Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 Seems to me that might only be a problem if the chemotherapy is taken orally. Isn't most chemotherapy via IV? Seems like intestinal malabsorbtion would not be a factor there. Kathleen F Open Duodenal Switch Drs. Rabkin/Jossart 01/02/01 - 374# 04/03/01 - 300# > I attended my first group meeting with the dietitan today and someone > in the group stated that the doctors don't like to do distal > operations because of the chance that if you need chemeotherapy down > the road you could not have the treatment; Or if you get a serious > illness you will not be able to thrive. I would like to know if > anyone knows anything about this and what your thoughts are on this. > She said she knew of someone who died because she couldn't take > chemotherapy treatments. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 Seems to me that might only be a problem if the chemotherapy is taken orally. Isn't most chemotherapy via IV? Seems like intestinal malabsorbtion would not be a factor there. Kathleen F Open Duodenal Switch Drs. Rabkin/Jossart 01/02/01 - 374# 04/03/01 - 300# > I attended my first group meeting with the dietitan today and someone > in the group stated that the doctors don't like to do distal > operations because of the chance that if you need chemeotherapy down > the road you could not have the treatment; Or if you get a serious > illness you will not be able to thrive. I would like to know if > anyone knows anything about this and what your thoughts are on this. > She said she knew of someone who died because she couldn't take > chemotherapy treatments. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 Seems to me that might only be a problem if the chemotherapy is taken orally. Isn't most chemotherapy via IV? Seems like intestinal malabsorbtion would not be a factor there. Kathleen F Open Duodenal Switch Drs. Rabkin/Jossart 01/02/01 - 374# 04/03/01 - 300# > I attended my first group meeting with the dietitan today and someone > in the group stated that the doctors don't like to do distal > operations because of the chance that if you need chemeotherapy down > the road you could not have the treatment; Or if you get a serious > illness you will not be able to thrive. I would like to know if > anyone knows anything about this and what your thoughts are on this. > She said she knew of someone who died because she couldn't take > chemotherapy treatments. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 The concern I have read most about is when there is a need for higher caloric intake to compensate for weightloss. I am sure this could easily be accomplished with putting a feeding tube in the bile limb so that all of that food would be digested it needed. Dawn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 In a message dated 4/24/01 4:29:01 AM, duodenalswitch writes: << I attended my first group meeting with the dietitan today and someone in the group stated that the doctors don't like to do distal operations because of the chance that if you need chemeotherapy down the road you could not have the treatment; Or if you get a serious illness you will not be able to thrive. I would like to know if anyone knows anything about this and what your thoughts are on this. She said she knew of someone who died because she couldn't take chemotherapy treatments. >> I, too, wondered about this. I do know that the intestinal portion of the surgery is reversible (or at least partially so), so depending on how sick one was at the time I suppose one could get the distal part of the procedure reversed before chemo. I don't know about not being able to thrive with a serious illness --- there are such things as intravenous feedings, parental feedings, etc. -- One does NOT have do die if one cannot get enough nutrients by mouth. I would imagine it would not be pleasant, but there are ways to ensure that a DS post-op can get enough nutrients to survive/thrive, etc. Also, it has been shown that our common channels do try to make up for the malapsorption: It lengthens, grows more receptor cells, etc. In other words, our bodies are compensating and maximizing all resources to accomodate the new arrangement. I think that the special care we would require in the event (God forbid) of any serious illness is one of the reasons we have to be well versed about our surgery. It may be that the doctors/surgeons taking care of us really do not know much about how to accomodate our special needs. all the best, laparoscopic DS with gallbladder removal Dr. Gagner/Dr. Quinn assisting/Mt. Sinai/NYC January 25, 2001 94 days post-op and still feelin' fab! pre-op: 307 lbs/bmi 45 (5'9 " ) now: 265 lbs/bmi 40 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2001 Report Share Posted April 24, 2001 This makes no sense to me. Chemo is administered via veins and circulates throughout the body regardless of changes that have been made to it. The concern I have read most about is when there is a need for higher caloric intake to compensate for weightloss. And this can be accomplished in various ways. The story about someone who couldn't take chemotherapy doesn't include the reason why. in Seattle ----- Original Message ----- > I attended my first group meeting with the dietitan today and someone > in the group stated that the doctors don't like to do distal > operations because of the chance that if you need chemeotherapy down > the road you could not have the treatment; Or if you get a serious > illness you will not be able to thrive. I would like to know if > anyone knows anything about this and what your thoughts are on this. > She said she knew of someone who died because she couldn't take > chemotherapy treatments. Quote Link to comment Share on other sites More sharing options...
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