BMI 54 or above?
First ultra: Stone Mill 50 miler 11/15/14 13:44:38, First Full Marathon: Marine Corps 10/27/13 4:57:11, Half Marathon PR 2:04:43 at Shamrock VA Beach Half-Marathon, 12/2/12 First Half-Marathon 2:32:47, 5K PR Run Under the Lights 5K 27:23 on 11/23/13, 10K PR 52:53 Pike's Peek 10K 4/21/13, (1st timed run) Accumen 8K 51:09 10/14/12.
Now, the one caviat is that if your liver is too large to safely do everything LAP, they may need to do the surgery open. But, they should still do it.
I see Dr Valin is your surgeon, if you are having surgery at St Raphaels let me know, that's where I had my surgery and I'd be happy to talk to you more about my experience.
on 5/31/11 6:39 am
when I went in for pre op, I was told i had a "severely enlarged, moderately fatty liver". I was put on a liquid diet for 2 weeks and maintained it for almost the whole 2 weeks before asking my NUT about cheating and she gave me the ok to have a piece of grilled chicken. I had lap RNY without any issues.
During the 2 weeks preop, i went from around 368 down to 341 when i weighed in at the hospital post op when I was discharged. This was 8/26/2010. Since then, I'm now down to 230 and more importantly, when I went in for my 6 month check up, I was told that my liver was now no longer enlarged and was down from moderatly to mildly fatty liver but that within the next 6 months, that my liver would no longer be even considered fatty! This was one of the most thankful things I have because when I went in for preop, the nurse basically said that had I not done anything about it, she could almost have guaranteed that I would have had bad liver problems within 10 years. To go from high probability of liver problems down to a potentially "normal" liver in less than a year is a wonderful thing. Even my wife, who was scared to death of the surgery was thankful for the precedure.
LISTEN to what the doc says. I never understood the people who cheat on their pre op diet, especially high BMI ones like us because it's your health that's at risk. I wish you well and hope everything comes out ok.