My Bariatric Life living life after weight-loss surgery: My StomaphyX Revision Surgery - Surgery Day
What is StomaphyX Revision Surgery?
StomaphyX is an incisionless revision surgery for gastric bypass weight loss surgery patients whom have failed to lose all of their excess weight, or whom have experienced some weight regain in the years following their surgery.
How Does StomaphyX Work?
StomaphyX is a surgical procedure in which the bariatric surgeon fastens the tissue of the stoma together, with a series of plications (like pleats in a skirt), thereby making smaller the opening to the gastrointestinal tract. After several weeks, the tissues of the plications fuse, making it strong and stable.
This effectively restores the size of the stoma created during the original gastric bypass surgery, which may become stretched as years go by. This smaller stoma, in turn, holds food in the pouch longer so the patient remains satiated with small amounts of food for longer periods of time.
The result is that the patient eats less and can achieve a weight loss of 20-40lbs, on average, when the surgery is combined with diet and exercise.
The procedure is performed endoscopically. The bariatric surgeon will insert a device down the patient's throat while s/he is under sedation, making this revision procedure safe as compared to more invasive revision surgeries.
My StomaphyX Revision Surgery
Back in 2008, I was approved for the StomaphyX revision surgery by my surgeon and my insurance company - this is a big win as most insurance companies do not cover this procedure. In this sharepost, I discuss my experience with preparing for the surgery and day of surgery.
Pre-StomaphyX Preparation: Nutrition Guidance
In preparation for the procedure, I met with a registered dietician who runs a practice out of my surgeon's bariatric center. We put together a meal plan for four weeks of liquid diet. My bariatric surgeon warned me not to eat anything too 'heavy' at this time, such as pureed food, and to stick with the liquids. He informed me that the staples are very weak and they could pull out.
The nutritionist required me to get 100g of protein a day while on the liquid diet. This was to make sure that I did not loose muscle. It is critical to successfully keeping the weight off that this amount of protein is consumed. Otherwise, the body will digest muscle rather than fat, and weight lost during the post surgical diet will be regained once normal eating resumes.
The nutritionist said my fat intake should be 30-40g daily. I was concerned about losing hair and my face sagging so I researched ways to keep my fat and sodium levels up. I found that natural peanut butter is good for fat and canned soups are good for sodium.
Additionally, the nutritionist expressed concern about me getting constipated so I purchased Magnesium Citrate, which has a natural laxative effect.
Also, because the nutritionist identified me as insulin resistant, she told me to balance protein and carbs grams 2:1 at every meal. She stressed that I'd need to do this in order to lose weight.
She recommended that 60g of carbs per day is good because less than that intake could result in headaches.
A sample of my plan of eating:
- B: Syntrax Nectar Whey Protein lemon flavor, mixed with 3 tsp Magnesium Citrate lemon flavor and 2 tbs of the liquid vitamins (fruit flavor) mixed with 8oz spring water. Take sublingual B12.
- L: ON Gold Standard 100% Whey chocolate flavor blended with the following - ice cubs, 2 tbs Smucker's natural peanut butter creamy, 8oz vanilla soy (or chocolate soy), 2 packets Splenda, 1 tsp 100% pure baking cocoa.
- D: 1/2 can Campbell's Cheddar Cheese soup, condensed, undiluted
- Metabolic (snack): Profect protein bullet/drink
I tracked this meal plan on fitday.com and it showed that this provides 838 calories, 34.9 g fat, 38.9 g carbs, and 98.6 g protein. I send this to the nutritionist and she said it was a good menu.
Read recommended food and nutrition guidelines for this surgery here.
I had been fasting since 9:30pm the night before and was scheduled for my surgery at 3:45pm. I had to arrive at the hospital at 2pm. So, I worked in the morning and then left at 1pm for the hospital.
Everyone at the hospital was very nice, especially the nurses. Unfortunately, my surgery was delayed because the surgeon was running late. I officially arrived in the OR at 4:45pm.
The procedure itself was fairly quick and I arrived in the Recovery Room at 6pm.
I was in a lot more pain that I had expected. I recall being wheeled on the gurney into the room saying "ow, it hurts," and passing gas. My stomach hurt and I was full of gas. I kept "breaking wind" and burping -- it surely must have been unpleasant for the nurses.
My throat was full of mucus and I was coughing. My throat hurt, like someone jammed their fingers down it. I am told that the instrument for the StomaphyX is about 4x the size of the one used for a typical endoscopy. No wonder my throat hurt!
The nurse gave me Dilaudid and my pain simmered down. I described the pain as an 8 initially and then a 3 to 4 after the medication.
I became extremely dizzy and do not know if this was caused by the Dilaudid or something else. And I was extremely thirsty. The nurse fed me a few ice chips. Gradually, I take water and later hot tea.
It was 9pm before I could leave. I was still so dizzy and during the entire hour-long car ride home that I thought that I would vomit at any moment.
Fortunately, I got home without incident and went directly to bed.
Question for the Community
Have you had a revision surgery following your original weight-loss surgery? If so, please share you experience by posting a comment. Thank you!
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You can read about my decision to have weight loss surgery back in 2003 and my journey to maintain a lifetime of obesity disease management since that time. My wish is to help you on your own journey of lifetime obesity disease management with shareposts along the way to help you navigate that journey successfully.