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Adjustment of common channel

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,

In the BPD/DS the complete length of the small intestine is rearanged

and left INTACT. Only a portion of the stomach is removed. The

restrictive part of the surgery cannot be reversed. However, the

malabsortive part of the surgery comes from reconfiguring the small

intestine to separate the bile track from the food tract except for a

short length of common " alimentary " channel. In this common channel

the bile and food mix and allow absorbtion. All that is required to

lengthen the common channel is to move the junction of the bile tract

and the food tract upward (towards to stomach). This revision has

been reported to solve or improve all complications that come from

the malabsorbitive part of the surgery.

Hull

> >I am pre-op, so I can't give personal experience. My research

> >indicates that things may get better over the next couple of

months.

> >If things do not get better then you might need a revision which

> >lengthens the common part of the small intestine.

>

> Which leads me to my next question...I didn't think they could

reverse in a

> revision like this. I thought once they take it away the only thing

they can

> do is make it smaller. Am I mistaken?

> Thanks,

>

> Pre-Op Dr. Elariny

> Woodbridge, VA

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At 3:31 PM +0000 6/29/01, chull1@... wrote:

>,

>... All that is required to

>lengthen the common channel is to move the junction of the bile tract

>and the food tract upward (towards to stomach).

" All " is not as easy as it sounds. Revisions are more risky. Many,

if not most, are done open, not lap.

--Steve

--

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