Re: Liver problems Down Road?

[Guest guest]

Hi Will -

My internist also expressed the same concern. He deals only with

bariatric medicine. He is primiarily involved in researching new

medications for weight loss.

When I probed further on the liver issue, he backtracked a bit by

saying that " There is no research that shows that the DS does not

cause liver damage. " I suspect that we could say the same thing for

strawberry ice cream - LOL.

He also stated that the RNY had a better track record for long term

weight loss. I flat think he's not up to date on this as I haven't

seen anything that suggests anything but that the opposite is true.

He is involved in a clinical practice that also performs the RNY,

too. I think that it is more bias than anything. I'm going for the

DS!

Best-

Nick in Sage

[Guest guest]

At 4:44 PM +0000 5/11/01, sage@... wrote:

>... I'm going for the DS!

>

Go, Nick, go!

--Steve

--

----------------------------------------------------------------------

Steve Goldstein, age 61

Lap BPD/DS on May 2, 2001

Dr. Elariny, INOVA Fairfax Hospital, Virginia

Starting BMI 51 --lost my first pound today

My epitaph was going to read " Today, I begin my diet in earnest. "

Now I can change it to a kindler, gentler " Return to Sender. "

[Guest guest]

At 4:44 PM +0000 5/11/01, sage@... wrote:

>... I'm going for the DS!

>

Go, Nick, go!

--Steve

--

----------------------------------------------------------------------

Steve Goldstein, age 61

Lap BPD/DS on May 2, 2001

Dr. Elariny, INOVA Fairfax Hospital, Virginia

Starting BMI 51 --lost my first pound today

My epitaph was going to read " Today, I begin my diet in earnest. "

Now I can change it to a kindler, gentler " Return to Sender. "

[Guest guest]

At 4:44 PM +0000 5/11/01, sage@... wrote:

>... I'm going for the DS!

>

Go, Nick, go!

--Steve

--

----------------------------------------------------------------------

Steve Goldstein, age 61

Lap BPD/DS on May 2, 2001

Dr. Elariny, INOVA Fairfax Hospital, Virginia

Starting BMI 51 --lost my first pound today

My epitaph was going to read " Today, I begin my diet in earnest. "

Now I can change it to a kindler, gentler " Return to Sender. "

[Guest guest]

The GI doc that my PCP sent me to for my upper endoscopy had the exact same

reservations about the DS - that maybe it was too close to the earlier

incarnation (the BPD without DS) that caused fatty liver disease and even

death. He was also under the usual " RNY is the Gold Standard " assumption.

At my consult, I gave him a copy of an informative article about the DS and

he promised to research it some more, too. When I returned for my endoscopy

he was much more reassuring about the DS. He told me that he had been

checking around about it and that it was a fine choice for me. He even said

that there were now some surgeons in my area just starting to perform it. (I

didn't ask who, I'm all set for Mt. Sinai by this point...)

from Philly

BMI 63, age 39

Open DS (The Platinum Standard!) w/ Dr. Pomp, 9am on Wed., June 20, 2001

Aetna USHC, HMO - Waiting to hear, but Doc thinks they will pay!

[Guest guest]

The GI doc that my PCP sent me to for my upper endoscopy had the exact same

reservations about the DS - that maybe it was too close to the earlier

incarnation (the BPD without DS) that caused fatty liver disease and even

death. He was also under the usual " RNY is the Gold Standard " assumption.

At my consult, I gave him a copy of an informative article about the DS and

he promised to research it some more, too. When I returned for my endoscopy

he was much more reassuring about the DS. He told me that he had been

checking around about it and that it was a fine choice for me. He even said

that there were now some surgeons in my area just starting to perform it. (I

didn't ask who, I'm all set for Mt. Sinai by this point...)

from Philly

BMI 63, age 39

Open DS (The Platinum Standard!) w/ Dr. Pomp, 9am on Wed., June 20, 2001

Aetna USHC, HMO - Waiting to hear, but Doc thinks they will pay!

[Guest guest]

Well, if the stuff you have found on the web hasn't done the trick, I don't know what I can add. The old procedure left a segment of unused intestines -- nothing went thru them -- this surgery has the "blind" limb transporting bile and pancreatic juices. Dr. Anthone also cleans out this limb with regular flushings of Coke -- yes, the real thing. He says he hasn't found anything better to clean out the intestines. No one I have read on the list has had an over growth of bacteria, which is what caused the problem with the old surgery -- the unused segment of bowel grew bugs that were able to get into the blood stream. Our "blind limb" is actually being used and constantly rinsed by digestive fluids. Have your doc contact Dr. Anthone with his questions, or even Dr. Hess? For that matter, anyone who has a distal RNY has a similar segment of partially used bowel-- find a doc that does that surgery and ask. Go to the Carnie Chat on Wednesday 5/16 and post the question.

