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RE: I'm approved!

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I can finally breathe ! Oxford Freedom approved 4

procedures for me with Dr Ren. Gallbladder removal,

appendix removal, liver biopsy, and the BPD/DS ! I'll

be joining you switchees on 8/23. Thanks to you all

for 10 months of great information...without this list

of fine people I would not be moving forward to a

better life. Best to you all !

>>>>>

Sharon M NY: Congrats to you! How wonderful to be approved! You're getting

the full works, girlfriend! Why the liver biopsy, I'm just curious (i.e.

nosy)? I didn't know Dr. Ren removed the appendix as well as the gallbladder

but I think I remember someone else on the list saying they had theirs

removed, too. Is this all done laparoscopically or opeN? I thought (perhaps

mistakenly) that one couldn't do the appendix and the DS lap at the same time

because it would require different positioning... I'm curious about it.

All the best to you,

lap ds with gallbladder removal

January 25, 2001

Dr. GAgner/Mt. Sinai/NYC

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Dr. Baltasar also does a liver biopsy when he performs the DS. I had

never heard of any other Surgeons doing that. I have a fatty liver...there

is a name for it but can't recall what it is. He said it will get better as

I lose weight...such fun!!

>

> AJ

Called steatohepatitis.

- SC

Why is this done? Is it to check for cancer?

Thanks, Sheryl

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In a message dated 8/20/01 5:56:13 PM Pacific Daylight Time,

DrSCB@... writes:

> Called steatohepatitis.

>

>

Yes...that is it. Thanks!!

~~* AJ *~~

Age 37 5'8''

Post op 7/24/01 Open BPD/DS

self pay - Dr Baltasar -Alcoy Spain

07/24/01 BMI 64 - 415.1

08/06/01 BMI 59 - 390.2 -24.9 lbs!!!!!!!!!!~~~~

08/16/01 BMI 58 - 387.0 -27.9 lbs!!!!!!!!!!~~~~

Check out the Bellingham Support Group

and my personal page at WWW.WLSBellingham.homestead.com

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In a message dated 8/20/01 6:00:39 PM Pacific Daylight Time,

SKeib13337@... writes:

> Why is this done? Is it to check for cancer?

>

No its to check for liver disease I believe. From my understanding...many

who are overweight have enlarged livers ....Dr. Baltasar does this check on

everyone and while he said it will get better with weight loss...I'm not sure

if that means I'm at an increased risk of liver problems later. Hope

not...but its common to have fatty liver if you've been overweight...at least

that was my understanding...

~~* AJ *~~

Age 37 5'8''

Post op 7/24/01 Open BPD/DS

self pay - Dr Baltasar -Alcoy Spain

07/24/01 BMI 64 - 415.1

08/06/01 BMI 59 - 390.2 -24.9 lbs!!!!!!!!!!~~~~

08/16/01 BMI 58 - 387.0 -27.9 lbs!!!!!!!!!!~~~~

Check out the Bellingham Support Group

and my personal page at WWW.WLSBellingham.homestead.com

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In a message dated 8/20/01 10:07:48 PM, duodenalswitch writes:

<< No its to check for liver disease I believe. From my understanding...many

who are overweight have enlarged livers ....Dr. Baltasar does this check on

everyone and while he said it will get better with weight loss...I'm not sure

if that means I'm at an increased risk of liver problems later. Hope

not...but its common to have fatty liver if you've been overweight...at least

that was my understanding...

>>

I would think that a full liver panel would hint to this beforehand... but,

perhaps the person has high lipds or something and the surgeon is taking a

biopsy as a precaution? I thought that if someone had liver disease, they

would be strongly discouraged from having WLS (perhaps only a distal

procedure or WLS all together), at least until the disease is under control.

I would think that if there is some suspicion about liver disease that the

biopsy would be done beforehand and the surgery be performed based on the

results?

I know about fatty liver - been there, got that! LOL Good news is it can

reverse itself in most cases (depending on how severe it is and how long one

has had it). It is almost always reversed with weight loss. I mean, I guess

I can understand why someone would want to know about one's liver condition

before surgery but I thought a liver panel would reveal most abnormalities?

I'm not saying there's anything wrong with a biopsy (while you're there, why

not - especially with an open surgery) but I thought that such things could

be discerned without this invasive procedure per se...

It just makes me wonder if there isn't any study being done in conjunction or

something about BPD/DS and the liver, etc.

all the best,

lap ds with gallbladder removal

January 25, 2001

Dr. GAgner/Mt. Sinai/NYC

pre-op: 307 lbs/bmi 45

now: 227 (yeah - I'm goin' down again!)

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Dr. Baltasar also does a liver biopsy when he performs the DS. I had never

heard of any other Surgeons doing that. I have a fatty liver...there is a name

for it but can't recall what it is. He said it will get better as I lose

weight...such fun!!

