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In a message dated 9/6/01 10:51:30 AM, duodenalswitch writes:

<< Is it possible to have this surgery and not have the gallbladder

and / or the appendix removed??

>>

GH: i know of at least one group of surgeons that do not routinely remove

the gallbladder or appendix. They will only remove the gallbladder if it is

diseased, etc.

These are the surgeons at Mt. Sinai, NYC. There may be others as well.

As for the surgeons who routinely remove these organs, I don't know if you

request they do not if they will refrain? something to ask about..

all the best,

lap ds with gallbladder removal

january 25, 2001

Dr. Gagner/Mt. Sinai/NYC

seven months post-op and still feelin' fabu! :)

preop: 307 lbs/bmi 45

now: 222 (hey - losing!)

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It is possible, but it depends on the surgeon. Some of them

automatically remove them while they are there in order to rule

either out as a cause of post-op abdominal pain. Some of the

check them out and, if they're diseased or abnormal in any way,

they are removed.

maria

> Is it possible to have this surgery and not have the gallbladder

> and / or the appendix removed??

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> Is it possible to have this surgery and not have the gallbladder

> and / or the appendix removed??

Absolutely. Some doctors would rather leave them in. The gallbladder

is removed if it has damage already OR if the Doctor thinks there

will be many gall stones as the result of your weight loss. The

appendix is removed almost as a courtesy so that if you have

intestinal or " stomach " pain some day in the future they can rule out

appendix right away and proceed to what may more likely be the cause,

a blockage, adhesion or twist. Some doctors remove the gallbladder

after it fails and do the tummy tuck at the same time and this is how

some people get the tummy tuck covered by insurance.

Danine'

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> Is it possible to have this surgery and not have the gallbladder

> and / or the appendix removed?? Thanks GH>

Dear GH,

I still have my gallbladder and appendix. My gallbladder was healthy

and I wanted to keep it. Same thing for my appendix. I subscribe to

the " if it ain't broke, don't fix it " philosophy.

Jane J.

Lap BPD/DS

Dr. Ren

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Do you happen

> to know which doctors these are, as I would gladly travel to have

the

> GB and appendix stay, and have the procedure done with lap.

**********************

You'll find that Dr. Gagner will perform your surgery lap without

removing the other pieces. For him the surgery is more difficult if

you add the gallbladder to it, so he prefers to leave it in. He is

considering writing a paper addressing the gallbladder removal during

WLS. He is a renowned NY Mt. Sinai surgeon and one of the early

pioneers. The only thing I have heard recently that has been negative

is that he is taking less insurance companies than he used to. He is

on the surgeon list from the duodenal site. Good Luck to you.

Danine'

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Yes, you can but most drs. advice that you have the gallbladder taken out.

This surgery tends to make us get gall stones and you'll have to have it out

anyway. I don't know about the appendix. I still have mine. It's a useless

organ. So, I don't know why you would need to keep it or have it taken out.

Micky

Gallbladder

> Question,

>

> Is it possible to have this surgery and not have the gallbladder

> and / or the appendix removed??

>

> Thanks

>

> GH

>

>

>

>

> ----------------------------------------------------------------------

>

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My surgeon (Dr. Hares) routinely removes the appendix and the

gallbladder. it was a good thing because both of them ended up being

diseased. My appendix was hidden behind my bowel and he had a hard

time finding it.I am glad to have both of them gone. I figure if

they are already in there and I don't need it, take it out. Kathy M.

*************************

I don't need my uterus anymore either but, I would want my

gallbladder and appendix removed too if they were diseased. Since in

my case both organs were healthy, I did not believe in just taking

organs out for no good reason. My husband had his gallbladder out

and he is now plagued with chronic, sometimes explosive, loose runny

stools which at times are a nuisance. That is with following a

lowfat diet. When he eats a meal higher in fat, he can't leave the

house. I just wasn't willing to risk this in light of the fact that

my presurgical ultrasound and examination during surgery found my

gallbladder to be healthy, stone/sludge free and functioning just

fine. BTW, I have never had diarhea after my DS. A week or so of

loose BMs but never diarhea. The downside is that I have to take

Actigall for 6 months. YMMV.

Jane J.

Lap BPD/DS

Dr. Ren

NYU Medical Center, NYC

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I lost my gallbladder to my liquid fast in 1999 (glad to see it

go)...and that was AFTER taking Actigall for eight months.

Sometimes you just can't win. :)

>The downside is that I have to take

> Actigall for 6 months. YMMV.

>

> Jane J.

> Lap BPD/DS

> Dr. Ren

> NYU Medical Center, NYC

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