Guest guest Posted April 9, 2001 Report Share Posted April 9, 2001 In a message dated 4/9/01 3:40:18 PM, duodenalswitch writes: << Hi everyone- I spoke with my surgeon, Dr. Herron and asked about obstructions. He said it is very low risk and scar tissue can happen for many reasons. He had no concerns and the good news is if it should happen it can be fixed. If you throw up and can't go to the bathroom get to the hospitaL or call your surgeon immedieately. (Throwing up from eating too much doesn't count. ) It can happen 20 years from now. >> Hi, Ellen: Thanks for the clarification. I know that the BPD/DS cards that we are given at Mt. Sinai list obstruction as a possible post-op problem.... I know a few people who had bowel obstructions immediately post-op and had to have second operations to take care of that problem. And, it is true that we are at a greater risk for the possibility of bowel obstruction at any time in our post-op lives. This is just a possible side effect of the surgery, along with possible nutritional deficiencies to look out for (the RNY folk also have this risk). We also have the risk of possible hernias developing anytime in our post-op lives, not just immediately post-op (same goes for the RNY folk). I mean, this IS major surgery. We should know of all the possible outcomes and potential problems so we can address them if (God forbid) they do arise. I thinkI went in with my eyes totally open about these things (and having quite a few friends experience problems such as leaks, obstructions, comas and the like - although MINOR compared to the total number of surgeries done, but they can occur) and I STILL decided on the surgery, hands down. All the best, laparoscopic BPD/DS with gallbladder removal Dr. Gagner/Dr. Quinn assisting/Mt. Sinai/NYC January 25, 2001 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 9, 2001 Report Share Posted April 9, 2001 - I left it in Gods hands. I knew all the risks and all the advantages going in. I truly felt that I would suffer with many more illnesses unless I did something and surgery was the answer. It truly has done everything I could want. My biggest problem was quantity. I am obsessed with getting in the protein and the vitamins and I am awaiting my bloodwork results this week. Believe me, if we kept going the route of gaining/losing and gaining more an obstruction would have been the least of our problems. So glad to know you are doing well and just ebjoy the new healthy you. Ellen(Pam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 9, 2001 Report Share Posted April 9, 2001 > - I left it in Gods hands. I knew all the risks and all the advantages > going in. I truly felt that I would suffer with many more illnesses unless I > did something and surgery was the answer. It truly has done everything I > could want. My biggest problem was quantity. I am obsessed with getting in > the protein and the vitamins and I am awaiting my bloodwork results this > week. Believe me, if we kept going the route of gaining/losing and gaining > more an obstruction would have been the least of our problems. So glad to > know you are doing well and just ebjoy the new healthy you. Ellen(Pam Ellen/Pam: I know what you mean. The alternate -- gaining and losing only to eventually gain MORE... going into middle age with all this weight and health risks... my low energy levels... I had to take action! Let us know about your bloodwork - sounds like you've been doing really well keeping on track of it all. I go at the end of May, so that will be my 'time of reckoning' (it's supposed to be at the end of April, but my surgeon is on vacation). Thanks - I'm doing great! And, I'm feeling so much better! all the best, TEresa laparoscopic BPD/DS with gallbladder removal Dr. Gagner/Dr. Quinn assisting Mt. Sinai/NYC Jan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 9, 2001 Report Share Posted April 9, 2001 > - I left it in Gods hands. I knew all the risks and all the advantages > going in. I truly felt that I would suffer with many more illnesses unless I > did something and surgery was the answer. It truly has done everything I > could want. My biggest problem was quantity. I am obsessed with getting in > the protein and the vitamins and I am awaiting my bloodwork results this > week. Believe me, if we kept going the route of gaining/losing and gaining > more an obstruction would have been the least of our problems. So glad to > know you are doing well and just ebjoy the new healthy you. Ellen(Pam Ellen/Pam: I know what you mean. The alternate -- gaining and losing only to eventually gain MORE... going into middle age with all this weight and health risks... my low energy levels... I had