boogie size
I asked my doctor at my 30 day follow up, he said he didn't use the boogie sizes, he said the tube he used was a little smaller then a quarter, I have no idea how that compares to the 32 to 40 french sizes or how much smaller I am guessing around 20 mm in diameter based upon a quarter...and its not like I am going to change it anytime soon.... He did over sew the staple line. (if anyone knows, I would love to get some reality on how that compares)
HW: 425 SW: 337 CW: 262 GW: 217 (surgeon)
Pre-surgery loss; 88 lbs (mostly in my required 6 month insurance class)
Pre-surgery loss; 88 lbs (mostly in my required 6 month insurance class)
sorry couldn't resist. 
My surgeon either used a 38 or 40. He sews over the staples, too. I saw a photo once that compared the different bougie sizes to different pens and markers. The differences were not drastic.
I'm between four and five weeks post-op and definitely feel the restriction. I'm assuming that I'm not completely healed inside yet, so the amount of restriction might change a little.
Whatever the case -- 36, 38, 40, 32 -- my sleeve is a helluva lot smaller than my full stomach. I'm losing weight and still feel great.
I'm between four and five weeks post-op and definitely feel the restriction. I'm assuming that I'm not completely healed inside yet, so the amount of restriction might change a little.
Whatever the case -- 36, 38, 40, 32 -- my sleeve is a helluva lot smaller than my full stomach. I'm losing weight and still feel great.
Once you make a decision, the universe conspires to make it happen
- Ralph Waldo Emerson 
I had no idea and we never even talked about it. I wrote him an email this morning and here is his reply:
Yes it appears to be important and is always a compromise between too small and too big. It is also important about the sleeve being the same size and not wider at the gastroesophageal junction which creates a hour glass shape that is detrimental to the patient. A number of other factors appear to be crucial about the construction of the sleeve gastrectomy including the repair of hiatal hernias and the distance to the pylorus. Having said all that I have standardized the sleeve to a 36 french bougie and create a sleeve that goes to within 5 cm of the pylorus. I have found larger sleeves are more likely to dilate over time and small sleeves have an increased chance of leak and severe difficulties with severe nausea and poor oral intake for months after surgery. I just returned from a meeting where the latest and best practice information was being discussed. Rest assured I feel that the surgery we perform has the best short and long term outcomes.
Yes it appears to be important and is always a compromise between too small and too big. It is also important about the sleeve being the same size and not wider at the gastroesophageal junction which creates a hour glass shape that is detrimental to the patient. A number of other factors appear to be crucial about the construction of the sleeve gastrectomy including the repair of hiatal hernias and the distance to the pylorus. Having said all that I have standardized the sleeve to a 36 french bougie and create a sleeve that goes to within 5 cm of the pylorus. I have found larger sleeves are more likely to dilate over time and small sleeves have an increased chance of leak and severe difficulties with severe nausea and poor oral intake for months after surgery. I just returned from a meeting where the latest and best practice information was being discussed. Rest assured I feel that the surgery we perform has the best short and long term outcomes.
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