Guest guest Posted August 16, 2001 Report Share Posted August 16, 2001 If it were me, I would go with the RNY without a second thought. To me it beats being this heavy>>>> I so much agree with what Sherry said here.......!!!! If the DS was not available to me, I would have the RNY without hesitation! Judie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2001 Report Share Posted August 16, 2001 If it were me, I would go with the RNY without a second thought. To me it beats being this heavy>>>> I so much agree with what Sherry said here.......!!!! If the DS was not available to me, I would have the RNY without hesitation! Judie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2001 Report Share Posted August 16, 2001 > any doc should be able to see that the distal RNY would be > appropriate in order to achieve maximum weight loss. There are Anita, The distal RNY will have the same problems as the DS, so if the DS is contra-indicated because of loss of colon then so too would be the distal RNY. Hull Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2001 Report Share Posted August 16, 2001 > any doc should be able to see that the distal RNY would be > appropriate in order to achieve maximum weight loss. There are Anita, The distal RNY will have the same problems as the DS, so if the DS is contra-indicated because of loss of colon then so too would be the distal RNY. Hull Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2001 Report Share Posted August 16, 2001 I would suggest that you get a second opinion. Take a trip to CA and see Dr. Anthone who has a lot of experience taking on patients that no one else will. Open DS with Dr. Anthone 7/6/01 > Sherry, > > I spoke with after he got turned down by Dr. Herron as a candidate for > the BPD/DS procedure. > (I am also pre-op, so not very knowledgeable on a 'first-hand' basis). > is really depressed and > not at a point where he will consider the RNY due to what he feels (and > very well may be) will become > a very restrictive lifestyle. It would be really great if people with much > more knowledge than myself > and much more open to options other than BPD/DS would communicate with > . At 400 lbs., it > would be a shame to watch him do nothing versus helping him see positives > in other options. > Unfortunately, I feel about the RNY as does, but like , I too > underwent a sigmoid colectomy > and may be refused the BPD/DS and find myself in the same situation. Good > words and opinions > may save two people from doing nothing versus looking more positively at > alternatives. > > Thanks, > Donna > > > > > > > GABS12992 (AT) Aol (DOT) > com To: duodenalswitch@y... > cc: > 08/16/2001 Subject: Re: MY Surgery-Dont Know > 02:28 PM > Please respond > to > duodenalswitch > > > > > > I'm sorry to hear about your situation. If it were me, I would go > with > the RNY without a second thought. To me it beats being this heavy. There > are many happy RNYers out there. I have a friend who started out at > 400lbs. > She is thrilled with the surgery. She tells me that she doesn't feel > deprived. She gets full very quickly. She eats well with the exception of > > sweets and is losing fast. Maybe Dr. Herron could do more of a distal RNY. > > At least that would increase your odds of keeping it off in the long run. > Whatever you decide, I wish you luck. Keep your mind open to the > different > possibilities. > > Sherry > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2001 Report Share Posted August 16, 2001 I would suggest that you get a second opinion. Take a trip to CA and see Dr. Anthone who has a lot of experience taking on patients that no one else will. Open DS with Dr. Anthone 7/6/01 > Sherry, > > I spoke with after he got turned down by Dr. Herron as a candidate for > the BPD/DS procedure. > (I am also pre-op, so not very knowledgeable on a 'first-hand' basis). > is really depressed and > not at a point where he will consider the RNY due to what he feels (and > very well may be) will become > a very restrictive lifestyle. It would be really great if people with much > more knowledge than myself > and much more open to options other than BPD/DS would communicate with > . At 400 lbs., it > would be a shame to watch him do nothing versus helping him see positives > in other options. > Unfortunately, I feel about the RNY as does, but like , I too > underwent a sigmoid colectomy > and may be refused the BPD/DS and find myself in the same situation. Good > words and opinions > may save two people from doing nothing versus looking more positively at > alternatives. > > Thanks, > Donna > > > > > > > GABS12992 (AT) Aol (DOT) > com To: duodenalswitch@y... > cc: > 08/16/2001 Subject: Re: MY Surgery-Dont Know > 02:28 PM > Please respond > to > duodenalswitch > > > > > > I'm sorry to hear about your situation. If it were me, I would go > with > the RNY without a second thought. To me it beats being this heavy. There > are many happy RNYers out there. I have a friend who started out at > 400lbs. > She is thrilled with the surgery. She tells me that she doesn't feel > deprived. She gets full very quickly. She eats well with the exception of > > sweets and is losing fast. Maybe Dr. Herron could do more of a distal RNY. > > At least that