Guest guest Posted June 24, 2001 Report Share Posted June 24, 2001 Maybe it's old age (at 44) or something, but the more I think about the more I'm confused. I think he said if there are too many adhesions and for some reason he can't give me a DS with functioning pylorus, he would give me a "distal gastrectomy." Please tell me this is not what the famed Deb/Dr. Ren case ended up as. Please somebody explain this to me if they know how people are usually revised from VBG to DS. I'm getting spooked. Isn't that where they will do the shorter common channel where your food and bile combine so you malabsorb? Kinda like a Distal RNY? He probably wouldn't do anything else to your stomach in that event. I'm not clear what happened to Deb so I can't tell you if that s the case. ~~* AJ *~~ BMI 59 INSURANCE: NW Washington Medical (Regence ) DR Heap, Richland WA Denied due to exclusion, denied appeal 6/7/01 going self pay - Dr Baltasar Spain Bellingham Support for WLS WWW.lookin2bthin.homestead.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2001 Report Share Posted June 24, 2001 Hi all, I've had my consultation with Dr. Anthone, and he has accepted me as a patient for the DS. I'm a revision from a VBG. Maybe it's old age (at 44) or something, but the more I think about the more I'm confused. I think he said if there are too many adhesions and for some reason he can't give me a DS with functioning pylorus, he would give me a "distal gastrectomy." Please tell me this is not what the famed Deb/Dr. Ren case ended up as. Please somebody explain this to me if they know how people are usually revised from VBG to DS. I'm getting spooked. Peace to all, Robyn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2001 Report Share Posted June 24, 2001 Robyn.. I believe he means that he will check the adhesions to see if yours can be lysed without harm to the blood supply.. then if he doesn't feel safe doing the DS, he will give you the equivalent of a Distal RnY.. did he tell you if it would be a lateral or vertical gastrectomy? That will tell us.. Email him.. ask for a " worst case " surgical diagram so that you can understand what he means. Did you decide against seeing Keshisian? Or could you not work in a new appt? Keep us updated, OK? Hugs, Liane > Hi all, > > I've had my consultation with Dr. Anthone, and he has accepted me as a patient for the DS. I'm a revision from a VBG. > > Maybe it's old age (at 44) or something, but the more I think about the more I'm confused. I think he said if there are too many adhesions and for some reason he can't give me a DS with functioning pylorus, he would give me a " distal gastrectomy. " Please tell me this is not what the famed Deb/Dr. Ren case ended up as. Please somebody explain this to me if they know how people are usually revised from VBG to DS. I'm getting spooked. > > Peace to all, > Robyn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 25, 2001 Report Share Posted June 25, 2001 I believe a "distal gastrectomy" refers to a RNY with a distal Y connection. That will provide the malabsorptive component of the surgery. But you would have a tiny "pouch" (no pyloric valve) not a reduced sized stomach as in the DS. At least this is my interpretation of what you say. Whether this is what the doc means is a something else. in Seattle Revision from VBG Hi all, I've had my consultation with Dr. Anthone, and he has accepted me as a patient for the DS. I'm a revision from a VBG. Maybe it's old age (at 44) or something, but the more I think about the more I'm confused. I think he said if there are too many adhesions and for some reason he can't give me a DS with functioning pylorus, he would give me a "distal gastrectomy." Please tell me this is not what the famed Deb/Dr. Ren case ended up as. Please somebody explain this to me if they know how people are usually revised from VBG to DS. I'm getting spooked. Peace to all, Robyn---------------------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 25, 2001 Report Share Posted June 25, 2001 > I think he said if there are too many adhesions and > for some reason he can't give me a DS with functioning > pylorus, he would give me a " distal gastrectomy. " Please > tell me this is not what the famed Deb/Dr. Ren case > ended up as. I'm not sure exactly what the phrase " distal gastrectomy " means, but I'm sure he wouldn't give you what Deb received. The main difference is that whatever he's referring to, it will be planned ahead of time, rather than done on the fly. In any event, this is all just very slightly educated guessing