"Gold Standard"

The DSers like ot joke that theirs is the 'Platinum Standard', they'd be very offended to hear your bronze designation!  :)

That's just it...how do you rate them.  You cant.  Each person's preference is going to be their gold standard. 

Regardless, OHIP should be paying for all of the options without making people jump through hoops if they dont want RNY.   RNY is right for me but it's not going to be right for everyone.  My gold is someone else's tin.

My surgeon said that so far what he has seen is that the difference in long term weight loss between RNY vs VSG is about 10 to 20 lbs. They don't know enough about why WLS works to really evaluate anything. His exact words on the studies that they have so far is that they suck!

Interesting story that he told me about a guy he did surgery on in the US, the guy lived for pizza and even asked if he could have pizza post-op! They did a MRI on him while he was thinking about eating pizza pre-op and post-op because afterwards he said that he wasn't hungry for pizza at all, didn't care if he ever had it again. So obviously there is a lot going on with neurotransmitters etc that are affected with WLS. His opinion that a medication for obesity is about 30 years away.

Interesting.  That is case in point to the position statement paper that I posted - that even though VSG is restrictive only, there IS an affect metabolically on some level.  It's all rather fascinating to me.   You have the VSG, yes?

 Great post Karen, I am sitting here at TWH waiting  to be seen by the dietitian knowing that I am only 2 more appts. away from hopefully seeing the surgeon.  It's making me think of my approach that I will make with he surgeon.

Tammy

Great for you Tammy!  Good luck!!

Yes I have a VSG. I needed it so that I can take NSAIDS for my migraines.

I'm really glad that you got what you need, Jenn.  Best wishes :)

You have to realize that gastric bypass in one form or another has been around since the 1950s and the Roux en Y has been succeeding since the 60s and laproscopically since the 90s. Anything that is the go to for that long and continues to beat out new things like the lapband is a gold standard.

There isn't enough long term research and knowledge about the results of the VSG for it to be considered on the same level as a roux en y. Most people see it as the surgery of the future though. The main reason that they hold back from preforming it more is that the success rates have not been cataloged over a long enough period. That data is really important.

You are correct - and I'm not suggesting that the VSG is the gold standard either.  My point, and I actually did have one lol, is that one person's gold is another's tin, to quote Simona. Great discussion!