@@luckyme6888 The polyposis syndrome should not be an issue as long as we are not talking about polyps in the stomach. You can still have a routine colonoscopy. Also, the thalasemia is not a concern. Just make sure your surgeon knows about this condition.
I’m going for the gastric bypass. I’m on hospital base strict diet. It’s been hard. So far since I start this I lost over 20kgs. All up I lost over 30kgs my starting weight was 160kgs I’m down to 130.6 kgs
No need to be scared. In a few months you’re going to feel and look like a whole new person. You’re going to wish you did it sooner. ☺️☺️☺️ Best of luck to you!! ❤️
Dear Doctor, Thank you for this great explantion!!!! I am dutch and in the middle of the process. 20 september i have a talk with my surgeon and then we Will decide whether I would go for a sleeve or a bypass. I have spoken to him in an earlier stage and when he heard i have an irritable bowel syndrome he immediately said that I should go for a sleeve, while I wanted to go for a bypass. I weigh 106 kilo, bmi 39,3 and need to loose 40/45 kilo’s. Do you agree on this one?. My irritable bowel syndrome is like when I need to go, I neeeeeeeeeeeeeed to immediately. Sometimes it is solid, sometimes it is fluid. Curious to hear your reaction
I hope it went well for you? Sorry that doc did not respond to you here. I am sure you might have gone through with it and your choice might have helped you. Kindly do reply if you get the notification of thie. ❤
The polyposis syndrome should not be an issue as long as we are not talking about polyps in the stomach. You can still have a routine colonoscopy. Also, the thalasemia is not a concern. Just make sure your surgeon knows about this condition.
Hello, I have a question. I was diagnosed with Hyperemesis Gravidarum when I was pregnant with my kids. Now I am considering weight loss surgery. Do you know if there is any correlation between dehydrated and malnourished individuals after surgery and people who have had HG previously? I am scared to be dehydrated and malnourished if I get the weight loss surgery.
We do not believe there is any association with dehydration and malnourishment. There is no predictability whether or not you will be nauseous after weight loss surgery if you have HG. Although nausea is an early side effect of weight loss surgery, it almost always passes relatively soon - and if it is lasting can be a result of the surgery not HG.
I’m debating..malabsorption is my main concern. I like to fast occasionally for it’s autophagy effects. Would a sleeve suit me best? I know supplements are recommended for life after the bypass but, is it the same for the sleeve? Any advice would be greatly appreciated!
I’m in triage right now. I’m seeing the leading surgeon on the west coast and from what I’m told gastric is best. You’ll lose way more weight and less complications. The sleeve is good but you’ll only lose a certain amount of weight and it’s very easy to stretch your stomach out and of course the acid reflux you’ll have to live with. It’s your choice but your best bet is to talk to a actual surgeon not UA-cam. Best of luck gorgeous 🤙🏼
Both surgeries require taking supplements. A nutrient deficiency after a bypass is generally not a major concern as long as you are eating a healthy and well-rounded diet.
I had the gastric sleeve ten years ago this December. I lost 72 pounds of weight in the first ten months. Gradually over the years I've gained 20 pounds but I do not regret this operation. The first two weeks post surgery are the hardest but slowly you will start to get use to your new stomach. You may feel very cold for a few months because your body will be re-adjusting to the decrease in food intake. I HIGHLY recommend following the twelve step OA programme as it works exceptional well with gastric surgery. Hope this helps. Good luck.
Hi Ruthie, you can go back to eating solid foods. Your surgeon will have you transition from liquid, to soft foods, to solid foods several weeks post op. We do not recommend you start eating solid foods immediately after surgery. 2 weeks after surgery you will follow a liquid diet, then from 2-6 weeks will be soft foods, then 6 weeks+ post op you can go back to eating solid foods.
Doctor they say with a gastric bypass you do not have a close flap of the stomage but in sleeve it stays in place so you stay full longer can you explain?
Kidney stones are often more common after a gastric bypass and would explain why your surgeon would suggest the sleeve gastrectomy. It is hard to diagnosis or provide medical advice without physically examining the patient, therefore we recommend that you consult with a bariatric surgeon (if you haven't already) about your specific health concerns
@@LiveHealthyMD lets say that a patient does need a reversal back to normal anatomy - is it ever really become "normal" anatomy? I mean you will be able to feel no staples there, food in stomach and intestines will be able to pass normally like if there was no prior cut made etc, or does gastroparesis and constipation occur?
