Sunday, 10 February 2008

The Story So Far - November & December '07

Dec 2007:- Gastric Bypass SurgeryI saw the Bariatric surgeon (Dr JA Potgieter) on Thursday 29/11 and he did an evaluation with the following results:
1. Weight 233kg
2. Body mass index (BMI): 66+
3. Category: Super Obese
4. Morbidity factors: Pre diabetic, high blood pressure, hip problems, breathing problems, reflux, sleep apnoea (all are cured by op!)
5. Minimum requirements to qualify for surgery: BMI >45 with no morbidity factors (As you see I am almost overqualified!!!)

Other factors:

1. Success rate of operation: 99%
2. Size of weight loss=77% of excess weight in 1 year (for me = 97kg!)
3. Fatality rate: SA = 1% (worldwide = 4%)
4. Morbidity rate: SA = 4% (worldwide = 10%) (Morbidity rate = number of people who have serious complications after surgery)
5. Cost of operation=R 90,000+. My medical aid covers most of it, thanks to God....
6. Options for bypass = 4 options but best is Roux and Y method.

Roux en Y Gastric Bypass Surgery: How it Works

Gastric bypass surgery involves three main steps:

1. Creating a new, smaller stomach (gastric pouch) from the existing stomach.

2. Bypassing 3 to 4 ft. of the small intestine (normally 20 ft. long).

3. Connecting the bypassed digestive section to the lower section of the small intestine, where necessary digestive juices mix with food.



Still to do:
1. Have a gastroscopy
2. Have a liver scope
3. Have a whole panel of blood tests
4. See a psychiatrist (Certify what a large impact being overweight has on me and to check that I am not bi-polar or downs or schizophrenic)
5. See a dietician (I must move from solids to soft food and then to liquids before the operation and reverse the process afterwards. About 6 weeks to 2 months). The surgeon would like to see me lose 10kg before surgery
7. See an endocrinologist (thyroid doc)
BUT these are really just formalities UNLESS something major turns up.

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