VGS or RNY

NurseBrandy
on 8/26/13 6:26 pm

I am almost finished with my 6 month of diet documentation, and have a tentative surgery date scheduled for Sept 16th. I have been set on RNY up until now. I have arthritis in both knees, and my back. 35 years old, non diabetic but have thyroid issues and a few other medial issues non weight related. My thoughts are I may need NSAIDS later in life. Ive read that neither RNY or VGS patietns should take NSAIDS, but some say that VGS patients may. I need some advise. I want to be successful with this new journey that Im about to take, but want to be 100% sure on which procedure to go with. Any advice would be great!! Thanks :)

mokee
on 8/26/13 7:52 pm - OH
I had the sleeve and my dr says NO NAIDS ever.

VSG  12-28-2012

    

Kympiggie
on 8/26/13 8:51 pm
VSG on 05/28/13

I had the sleeve and my dr also said that I would not be able to take NSAIDs either.

    

    
MuttLover
on 8/26/13 9:50 pm
VSG on 11/14/12

I had the sleeve and I can take NSAIDs.  If I need to take a "course" of NSAIDs, they prescribe a medication to take first that will help protect my stomach, and I take it while I'm taking NSAIDs.  If I just need an occasional NSAID, that's OK without the additional meds.  So, yes, under controlled cir****tances.

Talk with your surgeon to find out exactly what he recommends and what options you have for treatment of your pain in the future, given your medical conditions.  

  

Starting weight: 260; Surgery Weight: 250; Month 1: -15.6; Month 2: -11.8; Month 3: -11.4;  Month 4: -7.4  Month 5: -8.6; Month 6: -3; Month 7 -3.8; Month 8 -7; Month 9: stall; Month 10: -4.4; Month 11: - 2.6; Month 12:-3.4

Nancybefree
on 8/26/13 9:54 pm
VSG on 11/21/12

I was told that, if I needed to take NSAIDs on a regular basis, I would need to be on a PPI regularly as well. 

 

5'8"    HRW 357 on 7/09/12    SW 339   >196 8/26/13 (surgeon's goal)   TWL  193     CW   164 

*:•-:¦:-•:*1st pers. goal 178 on 10/16/13; ultimate goal 164 on 12/13/13*:•-:¦:-•:* 

themexcellentone
on 8/26/13 9:56 pm
VSG on 07/08/13 with
I was told I could have NSAIDs sparingly.

VSG by Nick Nicholson.  I write about VSG life here:  bit.ly/1vr7zBV
   

HW: 438 Consult Wt: 397 SW: 360 CW: 210.8 SGW: 220 (reached 7/18/14) PGW: 170

Chrissy W.
on 8/26/13 10:57 pm - Indianapolis, IN
VSG on 07/01/13

I can take them. That's the #1 reason I chose the VSG. I didn't want to be limited on meds later in life (I'm 27 now). Best of luck :)

VSG 7/1/13 with Dr. Jack Rutledge 28 y/o female - 5'10" - HW: 298GW: 174 - SW: 290 (-8) - M1: 262 (-28) - M2: 247 (-15) - M3: 235 (-12) - M4: 228 (-7 ~First Stall: almost 2 wks~) - M5: 218 (-10) - M6: 209 (-9) - M7: 199 (-10) Onederland on 1/31 - M8: 196 (-3) 100 lb total loss on 2/2 - M9: 192.6 (-3.4) - M10: 188.6 (-4) - M11: 182 (-6.6) - M12: 175.6 (-6.4) - M13: 173.8 (-1.8) CW (7/8/15): 167 - GOAL reached in 1 Year and 25 Days! - TOTAL WL - 131 lbs  

justpete
on 8/26/13 11:04 pm, edited 8/26/13 11:05 pm
VSG on 04/02/13

VSG is the best WLS surgery for someone who HAS to take NSAIDS for other health conditions.  You must also take medication daily to help protect your tiny stomach.  You are encouraged to find alternates to the NSAIDS (or limit them) for your particular ailment and to take them with food and after you have taken your stomach med properly.  since there is no suture line along the bottom of the stomach (RNY DS), or a narrowing of the stomach where erosion can occur (lapband) ... with the proper precautions NSAIDS can be taken 'safely'.  The risk of ulcer approaches that of someone who has not had VSG ... the problem that you have to consider is that IF you have an ulcer with VSG, it will be harder to repair and the difficultly of eating etc while you have the ulcer will be greater.

there are lots of alternative medicines you can take in place of NSAIDS, or special coated/ slow release versions to reduce risk if you have to take them later in life. these are usually more expensive.

 

HW: 407   Final Appointment : 376   Pre-op Diet Start: 367   SW: 350 (Apr2/2013) Add me on MFP

    

        
katym
on 8/26/13 11:16 pm - PA

Hi NurseBrandy,

I just wanted to let you know that I have taken prescription NSAIDS daily for arthritis for the last 15 years except for about 2 weeks right around surgery. This was a major factor in choosing VSG.

My surgeon told me to always take them with something to coat the stomach so I take them with a spoonful of greek yogurt. (I have a fridge full of the smallest tupperware containers I could find!) It has been 20 months since my surgery and I have had no problems with stomach irritation. As a bonus, I have been able to reduce the dose significantly as I have lost weight.

I am not sure why there is so much variation between doctors on this topic, but you are definitely doing the right thing by asking lots of questions. We all have different medical histories and priorities.

all the best, Katy

    

consult weight 241 (had not been accurately weighed for over 10 years, my medical records just said "wheelchair") high weight was probably closer to 260. 

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