Guest guest Posted July 8, 2000 Report Share Posted July 8, 2000 wrote: > > > > I am still researing surgery. I had pretty much decided that the > > mini gastric bypass was the one i wanted. One because it was a lap > > and two its the closes doctor in our state. I was under the > > inpression that a " MINI " was called a mini because it was a lap and > > not an open.. I found this information, on another site, and now > know > > that mini is not short for 'lap'. I would like some feedback on > > the 'mini' especially from the doctor, if possible. about this...... > > > > thanks > > The doctors who have posted this on their page are posting false > information and deliberately confusing terms in order to conduct what > is transparently an assault on Dr. Rutledge's procedure. > > They have a money-making cash-cow in their mass-production/celebrity > endorsed facility that performs the RNY and they do NOT want to be > forced to admit that their procedure is not only inferior, it is > dangerous, relative to the new standard now firmly established by Dr. > Rutledge. > > If their patients find out the truth, they could be getting sued for > malpractice for *not* using the safest and most easily performed > procedure. Now, you might begin to get an idea of why they are > trying > so hard to bad-mouth a procedure that makes *them* look really bad. > > First, go to: > > http://www.clos.net/mgb-paper/MGB-Paper061300.htm > > There you can read Dr. Rutledge's complete data on 657 patients on > whom he has performed the MGB. > > You will find that the incidence of ulceration is far *LOWER* than > the > incidence of ulceration for either the lap or open RNY. In fact, > you'll find that the incidence of complications, overall, is *LOWER* > than for either the lap or open RNY. You'll also find that weight > loss is *greater.* It is also about 1/3 the cost of the open RNY and > less than half the cost of the lap RNY. > > You'll also find the time in surgery for the MGB is about 35 minutes, > whereas the time in surgery (and therefore, under anaesthesia which > presents one of the greatest risks of complications and death in any > surgery) is far longer for the open RNY (about 4-7 HOURS) and the lap > RNY (2-4 HOURS). > > You'll also find that there is virtually *no* risk of incisional > leaks > or hernias with the MGB, whereas this is a regular complication of > the > open RNY, which also leaves patients with a huge abdominal scar and > internal adhesions for the rest of their lives. > > You'll also discover that patients feel *GOOD* not just " okay, " or in > " bearable pain " the SAME OR NEXT DAY after the MGB. > > I've had the MGB and I literally ran down the hallway the day after > my > surgery (no pain, feeling fine!!) to catch Dr. R and ask him a > question. > > Recovery time after the RNY? Just ask any patient -- anywhere from 2 > - 8 WEEKS. > > As for the ability to reverse the procedure, the MGB is reversible > laparoscopically in one hour. Dr. Rutledge will show you this on > video at the first clinic you attend. > > The RNY is *not* easily reversible and reversals have a much higher > complication rate than the original procedure. The RNY causes more > extensive changes to the gastro-intestinal system, requires a much > more dangerous operation initially (involving surgery beneath the > liver and up into the esophogeal area, and near the aorta, so it is > inherently more dangerous to begin with) and leaves the patient with > much more extensive adhesions which will complicate a later > procedure. > A subsequent reversal will also involve the same more dangerous > surgery into the area near the aorta. > > Patients are also more likely to get blood clots (and stroke or > heart attack) after the RNY because they are not up and around > immediately after surgery, like MGB patients and statistics bear this > out, too (reported on the page I cited you, above). > > The MGB is superior in every respect to the RNY. There are *no* > statistics that support the slop that was on that page you quoted > (and > you'll note they didn't bother to provide any references or sources > for their claims. Why? Because they are pure fantasy.) > > Before my surgery, I interviewed 89 (now 97) of Dr. Rutledge's > patients, some with complications, and can tell you that the > information I found supported Dr. Rutledge's own statistics. > > My own experience with the MGB likewise has borne that out, too. I > was in surgery 37 minutes, I was up and around as soon as I woke up > from surgery. I was walking the hallways in *NO* pain that evening. > I left the next day, went shopping at the mall, went to a support > group meeting, drove my renta-car, went to the mall a couple