RNY or VSG

Grim_Traveller
on 3/17/15 11:37 am
RNY on 08/21/12

No one is making up rules. The American Society of Metabolic and Bariatric Surgery says that NSAIDS should not be taken by RNY, VSG, or DS patients. Your information is outdated.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

Amy Farrah Fowler
on 3/17/15 11:54 am

For those who keep saying the information is outdated - LINK TO THE UPDATED INFORMATION!!!!

From what I see at the AMBS, the rules are NOT the same for vsg (and DS) and RNY. 

Please read what the ambs actually says here.

Jackie
Multiplepetmom

on 3/17/15 12:14 pm

I would be interested to see if there is any new info - myself I try to avoid NSAIDs in general - but if I have a headache? nothing works better. 

once upon a time I had a group to talk about Binge Eating Disorder, and later one about Clean Eating.

PM me if you are interested in either of these.

 size 8, life is great
 

Amy Farrah Fowler
on 3/17/15 1:31 pm

When I kept seeing it parroted here that the rules have changed, I thought maybe they did and I just hadn't heard about it, so I looked it up at the AMBS, and no, it still says different things for the surgeries.  The reason no one posts new information is because they are just repeating terrible information they heard here.

I take NSAIDs if my back hurts, but generally avoid them too. What it still says at https://asmbs.org/patients/life-after-bariatric-surgery regarding NSAIDs is;

Q: Which medications should I avoid after weight loss surgery? 
A: Your surgeon or bariatric physician can offer guidance on this topic. One clear class of medications to avoid after Roux-en-Y gastric bypass is the “Non-steroidal anti-inflammatory drugs” (NSAIDs), which can cause ulcers or stomach irritation in anyone but are especially linked to a kind of ulcer called “marginal ulcer” after gastric bypass. Marginal ulcers can bleed or perforate. Usually they are not fatal, but they can cause a lot of months or years of misery, and are a common cause of re-operation, and even (rarely) reversal of gastric bypass.

Some surgeons advise limiting the use of NSAIDs after sleeve gastrectomy and adjustable gastric banding as well. Corticosteroids (such as prednisone) can also cause ulcers and poor healing but may be necessary in some situations. Some long-acting, extended-release, or enteric coated medications may not be absorbed as well after bariatric surgery, so it is important that you work with your surgeon and primary care physician to monitor how well your medications are working. Your doctor may choose an immediate-release medication in some cases if the concern is high enough. Finally, some prescription medications can be associated with weight gain, so you and your doctor can weigh the risk of weight gain versus the benefit of that medication. There may be alternative medications in some cases with less weight gain as a side effect.

This post is giving me a headache. I'm going to take an Advil.

Gwen M.
on 3/17/15 11:11 pm
VSG on 03/13/14

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

Gwen M.
on 3/17/15 11:10 pm
VSG on 03/13/14

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

Mary_J
on 3/17/15 9:30 pm
Sheanie
on 3/17/15 11:01 pm

Nope, Grim, that's NOT what they say. Back it up with a link. YOU are mistaken. Misinformation like yours is why OH has lost many vets.

I.  am.  not.  a.  doctor.

HW 250ish  SW 219  CW 110  LW 100


 

Grim_Traveller
on 3/17/15 11:52 pm
RNY on 08/21/12

Before you start pointing the misinformation finger, stand in front of the mirror.

STOP referring to outdated 2008 guidelines and crappy FAQs. New guidelines for many things, including vitamins and NSAIDS, were published in 2008. They have been posted on OH many, many times. You should read them.

https://asmbs.org/resources/clinical-practice-guidelines-for -the-perioperative-nutritional-metabolic-and-nonsurgical-sup port-of-the-bariatric-surgery-patient

There was a LOT less data on VSG in 2008 when the last guidelines were published. There were far more RNY performed, and more studies done, in 2008. In the years since, they learned a lot.

You can do whatever you like. But STOP posting outdated information.

Asinine posts like YOURS is why OH has lost so many vets.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

Grim_Traveller
on 3/17/15 11:58 pm
RNY on 08/21/12
On March 18, 2015 at 6:01 AM Pacific Time, Sheanie wrote:

Nope, Grim, that's NOT what they say. Back it up with a link. YOU are mistaken. Misinformation like yours is why OH has lost many vets.

...

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

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