Surgical evaluation coming up for gastric sleeve. What to ask?

Posted by azkellyw @azkellyw, Feb 27 7:32pm

Hi all
I have my first bariatric surgery evaluation with the surgeon on Tuesday. I'm being referred from my Mayo hepatologist. Any helpful questions I should ask? It's gastric sleeve. I have about ten questions but I may not have thought of everything.
Tx
Kel

Interested in more discussions like this? Go to the Bariatric Surgery & Weight Loss Support Group.

I don’t have any advice, but good luck with everything!

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@azkellyw
I had a gastric bypass, not a sleeve, but some of the same questions may apply. Here are a few things I would ask, maybe already on your list.
Surgery:
How long will the operation take?
Will I need to stay overnight in the hospital? (probably not)
What type of anesthesia will be used?

Recovery & Post-Op Care
- What can one expect for pain?
- What will recovery look like, 1-2 days, 1st week, etc?
- Dietary restrictions. Will there be a pre-op consult with someone on your care team about progression from clear liquids and liquids to blended foods, then to regular foods? They should also advise about liquid and protein requirements.
- What vitamin/supplements will be required post-op. Example B-12.
- Should you be concerned about diarrhea or constipation, and if so, what should you take?
- Should I be concerned about nausea, and if so, what should I take?
- Are there any prescriptions or over-the-counter meds that I should get prior to surgery?
- Any limitation on the amount of weight that can be lifted?
- Restriction on exercise?
- What follow up appintments will be scheduled?
- Do you need to change any of your current medications prior to surgery? Example: if on a blood thinner/aspirin, do you need to stop taking it prior to surgery?
And of course, warning signs, when should I contact the team? And who do I contact?

Make sure you have contact numbers if you have questions.

These are things typically covered in a pre-op appointment, but make sure your questions and concerns are answered.

Keep us informed on how it goes and if you have any additional questions.

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Hi, @azkellyw - it sounds like now you have had your surgical evaluation about the gastric sleeve. How did it go? What new information did you find out?

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I have my first initial consultation with the surgeon coming up soon where we discuss the options and whether I will be a good candidate or not and wondering if there is anything you wish you would have asked or known about before the appointment? I watched the required videos and am pretty "up-to-date" on the required educational material prior. What can I expect at this appointment? I'm nervous!
Thanks!

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Profile picture for cskluz @cskluz

I have my first initial consultation with the surgeon coming up soon where we discuss the options and whether I will be a good candidate or not and wondering if there is anything you wish you would have asked or known about before the appointment? I watched the required videos and am pretty "up-to-date" on the required educational material prior. What can I expect at this appointment? I'm nervous!
Thanks!

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@cskluz - It's understandable that before taking on any major surgery you might feel nervous.

Do you have a type of bariatric surgery you personally would prefer to have? What would you say is making you the most nervous?

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Profile picture for Lisa Lucier, Moderator @lisalucier

@cskluz - It's understandable that before taking on any major surgery you might feel nervous.

Do you have a type of bariatric surgery you personally would prefer to have? What would you say is making you the most nervous?

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@lisalucier
I’m leaning towards the RNY. I’m more nervous that after all the work I’ve put in and the fact that I can’t take the injections anymore due to my liver not liking them that I’ll still be denied the surgery although I meet all requirements. I’m a bit nervous from all the horror stories I’ve heard and that people end up regretting their decision. I’ve thought about this surgery for 2 years before I decided to ask my doctor about it.

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Profile picture for cskluz @cskluz

@lisalucier
I’m leaning towards the RNY. I’m more nervous that after all the work I’ve put in and the fact that I can’t take the injections anymore due to my liver not liking them that I’ll still be denied the surgery although I meet all requirements. I’m a bit nervous from all the horror stories I’ve heard and that people end up regretting their decision. I’ve thought about this surgery for 2 years before I decided to ask my doctor about it.

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@cskluz , I’ve actually heard that GLP1 meds help liver health. I need to explore this. I’m not taking one, but have discussed it with my endocrinologist for future use. They provide so many benefits.

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Profile picture for celia16 @celia16

@cskluz , I’ve actually heard that GLP1 meds help liver health. I need to explore this. I’m not taking one, but have discussed it with my endocrinologist for future use. They provide so many benefits.

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@celia16
Mine actually caused my liver enzymes to skyrocket (zepbound) and the. Switched to Wegovy but wegovy did nothing for me. And then I went from 1 lesion to 4 on my liver as well within 6 months. My weightloss provider told me no more injections

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