Re: Billroth Procedure

[Guest guest]

Does anyone have any info at to websites regarding the Billroth procedure. I

would appreciate any addresses that might get me started. Thank you so much.

Liz

[Guest guest]

Does anyone have any info at to websites regarding the Billroth procedure. I

would appreciate any addresses that might get me started. Thank you so much.

Liz

[Guest guest]

Does anyone have any info at to websites regarding the Billroth procedure. I

would appreciate any addresses that might get me started. Thank you so much.

Liz

[Guest guest]

In a message dated 5/7/00 6:07:25 PM Eastern Daylight Time, lparker@...

writes:

<< > Does anyone have any info at to websites regarding the Billroth

procedure.

This is pasted from Dr. Rutledges website. There is more detailed

informatiom there.

Roux-en-Y vs. Loop (Billroth II) Gastrojejunostomy.

Weight loss surgery is full of controversy, banding vs. bypass,

proximal bypass vs.distal bypass, bypass vs. duodenal switch vs. Fobi

pouch...The list goes on and on.

Many Bariatric surgeons favor the Roux-en-Y type of gastric bypass.

Roux-en-Y is only one way to hook up the stomach to the small bowel.

The most common way to connect the stomach to the small bowel is the

Billroth II (loop) named for the famous German surgeon who invented

the operation Dr. Theodore Billroth almost 100 years ago.

Although many Bariatric surgeons like the Roux-en-Y type of

connection

the Billroth II is used much more commonly by American surgeons. In

the United States during 1996 there were an estimated 32.5 million

hospital admissions. During that period of time there were

approximately 13,000 stomach operations that required the surgeon to

connect the stomach to the small bowel.

Of these 13,000 people whose surgeon had to decide how to connect the

stomach to the small intestine 63% chose a Billroth II (loop) type of

connection. Only 19% chose the Roux-en-Y way to connect the stomach

to the small bowel and 18% chose some other method.

What these data show is the vast majority of American Surgeons chose

the Billroth II type of connection used in the Mini-Gastric Bypass.

Thank you for your reply. I have seen this already and just wanted to know

if there was even more detailed stuff out there specifically not from Dr. R.

Sorry I was not more specific Liz

>>

[Guest guest]

I think other sources than Dr. R are what she is looking for. I would be

interested to because the devils advocate part of you says..well of course he

would say its great! Wouldn't a Lincoln dealer tell you his car is better

than a Cadillac? This does seem to be a great tool but I do want to talk to

other surgeons (not necessarily WL surgeons) that can give an opinion of this

procedure. If they have been doing Billroth for many years there has to be

some documentation out there somewhere!

Holly

praying to be pre-op soon!

[Guest guest]

> Does anyone have any info at to websites regarding the Billroth

procedure.

This is pasted from Dr. Rutledges website. There is more detailed

informatiom there.

Roux-en-Y vs. Loop (Billroth II) Gastrojejunostomy.

Weight loss surgery is full of controversy, banding vs. bypass,

proximal bypass vs.distal bypass, bypass vs. duodenal switch vs. Fobi

pouch...The list goes on and on.

Many Bariatric surgeons favor the Roux-en-Y type of gastric bypass.

Roux-en-Y is only one way to hook up the stomach to the small bowel.

The most common way to connect the stomach to the small bowel is the

Billroth II (loop) named for the famous German surgeon who invented

the operation Dr. Theodore Billroth almost 100 years ago.

Although many Bariatric surgeons like the Roux-en-Y type of

connection

the Billroth II is used much more commonly by American surgeons. In

the United States during 1996 there were an estimated 32.5 million

hospital admissions. During that period of time there were

approximately 13,000 stomach operations that required the surgeon to

connect the stomach to the small bowel.

Of these 13,000 people whose surgeon had to decide how to connect the

stomach to the small intestine 63% chose a Billroth II (loop) type of

connection. Only 19% chose the Roux-en-Y way to connect the stomach

to the small bowel and 18% chose some other method.

What these data show is the vast majority of American Surgeons chose

the Billroth II type of connection used in the Mini-Gastric Bypass.

> would appreciate any addresses that might get me started. Thank

you

so much.

> Liz

[Guest guest]

> Does anyone have any info at to websites regarding the Billroth

procedure. I

> would appreciate any addresses that might get me started. Thank

you

so much.

> Liz

Question:

This was pasted from Dr Rutledges web site.

How is the Mini-Gastric Bypass Different from the Roux-en Y Gastric

Bypass?

Answer:

The best way to see the differences in the two operations is to look

at our web site. The Mini-Gastric Bypass is

described on the web at http://clos.net/op_descr.htm

The Roux en Y Gastric Bypass is well described in the NIH Consensus

conference on the web at

http://clos.net/nih.htm

Both of these pages give a very detailed description of the

procedures

and include drawings and photographs of

the operation.

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Question:

" Is your surgery different from other surgeons? "

Answer:

Yes. The Mini-Gastric Bypass is different from the operation

performed by some other surgeons. In fact surgeons

performing operations for obesity have used a wide variety of

different operations over the years. These include the

Vertical Banded Gastroplasty (VBG), the Roux-en-Y Gastric bypass

(GBP), the adjustable gastric band, the " Fobi "

pouch, biliopancreatic diversion and many others. In fact in talking

to surgeons around the country I have found

that many surgeons use modifications of these procedures that they

believe improve the results in their patients.

In almost all of these cases a description of the modifications are

not explained in detail to the patient or the

medical community so that we can learn about their advantages or

disadvantages. As far as I am aware our

operation is the first in which the result of every single patient is

followed online so anyone can judge our results.

Almost all of our patients are also willing to talk with you about

their experiences with me (Dr. Rutledge), the

operation, the hospital and often a good deal about themselves. This

is, I believe, a strong community of people

trying to do the right thing.

The Mini-Gastric Bypass is a modification of the Roux-en-Y Gastric

Bypass (RYGBP) designed to decrease the

complications known to occur after RYGBP. All of the research

published on RYGBP clearly shows that it is a

good long-term solution for the treatment of severe obesity. But,

the

studies also show that the RYGBP can have

severe and lethal complications. One of the most devastating is a

leak from the staple lines where the Roux-en-Y

is created.

The Mini-Gastric Bypass simplifies the gastric bypass operation and

uses a well-recognized standard method for

creating the bypass. This simplifies the operation and avoids many

of

the complications that have been shown to

occur with the Roux-en-Y method.

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