60f is on the big side I think, compared to what many surgeons use, but i trust his judgment.
With the bigger sleeve I had zero postop nausea or vomiting, no problems drinking water postop, and now can eat a "small meal." (about half of what I could eat before). This is at 6 months...initially I could eat much less. I have been losing weight very well postop...we shall see how I do in the long term.
I hope you do well with the weight loss with your VSG!
Karen
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Post by patxyz on Jan 2, 2012 23:12:44 GMT -5
My operative report states that he used a 36f bougie as a guide but stapled loosely adjacent to it to create approximately 60f bougie for the stomach size. Hope that helps. 60f is on the big side I think, compared to what many surgeons use, but i trust his judgment. With the bigger sleeve I had zero postop nausea or vomiting, no problems drinking water postop, and now can eat a "small meal." (about half of what I could eat before). This is at 6 months...initially I could eat much less. I have been losing weight very well postop...we shall see how I do in the long term. I hope you do well with the weight loss with your VSG! Karen I believe Dr. Gagner uses a larger sleeve for DS patients and a smaller one for VSG only, so yours is likely bigger than the OPs. |
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Post by karenflorida on Jan 3, 2012 18:05:20 GMT -5
My operative report states that he used a 36f bougie as a guide but stapled loosely adjacent to it to create approximately 60f bougie for the stomach size. Hope that helps. 60f is on the big side I think, compared to what many surgeons use, but i trust his judgment. With the bigger sleeve I had zero postop nausea or vomiting, no problems drinking water postop, and now can eat a "small meal." (about half of what I could eat before). This is at 6 months...initially I could eat much less. I have been losing weight very well postop...we shall see how I do in the long term. I hope you do well with the weight loss with your VSG! Karen I believe Dr. Gagner uses a larger sleeve for DS patients and a smaller one for VSG only, so yours is likely bigger than the OPs. |
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Post by karenflorida on Jan 3, 2012 18:08:46 GMT -5
Good point. You're probably right.
Karen
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Post by Carolyn H. on Jan 5, 2012 19:24:16 GMT -5
I think it would be a challenge for someone with a typical or successful stand-alone sleeve (i.e., 32F-36F) to sustain a DS. By typical, I mean one that has the restriction seen by the successful vets at 2-3 years out. I'm almost a year out, and I can barely eat a 2 1/4oz of protein at a time, and maybe 4oz of cottage cheese. With malabsorption, Ii'd be in the 400-500 calorie a day range.
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Post by bigolbear on Jan 31, 2012 14:22:20 GMT -5
My operative report states that he used a 36f bougie as a guide but stapled loosely adjacent to it to create approximately 60f bougie for the stomach size. Hope that helps. 60f is on the big side I think, compared to what many surgeons use, but i trust his judgment. With the bigger sleeve I had zero postop nausea or vomiting, no problems drinking water postop, and now can eat a "small meal." (about half of what I could eat before). This is at 6 months...initially I could eat much less. I have been losing weight very well postop...we shall see how I do in the long term. I hope you do well with the weight loss with your VSG! Karen Because of the Lap-band complications I had I requested that the Dr go a little loose on my bougie size. He used a 36f and left a little room at the line. I'm like you in that I can eat a small meal now but not nearly as much as I used to. No complications as far as nausea or acid. I'm happy with what I have. |
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Post by califsleevin on Feb 1, 2012 10:11:19 GMT -5
In my stupor, I didn't ask the size of my sleeve, though he said it would hold 50-60 ml. On the sleeve size scale, where does that fall? Is it of typical size, larger, smaller? I'm not sure where that fits on the scale of things (though my impression is that it's on the small side) or how to directly compare to bougie size since, as others have noted it depends on how loose or tightly things are sewn around the bougie (or if one is used at all.) My Dr. Rabkin sleeve was quoted as being about 2.5 oz (or about 72ml) at surgery time, while my wife's DS sleeve was about 4 oz. |
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Post by Brandilynn on Feb 1, 2012 12:21:56 GMT -5
I think it would be a challenge for someone with a typical or successful stand-alone sleeve (i.e., 32F-36F) to sustain a DS. By typical, I mean one that has the restriction seen by the successful vets at 2-3 years out. I'm almost a year out, and I can barely eat a 2 1/4oz of protein at a time, and maybe 4oz of cottage cheese. With malabsorption, Ii'd be in the 400-500 calorie a day range. Just as an aside, I can eat over 3000 cals a day and do sometimes just to maintain my weight, with my activity level. I manipulate calories using higher calorically dense meats and adding oils and consuming nut butters smashed wtih chocolate powder and rolled in Havarti cheese. :} I can consume that many calories without manipulating the volume of my feedings, just the dense caloric quality! Just to say its definitely possible. Of course, 400ish of my calories a day are protein drinks alone (my labs plummet without the drinks boo) but still. ETA - Good luck and heal up well, Jmckel1! |
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