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  1. #1
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    09/28/2010
    Surgeon
    Dr. Roberto Rumbaut
    Join Date
    Aug 2010
    Last Activity
    01-06-2018 10:21 PM
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    Default The Sleeve During the 1st Month

    The Sleeve during the first month is somewhat fragile. That is why it is important to stick to liquids and soft foods.
    Most leaks occur during the first two weeks and apart from the risk of them happening during surgery they can happen after from a patient trying to eat solid foods during the liquid stage. This is the cause of many leaks.
    So if you have severe food addictions that can't be helped it's best to seek out help during this period. Eating the wrong thing during this period can cause the staple line to rupture wreaking havoc with the sleeve. So this is something you want to be careful about. Once you get to the one month mark you can be rest assured you're home free and can begin solids taking small bites to start with.
    My doctor told me of a patient who had a bypass and on day eleven decided to eat solids rupturing her pouch. She had to have emergency surgery to correct it. Once a hole is put into the sleeve or pouch you have no choice but surgery and the leak can take many days to mend.
    I can remember when I was a beginner bandster and a woman who had her surgery with me in Mexico came home to the States. The day after she flew home she made a trip to McDonald's and tried to shove a Big Mac & fries into her pouch. Which by the way is almost impossible. I to this day don't understand how she did it. Anyhow she ended up rupturing her pouch causing hemorrhaging and had to go into emergency surgery. So this is something you want to avoid and stick to the rules.
    Lorna




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  3. #2
    Gastric Sleeve Member traybill's Avatar
    Join Date
    Aug 2010
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    09-26-2013 06:09 PM
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    Default Re: The Sleeve During the 1st Month

    What made you decide to go from the band to the sleeve?

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  5. #3
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    09/28/2010
    Surgeon
    Dr. Roberto Rumbaut
    Join Date
    Aug 2010
    Last Activity
    01-06-2018 10:21 PM
    Posts
    327
    Said "Thanks" 37 Times
    Was Thanked 463 Times in 230 Posts
    Said "Welcome to Gastric Sleeve" 248 Times

    Default Re: The Sleeve During the 1st Month

    What made me decide to switch? The band is a nightmare. You can ask anyone here on this forum who converted to the sleeve.
    From day one I had issues with it. But back then you're only choices were the band or bypass. The band was for moderately overweight folks. The bypass was used for the severally obese. The sleeve hadn't come out yet.
    My doctor told me I was too tiny for the bypass. I was around 200lbs. back then. Forty years old. Tiny, yea right! LOL!
    Anyhow I went in for the band because I could see my weight creeping up.
    Previously in my 30's I had weighed no more than 150-160 lbs. at most. At 40 I ballooned. My weight kept creeping up. I was scared I would blossom to 250lbs.
    So I went to Mexico. The same doctor who did my sleeve did my band ten yrs. earlier. He likewise had a band but converted to bypass a couple yrs. ago.
    My doctor had the same issues as me. Band slippage, terrible acid reflux. Sleepness nights. Liquid coming out of your nose during sleep which wakes you up & leads to choking.
    My doctor will still do gastric band surgery because a lot of patients still don't want to go to the extreme of removing part of their stomach. So the band becomes a sort of "first bariatric procedure" for the over weight.
    From there folks usually convert when they have bad side effects from the band. A few people can actually live with it but at one point you say "enough is enough." I'm not going to live like this anymore.
    The band can go from good to bad and at one point you either have to convert to a different surgery or replace the band with a new one. I arrived at that point. The sleeve became available so I converted. Lorna




  6. #4
    Gastric Sleeve Member traybill's Avatar
    Join Date
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    09-26-2013 06:09 PM
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    Default Re: The Sleeve During the 1st Month

    Lorna,
    Thanks so much for that Personal info. I originally wanted to do the band, and I did alot of reserch. I came to the conclusion that the sleeve may appear radical, but looking at all the facts of long term complications of the band seemed more radical to me. I didn't have anyone to ask questions that actully had the band. That was just from info I read on it... Thanks so much. Tracy

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  8. #5
    Gastric Sleeve Member Hollywood_B1983's Avatar
    I have had a gastric sleeve.
    Name
    Brandon
    Surgery date
    10/11/2010
    Surgeon
    Dr. Jose Rodriguez
    Join Date
    Aug 2010
    Last Activity
    09-21-2011 08:10 PM
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    Marion, AR
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    Default Re: The Sleeve During the 1st Month

    While I was in Mexico this past week for my VSG surgery, there were two women that I met, one was 40 and the other was 60...they both had the band and were there to have it removed, and one was getting the VSG done as the other was having the full bypass done. One of them said she had it for two years, and only lost 50lbs. and gained 15 of them back. I am really glad that the whole idea of having tube or port that I could feel right under my skin turned me off.



