Dr Huacuz Should Sleeve Gastrectomy

lucartwlucy · 05-29-2006, 04:46 PM

IN PATIENS TAHT HAVE PROBLEMS WHIT THE BAND OR THE BAND WAS REMOVED ,IS A GOOD OPTION BECAUSE THE TAKE OUT MORE THAN 60% OF THE STOMACH AND CONTINUE LOSSING WEIGHT WHITOUT ADJUSMENTS I READ THIS IN HIS PAGE www.huacuz.com:clap2:

leatha_g · 05-29-2006, 04:48 PM

Is this a paid advertisement?

GeezerSue · 05-29-2006, 07:14 PM

Quote:

Originally Posted by leatha_g

Is this a paid advertisement?

If so, someone ought to consider asking for a refund.

Stitchy · 05-29-2006, 07:16 PM

Huh?

***Susan*** · 05-29-2006, 07:24 PM

:help: I don't get it? :noidea:

**SherryW** · 05-29-2006, 07:25 PM

lmao lol amazing.

Archermom · 05-29-2006, 07:44 PM

Quote:

Originally Posted by lucartwlucy

IN PATIENS TAHT HAVE PROBLEMS WHIT THE BAND OR THE BAND WAS REMOVED ,IS A GOOD OPTION BECAUSE THE TAKE OUT MORE THAN 60% OF THE STOMACH AND CONTINUE LOSSING WEIGHT WHITOUT ADJUSMENTS I READ THIS IN HIS PAGE www.huacuz.com:clap2:

Hey lucartwlucy
next time you try to get ads in for somebody else, make sure you have the facts right!
Check the website - :faint:

**Alexandra** · 05-29-2006, 09:49 PM

Quote:

Originally Posted by GeezerSue

If so, someone ought to consider asking for a refund.

:pound: :pound:

lianna · 05-29-2006, 09:53 PM

And look into spellcheck!

fabfatgrl · 06-01-2006, 08:46 AM

I've read conflicting reports about the sleeve gastrectomy as a good solution for people whove had band troubles. If you were successful with the Band and had it removed for erosion or slippage, you may do very well with a VSG. I believe that they typically remove close to 85-90% of your stomach, not 60%. I've seen some incredible weight loss among people who've had it, but they all seem to be on low-carb diets and are much more restricted from the get-go on what they can eat. (Getting liquids in is a problem for many immediately post-op). Still, it's being done more and more in the States... LapSF.com, Dr. Rosenthal at the Cleveland Clinic in Miami, Gagner in NYC, etc. all do the VSG as a stand-alone procedure. Originally it was only done on high BMI patients as a first step before a DS. Baltasar is also well respected world-wide... he's in Spain. For self-pays in the States, seems to run about $18,000 although Gagner is closer to $30,000 I've been told.

Disadvantages would be it is restrictive only and not adjustable... so if you out-ate your Band, you'll probably out-eat this. Also, the level of restriction is set based on your surgery... and will not change (except for to get a bit larger as time goes on).

I'm assumign this was a real post, by somebody who may be interested in this surgery... and who may not speak English as a native language. I know if I tried to post on a board in any language but English (even though I've studied French for a gazillion years)... it would probably read much worse!

I think it is a real alternative to people who may want a Band, but won't be able to be as diligent as necessary with their follow-up. Bands don't work without regular fills. Period.

Woodys · 06-01-2006, 08:55 AM

Lol........????????????

GeezerSue · 06-01-2006, 10:09 AM

I don't completely concur on the gastric resection info. I've met two of these patients and I DO think it's more like 60% of the stomach that is removed. The RnY leaves a 1-2 ounce POUCH. The DS--and for some the gastric sleeve is Stage 1 of a DS--leaves a 4-6 ounce, but regularly configured, STOMACH.

http://www.columbiasurgery.org/divis...al_sleeve.html

And I'm confused about the opportunity to "eat around" a gastric sleeve. To "eat around" the band, all I'd need would be a Wendy's chili or Baskin Robbins sundae. The liquid nature of those foods would send them right through the stoma without any restriction and into the larger part of the stomach. If the gastric sleeve on its own is like the upper part of the DS I've already had, I can tell you that once your 4-6 ounce stomach is full, it's full. Just like Thanksgiving, pre-band.

fabfatgrl · 06-01-2006, 11:21 AM

They used to do a larger stomach that was the same size as the DS stomach, but now most surgeons are doing a smaller stomach using a 33 french bougie to form it... which typically leaves a 50-100 cc stomach. Gagner uses a larger size... I think he favors the 40 French Bougie... but it still leaves you with a much much smaller stomach. Much smaller than the DS stomach. Orginally it was viewed as part 1 of a two stage operation... with the DS coming later after the patient lost some weight and the operative risk was less. Now days it is being done as a stand-alone surgery. (Why most decreased the stomach size as there was no malabsorption to count on. I think that if it is done as a part 1 of a DS, they still do a standard DS sized stomach.) Dr. Baltasar estimates that only about 20% of patients (his patients, of course) end up needing the DS part.