AJ

ruisha@... wrote:

>

>I can finally breathe ! Oxford Freedom approved 4

>procedures for me with Dr Ren. Gallbladder removal,

>appendix removal, liver biopsy, and the BPD/DS ! I'll

>be joining you switchees on 8/23. Thanks to you all

>for 10 months of great information...without this list

>of fine people I would not be moving forward to a

>better life. Best to you all !

>>>>>>

>

>

>Sharon M NY: Congrats to you! How wonderful to be approved! You're getting

>the full works, girlfriend! Why the liver biopsy, I'm just curious (i.e.

>nosy)? I didn't know Dr. Ren removed the appendix as well as the gallbladder

>but I think I remember someone else on the list saying they had theirs

>removed, too. Is this all done laparoscopically or opeN? I thought (perhaps

>mistakenly) that one couldn't do the appendix and the DS lap at the same time

>because it would require different positioning... I'm curious about it.

>

>All the best to you,

>

>lap ds with gallbladder removal

>January 25, 2001

>Dr. GAgner/Mt. Sinai/NYC

>

>

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

>

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I'm almost positive that Dr. Rabkin does a liver biopsy as well. I, too,

have a fatty liver...looking forward to that going away!!

alyssa

RE: re: I'm approved!

> Dr. Baltasar also does a liver biopsy when he performs the DS. I had

never heard of any other Surgeons doing that. I have a fatty liver...there

is a name for it but can't recall what it is. He said it will get better as

I lose weight...such fun!!

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At 18:20 -0400 8/20/01, you wrote:

>I can finally breathe ! Oxford Freedom approved 4

>procedures for me with Dr Ren.

Wonderful! I'm doing the happy dance for you... Best of luck in your new life.

--stella

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> Dr. Baltasar also does a liver biopsy when he performs the DS. I had

never heard of any other Surgeons doing that. I have a fatty liver...there

is a name for it but can't recall what it is. He said it will get better as

I lose weight...such fun!!

>

> AJ

Called steatohepatitis.

- SC

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> Dr. Baltasar also does a liver biopsy when he performs the

> DS. I had never heard of any other Surgeons doing that.

> I have a fatty liver...there is a name for it but can't

> recall what it is. He said it will get better as

> I lose weight...such fun!!

I believe that Dr. Rabkin also routinely does a live biopsy as well. My

LapDS surgery included the parietal gastrectomy, distal bypass,

cholecystectomy, appendectomy, and liver biopsy.

M.

---

in Valrico, FL, age 39

Starting weight 299, now 156

Starting BMI 49.7, now 26.0

Lap DGB/DS by Dr. Rabkin 10-19-99

http://www.duodenalswitch.com

Direct replies: mailto:melanie@...

_________________________________________________________

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Actually, liver biopsy is routine. I had one with my DS, and I also

had one when I had the VGB in 1994. Its very quick and simple when

they're already there. Doing it when the person isnt open or under

is much more complicated and uncomfortable. Meli

>

> >

> >I can finally breathe ! Oxford Freedom approved 4

> >procedures for me with Dr Ren. Gallbladder removal,

> >appendix removal, liver biopsy, and the BPD/DS ! I'll

> >be joining you switchees on 8/23. Thanks to you all

> >for 10 months of great information...without this list

> >of fine people I would not be moving forward to a

> >better life. Best to you all !

> >>>>>>

> >

> >

> >Sharon M NY: Congrats to you! How wonderful to be approved!

You're getting

> >the full works, girlfriend! Why the liver biopsy, I'm just

curious (i.e.

> >nosy)? I didn't know Dr. Ren removed the appendix as well as the

gallbladder

> >but I think I remember someone else on the list saying they had

theirs

> >removed, too. Is this all done laparoscopically or opeN? I

thought (perhaps

> >mistakenly) that one couldn't do the appendix and the DS lap at

the same time

> >because it would require different positioning... I'm curious

about it.

> >

> >All the best to you,

> >

> >lap ds with gallbladder removal

> >January 25, 2001

> >Dr. GAgner/Mt. Sinai/NYC

> >

> >

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

---

> >

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> Dr. Baltasar also does a liver biopsy when he performs the DS. I had

> never heard of any other Surgeons doing that. I have a fatty

liver...there

> is a name for it but can't recall what it is. He said it will get better

as

> I lose weight...such fun!!

> > AJ

>

> Called steatohepatitis.

> - SC

>

> Why is this done? Is it to check for cancer?

> Thanks, Sheryl

Some of the changes in the liver tissue caused by steatohepatitis can, in

rare cases, lead to eventual cirrhosis after many years - just as some other

types of hepatitis can do. It's not a condition that has received a lot of

attention over the years, but more interest in it has arisen lately. A liver

biopsy documents the stage of tissue damage, if any, that has occurred at

the time of the biopsy.

- SC

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,

Dr. Ren did my DS, removed my gallbladder and appendix, and repaired a

massive hiatal hernia, all lap (7/13). So far, so good and 45 ugly lbs. (31

lbs. post-op) gone forever!

