Frisco-Pyloric Valve Basics 101-Repost

frisco
on 5/8/12 9:44 pm
 
The Pyloric Valve.....the most not talked about function that will answer a lot of questions.

If you understand the Pyloric Valve function......things will be a lot easier and explain why we need to do certain things.......



 

First, I’m not a doctor nor have I ever played one on TV.

This is a basic level one explanation.....there is more to it....but if you understand this....it will make some sense.


This may be old news to some..... But I’ve noticed a lot of people who have had VSG do not have any idea what the Pyloric Valve is and how it works.


This is my understanding how the Pyloric Valve works. (Again, this is basic and meant for Newbs to understand.)


The Pyloric Valve function and how it pertains to your VSG.


The function of your Pyloric valve is the single most not talked about most important part of understanding how and when you should eat and drink. At over 2.5 years out I still take time to "read" my Pyloric Valve and how it is functioning.


The Pyloric Valve is just that....It is a valve that is located at the bottom of your stomach/sleeve. This valve is in between your sleeve and the small intestine. The basic definition of a valve is an apparatus that opens and closes.


When open this valve it is about the diameter of a dime. When closed it’s opening is closed down to the diameter of the head of a ballpoint pen.


Dense proteins and harder to digest foods will cause the Pyloric valve to close to hold the food in your stomach for pre-digestion...... stomach acids breaking down this “Rough" food. 


That’s why we are told to eat dense proteins first.....To close the Pyloric Valve so food stays in your stomach/sleeve longer so we have a sense of satisfaction.


It takes about 30-60 minutes (sometimes longer) for the food to clear the Pyloric Valve...... Than it’s OK to drink.


That is also where the term slider food  comes into play. A slider food does not close the Pyloric Valve and as the term is intended.....food slides right past an open Pyloric Valve.


So now the other half of the Pyloric Valve function..... You eat a dense protein like chicken that causes your Pyloric Valve to close. Say for example your sleeve has a 4oz. capacity.....and you eat 4oz. of chicken.....your sleeve is full and holding all 4 oz. of chicken for pre-digestion because your Pyloric Valve is closed. 


So now try and drink something....where is it gonna go? Up.....Up until it hits another valve of sorts..... the Esophageal Sphincter (valve) and above that is a flapper valve. The function of these two valves is to hold food, bile and stomach acids in your stomach and not backing up into your air way. This is a very high pressure system. Thats why when you eat to much or drink after eating a hard to digest food and your Pyloric is closed.....It hurts cause you pressurized your intake track. Vomiting would be a natural pressure release.

So you can see how learning and understanding how the Pyloric Valve works is important as it pertains to eating and drinking with a Gastric Sleeve.


So that was Basic VSG and the Pyloric Valve 101


As you get further a long you will want to use the Pyloric Valve in other ways to keep food in your sleeve longer to stay satisfied longer. 


A sleeve empties faster than a stock un altered full size stomach so sometimes it’s beneficial for you to learn what foods stay in your sleeve longer to extend satisfaction.


Dense proteins are #1 in closing the Pyloric Valve. Chicken, steak, pork, fish.....in that order seems to be the way it goes for me.


Other foods that are hard to digest and help close the Pyloric Valve are foods like:


  • Broccoli Stalk
  • Asparagus
  • Celery
  • Cucumber with Skin
  • Radish
  • Bell Pepper


So I hope you understand my 5 cent tour of the Pyloric Valve and how it effects the way we eat with a VSG and how important it is to work the Pyloric Valve to your benefit.

frisco


SW 338lbs. GW 175lbs. Goal in 11 months. CW 148lbs. WL 190lbs.

