Medical Conditions, Gastric Bypass & the Vertical Sleeve

I would like to know what are the medical conditions that make patients too high risk for intestinal bypass.  If your Ontario surgeon chose VSG for you why was that and who was the surgeon?

Thanks for the information!

i'm enjoying your questions !

 

i have stomach and colorectal cancer in my family.  i was told vsg was best for monitoring of stomach cancer.

something else to add,  my research has said that the vsg is becoming very common as an alternate to the riskier, more complication-prone rny.  you need to do your research to learn about what i am saying.  i have met a couple of people who have demanded to get the vsg over the rny b/c of a number of researched factors.  i was told that the only reason vsg isn't considered 'gold standard' is b/c there has yet to be enough long-term studies on it.

I have a VGS because of my previous colon cancer. I had a bag for 6 months 3 years ago. He felt scar tissue would be an issue. My surgeon was Dr. Smith.

:)  congrats on winning the fight, dani.  :)  all the best to life!

-hugs-

From what I've researched myself so far, it seems like VSG would be a better choice health wise.  Even if you didn't have a pre-existing medical condition, what if you developed one 10 years down the road that required you to take NSAIDs or steroids?

I had the VSG because of medication absorption issues.  I was at Guelph and they seldom do the VSG there. My doctor was Dr. Foute Nelong.

Thank you everyone for the great information on this thread!  I have heard that Guelph was more open to doing VSG when requested.  I think the key is to be informed and have reasons to present to the surgeon to back up your case.  I do believe that VSG is going to be considered a more standard surgery  once the long term numbers and outcomes start to trickle in.

 

I had 2 bariatric surgeons at 2 different hospitals tell me that VSG was riskier and that they see more complications with VSG, which is why only RNY is covered by OHIP except in the case of someone who HAS to take NSAIDS for other health issues etc and some other exceptions. I originally wanted VSG but after hearing both surgeons independently say the same things I decided to go RNY.

I COULD of had the VSG,  because I take, (took), nsaids for years for 3 herniated discs but for whatever reason.....the bariatric surgeons I met REALLY didn't want to perform that surgery unless it was the ONLY option.

I am sure BOTH procedures have pro's and con's that will vary greatly with each patient. I would say ask a surgeon....... or 2. They see it every day and probably (hopefully) know what's best for you.

I have the RNY now so I HOPE it's not more "complication prone". Too late to go back now.......fingers crossed, lol  =)

That is extremely surprising!  Everything I have read states that there are fewer surgical complications and side effects from the vertical sleeve.  The reason I was led to believe that most surgeons don't want to do the surgery is because of limited long term studies done on the procedure and its effectiveness.  I hope that your Roux en Y works for you, as I have also read that NSAIDS are hard on the smaller stomach size and there is an increased risk of ulcer for patients, like yourself, that need to take them.