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I had a gastric sleeve so why?

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carlpoff View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote carlpoff Quote  Post ReplyReply Direct Link To This Post Topic: I had a gastric sleeve so why?
    Posted: 21 Jun 2015 at 10:29pm
Just wondering why all the instructions seem to be 100% the same for sleeve as they are with by-pass. They are very different surgeries it seems. I would think there would be differences. In diet, vitamin, 30/60 rule etc. Not upset or bothered by any thing I'm doing great exercise diet down 40 in 6 weeks. So it's working! but just curious
Thanks in advance
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Terri D View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Terri D Quote  Post ReplyReply Direct Link To This Post Posted: 25 Jun 2015 at 3:09pm
The procedures are different but also very similar. A pouch holds about 50cc, a sleeve about 120cc. We follow the 30/60 rule because we do not want our food to slide through a slippery stomach, eating and drinking does cause nausea/vomiting, and we do not want to drink afterwards because this will make our food like a slurry and will slide through a pouch quickly and with a sleeve, even though you still have your pyloric sphincter, when the door opens, more food will empty out if it is real liquidy. RNY has part of the bowel bypassed, sleeves have 2/3rds of their stomach. Gastric enzymes and juices are needed for some vitamins (for instance B12 needs intrinsic factor for absorption) with a pouch and sleeve, we have less of this. The diet is not different as we want you to strive for 60gm - female, 75gm - male of protein, with smaller meals, this is sometimes difficult, thus the need for protein drinks. The one thing that is different is that RNY patients can not take time released drugs whereas sleeve patients can. Hope this helps.   
Terri
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barbie View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote barbie Quote  Post ReplyReply Direct Link To This Post Posted: 30 Sep 2015 at 6:59pm
Why can't a bypass take an extended release and for how long?

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nadia Quote  Post ReplyReply Direct Link To This Post Posted: 30 Sep 2015 at 7:07pm
My understanding of this, barbie, is that the extended release pill passes through the stomach quickly.  So the effects of the pill are short-lived.
NADIA
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Post Options Post Options   Thanks (0) Thanks(0)   Quote LizW Quote  Post ReplyReply Direct Link To This Post Posted: 30 Sep 2015 at 10:24pm
Hi Barb!! Hope all is going well. Just want to take a moment to say 'Happy belated birthday!' Hope it was a good one!
Life is amazing. Enjoy each day. 😊
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dorothy Quote  Post ReplyReply Direct Link To This Post Posted: 01 Oct 2015 at 2:02pm
Nadia, is correct
Extended release is designed for individuals with a complete GI tract
After bypass, you have a shorter small bowel so absorption is less, thus making extended release less effective.
Dorothy McFadden
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dorothy Quote  Post ReplyReply Direct Link To This Post Posted: 01 Oct 2015 at 2:03pm
Also, the post op diet in the weight maintenance stage is the same that is recommended for the general public, except a little higher in protein
60 grams protein ( RDA is 50 grams)
130 grams carbohydrate
30% calories as fat
 
Dorothy McFadden
bariatric dietitian
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