Re: Reason for Joy Frost's DS Revision?

[Guest guest]

Joy was revised as she wasn't losing wt. She had a 100cm cc and not sure

how long the ailiemntary limb was. Both are being adjusted. Someone else on

this list Patti Skiba, a Rabkin pt. also was revised--she had some tests

that revealed that her intestines moved very slow--absorbing every last

calorie---have to ask her the details on that.

Every doc has his " way " of measuring--some go by ratios of entire intestinal

length. Some vary length based on your starting wt, diet hx, and eating

habits--others just have a set length they give everyone.

So ask ?'s to see what your doc does and why,

Pammi

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[Guest guest]

It's a long and complicated story, but the surgeon I chose wasn't the

one I had as lead surgeon in my original DS surgery. My original

surgeon knew about my diet history and was willing to take into

consideration my very slow metabolism and the fact that I was a small

eater as a pre-op and make my common channel on the shorter side.

But the other surgeon that the hospital substituted didn't really

understand morbid obesity and decided to give me a very conservative

DS surgery. I have a 100cm common channel (the longest length that

most DS surgeons do today) and my alimentary limb is 250cm, pretty

standard for the DS surgery. Unfortunately, I needed much more mal-

absorption to lose weight. My stomach also had stretched out by 4½

months to be able to hold 10 oz at a sitting. My weight loss has

been very inadequate and it is obvious that I will not be able to

lose all my excess weight or anywhere near it by the end of the 18-24

month " window " of opportunity.

Fortunately, my original DS surgeon agrees with me that I need more

mal-absorption. We are doing the revision now rather than waiting

because we need to keep from loosing any more of the

precious " window " time. My original surgeon has moved to another

town and another hospital, so I can finally have the surgeon I

originally chose for my DS to do my revision.

Joy Frost, both Pre and Post-Op DS Age: 48

Open DS with Deveney/Welker Date: 2-5-01

Common channel: 100cm Alimentary limb: 250cm

Revision to be done August 28, 2001

http://www.duodenalswitch.com/Patients/Joy/joy.html

> Could someone explain to me why she needed to do this?

>

> ===============================

> Hawkins

> netmaker2@y...

>

> ===============================

>

> " Those who can't laugh at themselves leave others to do the job! "

[Guest guest]

My only correction to this is that Patti Skiba is a Gagner patient, not a Rabkin

patient. One of the main problems with Joy's initial DS was that Joy knew she

was a small eater already pre-op, so she needed more malabsorption than most

people. She and her surgeon agreed on a 75 cm channel, but to make a long story

short, her surgeon of choice was switched out at the last minute and she ended

up with a 100 cm channel. Ligosky, who is a Rabkin patient, also had a

revision because she wasn't losing as much weight as she should and she was

doing everything right, but it ended up she had an extremely long stomach, which

is unusual, but also which a sleeve gasterectomy does not correct. So basically

she had a really long banana, instead of a short banana and she got that fixed

with a revision and is now doing wonderful!! From what I last heard of Patti,

Patti was also losing weight and doing well but she is not on as often as !

Anita

Pre-op in Denver

> Joy was revised as she wasn't losing wt. She had a 100cm cc and not sure how

long the ailiemntary limb was. Both are being adjusted. Someone else on this

list Patti Skiba, a Rabkin pt. also was revised--she had some tests that

revealed that her intestines moved very slow--absorbing every last

calorie---have to ask her the details on that.

>

> Every doc has his " way " of measuring--some go by ratios of entire intestinal

> length. Some vary length based on your starting wt, diet hx, and eating

> habits--others just have a set length they give everyone.

>

> So ask ?'s to see what your doc does and why,

>

> Pammi

>

>

> _________________________________________________________

>