Re: Re: questions from cheryl

[Guest guest]

In a message dated 6/20/01 12:04:05 AM, duodenalswitch writes:

<< 1 in the rny is the stomach actually separated from your pouch? if yes

does

this eliminate the ulcer issue?

>>

I think you are referring to the case where the upper stomach 'pouch' is

'transected' or cut and sewn apart from the lower stomach, which remains but

is rather non-functional. In either case (stapling alone or cutting), the

lower stomach is sealed off. The cutting serves to ensure that the patient

won't suffer staple disrupture in the future (i.e. - the pouch becoming large

because the staples give way -- this would result in slower weight loss

and/or regain). I think this is the main reason why some surgeons prefer

transection of the stomach to simple stapling alone.

However, in either case, the lower stomach still produces acid and this can

lead to ulceration of the lower stomach area and duodenum (the duodenum is

still attached to the lower stomach and the bypass is made later). This can

get serious because people often don't realize they have ulcers there until

it gets really bad.

I think another question to ask, if you are considering an RNY, is whether

the vargas sp?) nerve is cut or not. I'm not totally sure, but I think this

is done at times with an RNy and may have something to do with the stomach's

ability to produce acid?

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: 245 lbs -- still goin' down!

[Guest guest]

In a message dated 6/20/01 12:04:05 AM, duodenalswitch writes:

<< dr

schmidt in hackensack. he sd there is liver failure alot with the ds. i

really want to ck into this. also those other things i had never heard

before. he also told me to stay off the internet. no way!!!! that's where all

the information is. thanks for the info >>

Cheryl: What advice - stay off the internet! Many reputable surgeons, etc.

as well as the American Association for Bariatric Medicine have sites! LOL

That is ridiculous, IMHO.

I don't think liver failure is a major problem with the DS. It WAS a major

issue with the earlier surgeries that preceeded it. Perhaps he is referring

to the BPD (not the DS)? I'd really love to see the studies he's referring

to avidly to!

Some surgeons are woefully uninformed (or perhaps they intentionally skew

information?). It is not that the DS is a totally 'problem free' surgery by

any means, but it certainly isn't the beast that many make it out to be! LOL

all the best,

lap ds with gallbladder removal

January 25, 2001