of more > times, hoisted an 80 pound suitcase into the renta-car and shlepped > it > around the airport, walked about a mile or more in the Memphis > airport > to change planes, then met a friend to go to Florida for three days. > That is the sum of my first five days POST OP. And I am *not* the > exception, I'm the norm. > > > > > > Loop Gastric Bypass ( " Mini Gastric Bypass " ) > > > > This form of Gastric Bypass was developed years ago, and has > > generally been abandoned by nearly all bariatric surgeons as unsafe > -- > > several years ago, a consensus of the American Society for > Bariatric > > Surgery was that the procedure should never be performed. > > > > Although easier to perform than the Roux en-Y, it creates a severe > > hazard in the event of any leakage after surgery, and seriously > > increases the risk of ulcer formation, and irritation of the > stomach > > pouch by bile. Many persons who underwent this procedure in the > past > > have required major revisional operations to correct severe > > discomfort and life-threatening pathophysiologic effects. Most > > bariatric surgeons agree that this operation is obsolete, and > should > > remain defunct. > > > > This operation has been resurrected, in order to make the > > laparoscopic procedure easier to perform, by possibly less skilled > > surgeons. As shown, the gastric pouch is excessively large, which > > may lead to loss of weight control over time. > > > > A fundamental principle of laparoscopic surgery is that the > > underlying operation should not be compromised or degraded, in > order > > to accomplish it by using limited access techniques. The loop > bypass > > does not meet this standard. There is no reliable long-term data > to > > support use of this anatomic variation. > > > > Gastroplasty (Stomach Stapling, Gastric Stapling) > > > > We mention this operation for completeness, although we do not > offer > > it, because we do not believe in it, as an effective treatment. > > > > Gastroplasty, or Stomach Stapling (Gastric Partitioning) is widely > > performed in the United States and elsewhere. It is a technically > > simple operation, accomplished by stapling the upper stomach, to > > create a small pouch, about the size of your thumb, into which food > > flows after it is swallowed. The outlet of this pouch is restricted > > by a band of synthetic mesh, which slows its emptying, so that the > > person having it feels full after only a few bites (one thumbful) > of > > food. Characteristically, this feeling of fullness is not > associated > > with a feeling of satisfaction - the feeling one has had enough to > > eat. > > > > Patients who have this procedure, because they seldom experience > any > > satisfaction from eating, tend to seek ways to get around the > > operation. Trying to eat more causes vomiting, which can tear out > > the staple line and destroy the operation. Some people discover > that > > eating junk food, or eating all day long by " grazing " helps them to > > feel more sense of satisfaction and fulfillment -- but weight loss > is > > defeated. In a sense, the operation tends to encourage behavior > > which defeats its objective. > > > > Overall, about 40% of persons who have this operation never achieve > > loss of more than half of their excess body weight. In the long > run, > > five or more years after surgery, only about 30% of patients have > > maintained a successful weight loss. Many patients must undergo > > another, revisional operation, to obtain the results they seek. > > > > Because of the poor reported results with this surgery, we do not > > recommend or offer it - we can achieve far better results, with no > > increased risk, or increased expense. When revision of a > > Gastroplasty is necessary, we recommend conversion to a Gastric > > Bypass. > > ------------------------------------------------------------------------ > Failed tests, classes skipped, forgotten locker combinations. > Remember the good 'ol days > http://click.egroups.com/1/5531/3/_/453517/_/963090048/ > ------------------------------------------------------------------------ > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm , Woman, I have missed you! I mean I have really missed you! It's Dena Lawton/from end of the earth Rumely Michigan. I got my surgery date changed to July 12,from july 19. My husband and I will be leaving tonight when he gets home from work. 1150 miles to Durham. Gee whizz, I am really eager to drive this distance. Coming back should be even more fun. Hey! Think of me on Wednesday. I may be getting a tad nervous. Dena Lawton Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2000 Report Share Posted July 19, 2000 Hi! my name is lisa. I