if you could aks the leading bariatric professionals ANYTHING...?

catje1977
on 10/22/11 3:19 pm - Raamsdonksveer, Netherlands

LOL well I got a carbonation answer yesterday from a top surgeon whom I trust (even though he is not my surgeon)

he said no Carbonation the first few months because tissue is healing. After that you can have it, if you can tolerate it (and a lot of people do not) He explained that the pouch is made from such a muscly part of the stomach, that there is almost no way of stretching it, especially not with fluids or carbonation!

So there are some reasons not to have it (like the same reasons for other people: cola is quite an acid thing with lots of not so good for you ingredients in it, can cause ulcer etc etc) but not especially so for WLS patients, so if you want it, and can tolerate it, have it. (my own surgeon agress on this point so now I got confrimation) He is much more stronly about sugar = the devil.

I tried a diet coke on my way home from this interview but whuile I do tolerate, it does not sit very nicely with me so I am back to crystal clear :-) The sugar speech and what damage it can do gave me a real scare though!

KathyA999
on 10/22/11 3:59 am

VSG on 08/09/10

Similar to Bette's questions:

Is anyone working on creating standards within the bariatric surgery world:
-Standardized surgical procedures for all surgeries
-Standardized pre-op diet and pre-op tests
-Standardized post-op diet - especially a standard that NUTs can follow. Typical NUT advice follows what normies should do, which doesn't work for us.
-Standardized post-op labwork / supplementation

We see so many variations on OH as to what people are allowed to eat and when, I believe we won't be able to really trust post-op stats until there's a standard for post-op diet and follow-up care for each of the surgery types. That's why Cirangle's study will be valuable, when it comes out, because he's researching only among his own patients, who HAVE had a standard of care, so that his particular standard can be evaluated objectively.

Height 5' 7" High Wt 268 / Consult Wt 246 / Surgery Wt 241 / Goal Wt 150 / Happy place 135-137 / Current Wt 143
Tracker starts at consult weight

In maintenance since December 2011.

poet_kelly
on 10/22/11 5:23 am - OH

RNY on 11/04/08

Some things sort of have been standardized only some surgeons and nutritionists just refuse to follow the standards. For instance, the American Society for Metabolic and Bariatric Surgery has issued very specific post op supplementation guidelines. These guidelines include things like "avoid children's vitamins that are incomplete" and "calcium CITRATE, not carbonate" and yet, there are plenty of docs still telling patients to take Flintstones and Tums. The information is readily available, easy to understand and follow, and yet many docs and nuts simply refuse to provide patients with the information. For some reason they are very attached to Fred and Barney and want their patients to take Flintstones vitamins even though they are not adequate.

I'd like to know WHY they are so attached to Fred and Barney, though. Do you think any of the bariatric professionals you interview could explain that to me?

Kelly

Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.

Elizabeth N.
on 10/22/11 4:38 am, edited 1/1/12 10:27 pm - Burlington County, NJ

DS on 12/04/06

.

Imissthe80s
on 10/22/11 5:36 am - Louisville, KY

DS on 02/27/12

I'm curious, has there been much research on how long the band and its components hold up inside the body? How many years will this foreign silicone device last before deteriorating?

poet_kelly
on 10/22/11 7:21 am - OH

RNY on 11/04/08

There has been some and I can't remember where I read it right now. I think the company that makes the lap band says it is designed to last for ten years. However - ooh, I found one source - one study found that at nine years post op, only slightly over half of all patients still had their original band. the rest had to have the band removed for various reasons. Some got a new band, some revised to RNy, some just had no band or other surgery anymore. www.drsharma.ca/obesity-durability-of-bariatric-surgery.html

Honestly, I wonder why surgeons are still doing the band and why insurance companies pay for it when it does not work correctly so much of the time. I know it does work for some people, but statistically it's just not real effective.

Kelly

Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.

Imissthe80s
on 10/22/11 12:00 pm - Louisville, KY

DS on 02/27/12

Even if it worked perfectly, who would want to have a revision to get a new band every ten years when the thing falls apart?

poet_kelly
on 10/22/11 12:05 pm - OH

RNY on 11/04/08

I wouldn't. I was not yet 40 when I had WLS. If I was lucky enough to prolong my life by losing weight, I would not look forward to having to have my band replaced three or four times before I died.

Kelly

Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.