Guest guest Posted June 2, 2001 Report Share Posted June 2, 2001 Yes, this is true, evidently my dr. dr gagner feels it is not good to keep larger people under anesthesia for that long.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2001 Report Share Posted June 2, 2001 Hi all, I just heard some upseting info from someone post op. She said for people that are over 60-65 BMI - they do the surgery in 2 parts one year apart. Is this true/ No one told me this before. I don't want 2 surgeries. What are the 2 parts? Won't this affect your results. I am really upset. in South Jersey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 : This is true with SOME surgeons (not all). The two parts are: Part#1 reduce the size of the stomach. Part#2 the intestinal switch. Also I believe the 2 part surgery is only being done with the lap procedure. Jo > Hi all, > I just heard some upseting info from someone post op. She said for > people that are over 60-65 BMI - they do the surgery in 2 parts one > year apart. Is this true/ No one told me this before. I don't want 2 > surgeries. What are the 2 parts? Won't this affect your results. I am > really upset. in South Jersey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 In a message dated 6/3/01 4:06:32 AM, duodenalswitch writes: << I just heard some upseting info from someone post op. She said for people that are over 60-65 BMI - they do the surgery in 2 parts one year apart. Is this true/ No one told me this before. I don't want 2 surgeries. What are the 2 parts? Won't this affect your results. I am really upset. in South Jersey >> : it really depends on the surgeon. THe surgeons at Mt Sinai are recommending lap surgery in two parts because of their experience with a marked increase in complication rates for those with bmi of 60+ and lap DS. I am not sure about other surgeons, but some may have bmi limits for lap period (i.e. - they won't perform lap on individuals with a bmi of over a certain percentage). The 2-parts are only for laparoscopic surgery. I think patients are given the option of having the surgery open and done at one time or in two parts and done laparoscopically. These are definately questions you should ask your surgeon. all the best, lap ds with gallbladder removal January 25, 2001 four months post-op and still feelin' fab! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 Hi . Dr. Gagner told me that with my BMI of 63, he'll try to do the whole surgery at once, but it depends on how I handle the anesthesia. If he only gets to do the first part, he feels that it would only be about 4 months or so before he can do the second part. When I first heard about the two part surgery, I was upset, but now that he's explained it to me, I feel pretty comfortable with his decision. He feels that a 1 part surgery would only require 1-2 days in the hospital and 1-2 weeks at home before back to work and said you could double that for the 2 part surgery. Of course, this is just one Drs. opinion. I'm sure each Dr. is different. I wouldn't panic, though. It seems like the Dr.s are fine tuning their techniques as they perform more and more surgeries. I would love to hear from those folks who have already had part 1 and hear their experiences. Any one out there...? Thanks > > > > Hi all, > > I just heard some upseting info from someone post op. She said for > > people that are over 60-65 BMI - they do the surgery in 2 parts one > > year apart. Is this true/ No one told me this before. I don't want > 2 > > surgeries. What are the 2 parts? Won't this affect your results. I > am > > really upset. in South Jersey > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2001 Report Share Posted June 3, 2001 , It's only in two parts if you're set on having laproscopic BPD/DS. If you want open BPD/DS, they will do it in one part. Dr Gagner and co said that according to their statistics there is an increased complication rate with laproscopic patients over 60 BMI so in order to reduce that risk, they do it in two parts. Anita Pre-pre-op in Denver > Hi all, > I just heard some upseting info from someone post op. She said for > people that are over 60-65 BMI - they do the surgery in 2 parts one > year apart. Is this true/ No one told me this before. I don't want 2 > surgeries. What are the 2 parts? Won't this affect your results. I am > really upset. in South Jersey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2001 Report Share Posted June 4, 2001 My BMI is 63 and I'm having a DS. I think this is a personal opinion of the doctor --- Happy2knowU2@... wrote: > Yes, this is true, > > evidently my dr. dr gagner feels it is not good to > keep larger people under > anesthesia for that long.. > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2001 Report Share Posted June 11, 2001 Hi my name is Churie i had my DS on May 15 i had mine in two parts my BMI was only 49 the first part is to make the stomach smaller and you will loose all the weight that you can in that year if you have lost enough weight you dont have to go back for the second part which is the shortening of the Y limb but if you do not loose enought weight then that is the next step i had this surgery dont it is called a vertical gastroplasty and my stomach is extremely small i hardly get two ounces of food at a feeding i am on a plateau right now but so far i have lost thirty pounds. I think the decision to have this done is going to rely heavily on how healthy you are my surgeon explained to me that he made his decision based on the fact that i dont have as much weight to loose and he feels that this is the least drastic measure if you have anymore questions email me. > Hi all, > I just heard some upseting info from someone post op. She said for > people that are over 60-65 BMI - they do the surgery in 2 parts one > year apart. Is this true/ No one told me this before. I don't want 2 > surgeries. What are the 2 parts? Won't this affect your results. I am > really upset. in South Jersey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2001 Report Share Posted June 11, 2001 A vertical gastroplasty sounds to me like you had your pyloric valve removed. That is not done with a DS. If this is true, it is very drastic and irreversible. Your BMI of 49 is actually quite perfect for the whole DS. My starting BMI was 47.6 in Seattle ----- Original Message ----- i had this surgery dont it is called a > vertical gastroplasty and my stomach is extremely Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2001 Report Share Posted June 12, 2001 the vertical gastroplasty only reduces the stomach in size it does not mess with anything else --- Montgomery marym@...