Can't decide RNY or VSG

happiegirl
on 9/16/11 1:59 am - Albuquerque, NM
VSG on 04/24/12

 

Hi All,

There is a lot of talk here about DS being a better surgery.  I was considering VSG but would have to self pay.  If I had complications I'd have to pay for those too.  Right now I'm approved for RNY.  I'm so confused right now on what to do.  The claims I hear are that DS is better long term.  I'm so confused.  I was also reading that with RNY the weight is harder to keep off long term.  I wish there was only one surgery sometimes lol...hard to make a choice.  I’m kind of stuck and I know no one can decide for me. Just praying right now…hoping for a sign from above.  My suregon said I'd do well with either proceedure.  I'm just worried I'll regret not getting VSG. Or I'll regret not getting RNY...seems like so many people have regrets on the choice they made.
poet_kelly
on 9/16/11 2:04 am - OH
I get kind of annoyed with some DS folks who seem to think their surgery is the only good one and that it would be the best choice for everyone.  I don't think it would have been the best choice for me!

That said, why do you think VSG might be best for you?  Why do you think RNY might be best?  What are your concerns about those options?

View more of my photos at ObesityHelp.com          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.

 

happiegirl
on 9/16/11 2:26 am - Albuquerque, NM
VSG on 04/24/12
lol I never thought of doing a pro/con type list.  That's a great idea!  My main concern with RNY is dumping.  I think I'll never be able to eat cake again.  I know that's suppose to be a good thing.  RNY will reduce my acid reflux, is a proven surgery, my insurance will pay for it, more drs. are familiar with the procedure, I'll lose more wight.  With the VSG No dumping, less vitamin deficiencies, and no intestinal rerouting.

My fears with RNY are of course death.  The Surgeon says my risk is low because of my age and comorbidities (only sleep apnea).  I’m concerned that because I’m so young I’d develop osteoporosis.  I’m also concerned about ulcers and reactive hypoglycemia.  The Surgeon said again the risk is low.  With the VSG I’ll have to pay for it and if I have complications I have to pay for those too.  None of my fallow up appointments will be covered.  I’ll probably have to take acid reflux meds the rest of my life with this surgery.


poet_kelly
on 9/16/11 2:38 am - OH
Well, only about 30% of RNY folks dump on sugar.  Even those that do can usually tolerate small amounts.  I am OK with about 12 grams of sugar.  So I can have a few bites of cake if I want.  I can also eat sugar free cake, of course.  In fact, I am getting ready to bake one right now!  I am making a sugar free Jello cake.

I think if you take your vitamins like you should, you probably won't end up with osteoporosis.  You'll need to make sure your vitamin D level is at least 80 so you'll absorb calcium properly.

Some people do get ulcers and RH seems fairly common once you get a few years out.  Most people can manage it pretty well with their diet, though.

View more of my photos at ObesityHelp.com          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.

 

happiegirl
on 9/16/11 3:21 am - Albuquerque, NM
VSG on 04/24/12
I read you're post on vitamin D.  I am very concerned about vitamin D, that's for that information helps.  My Dr. said it was unlikely I would develop RH.  He said because I didn't have surgar problems now he didn't expect that to develop.  I'd expect him to have seen more????
poet_kelly
on 9/16/11 3:32 am - OH
Almost everyone in this country is vitamin D deficient these days.  But it's not a hard thing to correct.  You just take a big dose until your level is good, then continue taking however much it takes to keep your level that good.

Your doc may be right about the RH, but I had no sugar problems pre op and developed RNY about two years post op.  Is the doc you're talking about a bariatric surgeon?  The only thing I can think is, many post ops follow up with their surgeon for a year or two and then see their PCP for labs and stuff after that.  So your surgeon might not have seen many people with RH because he may not see many patients more than two years post op.

RH can be a big problem for some people but I think most can control it pretty easily with their diet.  I need to eat about every three hours and I need to make sure I get some protein at every meal.  If I just eat carbs then my sugar usually drops.

View more of my photos at ObesityHelp.com          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.

 

happiegirl
on 9/16/11 7:29 am - Albuquerque, NM
VSG on 04/24/12
Do you know if there is research that shows about what the risk is of developing RH?  Thanks again:)
poet_kelly
on 9/16/11 7:31 am - OH
I do not know.  I can point you to someone that might, though.  Andrea at wlsvitagarten.com probably knows.  If you check out her site, you could send her a message and ask what she knows.

View more of my photos at ObesityHelp.com          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.

 

catje1977
on 9/16/11 3:40 am - Raamsdonksveer, Netherlands

Kelly! Can I just say, I did not recognize you at all on that picture!! You look great.

Where can I find that recipe for jello cake because it sure sounds good :-)

        
poet_kelly
on 9/16/11 3:41 am - OH
I use a sugar free cake mix but you could bake a cake from scratch if you wanted.  I like white cake better but last time I was shopping I only found sugar free yellow cake.  It will do.

You bake the cake according to the directions on the box (mine calls for three eggs).  You mix up Jello, the flavor of your choice, according to the directions on the box.  Then you poke holes all over the cake with a fork and pour the liquid Jello over the cake. 

Then you refrigerate the cake for a couple hours so the Jello will set.

You can make this as a sheet cake but I like to do two layers because it looks much prettier.  Getting the cakes out of the pans is a challenge once the Jello has set, though.  What I do is put a few inches of warm water in the sink and dunk the pan in the water for a minute or two, being very careful that only the bottom and sides of the pan get wet and that the cake does not.  Then you invert the cake pan over a plate, like you normally would.

I frost the cake with the Light Coolwhip, whichever one is lowest in sugar.  The cake looks really pretty when you cut it.  You can use two different colors of jello, if you want, which is even prettier.

And you can mix a scoop of protein powder in the cake when you're mixing it up if you want.  I love sneaking protein into things.

View more of my photos at ObesityHelp.com          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.

 

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