Re: Lap procedures for those with BMI > 60

[Guest guest]

What I understand from presentations at the ASBS, the percentage of

complications is higher for the first 70 cases and after that is

equivalent to the complications with the open. This indicates a rthr

steep 'learning curve'. So if the doc has done 70 or more lap cases

then the risks are no greater than with an open.

in Seattle

> Hi,

>

> I just read an abstract from the 2001 meeting of the ASBS. The

title

> is " Super Massive Obesity is not a contraindication to laprascopic

> Roux-en-Y gastric bypass " .

>

> Those odds do sound good to me. And the DS is even more

complicated

> to do then the RNY.

[Guest guest]

What I understand from presentations at the ASBS, the percentage of

complications is higher for the first 70 cases and after that is

equivalent to the complications with the open. This indicates a rthr

steep 'learning curve'. So if the doc has done 70 or more lap cases

then the risks are no greater than with an open.

in Seattle

> Hi,

>

> I just read an abstract from the 2001 meeting of the ASBS. The

title

> is " Super Massive Obesity is not a contraindication to laprascopic

> Roux-en-Y gastric bypass " .

>

> Those odds do sound good to me. And the DS is even more

complicated

> to do then the RNY.

[Guest guest]

In a message dated 8/17/01 8:02:47 PM, duodenalswitch writes:

<<

Those odds do sound good to me. And the DS is even more complicated

to do then the RNY.

So I say if your BMI>60 then do it open.

>>

OR you can go to a surgeon who is offering this surgery in two parts

laparoscopically. Of course, this may be a more complicated issue for a

long distance patient, but it IS AN ALTERNATE to open!

I know the surgeons at Mt Sinai in NYC are offering this -- I'm not sure

about other surgeons?

all the best,

TEresa

lap ds with gallbladder removal

January 25, 2001

Dr. Gagner/Mt. Sinai/NYC

six months post-op and still feelin' fabu!

pre-op: 307 lbs/bmi 45

now: 228 (again - yahoo!)

[Guest guest]

In a message dated 8/17/01 8:02:47 PM, duodenalswitch writes:

<<

Those odds do sound good to me. And the DS is even more complicated

to do then the RNY.

So I say if your BMI>60 then do it open.

>>

OR you can go to a surgeon who is offering this surgery in two parts

laparoscopically. Of course, this may be a more complicated issue for a

long distance patient, but it IS AN ALTERNATE to open!

I know the surgeons at Mt Sinai in NYC are offering this -- I'm not sure

about other surgeons?

all the best,

TEresa

lap ds with gallbladder removal

January 25, 2001

Dr. Gagner/Mt. Sinai/NYC

six months post-op and still feelin' fabu!

pre-op: 307 lbs/bmi 45

now: 228 (again - yahoo!)

[Guest guest]

,

Hmm, doing the DS in 2 parts laprascopicaly would seem to meet to

defeat its purpose (short recovery time). So the question in my mind

becomes, is doing it laprascopicaly in 2 parts safer then doing it

open in one part. Personaly I doubt it, but I haven't seen any

studies on this. The lap procedure is just too new at this point to

draw any dramatic conclusions. Dr. Ren felt that the cutoff should

probably be 65.

Hull

> >>

>

> OR you can go to a surgeon who is offering this surgery in two

parts

> laparoscopically. Of course, this may be a more complicated

issue for a

> long distance patient, but it IS AN ALTERNATE to open!

>

> I know the surgeons at Mt Sinai in NYC are offering this -- I'm not

sure

> about other surgeons?

>

> all the best,

[Guest guest]

,

Hmm, doing the DS in 2 parts laprascopicaly would seem to meet to

defeat its purpose (short recovery time). So the question in my mind

becomes, is doing it laprascopicaly in 2 parts safer then doing it

open in one part. Personaly I doubt it, but I haven't seen any

studies on this. The lap procedure is just too new at this point to

draw any dramatic conclusions. Dr. Ren felt that the cutoff should

probably be 65.

Hull

> >>

>

> OR you can go to a surgeon who is offering this surgery in two

parts

> laparoscopically. Of course, this may be a more complicated

issue for a

> long distance patient, but it IS AN ALTERNATE to open!

>

> I know the surgeons at Mt Sinai in NYC are offering this -- I'm not

sure

> about other surgeons?

>

> all the best,