> wrote: > A vertical gastroplasty sounds to me like you had > your pyloric valve > removed. That is not done with a DS. If this is > true, it is very drastic > and irreversible. > > Your BMI of 49 is actually quite perfect for the > whole DS. My starting BMI > was 47.6 > > in Seattle > > ----- Original Message ----- > > i had this surgery dont it is called a > > vertical gastroplasty and my stomach is extremely > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2001 Report Share Posted June 12, 2001 Hi, not to be nosey but is the verticle surgery the one done at USC? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2001 Report Share Posted June 12, 2001 Because of the anatomy of the stomach, only a lateral (not vertical) gastrectomy can reduce the size and leave the pyloric valve intact. in Seattle ----- Original Message ----- > the vertical gastroplasty only reduces the stomach in > size it does not mess with anything else > --- Montgomery marym@...> wrote: > > A vertical gastroplasty sounds to me like you had > > your pyloric valve > > removed. That is not done with a DS. If this is > > true, it is very drastic > > and irreversible. > > > > Your BMI of 49 is actually quite perfect for the > > whole DS. My starting BMI > > was 47.6 > > > > in Seattle > > > > ----- Original Message ----- > > > > i had this surgery dont it is called a > > > vertical gastroplasty and my stomach is extremely > > > > > > > ---------------------------------------------------------------------- > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2001 Report Share Posted June 13, 2001 I can't recall which is vert and which is horiz-- all I know for sure is that I GET TO KEEP MY PYLORIC VALVE!!!! the diagrams on Dr. A's web site and the talk I heard both confirm that information! Nan E. On Wed, 13 Jun 2001 01:11:04 EDT shs43bulldog@... writes: Hi, not to be nosey but is the verticle surgery the one done at USC? ---------------------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2001 Report Share Posted June 13, 2001 WHAT IS THAT WEBSITE --- Nan Earnheart Leafynan@...> wrote: > I can't recall which is vert and which is horiz-- > all I know for sure is > that I GET TO KEEP MY PYLORIC VALVE!!!! the > diagrams on Dr. A's web > site and the talk I heard both confirm that > information! > Nan E. > On Wed, 13 Jun 2001 01:11:04 EDT > shs43bulldog@... writes: > Hi, not to be nosey but is the verticle surgery the > one done at USC? > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2001 Report Share Posted June 13, 2001 What are the pros of keeping the valve? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2001 Report Share Posted June 14, 2001 you avoid the dumping syndrome as in the RNY --- shs43bulldog@... wrote: > What are the pros of keeping the valve? > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2001 Report Share Posted June 15, 2001 In a message dated 6/14/01 11:39:17 PM, duodenalswitch writes: << you avoid the dumping syndrome as in the RNY --- shs43bulldog@... wrote: > What are the pros of keeping the valve? > >> Also, your body will process the chyme in the stomach more efficiently and take more time. You should also have a feeling of saiety or fullness with meals. RNY folk must be diligent to chew their food because it isn't in the pouch for very long. You also avoid the possibility of getting the stoma blocked (the artificial entrance created at the bottom of the stomach in an RNY where the intestines are attached). This can happen at any time post-op, so I think we are avoiding a lifelong of possible problems in that area. In many (most?) cases, you'll be able to drink something with meals (maybe a little further out post-op) since there isn't a concern that the nutrients will just pass out or be 'washed through' the stomach too quickly. You'll be able to 'gulp' water again when thirsty -- I couldn't imagine not being able to do that! All the best, lap ds with gallbladder removal January 25, 2001 four months post-op and still feelin' fab! pre-op: 307 lbs/bmi 45 now: 250 (off the damn plateau, man!!! YAHOO) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2001 Report Share Posted June 15, 2001 Churie: IMO the only reason the DS is better than other procedures is that it retains the pyloric valve. The benefit is that it allows your stomach to function as it did before the surgery. You can eat anything, just not very much of it depending on how much they have resected the stomach. You have no dumping as you do with the RNY as the pyloric valve trickles the food out of the stomach into the duodenum as before. There is nowhere near the risk of obstructions where an artificial pouch dumps into the upper intestine. So the quality of life is far better with the DS thanks to the retention of they pyloric valve. Regards. Joe Frost, old gentleman, not old fart San , Tx., 60 years old Surgery 11/29/00 by Dr. Welker Lateral Gastrectomy with Duodenal Switch 340 Starting Weight, currently 235 http://www.duodenalswitch.com/Patients/Joe/joe.html http://groups.yahoo.com/group/WLS-12StepRecovery > > What are the pros of keeping the valve? > > > > > -------------------------------------------------------------------- -- > > Quote Link to comment Share on other sites More sharing options...
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