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Stanford Letter - Part 1

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Here's part One of the letter. My comments will be in

{}

Standford University Hospital and Clinics

Stanford Center for Bariatric Surgery

Department of Surgery, Rm H-3680

300 Pasteur Drive, Stanford, CA 94304

Pamela , Surgeon

Lorna Bent, Patient Coordinator

Office:

Clinic

Clinic Fax

Surgery for Morbid Obesity

{Two paragraphs on the problems with obesity}

Your doctor has proposed the possibility of an

operation to assist you in your attempts to lose

weight. This is a drastic measure that should not be

undertaken lightly. This handout is intended to

provide a brief introduction to the bariatric

(operations to help one lose weight) procedures that

we at Stanford are willing to perform.

Read this handout carefully, but do not restrict

yourself to just this handout. I encourage you to

seek other sources of information and to speak to

patients who have undergone these procedures.

{Three paragraphs that I provided in my first email

under PLEASE PLEASE READ - STANFORD LETTER}

GASTRIC BYPASS: This operation works by bypassing the

distal stomach, by restricting the size of the gastric

reservoir, and by producing undesirable side-effects

if sweets, especially sweet liquids, are taken. It is

more effective than the Vertical Banded Gastroplasty,

but may rarely produce serious long-term metabolic

consequences, especially relating to Vitamin B-12

absorption, calcium and iron absorption, and anemia.

Though this is the operation we recommend for most

patients, we are generally reluctant to perform this

operation in women who wish to become pregnant.

This operation is not likely to enable you to achieve

your ideal body weight, and indeed, without your

effort this operation may not produce any significant

weight loss at all. That is, it is possible for most

people to eat enough even with this operation to

maintain their preoperative weight.

LAPAROSCOPIC SURGERY: For most patients we have been

willing to perform these procedures laparoscopically.

Using a small video telescope and fine, long

instruments approximately the diameter of your little

finger, we can perform these procedures with several

small punctures of the abdominal wall, rather than a

long, upper abdominal incision.

The main advantage of this surgery is that recovery

may be faster than with traditional open surgery. It

requires more operative time than the open surgery,

however, and we do not yet know if it will prove to be

as safe as the open surgery.

{End of part One. Any typos are from me!}

dee

=====

Dee

Waiting for Ins. Co. Approval

313/Want to be 165

__________________________________________________

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Here's part One of the letter. My comments will be in

{}

Standford University Hospital and Clinics

Stanford Center for Bariatric Surgery

Department of Surgery, Rm H-3680

300 Pasteur Drive, Stanford, CA 94304

Pamela , Surgeon

Lorna Bent, Patient Coordinator

Office:

Clinic

Clinic Fax

Surgery for Morbid Obesity

{Two paragraphs on the problems with obesity}

Your doctor has proposed the possibility of an

operation to assist you in your attempts to lose

weight. This is a drastic measure that should not be

undertaken lightly. This handout is intended to

provide a brief introduction to the bariatric

(operations to help one lose weight) procedures that

we at Stanford are willing to perform.

Read this handout carefully, but do not restrict

yourself to just this handout. I encourage you to

seek other sources of information and to speak to

patients who have undergone these procedures.

{Three paragraphs that I provided in my first email

under PLEASE PLEASE READ - STANFORD LETTER}

GASTRIC BYPASS: This operation works by bypassing the

distal stomach, by restricting the size of the gastric

reservoir, and by producing undesirable side-effects

if sweets, especially sweet liquids, are taken. It is

more effective than the Vertical Banded Gastroplasty,

but may rarely produce serious long-term metabolic

consequences, especially relating to Vitamin B-12

absorption, calcium and iron absorption, and anemia.

Though this is the operation we recommend for most

patients, we are generally reluctant to perform this

operation in women who wish to become pregnant.

This operation is not likely to enable you to achieve

your ideal body weight, and indeed, without your

effort this operation may not produce any significant

weight loss at all. That is, it is possible for most

people to eat enough even with this operation to

maintain their preoperative weight.

LAPAROSCOPIC SURGERY: For most patients we have been

willing to perform these procedures laparoscopically.

Using a small video telescope and fine, long

instruments approximately the diameter of your little

finger, we can perform these procedures with several

small punctures of the abdominal wall, rather than a

long, upper abdominal incision.

The main advantage of this surgery is that recovery

may be faster than with traditional open surgery. It

requires more operative time than the open surgery,

however, and we do not yet know if it will prove to be

as safe as the open surgery.

{End of part One. Any typos are from me!}

dee

=====

Dee

Waiting for Ins. Co. Approval

313/Want to be 165

__________________________________________________

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