have decided that this surgery is the way I want to go too. I have just started the process with Dr R. I have the patient manual and the letter of appeal from Dr R to submit to the insurance company BC/BS of SC. I have not been to see the other dr's yet as reequired. I have been eaves dropping on some of you all for a while. Everyone seems so positive and supportive of each other. I like most have fought weight my entire life, jumping from the latest diet fad to the medically supervised diet plan, never to have lasting results. The last diet I was on was the Phen-fen. I had excellent results with that and then it was taken off of the market. Naturally I told myself that I had worked so diligently to loose the weight that I would be the exception and not gain any of the weight back. I started at 282 lost to 195 only to balloon back up to my highest ever of 312. Boy is it hard to see that in print. I live in Myrtle Beach -- not exactly the best place to be when you are obese! I will be 40 in December. I am not going to turn 41 and be this size! All of you that have had the surgery I don't want to intrude into your life but I have so many questions. I want to know the good and the bad. Can anyone tell me that the surgery wasn't worth it? What kind of changes have each of you experienced? My husband is sooo good. He has never once said anything negative about my weight, but that he will support me in whatever I decide to do. How has the surgery affected the signifcant people in your lives? I am looking forward to talking with each of you and even more eventually meeting some of you. I have to go to work now. I wanted to write this while I had some private time. Has anyone had this surgery that lives close to Myrtle Beach? Please e-mail back to me. Thank you for your help. dizzyb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2000 Report Share Posted July 19, 2000 Hi ! Welcome to the family ! I am pretty limited to what I may be able to help you with because I am still a pre-op myself. I have insurance approval, PCP approval and am awaiting my Physical Exam records to be finished so I can pick them up. My packet is done and ready to send Fed Ex by Wed next week the latest..I am trying for a Sept 13th surgery date, and would love to be your littermate ! > >Reply-To: MiniGastricBypass (AT) egroups (DOT) com >To: MiniGastricBypass (AT) egroups (DOT) com >Subject: mini gastric bypass >Date: Wed, 19 Jul 2000 11:22:00 -0000 > >Hi! my name is lisa. I have decided that this surgery is the way I >want to go too. I have just started the process with Dr R. I have >the patient manual and the letter of appeal from Dr R to submit to >the insurance company BC/BS of SC. I have not been to see the other >dr's yet as reequired. I have been eaves dropping on some of you all >for a while. Everyone seems so positive and supportive of each >other. I like most have fought weight my entire life, jumping from >the latest diet fad to the medically supervised diet plan, never to >have lasting results. The last diet I was on was the Phen-fen. I >had excellent results with that and then it was taken off of the >market. Naturally I told myself that I had worked so diligently to >loose the weight that I would be the exception and not gain any of >the weight back. I started at 282 lost to 195 only to balloon back >up to my highest ever of 312. Boy is it hard to see that in print. >I live in Myrtle Beach -- not exactly the best place to be when you >are obese! I will be 40 in December. I am not going to turn 41 and >be this size! >All of you that have had the surgery I don't want to intrude into >your life but I have so many questions. I want to know the good and >the bad. Can anyone tell me that the surgery wasn't worth it? What >kind of changes have each of you experienced? My husband is sooo >good. He has never once said anything negative about my weight, but >that he will support me in whatever I decide to do. How has the >surgery affected the signifcant people in your lives? >I am looking forward to talking with each of you and even more >eventually meeting some of you. I have to go to work now. I wanted >to write this while I had some private time. Has anyone had this >surgery that lives close to Myrtle Beach? >Please e-mail back to me. > >Thank you for your help. >dizzyb > > > > > >This message is from the Mini-Gastric Bypass Mailing List at Onelist.com >Please visit our web site at http://clos.net >Get the Patient Manual at http://clos.net/get_patient_manual.htm > >To Unsubscribe Send and Email to: >MiniGastricBypass-unsubscribe (AT) egroups (DOT) com > > ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
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