to take action! Let us know about your bloodwork - sounds like you've been doing really well keeping on track of it all. I go at the end of May, so that will be my 'time of reckoning' (it's supposed to be at the end of April, but my surgeon is on vacation). Thanks - I'm doing great! And, I'm feeling so much better! all the best, TEresa laparoscopic BPD/DS with gallbladder removal Dr. Gagner/Dr. Quinn assisting Mt. Sinai/NYC Jan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 10, 2001 Report Share Posted April 10, 2001 > Hi, Ellen: Thanks for the clarification. I know that the BPD/DS cards that > we are given at Mt. Sinai list obstruction as a possible post-op problem.... > > laparoscopic BPD/DS with gallbladder removal> Dr. Gagner/Dr. Quinn assisting/Mt. Sinai/NYC> January 25, 2001 If you don't mind me asking just a couple more things, I happened to notice that you mentioned that at Mt. Sinai, they gave you cards about the possible post-op complications, well I was wondering if you wouldn't mind explaining some of the more serious things, and how they can be prevented, or what the percentage is for the risk?? I am sure that there are others who would be interested in knowing this to help aide in the decision of surgery. Or if there is a site that gives out accurate information to which you or someone might refer us pre-ops? One more thing, no one really answered about the nutrition, ................. If a DS. post-op is taking their supplements on a regular basis as should, arethey still at a higher risk for these things to occur compared to an averageNON-WLS person??? Thanks everyone for your help also....I feel much, much, much, much, better........!!!!!!!!! With great thanks, karen in pa. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 10, 2001 Report Share Posted April 10, 2001 < > My surgeon's site lists the surgical complications they have experienced, you might find it interesting reading. www.pacificsurgery.com LAPAROSCOPIC DS RESULTS: Between October 1999 and January 2001, we have performed 138 laparoscopic duodenal switch procedures. There were 123 women and 15 men with a mean age of 41 (range 19-67). The mean body mass index was 48 (range 37-116 kg/M2). The mean operating time was 218 minutes (range 135-530) and the mean estimated blood loss was 244 ml (range 50-1000). The mean length of stay was 4.1 days (range 1-30 days). Complications in first 138 Lap DS patients: Conversion to open 5 Reoperation 9 (5 leaks, 4 obstructions) Umbilical wound infection 7 Incisional hernia 6 Port site bleed 1 Pulmonary embolus 2 (from 3 deep vein thrombosis) Proximal anastomotic stricture 1 There were no deaths. Our operating time and morbidity have decreased with increasing experience. WEIGHT LOSS RESULTS: We have performed over 800 duodenal switch surgeries (including open and laparoscopic procedures), with the following weight loss results so far: Average weight lost at 3 months postoperatively was 54.3 pounds. Average excess weight loss at 3 months is 14%. Average excess weight loss at 6 months is 43%. Average excess weight loss at 24 months is 78%. http://www.pacificsurgery.com/Obesity_Surgery/Our_Results/our_results. html Kate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 10, 2001 Report Share Posted April 10, 2001 < > My surgeon's site lists the surgical complications they have experienced, you might find it interesting reading. www.pacificsurgery.com LAPAROSCOPIC DS RESULTS: Between October 1999 and January 2001, we have performed 138 laparoscopic duodenal switch procedures. There were 123 women and 15 men with a mean age of 41 (range 19-67). The mean body mass index was 48 (range 37-116 kg/M2). The mean operating time was 218 minutes (range 135-530) and the mean estimated blood loss was 244 ml (range 50-1000). The mean length of stay was 4.1 days (range 1-30 days). Complications in first 138 Lap DS patients: Conversion to open 5 Reoperation 9 (5 leaks, 4 obstructions) Umbilical wound infection 7 Incisional hernia 6 Port site bleed 1 Pulmonary embolus 2 (from 3 deep vein thrombosis) Proximal anastomotic stricture 1 There were no deaths. Our operating time and morbidity have decreased with increasing experience. WEIGHT LOSS RESULTS: We have performed over 800 duodenal switch surgeries (including open and laparoscopic procedures), with the following weight loss results so far: Average weight lost at 3 months postoperatively was 54.3 pounds. Average excess weight loss at 3 months is 14%. Average excess weight loss at 6 months is 43%. Average excess weight loss at 24 months is 78%. http://www.pacificsurgery.com/Obesity_Surgery/Our_Results/our_results. html Kate Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.