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  10. Gastric Sleeve Surgery With Weight Loss Agents
  11. #6
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    09/28/2010
    Surgeon
    Dr. Roberto Rumbaut
    Join Date
    Aug 2010
    Last Activity
    01-06-2018 10:21 PM
    Posts
    327
    Said "Thanks" 37 Times
    Was Thanked 463 Times in 230 Posts
    Said "Welcome to Gastric Sleeve" 248 Times

    Default Re: The Sleeve During the 1st Month

    I'll see how I do with this. When I had the band I felt a definate sense of restriction. I am still on puree's. I am very careful what I eat since I am under the one month safety zone for the sleeve. However I do feel hungry.
    When I was on liquids I ate till I was full and then stopped.
    On puree's I started with 3, 1/2 cup meals a day and two desserts (low-fat yogart,pudding, & or jello). I found I was still hungry. From what I read when you're in the weight loss period you should limit yourself to between 500-800
    calories. I found I had to add one more meal for myself to feel satisfied.
    My protein meals come to about 120-150 calories each.
    I do realize that between 6-9 months our appetite picks up when our stomach opens after the swelling has gone down. I hope I don't go crazy.
    I was reading on another gastric sleeve forum that when you start real solids you'll feel a definate sense of restriction. I hope so. So far I have yet to experience it as I'm being very careful and measuring my puree foods out into 1/2 cup servings.
    Now I read on one website that you can allow yourself between 4-6, 1/2 cup servings or meals of protein per day.
    However if you want to lose weight during the first six months you should keep your calorie count down to below 800.
    I also read when they first started doing the sleeve they used to cut down the pouch much smaller than they do now. They apparently use a cylinder
    measure when they cut you to determine how much they should cut away.
    Previously they used to make folks much tighter but people were complaining they couldn't eat or swallow.
    So they went from a 32 cylinder to a 36 measure.
    Some of the people who were previously very tight had to get their stomach's stretched to accommodate food. Others were happier with the tighter restriction.
    I'll try my best to work this however if years down the road I find I am putting on weight I'll go to Brazil and convert to the duodenal switch since sleeving is half the procedure and a mini-bypass the rest.
    In the meantime I hope this works for me. Lorna
    Reason: spelling




  12. #7
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Name
    Leslie
    Surgery date
    11/09/2010
    Surgeon
    Dr David Suh
    Join Date
    Nov 2010
    Last Activity
    04-12-2012 10:17 AM
    Location
    CA
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    Default Re: The Sleeve During the 1st Month

    Wow, all this information really helped me. I'm 10 days out from getting the sleeve and man let me tell you the first week I begged my hubby to kill me, he doesn't listen, lol. But now I'm slowly getting the hang of things, just wish I could eat dinner with my family already. Thanksgiving is gonna be so dang hard cuz I luv turkey, was thinking of getting turkey gravy n mixing it with my 2 oz of mashed potatos. My biggest worry is not sleeping, I now don't sleep more then 3 hrs at night and man I was a must need 9hrs or more type person.



    You can find me on Facebook under Leslie Hurtado or ThtzMsPrincess2U
    Also my goal weight was 160 lbs but I'm now below goal and hopefully holding at 151 and not just in a stall

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  14. #8
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Name
    Mary Jo
    Surgery date
    11/15/2010
    Join Date
    Oct 2010
    Last Activity
    05-23-2014 08:09 PM
    Location
    Columbus, Ohio
    Posts
    10
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    Default Re: The Sleeve During the 1st Month

    Hello,

    I had my sleeve on Monday, 6 days ago. I have struggled the first few days as well. I know what you say about asking your husband to kill you LOL! Anyway, it's getting easier day by day. When I went to pureed foods, it didn't dawn on me that they should be more liquid than solid. I was trying to eat things that were too thick and they were killing my stomach. My stomach was either in pain, rebelling, or I was hungry. I hated to eat. Now, after having that light bulb moment, I am really thinning everything down and guess what?? I can eat more than 3 teaspoons at a time. I too, can't wait to eat regular foods again, but I know this is just a period I have to go through and all the diets I have been on in my life, this should be cake!!

    It is good hearing from you all since we are very close to all having our surgeries at the same time.