What’s the difference between bypass and gastric sleeve ? I wanna get gastric sleeve or gastric bypass what ever my dr decides which is better for me I did my research about gastric sleeve and gastric bypass for many years now ❤
My daughter considering she’s “morbidly obese “ her BMI is 60..She was told she may have to loose weight prior or it would be too risky? Also does anyone have a preference bypass or sleeve? Thank you!
Some surgeons do not feel comfortable doing surgery on patients with a higher BMI. Similarly, some hospitals and bariatric programs can not perform surgery on patients over a BMI of 50 due to hospital restrictions. We recommend you reach out to a few other bariatric surgeons to find one who does perform surgery on patients with a BMI of 60+. If you are located in Georgia or in a neighboring state, we would be happy to direct you to find a bariatric surgeon that meets your daughter's needs. Based on your daughter's BMI, the surgeon would likely recommend a bypass as it offers more significant weight loss results, but this is something you and your daughter would need to discuss with the bariatric surgeon to decide what is the best treatment option based on her health and weight loss goals.
So with a gastric sleeve Will the stomach heal and seal it self without any need for a retainer to keeping stomach together. ?? Correct me if im workng
Hi Devo, the stomach is cut and stapled with permanent staples that hold it together while it heals. While it heals, there is a risk of leak but after the healing process there is not risk of a leak or a risk with the staples inside your body.
It would depend on the patient's BMI and their previous diet attempts. Here is a video that talks about candidacy for WLS: ua-cam.com/video/x0f53At-QnE/v-deo.html
The gastric bypass and the duodenal switch due to the malabsorptive nature and reduced nutrient intake. However, we do not recommend you choose a surgery based on the fear of hair loss. Hair loss will lessen within in a few months of surgery and will go back to normal.
The sleeve is thought to be less invasive (although it is not) and for individuals with a lower BMI it could be a better option for them depending on their medical history.
@@bethconner4325 Both the Bypass and the Sleeve are the same degree of invasiveness and generally have the same risk. Although, the sleeve may be considered less invasive because it does not involve rerouting the intestines. They are both performed laparoscopicly with the same number of incisions in the abdomen.
@@sigilofgremory9671 Both the Bypass and the Sleeve carry the degree of invasiveness and the same risk. Although, the sleeve may be considered less invasive because it does not involve rerouting the intestines. They are both performed laparoscopicly with the same number of incisions in the abdomen.
It will depend on whether or not your insurance provider covers weight loss surgery. We recommend you reach out to the nearest bariatric clinic and ask them to verify your insurance benefits.
The sleeve is a joke. You lose weight, you look & feel great & then after 2-3 years, the weight slowly creeps back. I regained everything and so do a lot of other people. Nobody ever told me it is possible to regain the weight. Too many people lose the weight & have the same story of regaining it with the sleeve. I think some of the surgeons are too conservative and leave too much stomach. But none will admit that. It's always the patient's fault. No one tells you that upfront stomachs can stretch to the point of your old stomach size.
If you back to your normal diet, of course you will gain back the weight. Stomach can expand just like from when you’re a little to a grown up so it will up to the patient itself. I’ll be having my sleeve surgery next thursday. My dad had this done 9 yrs ago and he has a healthy bmi. Never regain his previous weight
I never get why people say this lol… there is literally conditions that can stop you physically loosing weight and also can make it harder for example an average person could lose weight normally but somebody with PCOS could follow everything to a T but may lose 1 pound or at this rate absolutely nothing. It literally depends on ur physical circumstances, health and things to do with your hormones and that is why weight loss surgery is offered.
@@niki_soldiier2409 i second this as a person with pcos. No matter what we do and how hard we try, it just doesn't work. Also pcos can have different effect of different body. For someone it might be just absolute worst, and have no option to get a WLS. Also the doctor is the only one who recommends you this surgery of nothing works cuz of your medical conditions.
This is literally the best explanation of the sleeve vs bypass thanks I'm saving this video for future references
We are so glad to hear that! Let us know if there are any other topics you want to see / learn about!
