3oz sleeve and a 150 common channel...
Sound right? That's my surgeon's plan for me. He wants to be more aggressive because of my higher weight.
Does anyone else have that set up too?
Oh and I was down 9 lbs at my appointment. Not the 10 I was hoping for, but still very good. I'm down 25 lbs from the start of my pre-op diet. Yay! I'm getting to the middle of this. It feels more like the beginning of the end, but September is still a bit away isn't it.
Does anyone else have that set up too?
Oh and I was down 9 lbs at my appointment. Not the 10 I was hoping for, but still very good. I'm down 25 lbs from the start of my pre-op diet. Yay! I'm getting to the middle of this. It feels more like the beginning of the end, but September is still a bit away isn't it.
See, the common channel is what makes or breaks maintenance (along with your compliance). Restriction gets more lax for everyone over time regardless of where you start. I started at 5 oz., but that is NOT a lot different from 3 oz. over time. My common channel is 75 cm, or half of what your surgeon is suggesting. Mine was done in the Hess method, which is about all the limb lengths, not just the common channel. Learn more about that at www.dshess.com .
Thanks for your help. I do know that restriction isn't what carries you through. If that was enough I'd just get a VSG. I'll have to ask him why he doesn't do the Hess method. Also why he referred to the 150 as aggressive if every DS patient of his has a 150. I feel discouraged. I don't want to gain my weight back like my MIL and her RNY either.
Well, as I said, I wonder if he's referring to the stomach size as aggressive. He is known as a very good guy, so please don't think I'm slamming him at all. His interest in postop nutrition is a very fine thing. He's clearly a skilled and thoughtful professional who doesn't just sell time slots in the OR.
There is no guarantee that anyone will lose everything with any size sleeve or particular intestinal limb lengths. I am personally a huge fan of the Hess method. It makes sense to me. I am immediately suspicious of anything that's labeled "standardized" in this context, because bodies are not standard. The variation is HUGE.
You have options. If you decide that a Hess-style configuration is what you want, you can go to surgeon who does it that way. It's up to you.
There is no guarantee that anyone will lose everything with any size sleeve or particular intestinal limb lengths. I am personally a huge fan of the Hess method. It makes sense to me. I am immediately suspicious of anything that's labeled "standardized" in this context, because bodies are not standard. The variation is HUGE.
You have options. If you decide that a Hess-style configuration is what you want, you can go to surgeon who does it that way. It's up to you.
My doc used the Hess method, but I just happened to have really long intestines when he measured (often the case w/ taller folks but not always), so it worked out to be 150 anyway. I inquired about getting 100, but Dr. Rabkin says 150 is a great balance of having a cc long enough to avoid a lot of the bathroom problems/deficiencies while still providing optimum weight loss. At any rate, if I had had shorter intestinal length he would have gone w/ a shorter cc.
Dori
HW 410 / SW 345 / CW 195 / GW 175 - height: 5'10.5
150 cm common channel; 4 oz. stomach