How do YOU feel about a 36.....
Mine is a 36 and I love it. I have great restriction and have not had any real problems well except for the great grape incedent! DO NOT EAT GRAPES BEFORE GOING TO BED!! Terrible Terrible Terrible Pain from acid in the throat sinuses eyeballs mouth intestines stomach toe nails ears (well maybe not the toenails and eyes but you get the idea!)
When I emailed my surgeon to find out how important the size of the bougie is this was his response:
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. Regards, William Richards, MD FACS Professor and Chair Department of Surgery University of South Alabama Mobile, Alabama office 251-471-7993
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. Regards, William Richards, MD FACS Professor and Chair Department of Surgery University of South Alabama Mobile, Alabama office 251-471-7993
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