@@LiveHealthyMD Hi Doc, What’s your opinion on having the bypass done for someone who has serrated polyposis syndrome and thalasemmia alpha minor?
@@luckyme6888 The polyposis syndrome should not be an issue as long as we are not talking about polyps in the stomach. You can still have a routine colonoscopy. Also, the thalasemia is not a concern. Just make sure your surgeon knows about this condition.
@@LiveHealthyMD
BMI 50
Sleeve or pypass?!
I’m going for the gastric bypass. I’m on hospital base strict diet. It’s been hard. So far since I start this I lost over 20kgs. All up I lost over 30kgs my starting weight was 160kgs I’m down to 130.6 kgs
Done mine 3 days ago
How are you doing now? I also was 161 kg now down to 148 kg and want to get a gastric bypass
How are you doing now? I also was 161 kg now down to 148 kg and want to get a gastric bypass
@@bartender4877 well done! I have lost 22kg in 3 months
Good luck!
I'm scheduled for gastric bypass on ,08/08/20, I'm ah lil scared and excited at the same time
No need to be scared. In a few months you’re going to feel and look like a whole new person. You’re going to wish you did it sooner. ☺️☺️☺️ Best of luck to you!! ❤️
OH SHOOT! 2 DAYS?! I hope the liquid diet isnt torture lol Best of luck!!
I hope your surgery went well ! God bless!!
How are you doing?
Are you okay????
I choose to sleeve here
My mom is suffering from achalasia and she had the gastric sleeve
I don't life in US and I love all your content!
How does this sleeve work with PEG feeding?
Dear Doctor, Thank you for this great explantion!!!! I am dutch and in the middle of the process. 20 september i have a talk with my surgeon and then we Will decide whether I would go for a sleeve or a bypass. I have spoken to him in an earlier stage and when he heard i have an irritable bowel syndrome he immediately said that I should go for a sleeve, while I wanted to go for a bypass. I weigh 106 kilo, bmi 39,3 and need to loose 40/45 kilo’s. Do you agree on this one?. My irritable bowel syndrome is like when I need to go, I neeeeeeeeeeeeeed to immediately. Sometimes it is solid, sometimes it is fluid. Curious to hear your reaction
I hope it went well for you? Sorry that doc did not respond to you here. I am sure you might have gone through with it and your choice might have helped you. Kindly do reply if you get the notification of thie. ❤
Hi Doc, What’s your opinion on having the bypass done for someone who has serrated polyposis syndrome and thalasemmia alpha minor?
The polyposis syndrome should not be an issue as long as we are not talking about polyps in the stomach. You can still have a routine colonoscopy. Also, the thalasemia is not a concern. Just make sure your surgeon knows about this condition.
Hello,
I have a question. I was diagnosed with Hyperemesis Gravidarum when I was pregnant with my kids. Now I am considering weight loss surgery. Do you know if there is any correlation between dehydrated and malnourished individuals after surgery and people who have had HG previously? I am scared to be dehydrated and malnourished if I get the weight loss surgery.
We do not believe there is any association with dehydration and malnourishment. There is no predictability whether or not you will be nauseous after weight loss surgery if you have HG. Although nausea is an early side effect of weight loss surgery, it almost always passes relatively soon - and if it is lasting can be a result of the surgery not HG.
Hey my BMI is 52 I have no health issues.
My age is 21. I am unable to lose weight naturally. Which surgery should I go with ?
I’m debating..malabsorption is my main concern. I like to fast occasionally for it’s autophagy effects. Would a sleeve suit me best? I know supplements are recommended for life after the bypass but, is it the same for the sleeve? Any advice would be greatly appreciated!
I’m in triage right now. I’m seeing the leading surgeon on the west coast and from what I’m told gastric is best. You’ll lose way more weight and less complications. The sleeve is good but you’ll only lose a certain amount of weight and it’s very easy to stretch your stomach out and of course the acid reflux you’ll have to live with. It’s your choice but your best bet is to talk to a actual surgeon not UA-cam.
Best of luck gorgeous 🤙🏼
@@ropelay5465 thanks for the feedback! Seeing one next month & just trying to get as much info on everything while i can 😅
Both surgeries require taking supplements. A nutrient deficiency after a bypass is generally not a major concern as long as you are eating a healthy and well-rounded diet.
