Why pick a standard boogie size without speaking to the sleevers

Chrislove
on 5/30/12 7:48 am

I was informed that my doctor will use a 36 boogie and that they use this standard size on everyone.

rhearob
on 5/30/12 7:58 am - TN

If you are choosing a surgeon, why not trust her to pick the right size bougie?

Besides, as has been stated before, the bougie size is really only interesting trivia. The final size of your stomach depends mostly on your own anatomy and the surgeons technique (How close does she staple to the bougie, does she oversew the staple line, etc). The bougie is a guidereally, nothing more.

_____________________________________________________________________
160 lbs lost. Surgeons Goal Reached in 33 weeks. My Goal in 37 Weeks.

VSG: 11/2/2011; LBL+Thigh Lift+BL: 10/3/2012; Brach+Mastopexy: 7/22/2013

Chrislove
on 5/30/12 8:30 am

What you are saying about bougie size makes sense. However, I was informed they use that size on every person despite stomach size. I am just thinking why? Different size stomach different size stomach.

rhearob
on 5/30/12 10:57 am - TN

VSG on 11/02/11

The Bougie just provides a guid to staple by. The size of the stomach you have lefy and the amount of restriction depends on hoe long your stomach was to begin with and how they do the staple line. The Bougie is mostly irrelevant.

_____________________________________________________________________
160 lbs lost. Surgeons Goal Reached in 33 weeks. My Goal in 37 Weeks.

VSG: 11/2/2011; LBL+Thigh Lift+BL: 10/3/2012; Brach+Mastopexy: 7/22/2013

moonglo82
on 5/30/12 11:27 am

VSG on 03/29/12

Most vsg patients probably have a pretty large part of stomach being removed, honestly... and the size of the portion of the stomach that is left is determined by how tightly the surgeon follows the bougie, what methods they use to reinforce the staples, and how long the patient's stomach is.

If your surgeon has decided that a certain size bougie works best for their practice, then what they are saying is that a particular size bougie is the guide that works best for them in helping them to leave patients with the size sleeve they think works best... it really has nothing to do with what size stomach you start with. I hope that makes sense.

Highest weight: 277 Starting Weight: 250 Surgery Weight: 241 Current Weight: 130

Goal Reached in 10.5 months :)

louisamay
on 5/30/12 8:41 am

VSG on 04/27/12

I read somewhere on this message board that it's not smart to ask the surgeon to use a different sized bougie than they prefer, because you're taking them out of their routine and you're better off using what they do all the time.

My surgeon uses a 36, for what it's worth.

[I'm not gaining weight. I keep lowering my goal!] [I LOVE MY SLEEVE!]

happiegirl
on 5/30/12 8:53 am, edited 5/30/12 9:03 am - Albuquerque, NM

VSG on 04/24/12

I think I agree with this. I think you should trust your surgeon on this. I have a 34f, and I really didn't want to know, but I read the Surgeons report! uhhh. I think if I thought mine was bigger maybe I'd think I wouldn't do as good or could eat more. It just would mess too much with my head. I wish I didn't know....lol had to edit...spell check!

HW: 351 Pre-op: 272 Current: 140.7 Goal:160 M1:14 M2:14 M3:11 M4:10 M5:10 M6:12 M7:8 M8:6 M9: 6 M10:7 M11: 6 M12: 4 M13: 5 M14:7 M15: 4 M16: 3 M17: 1 M18: 4

"Glory lies in the attempt to reach one's goal and not in reaching it." - Gandhi

louisamay
on 5/30/12 9:01 am

VSG on 04/27/12

The resources I'm looking at (from postings here on OH) are saying the size of the bougie really doesn't make a difference when it comes to longterm weight loss. I know for myself, I go by my protein and calories, and whether I could hold more or not doesn't change that.

[I'm not gaining weight. I keep lowering my goal!] [I LOVE MY SLEEVE!]

Boppie2012
on 5/30/12 9:44 am - Dunedin, FL

I asked and my doctor told me that he uses a 40f on his surgeries. All surgeons are different but I would not ask him to change his method.

PoohHag
on 5/30/12 10:09 am - TN

VSG on 06/11/12

I wouldn't dream of telling my surgeon how to do his job. I'm sure his years of experience and medical training out weigh any internet research I might have done.

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Why pick a standard boogie size without speaking to the sleevers

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Why pick a standard boogie size without speaking to the sleevers