Guest guest Posted June 6, 2001 Report Share Posted June 6, 2001 Sorry Bob I can't help with that. I did just want to say Hi and ask how life has been going? I see you have had a very signifcant weight loss I hope it has changed your life for the better as has mine! Take Care and i hope to hear how you have been. > > > > Vera- Lansdale,Pa Starting Bmi-61-11/00 Dr. Herron / Dr. Pomp assisting @ Mt. Sinai, New York Open BPD/DS done 01/26/01 PCP scale ? weeks out -91 lbs gone forever as of 05/24/01 ________________________________________________________________ GET INTERNET ACCESS FROM JUNO! Juno offers FREE or PREMIUM Internet access for less! Join Juno today! For your FREE software, visit: http://dl.www.juno.com/get/tagj. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2001 Report Share Posted June 6, 2001 Someone pointed out the following quote to me from the Scoparino report (which refers to the original BPD procedure without the DS component) which makes no sense to me. Clarification would be appreciated by anyone who understands. " One year after operation the appetite and the eating capacity are fully restored and patients mean reported food intake is one and a half time as much as preoperatively, independently of gastric volume. " Huh???? Bob Bowers BPD/DS - 11/15/01 Down 121 lbs. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2001 Report Share Posted June 6, 2001 Bob - I'm not sure if Sharon is checking the main list, but she is 10+ years out and has a BPD without DS. She indicates that she definitely eats much more than she did pre-op. HTH - Kris G Cincinnati, Ohio 5'7 " , 40 years old 8/22 - 283 - BMI 44.3 05/22 - 152 - BMI 23.8 ciao to 131 lbs. & 134.25 inches in 9 months Open BPD/DS 08/22/00 Bowel obstruction surgery 4/21/01 Dr. Maguire, Kettering OH HumanaFreedom Plus Plan iwillbefit@... http://www.newlifeteams.org Scoparino Report Question | Someone pointed out the following quote to me from the Scoparino | report (which refers to the original BPD procedure without the DS | component) which makes no sense to me. Clarification would be | appreciated by anyone who understands. | | " One year after operation the appetite and the eating capacity are | fully restored and patients mean reported food intake is one and a | half time as much as preoperatively, independently of gastric volume. " | | Huh???? | | Bob Bowers | BPD/DS - 11/15/01 | Down 121 lbs. | | | | | ---------------------------------------------------------------------- | Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2001 Report Share Posted June 6, 2001 > Someone pointed out the following quote to me from the Scoparino > report (which refers to the original BPD procedure without the DS > component) which makes no sense to me. Clarification would be > appreciated by anyone who understands. > > " One year after operation the appetite and the eating capacity are > fully restored and patients mean reported food intake is one and a > half time as much as preoperatively, independently of gastric volume. " > > Huh???? Yes, it's not uncommon for post-op BPD (without the DS enhancement) patients to eat more than they did pre-op. They maintain their weight while eating more food than ever, so there's nothing inherently " wrong " with their intake level, even though it may seem startling to think that they are eating more than pre-op. The BPD provides alot of malabsorption, and usually comes with a short common channel of 50cm. Since BPD patients' duodenum is completely bypassed, they may need more protein and nutrients then other WLS post-ops -- being able to eat more quantity of food enables them to get those nutrients without having to supplement as much as they might otherwise have to. Remember, BPD patients typically have a much larger " pouch " than RNY patients. While the typical RNY pouch might be 1/2 to 2 ounces in size, the BPD pouch starts out at 4-6 ounces. So, yes -- more food goes in, which means more nutrients can be absorbed in spite of the higher level of malabsorption. Hope this makes sense! The Scopinaro report is a bit of a dry read, but chock full of interesting info. One of the more interesting parts, IMHO, is the " overfeeding " study that he did, in which they found that BPD patients seemed to have an upper limit of calorie absorption, regardless of how much food they actually ate. http://www.duodenalswitch.com/Procedure/1998BPD/1998bpd.html Hope this helps. M. --- in Valrico, FL, age 38 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@... _________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2001 Report Share Posted June 6, 2001 I think, also, that not having a pyloric valve adds to the increased ability to eat and the increased hunger after the BPD. With a pyloric valve, the food is released more slowly into the intestinal tract, and the stomach remains filled or partially filled longer-- one more reason to keep the pyloric valve. Joy Frost Age: 48 Open DS with Deveney/Welker Date: 2-5-01 Common channel: 100cm Alimentary limb: 250cm Weight at time of surgery: 255 lbs BMI: 47 Weight as of 5-28-01: 227 lbs BMI: 41.5 (-28 lbs) http://www.duodenalswitch.com/Patients/Joy/joy.html > Someone pointed out the following quote to me from the Scoparino > report (which refers to the original BPD procedure without the DS > component) which makes no sense to me. Clarification would be > appreciated by anyone who understands. > > " One year after operation the appetite and the eating capacity are > fully restored and patients mean reported food intake is one and a > half time as much as preoperatively, independently of gastric volume. " > > Huh???? > > Bob Bowers > BPD/DS - 11/15/01 > Down 121 lbs. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 7, 2001 Report Share Posted June 7, 2001 I don't normally check this list, but every once in a while I peek in. Yes, I eat way more now than I did pre-operatively. Why? My believe (and understanding) is that the BPD without the DS removes the pyloric valve and puts in a stoma connection between the remaining stomach " pouch " and the intestines. My capacity has increased and my level of satiety decreased. I also malabsorb more than most DS patients -- my common channel is 50cm to most DS patients' 75-110 cm. My mother had the BPD (also pre-DS) and reports that she also consumes a large volume of food and often feels hungry. The banana-shaped stomach of the DS and keeping the pyloric valve intact does seem to enhance satiety in DS patients. Sharon http://www.duodenalswitch.com/Patients/Sharon/sharon.html BPD (no DS) April 17, 1991, Dr. Alan Wittgrove, Alvarado, San Diego 320 starting weight, size 26/28/30 10 years later: maintaining weight loss of 120+ lbs, size 14/16, and triathlete > Bob - > > I'm not sure if Sharon is checking the main list, but she is 10+ years out > and has a BPD without DS. She indicates that she definitely eats much more > than she did pre-op. > > HTH - > Kris G > Cincinnati, Ohio > 5'7 " , 40 years old > 8/22 - 283 - BMI 44.3 > 05/22 - 152 - BMI 23.8 > ciao to 131 lbs. & 134.25 inches in 9 months > Open BPD/DS 08/22/00 > Bowel obstruction surgery 4/21/01 > Dr. Maguire, Kettering OH > HumanaFreedom Plus Plan > iwillbefit@y... > http://www.newlifeteams.org > Scoparino Report Question > > > | Someone pointed out the following quote to me from the Scoparino > | report (which refers to the original BPD procedure without the DS > | component) which makes no sense to me. Clarification would be > | appreciated by anyone who understands. > | > | " One year after operation the appetite and the eating capacity are > | fully restored and patients mean reported food intake is one and a > | half time as much as preoperatively, independently of gastric volume. " > | > | Huh???? > | > | Bob Bowers > | BPD/DS - 11/15/01 > | Down 121 lbs. > | > | > | > | > | ------------------------------------------------------------------ ---- > | Quote Link to comment Share on other sites More sharing options...
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