          " To eat is a necessity, but to eat intelligently is an art "

                                      VSG Maintenance Group Forum
                  
 http://www.obesityhelp.com/group/VSGM/discussion/

                                           CAFE FRISCO at LapSF.com

                                                      Dr. Paul Cirangle

jacreasy
on 5/8/12 10:09 pm
VSG on 04/23/12
 2 weeks post-op THANKS! Ive read it before, but reading it again always helps... Hope I know how to work mine. lol

                                      

(VSG)  HW, 346 SW, 341 CW 176.2 GW, 165  kiss

Carmelita
on 5/9/12 12:03 am - Four Corners, NM
 You don't need to know how to work yours! Its been doin what its supposed to since you were born!  It has absolutely NO CONTROL  what you put in your stomach/ caloric intake...YOU DO!! Here's a little visual... human pyloric sphincter/valve ,that little black hole in OPEN/dilated position. Just as an iris of an eye...contracts and dilates to light/dark..pyloric sphincter does the same. Only staying ever so slightly open 24/7 for fluids.

                                

And here's a picture of CHYME from a pathology lab ...chyme is the result of digested foods you eat thru peristalsis in the stomach...before it can pass through the pyloric valve.


Our pyloric valve won't open unless food is that consistency..IF food particles are not digestible or cannot be digested...i.e. watermelon or unchewed sunflower seeds, or Jackass' Ryan Dunn (rip..I miss him!) eating that Hot Wheel...



It is quite capable of dilating wider to let undigestible, inedible objects pass... .it has no other choice..it HAS TO because of peristalsis..forcing it....being pushed thru. 

There ya have it ja! in pictures!  HTH!!
Lee ~
on 5/9/12 1:23 am - CA
 Good pics. Thanks for posting thm.

HW: 249   SW: 229 GW: 149 Age: 63 - Body by Sauceda - 12/2011

melz1974
on 5/8/12 10:10 pm
VSG on 07/10/12
 Thanks Frisco!!  

What are some of your worst slider foods?  Is it different for everyone?  


frisco
on 5/9/12 7:54 pm
On May 9, 2012 at 5:10 AM Pacific Time, melz1974 wrote:
 Thanks Frisco!!  

What are some of your worst slider foods?  Is it different for everyone?  


 
I think it's more important to think and use the foods that close your pyloric valve as those foods will tend to be more protein rich in general......but foods like Greek Yogurt although high in protein will for most be a slider.

The further out you get you will want to stay satiated longer and keeping food in your sleeve longer will help. Most slider foods tend to be carb loaded.

frisco

SW 338lbs. GW 175lbs. Goal in 11 months. CW 148lbs. WL 190lbs.

          " To eat is a necessity, but to eat intelligently is an art "

                                      VSG Maintenance Group Forum
                  
 http://www.obesityhelp.com/group/VSGM/discussion/

                                           CAFE FRISCO at LapSF.com

                                                      Dr. Paul Cirangle

tryn2lose
on 5/8/12 10:40 pm - MI
VSG on 04/16/12
Frisco, thank you so much for sharing this information! I have not had this explained to me before. Very much appreicated!!

        5'8" HW: 282 SW: 264 CW: 167.2 GW: 160
        

Lina P.
on 5/8/12 10:51 pm - Bolton, Canada
Great post Frisco!

My number one slider = popcorn
Height: 5 ft - Age: 42
Bougie size: 36 oversewn to 34  
 CW: 135 lbs
Happy in the 130's but... On to my second goal!

    
ladyshai27
on 5/8/12 10:53 pm - SC
 Great Post! Needed to read that again for a refresher.
AdeanaMarie
on 5/8/12 11:42 pm - MI
VSG on 03/08/12
Thank you for the information. Knowledge is power.
     
  “Not many of us are living at our best.  We linger in the lowlands because we are afraid to climb the mountains.  The steepness and ruggedness dismay us, and so we stay in the misty valleys and do not learn the mystery of the hills.  We do not know what we lose in our self indulgence.  What glory awaits us if only we had the courage for the mountain climb.  What blessing we should find if only we would move to the uplands of God.?  JRM
       
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