I had the gastric sleeve ten years ago this December. I lost 72 pounds of weight in the first ten months. Gradually over the years I've gained 20 pounds but I do not regret this operation. The first two weeks post surgery are the hardest but slowly you will start to get use to your new stomach. You may feel very cold for a few months because your body will be re-adjusting to the decrease in food intake. I HIGHLY recommend following the twelve step OA programme as it works exceptional well with gastric surgery. Hope this helps. Good luck.
@@dean9235 what's OA program?
Can you eat regular food like solid pop after you get all heal up or have to eat and drink liquids or soft food for rest of your life just curious
Hi Ruthie, you can go back to eating solid foods. Your surgeon will have you transition from liquid, to soft foods, to solid foods several weeks post op. We do not recommend you start eating solid foods immediately after surgery. 2 weeks after surgery you will follow a liquid diet, then from 2-6 weeks will be soft foods, then 6 weeks+ post op you can go back to eating solid foods.
@@LiveHealthyMD ok cool it not for me it for my friend she have the surgery I was wandering and worry for her
Doctor they say with a gastric bypass you do not have a close flap of the stomage but in sleeve it stays in place so you stay full longer can you explain?
Here is another detailed video about reflux and how the esophagus is affected in both procedures: ua-cam.com/video/t9vXLjkGN0Y/v-deo.html
Just talk to my doctor today he told me for me it’s better the Gastrotomy .because I have kindney stone in don’t what to think 🤔 need help
Kidney stones are often more common after a gastric bypass and would explain why your surgeon would suggest the sleeve gastrectomy. It is hard to diagnosis or provide medical advice without physically examining the patient, therefore we recommend that you consult with a bariatric surgeon (if you haven't already) about your specific health concerns
Hi doc. If i sign up for bypass, what happens with the rest of the stomach which is unattached?
It still remains in you and is healthy. This allows bariatric surgeons the ability to reverse the gastric bypass if ever necessary
@@LiveHealthyMD lets say that a patient does need a reversal back to normal anatomy - is it ever really become "normal" anatomy? I mean you will be able to feel no staples there, food in stomach and intestines will be able to pass normally like if there was no prior cut made etc, or does gastroparesis and constipation occur?
What’s the difference between bypass and gastric sleeve ? I wanna get gastric sleeve or gastric bypass what ever my dr decides which is better for me I did my research about gastric sleeve and gastric bypass for many years now ❤
Here is a blog that details all about the 2 procedures: bcofa.com/gastric-bypass-vs-sleeve/
My daughter considering she’s “morbidly obese “ her BMI is 60..She was told she may have to loose weight prior or it would be too risky?
Also does anyone have a preference bypass or sleeve? Thank you!
Some surgeons do not feel comfortable doing surgery on patients with a higher BMI. Similarly, some hospitals and bariatric programs can not perform surgery on patients over a BMI of 50 due to hospital restrictions. We recommend you reach out to a few other bariatric surgeons to find one who does perform surgery on patients with a BMI of 60+. If you are located in Georgia or in a neighboring state, we would be happy to direct you to find a bariatric surgeon that meets your daughter's needs.
Based on your daughter's BMI, the surgeon would likely recommend a bypass as it offers more significant weight loss results, but this is something you and your daughter would need to discuss with the bariatric surgeon to decide what is the best treatment option based on her health and weight loss goals.
So with a gastric sleeve Will the stomach heal and seal it self without any need for a retainer to keeping stomach together. ?? Correct me if im workng
Hi Devo, the stomach is cut and stapled with permanent staples that hold it together while it heals. While it heals, there is a risk of leak but after the healing process there is not risk of a leak or a risk with the staples inside your body.
So ill have staples in my body the rest of my life and stomach will be head with time inside staples area ?
@@Devo1987 Yep you will have staples in but there is not risk. We have a video all about it: ua-cam.com/video/IeFogmXgB-M/v-deo.html
@@LiveHealthyMD are they detectable in airport scanners? Have u heard of stalkers getting lost in the body? Like a foreign object the body rejects it?
Do they pull out the piece of the stomach too with a gastric bypass?
