Guest guest Posted October 4, 2001 Report Share Posted October 4, 2001 In a message dated 10/4/01 2:31:26 PM, duodenalswitch writes: << The BPD without the DS is an older procedure that has more side- effects and about the same efficacy. In particular it suffers from the dumping problems that the RNY procedure has, as the pylorus is removed. I would advise against this, and I would run away from this surgeon as fast as you can.>>>>> Yes, this is true about the BPD... Also, the removal of the antreum/plyorus (lower stomach) has been indicated to increase risk for pancreatic cancer (as found in peptic ulcer patients who have had the antreum removed to alleviate their condition). I would definately ask the surgeon WHO she prefers the BPD, given that the DS is a marked improvement in many ways on that older surgery... I could see if you had particular health reasons to necessitate the BPD but to make a blanket statement that the surgeon does NOT perform the DS even though it is considered an improvement (maybe because it is more difficult to perform?) would make me extremely uncomfortable. <<<<<<<Please tell us who this surgeon is! The only female DS surgeons that I am aware of are Ren and .>>>>>> I'm guessing it's Ren since she's really gung ho on the lapband. However, I don't know why she would abandon the DS procedure entirely... unless she is trying to use this as a way to 'push' the lapband more?????? this is the same question I asked myself! lOL <<<<<<<<<The Lap band is new and has rather mixed results. It is probably only appropriate for those with fairly low BMI's (35-40). There is no long term track record.>>>>>>>> Yes, the lapband is the least invasive surgery (a real plus) but it doesn't have comparable weight loss stats (especially long term weight loss) with the DS. I think it is about the same as an RNY, give or take..... I would discuss this surgery with post-ops (and you won't find any long termers there) and see how they feel afterwards. If I had a choice between an RNY and lapband, I think I *may* lean towards the lapband but if I had the choice between anything and the DS, it would be DS hands down! all the best, lap ds with gallbladder removal January 25,2 001 Dr. Gagner/Mt. Sinai/NYC eight months post-op and still feelin' fabu! preop: 307 lbs/bmi 45 now: 213 (HEY - I'm still losing! LOL) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 2001 Report Share Posted October 4, 2001 The BPD without the DS is an older procedure that has more side- effects and about the same efficacy. In particular it suffers from the dumping problems that the RNY procedure has, as the pylorus is removed. I would advise against this, and I would run away from this surgeon as fast as you can. Please tell us who this surgeon is! The only female DS surgeons that I am aware of are Ren and . The Lap band is new and has rather mixed results. It is probably only appropriate for those with fairly low BMI's (35-40). There is no long term track record. Hull > I had my first consult with my surgeon yesterday, and she > explained to me that she no longer does the BPD/DS operation, > only the BPD without the DS part. Does anyone know if doing the > operation without the DS part make a substantial difference to > the end results? Has anyone had the BPD without the DS? > > She also seemed to be trying to convince me to go with the Lap > Band operation rather than the BPD - but most of the research > I've been able to find doesn't really show me encouraging results > as far as total weight loss & maintenance. Does anyone have > any experience with this operation? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 2001 Report Share Posted October 4, 2001 The stomach stapling alone will not keep the weight off. In my opinion this doctor has been around the ether for too long. Perhaps a consultation with another surgeon would be helpful. Best- Nick in Sage BPD Only? > I had my first consult with my surgeon yesterday, and she > explained to me that she no longer does the BPD/DS operation, > only the BPD without the DS part. Does anyone know if doing the > operation without the DS part make a substantial difference to > the end results? Has anyone had the BPD without the DS? > > She also seemed to be trying to convince me to go with the Lap > Band operation rather than the BPD - but most of the research > I've been able to find doesn't really show me encouraging results > as far as total weight loss & maintenance. Does anyone have > any experience with this operation? > > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 2001 Report Share Posted October 4, 2001 At 5:11 PM +0000 10/4/01, r_reyes923@... wrote: >I had my first consult with my surgeon yesterday, and she >explained to me that she no longer does the BPD/DS operation, >only the BPD without the DS part. Does anyone know if doing the >operation without the DS part make a substantial difference to >the end results? Has anyone had the BPD without the DS? Quite a few of Dr. Elariny's patients have had only the BPD. They are calling it the " sleeve, " because the resulting stomach resembles a tube or sleeve. The sleeve is the stomach part of the full BPD/DS. Those who have had the sleeve are losing weight. The real test will come in several years: will they manage to keep the weight off without benefit of the malabsorbing intestinal tract? That is an unknown at present. > >She also seemed to be trying to convince me to go with the Lap >Band operation rather than the BPD Run; don't walk! Find another surgeon. She should not be pushing you into one or another surgery. Rather, she should be explaining ALL the choices to you and letting YOU choose which one is best for you. -- Steve Goldstein, age 61 Lap BPD/DS on May 2, 2001 Dr. Elariny, INOVA Fairfax Hospital, Virginia Starting (05/02/01) BMI = 51 BMI on 09/27 = 41 (-66 lb.) Quote Link to comment Share on other sites More sharing options...
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