Weight loss and liver reduction prior to surgery

You wasn't confusing at all. You clearly said to have a few packets on hand when you get home. The other poster is reading into something than reading what is actually there.

It isn't a wasted effort to find ones that you like, as post op tastes may or may not change, and to varying degrees. The risk of a taste change is enough to make stocking up a potential waste, so moderation in that area, as in many things, is the key. Having some variety on hand is also useful so one can better target the first post op purchase.

My suggestion is find another surgeon. Someone who is skilled finds no difference in the two procedures. If they can do a VSG around your liver, they can do an RNY.

If they want to.

VSGs are quicker, they can do more, and make more money. Lots of surgeons try to talk people out of RNY for just that reason. Many have you sign a surgical release saying they can switch you from RNY to VSG while you are under, so you have no recourse after.

As far as shrinking your liver, zero carb and low calorie will work best. Any carbs make your liver retain glycogen, keeping it from shrinking.

I agree, this sounds hinky. I would at least put it in writing that I wanted the RNY and that the VSG was only to be done if the RNY was impossible.

OP, the liquid diet should be enough to shrink your liver.

I appreciate your input. I i'm now kind of confused. The surgeon is highly regarded and has performed rny's and vsg's for years. I worked with him for five years when I was employed at that hospital and have high regard for him.

My iPad is acting up so I'm sorry if this response is cut in half. I will discuss with the surgeon more about wanting the versus the VSG. Thanks again.

I think you should get the surgery that you want. He should explain to you why he doesn't want to do the rny. I know some surgeons may not want to do it cuz the vsg is quicker, but it could be that he doesn't think you might not be well enough to do a longer surgery. I'm not sure how long it takes to do the rny vs the vsg.

All in all he should explain why he thinks the vsg is best, but the decision on what you get should be up to you. It's your body.

I had a very strict liquid diet before surgery.

Thank you everyone for the information and responses! The surgeon is planning on doing the RNY but if the liver is too large at the time of surgery when he gets in there he will do a gastric sleeve. I am planning to see the bariatric dietician The search and is planning on doing the RNY but if the liver is too large at the time of surgery when he gets in there he will do a gastric sleeve. I am planning To see the bariatric dietician in the near future so that'll probably explain a lot of what I need to do. For now I'm doing a very low-carb diet and focusing on protein. Again thank you.

This is confusing. Your liver should be reduced for either surgery. Also, does not your surgeon have a nutritionist on staff? Have you gotten a second consult? I don't get why this doctor is being so cagey about getting you the surgery that you want.