Recent Posts
on 7/6/10 9:49 am - Albany, NY
on 7/6/10 9:39 am
no dumb question- VBG has been around for a few decades, lap band has pretty much replaced it essentially part of the stomach (the upper part ) is stappled off, then a band i put below that area
VSG is when about 80% of your stomach is cut, removed stappled, most of the part of the stomach that is removed contains the appetite increasing hormone grehlin, the removal of this area is thought to keep appetite post surgery at bay.....
not many places do either of these surgeries but for opposite reasons
VSG because it is "new" not really has been around for >10 years as it is part one of DS
VBG because the band has replaced it
Sleeve gastrectomy
on 7/6/10 9:28 am
there is not one surgery that is "fit all" we all pick the surgery that we "want" based on a number of factors...
how long the surgeon has been doing the surgery type
how much follow up post surgery (lapband is significant)
prior bmi
if it will be covered by insurance and if not will you self pay
some complex medical issues prohibit malabsorption procedures like RNY or DS
these are only a few but the most important ones
it is interesting, the journals that i have read state that the VBS is vertually obsolete, that is not saying anything about the surgery at all, just what i have read. WLS really is a personal choice on so many levels, the best surgery is the best one for you and your surgeon's experience with that surgery type also, hoping you do well with any surgery you pick.
I know that my relationship with food was very different pre-op and even in the post op period when I was losing weight than it is now. Pre-op, I really used food to deal with anger, frustration, loneliness, and celebrations. While I was losing weight post op, I had more of an idealist, almost adolescent relationship with food, meaning that things seemed to be good or bad, right or wrong, without much gray area. Now that I'm 3 yrs post op, I find that I seemed to have found a generally healthy balance. I don't deny myself any type of food, but I now have an awareness of the value of what I'm eating and do a much better job of maintaining a balance that helps me maintain my weight. I think that balance is what I was missing pre-op and to an extent, but necessarily so for the first year post op.
So no matter where you are in your journey, have you looked at your relationship with food? If so, has it changed at all and how?Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145
It is not common but there are Dr that do it and do it well. A 5 year study by my Dr at his office showed an average 58% excess weight loss for VBG compared to 63% for RNY - pretty good if you ask me.
The sleeve was my other option but my surgeon did not have good experience with this surgery and my insurance did not cover it. As everyone on here will say, it is up to you to research what is best for you, including stats from your surgeon. Please contact me or add me if you are interested in more info.
VBG is rarely ever done anymore because it is not an effective WLS and there are better choices.
If you just want restriction, have you thought about VSG?
I have the VBG I had it in 1998. I am still morbidly obese, I am trying to work things out and discover the tool again. I Used to be a VBG hater (cause I'm still fat) but it isn't so bad if you follow all the rules to a T. You have to be sure that you are not eating your way out of the surgery, and it is very easy to do without even reailzing it at the time.
If you eat a lot at one time now, you won't be able to after the surgery if you follow the rules. You still have you whole stomach unlike the sleeve so you will have the ghrelin effect. And there is the head hunger that haunts one as well.
Make sure to ask a lot of questions and you are sure that you are going to follow the rules. Best of luck.
Sandi
