ASBS: Postoperative Concerns

On May 3, 2010, in Uncategorized, by Andrea

This is a document put out by the ASBS (not the ASMBS.. I know, SOOO close) that’s a guideline of some post-op concerns some patients may have.

Now, I have some issues with some of it.

  1. It states that 85% of RNYers experience Dumping Syndrome.  They seem to be lumping reactive hypoglycemia in this number, and if that is, in fact, the case then I’ll concede the point.  If they aren’t, then they are way over-estimating the number.  In actuality, only about 30% of RNYers dump.  I also do not consider hypoglycemia (especially just plain ‘ole hypoglycemia) a form of dumping — but that could be because I was hypoglycemic before I had my guts rearranged.
  2. It states that DSers could have up to 20 bowel movements a day.  This seems a bit.. far-fetched and propaganda-ish to me.  In fact, perhaps this is where some of the misinformation that surgeons are spewing comes from?  If you are a DSer that has more than 10 bowel movements a day, I’d like to know about it.  Cause, man, that would blow.  But I truly doubt it’s happening to most — and I think that those that are having this problem are those that aren’t following the proper diet.
  3. It doesn’t go into SPECIFIC vitamin supplementation.  Specifics, people, specifics!  Otherwise we get docs saying Tums and Flintstones are GREAT!

It does address some good points:

  1. Stalls are normal.
  2. Exercise is important.
  3. Weighing often is silly – and inaccurate for various reasons.
  4. Vitamins are good.

Overall, not a bad thing to read.  Just like everything, though — take from it what you can and ignore the crap.

ASBS Postoperative Concerns

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4 Responses to “ASBS: Postoperative Concerns”

  1. Lisa says:

    hah yea- as a DSer I can attest that we, under normal circumstances, do not have 20 bowel movements a day. One of the nice things (I guess you can call it a nice thing) is that we end up on a schedule. I have noticed from a lot of the message boards and forums that we DSers usually go 1 or 2 times in the morning before starting our day (going to work, school, etc) and maybe once more at night. The majority seem to only go in the morning. I had IBS issues prior to surgery so this is so much better in my opinion! Thanks for sharing the info!

  2. Nessa says:

    but if i don’t weigh myself daily how can i have something to rant and rave about?

  3. Pam says:

    Remember back in 2007 when the ASBS changed their name to ASMBS, adding the “metobolic” reference to their organization ( — this seems to be the same folks.

    As for the 85%. I agree, this number seems really high to me. But it also says that 85% will experience it at some point… so is only ONE incident being lumped into their statistic? I dumped once when I accidentally had 100g sugar, but as a general rule, I consider myself a non-dumper.

  4. Andrea says:

    Actually Pam — there still is a group called the ASBS that still publishes. I follow them on Twitter and Facebook. Two different groups.

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