Guest guest Posted August 31, 2001 Report Share Posted August 31, 2001 Robyn, Yes you are correct. Conversion from VBG to DS are done quite frequently with the major problem being increased leak rates (some increase in other complications). However, Dr. Anthone's leak rate is really steller since he has only 1 leak in all of the surgeries that he and Dr. Crooks have done. You surgery will take longer, but unless you have had repeated abdominal surgeries I am sure that Dr. A will get the DS done. Hull > Hello all, > > I'm trying to clarify possible areas of complication in my revision surgery > as I come into the final stretch. > > I went back and reviewed the anatomy of the VBG tonight. I also reviewed my > old operative notes. My surgeon did a standard VBG. My understanding is that > the food passes through the anastomosis and into the rest of the stomach. > Would it not then have to pass through the pylorus valve? Wouldn't that mean > that my pylorus valve is still working, since it's never been bypassed or > disconnected? > > So, am I correct in understanding that it would be adhesions or other > complications that would prevent completion of a DS, not the functioning of > the pylorus valve, since presumably my pylorus valve still functions? > > Thanks, > Robyn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2001 Report Share Posted August 31, 2001 Robyn I had a failed VBG and was sucessfully switched over to the DS. My Dr said there was a small chance that they couldn't switch me but it was so small it was very unlikely. He was right, I was switched without a problem.I to share the feelings of a failed surgery it's devastating. I lost from a size 24 to a size 8 only to immediately begin to regain the weight and had it all back within 14 months. Renae > >Reply-To: duodenalswitch >To: <duodenalswitch > >Subject: VBG to DS question >Date: Fri, 31 Aug 2001 00:33:48 -0500 > >Hello all, > >I'm trying to clarify possible areas of complication in my revision surgery >as I come into the final stretch. > >I went back and reviewed the anatomy of the VBG tonight. I also reviewed my >old operative notes. My surgeon did a standard VBG. My understanding is >that >the food passes through the anastomosis and into the rest of the stomach. >Would it not then have to pass through the pylorus valve? Wouldn't that >mean >that my pylorus valve is still working, since it's never been bypassed or >disconnected? > >So, am I correct in understanding that it would be adhesions or other >complications that would prevent completion of a DS, not the functioning of >the pylorus valve, since presumably my pylorus valve still functions? > >Thanks, >Robyn > > > > >---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2001 Report Share Posted August 31, 2001 Hi Robyn, An anastamosis is a bowel to bowel fusion, so VGB patients dont have them. In the standard VGB, a pouch in the greater curvature of the stomach is created by stapling in a vertical line, then banding the outlet into the rest of the stomach. So food drops from the pouch into the stomach then routes normally through the pyloris. So yes, your pyloris is intact if you had the standard VGB. Its impossible to tell if adhesions will present a problem. Being a revision from VGB myself, I've watched carefully for 2 years to see if there were many cases where adhesions prevented the revision. I only saw one case, and she was revised to an Rny instead of VGB. Hope that helps, Meli -48lb VGB 1994 revision to DS 6/21 Dr Hess -- In duodenalswitch@y..., " Robyn Reso " <rreso@h...> wrote: > Hello all, > > I'm trying to clarify possible areas of complication in my revision surgery > as I come into the final stretch. > > I went back and reviewed the anatomy of the VBG tonight. I also reviewed my > old operative notes. My surgeon did a standard VBG. My understanding is that > the food passes through the anastomosis and into the rest of the stomach. > Would it not then have to pass through the pylorus valve? Wouldn't that mean > that my pylorus valve is still working, since it's never been bypassed or > disconnected? > > So, am I correct in understanding that it would be adhesions or other > complications that would prevent completion of a DS, not the functioning of > the pylorus valve, since presumably my pylorus valve still functions? > > Thanks, > Robyn Quote Link to comment Share on other sites More sharing options...
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