Nan E

[Guest guest]

Well, if the stuff you have found on the web hasn't done the trick, I don't know what I can add. The old procedure left a segment of unused intestines -- nothing went thru them -- this surgery has the "blind" limb transporting bile and pancreatic juices. Dr. Anthone also cleans out this limb with regular flushings of Coke -- yes, the real thing. He says he hasn't found anything better to clean out the intestines. No one I have read on the list has had an over growth of bacteria, which is what caused the problem with the old surgery -- the unused segment of bowel grew bugs that were able to get into the blood stream. Our "blind limb" is actually being used and constantly rinsed by digestive fluids. Have your doc contact Dr. Anthone with his questions, or even Dr. Hess? For that matter, anyone who has a distal RNY has a similar segment of partially used bowel-- find a doc that does that surgery and ask. Go to the Carnie Chat on Wednesday 5/16 and post the question.

Nan E

[Guest guest]

Well, if the stuff you have found on the web hasn't done the trick, I don't know what I can add. The old procedure left a segment of unused intestines -- nothing went thru them -- this surgery has the "blind" limb transporting bile and pancreatic juices. Dr. Anthone also cleans out this limb with regular flushings of Coke -- yes, the real thing. He says he hasn't found anything better to clean out the intestines. No one I have read on the list has had an over growth of bacteria, which is what caused the problem with the old surgery -- the unused segment of bowel grew bugs that were able to get into the blood stream. Our "blind limb" is actually being used and constantly rinsed by digestive fluids. Have your doc contact Dr. Anthone with his questions, or even Dr. Hess? For that matter, anyone who has a distal RNY has a similar segment of partially used bowel-- find a doc that does that surgery and ask. Go to the Carnie Chat on Wednesday 5/16 and post the question.

Nan E

[Guest guest]

Hi . The GI doc that I went to on Monday said, " Oh, I know all

about WLS. I inserted about 200 of those bubbles in my day. What are you

having? The stapling thing? " I explained the BPD/DS to him and he said,

" Yeah, yeah...You're having the one that singer had, right? " He almost

scared me right out the door, but he had an opening for my Upper Endoscopy

today and I didn't want to wait any longer, so I went. Everything went

fine. I slept like a baby through the procedure and had not even the

slightest sore throat afterwards! I'm thanking my lucky stars, for sure!

.....another step closer....)

BMI 61

consult 5/23/01

Dr. Gagner

I left his office with an appointment for my

--- mibrica mibrica@...> wrote:

> The GI doc that my PCP sent me to for my upper endoscopy had the exact

> same

> reservations about the DS - that maybe it was too close to the earlier

> incarnation (the BPD without DS) that caused fatty liver disease and

> even

> death. He was also under the usual " RNY is the Gold Standard "

> assumption.

>

> At my consult, I gave him a copy of an informative article about the DS

> and

> he promised to research it some more, too. When I returned for my

> endoscopy

> he was much more reassuring about the DS. He told me that he had been

> checking around about it and that it was a fine choice for me. He even

> said

> that there were now some surgeons in my area just starting to perform

> it. (I

> didn't ask who, I'm all set for Mt. Sinai by this point...)

>

> from Philly

> BMI 63, age 39

> Open DS (The Platinum Standard!) w/ Dr. Pomp, 9am on Wed., June 20,

> 2001

> Aetna USHC, HMO - Waiting to hear, but Doc thinks they will pay!

>

>

> ----------------------------------------------------------------------

>

[Guest guest]

Hi . The GI doc that I went to on Monday said, " Oh, I know all

about WLS. I inserted about 200 of those bubbles in my day. What are you

having? The stapling thing? " I explained the BPD/DS to him and he said,

" Yeah, yeah...You're having the one that singer had, right? " He almost

scared me right out the door, but he had an opening for my Upper Endoscopy

today and I didn't want to wait any longer, so I went. Everything went

fine. I slept like a baby through the procedure and had not even the

slightest sore throat afterwards! I'm thanking my lucky stars, for sure!

.....another step closer....)

BMI 61

consult 5/23/01

Dr. Gagner

I left his office with an appointment for my

--- mibrica mibrica@...> wrote:

> The GI doc that my PCP sent me to for my upper endoscopy had the exact

> same

> reservations about the DS - that maybe it was too close to the earlier

> incarnation (the BPD without DS) that caused fatty liver disease and

> even

> death. He was also under the usual " RNY is the Gold Standard "

> assumption.

>

> At my consult, I gave him a copy of an informative article about the DS

> and

> he promised to research it some more, too. When I returned for my

> endoscopy

> he was much more reassuring about the DS. He told me that he had been

> checking around about it and that it was a fine choice for me. He even

> said

> that there were now some surgeons in my area just starting to perform

> it. (I

> didn't ask who, I'm all set for Mt. Sinai by this point...)