would increase your odds of keeping it off in the long run. > Whatever you decide, I wish you luck. Keep your mind open to the > different > possibilities. > > Sherry > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2001 Report Share Posted August 16, 2001 You can consult with another surgeon....or what about the adj. band? I don't think that is as restrictive as the RNY. My neighbor lost over 100 lbs with it...so it can work. But i'm not telling you anything you dont already know about...I just think if you really arent happy about the RNY I would not subject yourself to it but look for other alternatives. Good luck AJ " S " wrote: >Well, I spoke to Dr. Herron today and received depressing news. He does >not recommend ds surgery for me. > >About 20 yrs ago, I had surgery on my sigmoid colon for diverticultis. >According to the hospital report, three sections of colon was removed. >Bottom line is that he feels I would have a greater problem with dirrera. >He recommed RNY. > >I did lots of research regarding RNY and I dont think its for me. Im >not happy with the dumping, possibility of food not being chewed to mush >and getting stuck,also gaining my weight back. Currently, Im 420lb. > >The other recommendation is to find an internist, get on a diet, exercise >program and Xenical. > >I really donot want the RNY. Right now, I am do depressed. I have to >decide soon. I am schedule to have surgery 9/7 but who knows. > > > > > >__________________________________________________ >FREE voicemail, email, and fax...all in one place. >Sign Up Now! http://www.onebox.com > > >---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2001 Report Share Posted August 16, 2001 You can consult with another surgeon....or what about the adj. band? I don't think that is as restrictive as the RNY. My neighbor lost over 100 lbs with it...so it can work. But i'm not telling you anything you dont already know about...I just think if you really arent happy about the RNY I would not subject yourself to it but look for other alternatives. Good luck AJ " S " wrote: >Well, I spoke to Dr. Herron today and received depressing news. He does >not recommend ds surgery for me. > >About 20 yrs ago, I had surgery on my sigmoid colon for diverticultis. >According to the hospital report, three sections of colon was removed. >Bottom line is that he feels I would have a greater problem with dirrera. >He recommed RNY. > >I did lots of research regarding RNY and I dont think its for me. Im >not happy with the dumping, possibility of food not being chewed to mush >and getting stuck,also gaining my weight back. Currently, Im 420lb. > >The other recommendation is to find an internist, get on a diet, exercise >program and Xenical. > >I really donot want the RNY. Right now, I am do depressed. I have to >decide soon. I am schedule to have surgery 9/7 but who knows. > > > > > >__________________________________________________ >FREE voicemail, email, and fax...all in one place. >Sign Up Now! http://www.onebox.com > > >---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2001 Report Share Posted August 16, 2001 , If you really can't reconcile yourself to the RNY - don't do it, IMHO. It's a major decision with serious lifelong consequences, and I don't think you should do it until you're 120% sure that there's absolutely no other reasonable option for you. It doesn't seem that you're at that point. At any rate, give yourself some more time. You can always reschedule. I consulted a surgeon who is a leading doctor here in Israel. He emphatically recommended the BPD/DS for me, but we also had a long talk about the lap-band, and I thought I'd share his comments with you. He told me that initially, all weight loss surgeries are successful. In the first few months, they all have similar results. That's a function of the surgery itself - the body and especially the digestive system take a while to heal, so no matter what surgery you have, there is a good chance that you will be able to lose the bulk of the excess weight within a reasonable time. The problem, he said, is in the long term. The restrictive procedures like the lap-band have not been as successful in the long term, primarily because they do not have the malabsorptive element that restricts the potential of regaining the lost weight. He described it by saying that the lap-band requires a high level of patient compliance to make it work. Who's to say that you won't be able to make it work? Chances are you have never been in the situation of being at a normal weight as an adult. If you have always struggled with a major amount of excess weight, like I have, it's no wonder that the struggle was unending. I was never able to lose enough to make a significant difference, but somehow I always felt that if I got down to normal or near-normal, perhaps I could keep it going on my own. I never even had the chance to test that theory, and I daresay you didn't either - but maybe that will happen. If you get down to near-normal or normal weight, it will be that much easier to stick to an exercise commitment. Exercise is very difficult for us at our heaviest, and it would make a big difference in being able to maintain a good weight loss - so you have to factor in that you