Re: Some more words from Dr. Poires on BPD and BPD/DS

[Guest guest]

Hi Chris;

In a few days, I will go through the coorespondence I exchanged

with the ASBS on the Poires issue and bring you up to date. I am

still waiting for a response from Dr. Poires through the Executive

Dirctor of that organization.

This is really very intriguing. Based on his initial response to my

inquiry, it certainly sounds as if he is talking out both sides of

his

mouth. Not very encouraging from the President-Elect of the

ASBS, eh?

Can you get me the dates for both of these articles? His defense

so far is that he has no recallection of making the previous

statements and wanted time to review the article. I believe I

forwarded that info on right before my own surgery but may have

forgotten.

So, at this point, I want to provide him with specific

documentation outlining just when he made these comments.

I'm pretty wrapped up in my own recovery process right now and

thankfully I'm doing quite well. However, I am 100% on my own

on this journey. This is my own problem for allowing my obesity

to turn me into a social-phobic and recluse.

I'm not trying to garner sympathy, only to explain that I have my

hands really filled right now, trying to get a hospital bed in, a

home health nurse, home delivery of prescriptions, home

delivery of food. These are all things I prudently tried to

pre-arrange but NOOOO! every service makes one wait until the

need for the service is current. This sucks, trying to

self-administer care and not being comfortable enough to get

around yet.

Please forgive my rantings. I somehow felt compelled to blend

my need to piss and moan with my udpate on the

Poires-response.

Hope to hear back from you on those dates.

gobo

> Hi Everyone,

>

> I found more quotes from Dr. Poires. These seem to verify

what I

> posted last month. Interestingly he specifies here that Italians

can

> do well with the procedure, but not americans. We eat to much

butter

> and not enough olive oil!

>

> You can find the full text of the article at:

>

> http://www.contemporarysurgery.com/03_00/symposia.pdf

>

> The relavant portions are included below:

>

> Hull

>

>

> _ M A L A B S O R P T I V E P R O C E D U R E S

> S U G E R M A N : What are your thoughts on the

> malabsorptive procedures, including the partial biliopancreatic

> bypass of Dr. Scopinaro from Genoa, Italy,

> and the duodenal switch operations of Drs. Hess and

> Marceau?9,10

> P O R I E S : Dr. Scopinaro's biliopancreatic bypass

> struck me as a rather outlandish procedure, but

> his good results may in part be due to the typical

> Italian diet. But I don't think it's an acceptable operation

> for American patients.

> The duodenal switch is still new, and regarded as

> an experimental procedure. I think it's promising and

> appears to be somewhat easier to do, but I don't have

> any long-term data.

> DOHERTY: The Scopinaro procedure results

> in an obligatory weight loss because of the amount of

> malabsorption. So, for these patients to stay in a good

> state of nutrition, some of them are consuming 6,000-

> 7,000 calories a day. Most of them are easy to identify,

> because of frequent and malodorous flatus.

> S U G E R M A N : I have met many of the Italian

> patients who have had the biliopancreatic bypass and

> I was impressed by how well they are doing. I have

> seen the data. Our patients in the United States eat

> larger quantities of fat, and that's going to markedly

> increase steatorrhea and malodorous flatus. When I

> was in Italy I questioned whether their patients' stools

> floated because I was interested in steatorrhea, but

> they don't have standing-water flush toilets.

> P O R I E S : I think that may be a clue—there is

> quite a difference between butter and olive oil. The

> answers regarding Scopinaro's approach are not in,

> but the finding that Italians do well and Americans do

> poorly after the procedure is fascinating, and must

> relate to diet.

[Guest guest]

Gobo,

Both articles are from March of 2000.

Chris

> > Hi Everyone,

> >

> > I found more quotes from Dr. Poires. These seem to verify

> what I

> > posted last month. Interestingly he specifies here that Italians

> can

> > do well with the procedure, but not americans. We eat to much

> butter

> > and not enough olive oil!

> >

> > You can find the full text of the article at:

> >

> > http://www.contemporarysurgery.com/03_00/symposia.pdf

> >

> > The relavant portions are included below:

> >

> > Hull

> >

> >

> > _ M A L A B S O R P T I V E P R O C E D U R E S

> > S U G E R M A N : What are your thoughts on the

> > malabsorptive procedures, including the partial biliopancreatic

> > bypass of Dr. Scopinaro from Genoa, Italy,

> > and the duodenal switch operations of Drs. Hess and

> > Marceau?9,10

> > P O R I E S : Dr. Scopinaro's biliopancreatic bypass

> > struck me as a rather outlandish procedure, but

> > his good results may in part be due to the typical

> > Italian diet. But I don't think it's an acceptable operation

> > for American patients.

> > The duodenal switch is still new, and regarded as

> > an experimental procedure. I think it's promising and

> > appears to be somewhat easier to do, but I don't have

> > any long-term data.

> > DOHERTY: The Scopinaro procedure results

> > in an obligatory weight loss because of the amount of

> > malabsorption. So, for these patients to stay in a good

> > state of nutrition, some of them are consuming 6,000-

> > 7,000 calories a day. Most of them are easy to identify,

> > because of frequent and malodorous flatus.

> > S U G E R M A N : I have met many of the Italian

> > patients who have had the biliopancreatic bypass and

> > I was impressed by how well they are doing. I have

> > seen the data. Our patients in the United States eat

> > larger quantities of fat, and that's going to markedly

> > increase steatorrhea and malodorous flatus. When I

> > was in Italy I questioned whether their patients' stools

> > floated because I was interested in steatorrhea, but

> > they don't have standing-water flush toilets.

> > P O R I E S : I think that may be a clue—there is

> > quite a difference between butter and olive oil. The

> > answers regarding Scopinaro's approach are not in,

> > but the finding that Italians do well and Americans do

> > poorly after the procedure is fascinating, and must

> > relate to diet.