Question:
I had my stomach stapled in '84 and have regained all the weight I lost.
My questions is, has anyone else had an RNY? How do the two surgeries compare? Does anyone have any advice, experiences, etc they can share with me Please. — Linda S. (posted on January 5, 2003)
January 4, 2003
I can't say from personnal experience but...
My mother, grandmother, Aunt & Uncle & also a good friend all had
the stapling. Mother & friend had it twice do to weight gain. I am
scheduled to have the Lap RNY in 16 days. In talking with them they agree
that the RNY would have been the way to go. I realize this is only opinion
but when I researched the surguries the RNY looked like the one with the
best percentage of lasting results. Out of the list above my Aunt &
Grandmother are the only 2 that haven't gained all there weight back.
Although they have gained a little. In the end one might be better than the
other but you can gain weight back from either. I pulled up information on
all surgeries & weighed the pros & cons to all & tried to
figure out what would best fit me. Sorry I couldn't be of more help.
— Paula G.
January 5, 2003
The only information I have heard regarding stomach stapling and have seen
is that when stapling the stomach rather than a gastric bypass the patient
can still tolerate refined sugar/high fat foods. This of course defeats the
purpose, for the patient continues to eat these foods in small quantities
than more and more. The stomach stretches and the weight is regained or not
lost at all completely. With the gastric bypass those bad foods aren't as
easily tolerated which is the point of "disciplining" the patient
to stop eating them and change their lifestyles/eating habits. Although I
have also heard that some bypass patients can still tolerate those bad
foods although. It is odd to me that some can and some can't the
everlasting bottom line is: You control the weight loss with what you put
in your mouth the surgery is a boost or tool to give you that chance to
succeed.
— Wendy K.
January 5, 2003
The Grad list has many people who are revised to RNY from earlier
surgeries. http://groups.yahoo.com/group/Graduate-OSSG
— vitalady
January 5, 2003
I think one difference is where they used to staple. The way they
previously did it the pouch stretched more easily allowing more food to be
consumed. Its done on an angle now on a portion of the stomach that cannot
be easily stretched.
— Lisa N M.
January 5, 2003
While I agree with much of what previous posters mentioned, one must also
remember that with the gastric bypass one no longer produces a hormone
called ghrelin, which in essence creates a need to eat more food and for
your body to hold on to what you do eat. Normal people only produce a
small amount of this hormone. Obese people (especially those who just
diet) produce an unusually high amount of this hormone. Gastric bypass
patients in general no longer produce a significant amount. You can read
further about this if your interested at
http://www.gastricbypass.com/ghrelin.htm . Another thing is that you
malaborb calories with a gastric bypass - something one did not have an
advantage of with the simple stapling done pre-RNY. I would never have
done the stapling. I considered it briefly, but I saw too many surgeries
fail and wasn't going to go there. The RNY or even the DS seems sound in
practice as well as theory. Yes, we still have to work the tool, but the
tool is so much better!
— [Deactivated Member]
January 5, 2003
Hello,
I to had the "old" procedure done in the 80's. I also gained the
weight back. I am 49 years old and thank god every day for my having the
courage to ignore what others thought and to go ahead and have my
"revision" on Sept 3, 2002. When I was researching before I made
my decision I learned that a revision is not uncommon, and not that
complicated, the surgery is a little longer, and because of my age the
healing process would be slower. I found a surgeon who was one of the
pioneers in WLS, and he explained the differences for me. He did not tell
me that a revision was that difficult or more dangerous. I wish I had the
RNY back in the 80's, but I am soooo happy I choose to have the revision. I
had no complications! I have lost 65lbs in 4 months, which I think is
fantastic! If you have any other guestions feel free to email me! The most
important thing I did for myself was in choosing the right Doctor!
— JoAnn W.
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