>

> from Philly

> BMI 63, age 39

> Open DS (The Platinum Standard!) w/ Dr. Pomp, 9am on Wed., June 20,

> 2001

> Aetna USHC, HMO - Waiting to hear, but Doc thinks they will pay!

>

>

> ----------------------------------------------------------------------

>

[Guest guest]

Will,

I, too, have asked this question and done much research. I cannot find an

answer or anyone 8 to 10 years out. If you find something, please, pass on

the info! I have heard it does help with fatty liver problems.

Jerry, Dr. Booth, pre-op

>From: Willyangel@...

>Reply-To: duodenalswitch

>To: duodenalswitch

>Subject: Liver problems Down Road?

>Date: Fri, 11 May 2001 12:44:35 -0000

>

> Hi,

> My internist is very open to WLS but has questions about the D/S. He is

>reallly concerned about cryptogenic liver disease that was prevalent in the

>older versions of this surgery. He is not convinced that the modifications

>address the problem.

> Was this discussed by any of you before your surgery as even a minor

>possible side effect?

> Also, I was told to speak to someone who is eight to ten years post op

>and see how they are doing.

> Well, in all the message boards and resources I have seen I have never

>encountered a " Veteran " of surgery that far out.

> This surgey seems like a Godsend and I would really like to put this one

>fear to rest, if I can.

> Thanks all,

>Will

>

>Appontment with Dr.Gagner AUG.1

>

>

>----------------------------------------------------------------------

>

[Guest guest]

Will,

I, too, have asked this question and done much research. I cannot find an

answer or anyone 8 to 10 years out. If you find something, please, pass on

the info! I have heard it does help with fatty liver problems.

Jerry, Dr. Booth, pre-op

>From: Willyangel@...

>Reply-To: duodenalswitch

>To: duodenalswitch

>Subject: Liver problems Down Road?

>Date: Fri, 11 May 2001 12:44:35 -0000

>

> Hi,

> My internist is very open to WLS but has questions about the D/S. He is

>reallly concerned about cryptogenic liver disease that was prevalent in the

>older versions of this surgery. He is not convinced that the modifications

>address the problem.

> Was this discussed by any of you before your surgery as even a minor

>possible side effect?

> Also, I was told to speak to someone who is eight to ten years post op

>and see how they are doing.

> Well, in all the message boards and resources I have seen I have never

>encountered a " Veteran " of surgery that far out.

> This surgey seems like a Godsend and I would really like to put this one

>fear to rest, if I can.

> Thanks all,

>Will

>

>Appontment with Dr.Gagner AUG.1

>

>

>----------------------------------------------------------------------

>

[Guest guest]

Will,

I, too, have asked this question and done much research. I cannot find an

answer or anyone 8 to 10 years out. If you find something, please, pass on

the info! I have heard it does help with fatty liver problems.

Jerry, Dr. Booth, pre-op

>From: Willyangel@...

>Reply-To: duodenalswitch

>To: duodenalswitch

>Subject: Liver problems Down Road?

>Date: Fri, 11 May 2001 12:44:35 -0000

>

> Hi,

> My internist is very open to WLS but has questions about the D/S. He is

>reallly concerned about cryptogenic liver disease that was prevalent in the

>older versions of this surgery. He is not convinced that the modifications

>address the problem.

> Was this discussed by any of you before your surgery as even a minor

>possible side effect?

> Also, I was told to speak to someone who is eight to ten years post op

>and see how they are doing.

> Well, in all the message boards and resources I have seen I have never

>encountered a " Veteran " of surgery that far out.

> This surgey seems like a Godsend and I would really like to put this one

>fear to rest, if I can.

> Thanks all,

>Will

>

>Appontment with Dr.Gagner AUG.1

>

>

>----------------------------------------------------------------------

>

[Guest guest]

Jerry:

The problem is that no one can prove a negative. There haven't been too many 8 to 10 year out patients here on the board but there have been a few. And they haven't had any liver problems. But it hasn't been a sufficient number to prove that there are often such problems. The problem seems to be that there isn't anything to prove that there are liver problems. But of that doesn't prove there aren't.

Regards.

Joe Frost, old gentleman, not old fartSan , TX, 60 years oldSurgery 11/29/00 by Dr. Welker Lateral Gastrectomy with Duodenal Switch340 starting weight, currently 244http://www.duodenalswitch.com/Patients/Joe/joe.html

Re: Liver problems Down Road?

> Will,> I, too, have asked this question and done much research. I cannot find an > answer or anyone 8 to 10 years out. If you find something, please, pass on > the info! I have heard it does help with fatty liver problems.> Jerry, Dr. Booth, pre-op