will be able to exercise and see the results, which will be very rewarding. It's hard to predict - the lap-band is statistically not as effective as other surgeries, but statistics are not individual people with the motivation and incentive and will to make it work. Statistics are just numbers. If " only " 40% or 30% or whatever keep the weight off - who's to say that you won't be one of them? We should all not forget that there are some fortunate souls out there who have managed to achieve and maintain 100+ lb. and even 100+++ lbs. weight losses without any surgery at all. It's true that they are very much the minority, but they are a very fortunate minority. Who wouldn't rather have a minimally invasive procedure, or no surgery at all? I would not recommend it as a first choice, but you are in a difficult position. If you are so unsure about the RNY, and the BPD/DS is out of the question, then I think you owe it to yourself to give the lap-band serious thought. There is a " bandsters " list here at Yahoo Groups, lovely bunch of folks I hung out with for a short time before I decided on the BPD/DS. Many of them started out at very high BMIs and are doing very well. I realize that the work to maintain the weight loss will be much more difficult than with the BPD/DS, but perhaps if the lap-band helps you to lose the bulk of the excess weight, you may be able to achieve good health and hold on to it. We can hope and pray that if and when the day should come that it becomes really tough to maintain the weight loss with the lap-band, perhaps there may be some new developments in obesity treatment - the gastric pacemaker (now in the second stage of clinical trials) - or new medications - that will give you some more support. I am not a doctor and I don't know your situation, I am just speculating. I believe that the doctors at Mt. Sinai also do the lap- band surgery - perhaps you can ask Dr. Herron what he thinks. Aviva Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2001 Report Share Posted August 16, 2001 , If you really can't reconcile yourself to the RNY - don't do it, IMHO. It's a major decision with serious lifelong consequences, and I don't think you should do it until you're 120% sure that there's absolutely no other reasonable option for you. It doesn't seem that you're at that point. At any rate, give yourself some more time. You can always reschedule. I consulted a surgeon who is a leading doctor here in Israel. He emphatically recommended the BPD/DS for me, but we also had a long talk about the lap-band, and I thought I'd share his comments with you. He told me that initially, all weight loss surgeries are successful. In the first few months, they all have similar results. That's a function of the surgery itself - the body and especially the digestive system take a while to heal, so no matter what surgery you have, there is a good chance that you will be able to lose the bulk of the excess weight within a reasonable time. The problem, he said, is in the long term. The restrictive procedures like the lap-band have not been as successful in the long term, primarily because they do not have the malabsorptive element that restricts the potential of regaining the lost weight. He described it by saying that the lap-band requires a high level of patient compliance to make it work. Who's to say that you won't be able to make it work? Chances are you have never been in the situation of being at a normal weight as an adult. If you have always struggled with a major amount of excess weight, like I have, it's no wonder that the struggle was unending. I was never able to lose enough to make a significant difference, but somehow I always felt that if I got down to normal or near-normal, perhaps I could keep it going on my own. I never even had the chance to test that theory, and I daresay you didn't either - but maybe that will happen. If you get down to near-normal or normal weight, it will be that much easier to stick to an exercise commitment. Exercise is very difficult for us at our heaviest, and it would make a big difference in being able to maintain a good weight loss - so you have to factor in that you will be able to exercise and see the results, which will be very rewarding. It's hard to predict - the lap-band is statistically not as effective as other surgeries, but statistics are not individual people with the motivation and incentive and will to make it work. Statistics are just numbers. If " only " 40% or 30% or whatever keep the weight off - who's to say that you won't be one of them? We should all not forget that there are some fortunate souls out there who have managed to achieve and maintain 100+ lb. and even 100+++ lbs. weight losses without any surgery at all. It's true that they are very much the minority, but they are a very fortunate minority. Who wouldn't rather have a minimally invasive procedure, or no surgery at all? I would not recommend it as a first choice, but you are in a difficult position. If you are so unsure about the RNY, and the BPD/DS is out of the question, then I think you owe it to yourself to give the lap-band serious thought. There is a " bandsters " list here at Yahoo Groups, lovely bunch of folks I hung out with for a short time