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My surgeon would not cut me until I lost 10 pounds. From 172 to 162. I think what he said to me was that excessive adipose tissue increases the likelihood of such things as accidentally cutting the nerves that control sexual function resulting in permanent impotence, which does happen in a very low percentage of cases. He said it's easier to do the surgery at a lower weight. At the time of my surgery he was considered the best colorectal surgeon in the USA, had done thousands of J Pouches and the very first K pouch surgery in the USA. So I listened and dropped the weight. 

Keep in mind I was probably only 10 pounds overweight to begin with, but he was known as a stickler and wouldn't surgery me until I lost the weight which wasn't easy to do taking 60 mg prednisone a day. But I did it.

Last edited by CTBarrister

Bodyweight variances, whether they be higher or lower can shift things around in there. I have a K pouch, an abdominal stoma with a valve (which would be the equivalent of your rectum). Whenever I gain or lose weight, the valve shifts and so does the pouch...which can wreak havoc on functions.

I am assuming (maybe wrongly) that sudden or severe weight losses or gains can cause problems with J pouches too.

I was told to find a comfortable body weight and to stick to it...but facts are facts...the heavier you are, the riskier the surgery, Both on your heart and on the, the trick is to go into surgery at your fighting weight, but to be able to maintain it post-op.

Surgeons have preferences, and some just do not wish to take the risk of operating on someone who is can lead to all sorts of complications, and rarely, death...

Dr R, who had a whole wing at Palms,  was the beloved specialist of all BCIR patients and one of the few devoted specialist surgeons in N.A. who did the BCIR pouches.

He resigned after having lost a patient due to post-op complications linked to his patient's obesity. 

It is just riskier.

For both the patient and the surgeon.


I understand...after years of depriving yourself and living in fear of food, it is so nice to be able to let go and eat.

But it catches up with us, fast...our bodies like to hang on to all of those calories, never knowing if starvation is going to happen again...So we seem to get fatter, faster. 

It is unfair...but do you best...

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