As for eating around the operation, one can usually eat around most WLS... although I would agree that the DS is the least likely to have that issue. But with purely restrictive operations, oh yeah..... just drink your calories :)

Question for you Sue: With the Band, there are certain foods that go through quite easily... for me, crunchy foods, cookies, etc. Never ever get stuck. With the DS, there is no stoma to go through... so are you saying that you're limited with pretty much all foods due to your stomach size? Not sure if I phrased that right.

http://www.lapsf.com/vertical-gastre...ss-surgery.php

Pet-peeve... a lot of people say one of the advantages over the Band is that there is no foreign object... well, what do you call six rows of titanium staples?? I don't think those come with the standard stomach. :D

rachele · 06-01-2006, 04:38 PM

Quote:

Originally Posted by fabfatgrl

With the Band, there are certain foods that go through quite easily... for me, crunchy foods, cookies, etc. Never ever get stuck. With the DS, there is no stoma to go through... so are you saying that you're limited with pretty much all foods due to your stomach size? Not sure if I phrased that right.

http://www.lapsf.com/vertical-gastre...ss-surgery.php

Pet-peeve... a lot of people say one of the advantages over the Band is that there is no foreign object... well, what do you call six rows of titanium staples?? I don't think those come with the standard stomach. :D

I'm not Sue, but I play her on TV. Just kidding! I have the DS, revised from a band, too. We are like some restriction/lots of malabsorption. I eat more now than I ever did with the band. We just don't eat as much, but we aren't limited on any foods. Personally, I can't eat anything with white flour (pasta, bread, etc.) I go with the 100% whole wheat. Still don't eat the pasta's though. I don't want to speak for Sue, but I know she has said she has an issue with wheat and goes for the sprouted wheat.

If I eat white flours, I have cramping and well, I guess gas pain. I can eat fat, since I only absorb 20% of whatever fat I eat. I do go low fat during the week since I work at GM, and the assembly line is not the time to be dealing with the blooming onion you ate last night. I no longer have to worry about fat free this and lite that, which sometimes is worse for you than just regular old stuff. Malabsorption with this surgery sticks around alot longer than it does with the RNY. Thats why supplementation is so important.

Let me say I can eat almost a whole Lean Pocket Ultra, where with the band, I could have ate the inside. Before any surgery I coulda ate both Lean pockets and some chips or maybe a bowl of cereal. Yep. The difference is with the DS, I feel full, and satisfied. Something I didn't feel very often with the band. I always felt full up to my throat, but my stomach would still feel empty and growling.

I guess I will stop now because I gave way more info than you ask for and it wasn't even me you ask!

Oh, and about the foreign object thing, Patients from whichever surgery will always come up with something to say. They say what they want to hear to help them justify their choice. I say your choice doesn't have to be justified, because it is YOUR choice.

Good info you have there!

GeezerSue · 06-01-2006, 09:07 PM

Quote:

Originally Posted by fabfatgrl

...

Question for you Sue: With the Band, there are certain foods that go through quite easily... for me, crunchy foods, cookies, etc. Never ever get stuck. With the DS, there is no stoma to go through... so are you saying that you're limited with pretty much all foods due to your stomach size? Not sure if I phrased that right.

Karla,
That YOU would have a question for ME is a riot. G'friend, you were my hero...I think I read every page of your journal...I "knew" you before those babies and all! Too funny!

Anyway, au contraire!! There is almost no limitation of any kind. And post-band--because of the limitation I had--it feels like I'm at a banquet all the time. I can eat--but am sorry the next day that I did because it means several extra bm's--most everything except large quantities of wheat flour. I just get full--and SATISFIED--faster than I did pre-band. (Some of this will catch up with me...but because there is more malabsoprtion than with RnY, the problem is less than with RnY...I think.)

Quote:

Originally Posted by fabfatgrl

Pet-peeve... a lot of people say one of the advantages over the Band is that there is no foreign object... well, what do you call six rows of titanium staples?? I don't think those come with the standard stomach. :D

Yeah...and the anti-foreign-body-argument holds even less water when we realize how many of us have or may have arterial stents, implanted birth control, and dental fillings!!