before I decided on the BPD/DS. Many of them started out at very high BMIs and are doing very well. I realize that the work to maintain the weight loss will be much more difficult than with the BPD/DS, but perhaps if the lap-band helps you to lose the bulk of the excess weight, you may be able to achieve good health and hold on to it. We can hope and pray that if and when the day should come that it becomes really tough to maintain the weight loss with the lap-band, perhaps there may be some new developments in obesity treatment - the gastric pacemaker (now in the second stage of clinical trials) - or new medications - that will give you some more support. I am not a doctor and I don't know your situation, I am just speculating. I believe that the doctors at Mt. Sinai also do the lap- band surgery - perhaps you can ask Dr. Herron what he thinks. Aviva Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2001 Report Share Posted August 17, 2001 In a message dated 8/17/01 2:40:33 AM, duodenalswitch writes: << I think the Dr. over at Lenox Hospital is Dr. Leitman but I am not sure. Lisbeth Dr. Macura June 25, 2001 >> Hi, Lisbeth: Dr. Lietman does the RNY and Dr. Roslyn does the laparoscopic RNY - I'm not sure if either of these docs are doing the laparoscopic lapband yet. There's another surgeon (a female) whom I had never heard of before who is performing the lapband there... maybe Lietman and Roslyn are as well.. I had never heard of this lady's name before - it's kind of weird sounding and I can't remember it for the life of me, but her patients (post-op banders) were talking about her at the NYU meeting last night. all the best, lap ds with gallbladder removal January 25, 20001 Dr. Gagner/Mt. Sinai/NYC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2001 Report Share Posted August 17, 2001 In a message dated 8/17/01 2:40:33 AM, duodenalswitch writes: << I think the Dr. over at Lenox Hospital is Dr. Leitman but I am not sure. Lisbeth Dr. Macura June 25, 2001 >> Hi, Lisbeth: Dr. Lietman does the RNY and Dr. Roslyn does the laparoscopic RNY - I'm not sure if either of these docs are doing the laparoscopic lapband yet. There's another surgeon (a female) whom I had never heard of before who is performing the lapband there... maybe Lietman and Roslyn are as well.. I had never heard of this lady's name before - it's kind of weird sounding and I can't remember it for the life of me, but her patients (post-op banders) were talking about her at the NYU meeting last night. all the best, lap ds with gallbladder removal January 25, 20001 Dr. Gagner/Mt. Sinai/NYC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2001 Report Share Posted August 17, 2001 I stands corrected!! I know about Dr. Leitman because he was one of the surgeons I originally had a consult with. I remember that my consult with him was 2 weeks after my inital call. Lisbeth Dr. Macura June 25, 2001 ruisha@... wrote: In a message dated 8/17/01 2:40:33 AM, duodenalswitch writes: << I think the Dr. over at Lenox Hospital is Dr. Leitman but I am not sure. Lisbeth Dr. Macura June 25, 2001 >> Hi, Lisbeth: Dr. Lietman does the RNY and Dr. Roslyn does the laparoscopic RNY - I'm not sure if either of these docs are doing the laparoscopic lapband yet. There's another surgeon (a female) whom I had never heard of before who is performing the lapband there... maybe Lietman and Roslyn are as well.. I had never heard of this lady's name before - it's kind of weird sounding and I can't remember it for the life of me, but her patients (post-op banders) were talking about her at the NYU meeting last night. all the best, lap ds with gallbladder removal January 25, 20001 Dr. Gagner/Mt. Sinai/NYC ---------------------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2001 Report Share Posted August 17, 2001 I stands corrected!! I know about Dr. Leitman because he was one of the surgeons I originally had a consult with. I remember that my consult with him was 2 weeks after my inital call. Lisbeth Dr. Macura June 25, 2001 ruisha@... wrote: In a message dated 8/17/01 2:40:33 AM, duodenalswitch writes: << I think the Dr. over at Lenox Hospital is Dr. Leitman but I am not sure. Lisbeth Dr. Macura June 25, 2001 >> Hi, Lisbeth: Dr. Lietman does the RNY and Dr. Roslyn does the laparoscopic RNY - I'm not sure if either of these docs are doing the laparoscopic lapband yet. There's another surgeon (a female) whom I had never heard of before who is performing the lapband there... maybe Lietman and Roslyn are as well.. I had never heard of this lady's name before - it's kind of weird sounding and I can't remember it for the life of me, but her patients (post-op banders) were talking about her at the NYU meeting last night. all the best, lap ds with gallbladder removal January 25, 20001 Dr. Gagner/Mt. Sinai/NYC ---------------------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2001 Report Share Posted August 18, 2001 , Hi !!!!!! ... I spoke personally with Dr. Hess in Ohio, and e-mail communicated with Dr. Welker in Oregon ... and I was told by both that having had a sigmoid colectomy should NOT cause problems with the DS. There are some types of colectomies that may be contraindictions, but a sigmoid colectomy was not one of