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Why does Dr R bypass 200cm or 6 feet?

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Hi,

This is for the pre-op who posed this question. I will reply by asking that

you to research EVERY procedure available. There are about seven approved

here in the US. There are two types of WLS's. One is restrictive, and the

other is restrictive with a malabsorbtive component. The one with the

restrictive element only usually has a 1-2 oz pouch. The more malabsorbtive

surgeries usually have larger pouches or stomach remnants. Those who have

massive amount of weight to lose usually need both elements.

So, a distal bypass is really what we have in the MGB and our pouch is about

4-6 oz to more closely allow normal eating patterns. In heavier patients, he

bypasses up to 8 feet. The BPD/DS is also distal, but much more so. The

advantage of distal is more malabsorbtion of calories and fat, but is also

displaces nutrients. So, we take supplements for life to assure nutrition.

Depending on your weight, health, age, comorbs, etc., you should choose the

surgery that is best for you. It may be the MGB or it may not. I hope I have

been helpful.

le

-77 pounds in six months

272/195/124 or 18% body fat

size 11/12 juniors or very loose 14's

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In a message dated 12/8/00 6:08:31 AM Central Standard Time,

CuteAKA2nv@... writes:

> le

>

> -77 pounds in six months

> 272/195/124 or 18% body fat

> size 11/12 juniors or very loose 14's

>

Hey le,

Now you give me plenty of notice when you're coming here in the spring

girlfriend.

I wouldn't miss shakin' butts with ya for the world!!

in Raleigh

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