on my part. I strongly advise you to ask him to clarify what he meant. But, I wouldn't email him, as somebody suggested. answers his email, and she won't know the answer to your question. (Many of us who are his patients doubt that he even knows how to use email, because he's one of those head-in-the-clouds braniacs.) Anyway, don't email, give him a call at 1-800-USC-CARE and have them page him to call you back at home. It's best to call after 6:00 p.m. When he calls you back, (which, in my experience, generally takes less than five minutes), ask him to explain what he meant, and if you still don't FULLY understand, ask him to draw a diagram of it for you and leave it at the desk at the clinic office so you can come in and pick it up. This surgery is much too involved to go into without knowing what's going to happen, so please be sure and get this straightened out as soon as you can. You'll sleep much better once you do. Cheers, Tom Panniculectomy, Dr. Anthone, 11/10/2000 Open DS, Dr. Anthone, 03/30/2001 11/10/2000 . . . 384 03/30/2001 . . . 360 04/19/2001 . . . 338 04/22/2001 . . . 334.5 05/03/2001 . . . 328 05/14/2001 . . . 319 05/18/2001 . . . 316 06/03/2001 . . . 301 06/15/2001 . . . 299 06/22/2001 . . . 292 94 Ugly Pounds, GONE FOREVER!!!!!!!!!!!!!!!! USC DS Support Group: http://groups.yahoo.com/group/ds_usc> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 25, 2001 Report Share Posted June 25, 2001 Howdy Liane, I love how you sign your emails with " hugs. " I think we all need more of those!!! I did consult with Dr. K when I was in Ca. I loved both Dr. Anthone and Dr. K and felt extremely blessed to have two such wonderful surgeons to choose from. It's so heartening -- after the way we are treated by most docs -- to find doctors who are truly interested in helping us and who structure their entire practices to doing everything they can to treat us with respect and intelligence. I could easily have gone with Dr. K. The deciding factor for me, my PCP, and my cardiologist is that Dr. Anthone has just done so many more revisions. Dr. K has only done around 4 so far. Experience wins out for me. Although I like Dr. K's hospital set-up better. Thanks so much for your advice. I will email him and ask him about the " worst case scenario. " Then we can go from there. Thanks again. Blessings! Robyn Re: Revision from VBG > Robyn.. > I believe he means that he will check the adhesions to see if yours > can be lysed without harm to the blood supply.. then if he doesn't > feel safe doing the DS, he will give you the equivalent of a Distal > RnY.. did he tell you if it would be a lateral or vertical > gastrectomy? That will tell us.. Email him.. ask for a " worst case " > surgical diagram so that you can understand what he means. > > Did you decide against seeing Keshisian? Or could you not work in a > new appt? > Keep us updated, OK? > Hugs, > Liane > > > > Hi all, > > > > I've had my consultation with Dr. Anthone, and he has accepted me as > a patient for the DS. I'm a revision from a VBG. > > > > Maybe it's old age (at 44) or something, but the more I think about > the more I'm confused. I think he said if there are too many adhesions > and for some reason he can't give me a DS with functioning pylorus, he > would give me a " distal gastrectomy. " Please tell me this is not what > the famed Deb/Dr. Ren case ended up as. Please somebody explain this > to me if they know how people are usually revised from VBG to DS. I'm > getting spooked. > > > > Peace to all, > > Robyn > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 25, 2001 Report Share Posted June 25, 2001 Dear Tom, Thanks a million for the info. I will do exactly what you say. It's funny, when I was in the office with him it all made perfect sense, but now two weeks later I'm confused. I guess it just cause I'm a musician not a doctor! These definitions and medical terms can be very confusing, and you're right: we do need total clarity before going in. The more stuff I read about preparing for surgery emotionally and psychologically, the more I realize this is of paramount importance. Especially to me: I'm such an information seeker and junkie: I gotta know! Anyway, thanks again. Blessings, Robyn Re: Revision from VBG > > > > I think he said if there are too many adhesions and > > for some reason he can't give me a DS with functioning > > pylorus, he would give me a " distal gastrectomy. " Please > > tell me this is not what the famed Deb/Dr. Ren case > > ended up as. > > I'm not sure exactly what the phrase " distal gastrectomy " means, but > I'm sure he wouldn't give you what Deb received. The main difference > is that whatever he's referring to, it will be planned ahead of time, > rather than done on the fly. > > In any event, this is all just very slightly educated guessing on my > part. I strongly advise you to ask him to clarify what he meant. > But, I wouldn't email him, as somebody suggested. answers his > email, and she won't know the answer to your question. (Many of us > who are his patients doubt that he even knows how to use email, > because he's one of those head-in-the-clouds braniacs.) > > Anyway, don't email, give him a call at 1-800-USC-CARE and have them > page him to call you back at home. It's best to call after 6:00 > p.m. When he calls you back, (which, in my experience, generally > takes less than five minutes), ask him to explain what he meant, and > if you still don't FULLY understand, ask him to draw a diagram of it > for you and leave it at the desk at the clinic office so you can come > in and pick it up. > > This surgery is much too involved to go into without knowing what's > going to happen, so please be sure and get this straightened out as > soon as you can. You'll sleep much better once you do. > > Cheers, > > Tom > > Panniculectomy, Dr. Anthone, 11/10/2000 > Open DS, Dr. Anthone, 03/30/2001 > 11/10/2000 . . . 384 > 03/30/2001 . . . 360 > 04/19/2001 . . . 338 > 04/22/2001 . . . 334.5 > 05/03/2001 . . . 328 > 05/14/2001 . . . 319 > 05/18/2001 . . . 316 > 06/03/2001 . . . 301 > 06/15/2001 . . . 299 > 06/22/2001 . . . 292 > 94 Ugly Pounds, GONE FOREVER!!!!!!!!!!!!!!!! > USC DS Support Group: http://groups.yahoo.com/group/ds_usc> > > > > > > > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 25, 2001 Report Share Posted June 25, 2001 Kewl Beans =) And remember.. if the distal gastrectomy is not an option that you want to chance.. you are not obligated to do so. I know he has a great deal of experience and will try his best.. but ask for the odds (within reason) of your adhesions interfering with your surgery of choice. I'm glad he talked about it with you, though.. so many don't. AAnyway- keep us all updated.. Blessed BIG Hugs, Liane =D > > > Hi all, > > > > > > I've had my consultation with Dr. Anthone, and he has accepted me as > > a patient for the DS. I'm a revision from a VBG. > > > > > > Maybe it's old age (at 44) or something, but the more I think about > > the more I'm confused. I think he said if there are too many adhesions > > and for some reason he can't give me a DS with functioning pylorus, he > > would give me a " distal gastrectomy. " Please tell me this is not what > > the famed Deb/Dr. Ren case ended up as. Please somebody explain this > > to me if they know how people are usually revised from VBG to DS. I'm > > getting spooked. > > > > > > Peace to all, > > > Robyn > > > > > > ---------------------------------------------------------------------- > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 4, 2001 Report Share Posted July 4, 2001 Robyn, sorry I am so late answering this message. I am a post op DS conversion by Dr. Crookes (Dr. Anthone's associate) from VBG by Fobi. Dr. Fobi did a VBG on me in 1988 and I lost over 80 pounds then gained it back after I had my son almost eight years ago. At my highest weight ever last December 4, I had a revision to the BPDDS at USC and was also told the same thing pre-op. I had an endoscopy by Dr. Crookes beforehand and he didn't find anything alarming, so the surgery went forth and gracefully I was able to have the procedure. There is also Margie who had her revision by Dr. Anthone/Crookes (can't recall exactly) who used to be on this list who has had success as well. I asked Dr. Crookes point blank if he has come across any patients yet who were revisions who had too many adhesions to do the DS successfully, and he said no. You may want to ask about an endoscopy to look into things more clearly preop. Good luck on everything Robin F. Post op DS 12/4/00 - 298 lbs/5'8 " 7/2/01 - 208 lbs .... Also lost snoring, sleep apnea, stress incontinence, hi blood pressure, and many sizes in clothing! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 4, 2001 Report Share Posted July 4, 2001 The chances of not being able to have the actual DS in a revision from VBG were explained to me pre op too, and they mentioned a Scopinaro type of procedure. There is I believe a diagram of that procedure on the main DS site. Robin Quote Link to comment Share on other sites More sharing options...
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