them. Dr. Hess is who 'created' the BPD with the DS portion of the surgery, has done over 900 DSes, and I would consider him the expert in this field. I have my consult with him the middle of October. Like you, I am only missing a small portion of my sigmoid colon (less than 10 " removed in my case), and I have had two very reputable surgeons that did not back Dr. Herron's opinion. Hmmmm .... makes me wonder ! Get another opinion (surgeon), , and GO FOR IT !!! I can't give you any advice about other surgeons in New York, but hopefully, others will post their opinion. If you do get to another surgeon, please call me or e-mail me and let me know !!!! I wish you the best of luck. Keep in touch. Bye, Donna " S " <pensiondude@o To: duodenalswitch nebox.com> cc: Subject: MY Surgery-Dont Know 08/18/01 08:18 PM Please respond to duodenalswitch I would like to thank everyone for there support especially Donna who listened to me when I called. I went to my PCP and he contacted Dr Herron. They spoke for about 15 min. Dr herron will not do DS surgery on patients who underwent surgery for a sigmoid colectomy. In my case, I have about 10 in removed. Bottom line is that he feels I would have a greater problem with diarrhea. He says that normal DOS patients go 4 to six times a day. I my case I would be living on the bowl. I did have a done a few month ago, I was fine. The PC said he will contact the and discuss the test and how much skimmed was there. I told the PC that I was against having the ANY done. He recommended to get a second opinion but to keep an open mind on the RNY procedure. With all the research I did on RNY, my mind is closed. DS is the way I want to go. I have 2 questions... 1..Does anyone know about Dr Jersy Macura ?He the Director of Bariatric Surgery at Staten Island University Hospital. Trying to get appt with him. 2..Smelly question, after surgery what is the average number of BM's you may have. Is it diarrhea and when does it / doesnt it stop. I have not had any problems with BM's since my sigmoid colectomy. I dont know if doctor's or nurses are members of this room, if so I would like to here from you directly. Again, thank you. pensiondude@... - email x4399 - voicemail/fax __________________________________________________ FREE voicemail, email, and fax...all in one place. Sign Up Now! http://www.onebox.com ---------------------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2001 Report Share Posted August 18, 2001 , Hi !!!!!! ... I spoke personally with Dr. Hess in Ohio, and e-mail communicated with Dr. Welker in Oregon ... and I was told by both that having had a sigmoid colectomy should NOT cause problems with the DS. There are some types of colectomies that may be contraindictions, but a sigmoid colectomy was not one of them. Dr. Hess is who 'created' the BPD with the DS portion of the surgery, has done over 900 DSes, and I would consider him the expert in this field. I have my consult with him the middle of October. Like you, I am only missing a small portion of my sigmoid colon (less than 10 " removed in my case), and I have had two very reputable surgeons that did not back Dr. Herron's opinion. Hmmmm .... makes me wonder ! Get another opinion (surgeon), , and GO FOR IT !!! I can't give you any advice about other surgeons in New York, but hopefully, others will post their opinion. If you do get to another surgeon, please call me or e-mail me and let me know !!!! I wish you the best of luck. Keep in touch. Bye, Donna " S " <pensiondude@o To: duodenalswitch nebox.com> cc: Subject: MY Surgery-Dont Know 08/18/01 08:18 PM Please respond to duodenalswitch I would like to thank everyone for there support especially Donna who listened to me when I called. I went to my PCP and he contacted Dr Herron. They spoke for about 15 min. Dr herron will not do DS surgery on patients who underwent surgery for a sigmoid colectomy. In my case, I have about 10 in removed. Bottom line is that he feels I would have a greater problem with diarrhea. He says that normal DOS patients go 4 to six times a day. I my case I would be living on the bowl. I did have a done a few month ago, I was fine. The PC said he will contact the and discuss the test and how much skimmed was there. I told the PC that I was against having the ANY done. He recommended to get a second opinion but to keep an open mind on the RNY procedure. With all the research I did on RNY, my mind is closed. DS is the way I want to go. I have 2 questions... 1..Does anyone know about Dr Jersy Macura ?He the Director of Bariatric Surgery at Staten Island University Hospital. Trying to get appt with him. 2..Smelly question, after surgery what is the average number of BM's you may have. Is it diarrhea and when does it / doesnt it stop. I have not had any problems with BM's since my sigmoid colectomy. I dont know if doctor's or nurses are members of this room, if so I would like to here from you directly. Again, thank you. pensiondude@... - email x4399 - voicemail/fax __________________________________________________ FREE voicemail, email, and fax...all in one place. Sign Up Now! http://www.onebox.com ---------------------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
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