Marcia

> re: I'm approved!

>

>

>

> I can finally breathe ! Oxford Freedom approved 4

> procedures for me with Dr Ren. Gallbladder removal,

> appendix removal, liver biopsy, and the BPD/DS ! I'll

> be joining you switchees on 8/23. Thanks to you all

> for 10 months of great information...without this list

> of fine people I would not be moving forward to a

> better life. Best to you all !

> >>>>>

>

>

> Sharon M NY: Congrats to you! How wonderful to be approved!

> You're getting

> the full works, girlfriend! Why the liver biopsy, I'm just curious (i.e.

> nosy)? I didn't know Dr. Ren removed the appendix as well as the

> gallbladder

> but I think I remember someone else on the list saying they had theirs

> removed, too. Is this all done laparoscopically or opeN? I

> thought (perhaps

> mistakenly) that one couldn't do the appendix and the DS lap at

> the same time

> because it would require different positioning... I'm curious about it.

>

> All the best to you,

>

> lap ds with gallbladder removal

> January 25, 2001

> Dr. GAgner/Mt. Sinai/NYC

>

>

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

>

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Ought I to sulk because I didn't have a fatty liver? Will you accept

two fatty thighs as adeuqate replacement and let me join the liver

club?

in Seattle

> Nearly everybody who is obese has fatty liver syndrome! I believe

Dr Welker

> does biopsies too.

>

> Judie

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Ought I to sulk because I didn't have a fatty liver? Will you accept

two fatty thighs as adeuqate replacement and let me join the liver

club?

in Seattle

> Nearly everybody who is obese has fatty liver syndrome! I believe

Dr Welker

> does biopsies too.

>

> Judie

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Fatty liver is called steatosis, and fatty liver with liver

inflammation is called steatohepatitis.

in Seattle

-- In duodenalswitch@y..., " DrSCB " <DrSCB@e...> wrote:

>

> Called steatohepatitis.

> - SC

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Fatty liver is called steatosis, and fatty liver with liver

inflammation is called steatohepatitis.

in Seattle

-- In duodenalswitch@y..., " DrSCB " <DrSCB@e...> wrote:

>

> Called steatohepatitis.

> - SC

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LOL

Thanks for the laugh, ! :)

alyssa, who has all 3...

Re: I'm approved!

> Ought I to sulk because I didn't have a fatty liver? Will you accept

> two fatty thighs as adeuqate replacement and let me join the liver

> club?

>

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LOL

Thanks for the laugh, ! :)

alyssa, who has all 3...

Re: I'm approved!

> Ought I to sulk because I didn't have a fatty liver? Will you accept

> two fatty thighs as adeuqate replacement and let me join the liver

> club?

>

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I'll see your two fatty thighs with pendulous breasts and batwings!!!

Meli, who's liver is about the only thing that's not fatty...

-- In duodenalswitch@y..., marym@a... wrote:

> Ought I to sulk because I didn't have a fatty liver? Will you

accept

> two fatty thighs as adeuqate replacement and let me join the liver

> club?

>

> in Seattle

>

>

> > Nearly everybody who is obese has fatty liver syndrome! I

believe

> Dr Welker

> > does biopsies too.

> >

> > Judie

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I'll see your two fatty thighs with pendulous breasts and batwings!!!

Meli, who's liver is about the only thing that's not fatty...

-- In duodenalswitch@y..., marym@a... wrote:

> Ought I to sulk because I didn't have a fatty liver? Will you

accept

> two fatty thighs as adeuqate replacement and let me join the liver

> club?

>

> in Seattle

>

>

> > Nearly everybody who is obese has fatty liver syndrome! I

believe

> Dr Welker

> > does biopsies too.

> >

> > Judie

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Hi -- I was just as suprised when I heard

appendix and liver biopsy. She is doing it lap and we

never discussed the above. I am getting answers to

this today. I won't be able to post them until I get

home sunday but perhaps if someone calls, my mom could

let you know. It may just be a way to bill things for

ins. or maybe a study is being done on the liver. I do

have " fatty liver " (elevated enzymes) but nothing

extreme. This blood panel was done by my PCP months

ago. See ya on the other side !

Sharon M in NY

--- ruisha@... wrote:

>

> Sharon M NY: Congrats to you! How wonderful to be

> approved! You're getting

> the full works, girlfriend! Why the liver biopsy,

> I'm just curious (i.e.

> nosy)? I didn't know Dr. Ren removed the appendix

> as well as the gallbladder

> but I think I remember someone else on the list

> saying they had theirs

> removed, too. Is this all done laparoscopically or

> opeN? I thought (perhaps

> mistakenly) that one couldn't do the appendix and

> the DS lap at the same time

> because it would require different positioning...

> I'm curious about it.

>

> All the best to you,

>

> lap ds with gallbladder removal

> January 25, 2001

> Dr. GAgner/Mt. Sinai/NYC

>

>

__________________________________________________

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