    Mary Jo

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  16. #9
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Name
    Leslie
    Surgery date
    11/09/2010
    Surgeon
    Dr David Suh
    Join Date
    Nov 2010
    Last Activity
    04-12-2012 10:17 AM
    Location
    CA
    Posts
    59
    Said "Thanks" 8 Times
    Was Thanked 75 Times in 46 Posts
    Said "Welcome to Gastric Sleeve" 41 Times

    Default Re: The Sleeve During the 1st Month

    Haaa haa Mary Jo, ya I was thinking of pureeing foods too. What about soups those are liquids but not on my of foods to eat? Luckily everyday is better then the previous



    You can find me on Facebook under Leslie Hurtado or ThtzMsPrincess2U
    Also my goal weight was 160 lbs but I'm now below goal and hopefully holding at 151 and not just in a stall

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  18. #10
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Name
    Mary Jo
    Surgery date
    11/15/2010
    Join Date
    Oct 2010
    Last Activity
    05-23-2014 08:09 PM
    Location
    Columbus, Ohio
    Posts
    10
    Said "Thanks" 7 Times
    Was Thanked 8 Times in 7 Posts
    Said "Welcome to Gastric Sleeve" 9 Times

    Default Re: The Sleeve During the 1st Month

    I was told, more-or-less, anything that I didn't have to chew. I was told to strain soups that had chunks, but if you blend it, what's the difference? I don't know. I had refried beans tonight. They were just a tad thicker than what I had eaten yesterday but I also was taking teeny tiny bites and really rolling them around in my mouth before I swallowed!

    So far so good!

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  20. #11
    Gastric Sleeve Member Hollywood_B1983's Avatar
    I have had a gastric sleeve.
    Name
    Brandon
    Surgery date
    10/11/2010
    Surgeon
    Dr. Jose Rodriguez
    Join Date
    Aug 2010
    Last Activity
    09-21-2011 08:10 PM
    Location
    Marion, AR
    Posts
    132
    Said "Thanks" 40 Times
    Was Thanked 172 Times in 90 Posts
    Said "Welcome to Gastric Sleeve" 56 Times

    Default Re: The Sleeve During the 1st Month

    Ya'll should try stage 3 baby foods. They got me through that stage. All I added was salt and pepper. And about around 100 calories a jar, and I was only eating about half a jar at a time. So I still wasn't putting on the calories.




  21. #12
    Gastric Sleeve Member Mostspicy's Avatar
    I have had a gastric sleeve.
    Name
    Danielle
    Surgery date
    02/08/2011
    Surgeon
    Dr. John Anthony Primomo
    Join Date
    Feb 2011
    Last Activity
    04-08-2012 11:47 PM
    Location
    Houston, TX
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    Default Re: The Sleeve During the 1st Month

    I've tried the stage 3 baby food. Some of it isn't bad
    Danielle
    Sleeved 2/08/11 by Dr. Primomo at The Davis Clinic in Houston, TX

    Follow my story: www.becomingabettermethroughvsgsurgery.blogspot.co m






  22. #13
    Gastric Sleeve Member MoreFitDiane's Avatar
    I have had a gastric sleeve.
    Name
    Diane
    Surgery date
    12/06/2010
    Surgeon
    Dr. Earl Noyan
    Join Date
    Dec 2010
    Last Activity
    07-06-2014 02:32 PM
    Location
    New Jersey
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    Default Re: The Sleeve During the 1st Month

    At five weeks post-surgery, I was (and still am) eating anything I want...just tiny portions and lots of chewing! My dietitian says that 800 calories a day are minimum and 1,000 is max for losing weight. Most days I am between 900-1000. I was losing 4 lbs a week in the first two months, and am now losing 3 lbs a week. I'm very happy with this steady progress and don't feel deprived. When I get to goal weight, I get to graduate to 1,500 calories a day...always, always keeping my protein between 60-80 gms.
    Diane



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  24. #14
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    02/08/2011
    Join Date
    Jan 2011
    Last Activity
    08-20-2011 03:43 PM
    Location
    Monterey, California
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    Default Re: The Sleeve During the 1st Month

    Quote Originally Posted by mjpatterson View Post
    I was told, more-or-less, anything that I didn't have to chew. I was told to strain soups that had chunks, but if you blend it, what's the difference? I don't know. I had refried beans tonight. They were just a tad thicker than what I had eaten yesterday but I also was taking teeny tiny bites and really rolling them around in my mouth before I swallowed!

    So far so good!
    The first 2 weeks post op I had to drain everything, now I am almost 4 weeks post op and I can just blend the soups and fruits, I added milk to my diet and only eating 4 oz/ meal.
    Next week I will be able to start chewing a little.....
    Good luck with recovery


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