Yes
@@anilchakravarthy2536 no
No just rearranging
No.the only take out stomach when they do a sleeve.
@@anilchakravarthy2536 no
I decided not to get any surgery the cons outway the pros
I have a question would you tell a patient if they’re 250 pounds to get the gastric sleeve or a gastric bypass?
yeah bc i’m 270 but i’m 5’10, so i don’t look huge but my bmi is definitely 40, how can i decide if i’m
a good candidate?
@@SapphicSis ya I am 5’5 and 250
Yes I’m 5’7 and weigh 250 I wanna know as well
It would depend on the patient's BMI and their previous diet attempts. Here is a video that talks about candidacy for WLS: ua-cam.com/video/x0f53At-QnE/v-deo.html
@@LiveHealthyMD my BMI is 41
What surgery makes you lose more hair
The gastric bypass and the duodenal switch due to the malabsorptive nature and reduced nutrient intake. However, we do not recommend you choose a surgery based on the fear of hair loss. Hair loss will lessen within in a few months of surgery and will go back to normal.
is it possible to have weight loss surgery with an illeyostomy
Why would anyone do the sleeve over the bypass? Bypass is known to help diabetes longevity and its known to help you lose more weight.
The sleeve is thought to be less invasive (although it is not) and for individuals with a lower BMI it could be a better option for them depending on their medical history.
@@LiveHealthyMD why is it not less invasive?
@@LiveHealthyMD I second Sigilofgremory's question. Why is it not considered more invasive? Does the healing process not take longer?
@@bethconner4325 Both the Bypass and the Sleeve are the same degree of invasiveness and generally have the same risk. Although, the sleeve may be considered less invasive because it does not involve rerouting the intestines. They are both performed laparoscopicly with the same number of incisions in the abdomen.
@@sigilofgremory9671 Both the Bypass and the Sleeve carry the degree of invasiveness and the same risk. Although, the sleeve may be considered less invasive because it does not involve rerouting the intestines. They are both performed laparoscopicly with the same number of incisions in the abdomen.
Hi where are you guys located ?
We are located in Augusta and Dublin Georgia
L'intervento sleeve di Laura:
ua-cam.com/video/dpEa2VA26rk/v-deo.html
What is the cost of either procedure?
It will depend on whether or not your insurance provider covers weight loss surgery. We recommend you reach out to the nearest bariatric clinic and ask them to verify your insurance benefits.
Why don't doctors do liposuction instead of removing a whole organ?
😀😃😄😁😆😅🤣😂
Can this surgery effect a pelvic prolapse ?
The sleeve is a joke. You lose weight, you look & feel great & then after 2-3 years, the weight slowly creeps back. I regained everything and so do a lot of other people. Nobody ever told me it is possible to regain the weight. Too many people lose the weight & have the same story of regaining it with the sleeve. I think some of the surgeons are too conservative and leave too much stomach. But none will admit that. It's always the patient's fault. No one tells you that upfront stomachs can stretch to the point of your old stomach size.
The weight only creeps back because of portion control issues.
If you back to your normal diet, of course you will gain back the weight. Stomach can expand just like from when you’re a little to a grown up so it will up to the patient itself. I’ll be having my sleeve surgery next thursday. My dad had this done 9 yrs ago and he has a healthy bmi. Never regain his previous weight
@@willwell7450 Good luck with that. You'll be saying the same thing 5 years from now.
All you are is $$$ in their pocket
No bypass or sleeve get Ozepice or other medication to help with your weight And work out.
You can never eat a normal portion again. Why not get yourself together and loose weight in a healthy way that leaves you with an intact body?
I never get why people say this lol… there is literally conditions that can stop you physically loosing weight and also can make it harder for example an average person could lose weight normally but somebody with PCOS could follow everything to a T but may lose 1 pound or at this rate absolutely nothing.
It literally depends on ur physical circumstances, health and things to do with your hormones and that is why weight loss surgery is offered.
@@niki_soldiier2409 i second this as a person with pcos. No matter what we do and how hard we try, it just doesn't work. Also pcos can have different effect of different body. For someone it might be just absolute worst, and have no option to get a WLS. Also the doctor is the only one who recommends you this surgery of nothing works cuz of your medical conditions.
He farted