Re: Doing the BPD/DS in two parts--how widespread?

[Guest guest]

Ogretta,

It seems that there are legitimate reasons to recommend a two-part

BPD/DS for patients with particular health problems and/or high

BMI's, in order to limit the time under anesthesia at the time of

highest weight and greatest risk. My continuing concern with Elariny

is that he seems to be recommending this two-part approach to a range

of patients who may not have these characteristics. I did not, for

instance.

I would hope that any patient who gets a recommendation to undergo

two major surgeries would get a second opinion. And if the patient

does not have particular health problems or a high BMI and is offered

the " top-only " approach with the idea that he can always come back

for the second half if he still wants it, I'd suggest that the

patient check out the OSSG-Revision Yahoo Group. There he can get a

good idea of the efficacy of restriction-only procedures, and

therefore of how likely he is to be making a return trip to the

operating table.

KayBee

Laparoscopic BPD/DS

3/2/01

Dr. Ren