Fw: updating information about gastric bypass surgery

[Guest guest]

This is cross-posted to: duodenalswitch ,

DS_Elariny ,

DS-Insurance_Authorization_Problems

Part of our problem is that NIH is still behnd the times. They still show

the BPD (Horizontal Gastric Transection) on their website with no metion of

the DS. We need to get on NIH's case or the insurance companies will keep

fighting the DS.

Bob

updating information about gastric bypass surgery

> Bob: Thank you for the information about the gastric bypass fact sheet.

WIN

> is currently updating the fact sheet and will replace the current document

> with the revised document.

>

----- Original Message -----

The NIDDK Gastric Surgery for Sever Obesity Page seems to contain out-dated

information related to current medical practices.

http://www.niddk.nih.gov/health/nutrit/pubs/gastsurg.htm depicts the RNY and

an older form of the BPD that is no longer the " standard of care " in

bariatric surgery. The current BPD/DS (Duodenal Switch) practiced in the

US, which uses a vertical " sleeve " partial gastrectomy with preservation of

the pyloric valve, seems to be missing for the described

restrictive/malabsorption procedures. Also, the quoted statistics on your

page seem to conflict with current peer reviewed research:

1) Hess, et al.: Biliopancreatic Diversion with a Duodenal Switch, Obesity

Surgery, 8, 1998; 267-282 .

2) Scopinaro N, et al.: Biliopancreatic Diversion, World J Surg. 1998

Sep;22(9):936-46. PMID: 9717419; UI: 98383147

3)Marceau, P., S. Biron, et al. (1993). " Biliopancreatic Diversion with a

New Type of Gastrectomy. " Obes Surg 3: 29-35

4) Rabkin RA. " Distal gastric bypass/duodenal switch procedure, Roux-en-Y

gastric bypass and biliopancreatic diversion in a community practice. " Obes

Surg. 1998 Feb;8(1):53-9.44

5) Marceau P; Hould FS; Simard S; Lebel S; Bourque RA; Potvin M,

Biliopancreatic diversion with duodenal switch., World journal of surgery.

1998 Sep;22(9):947-54

6) Early results of laparoscopic biliopancreatic diversion with duodenal

switch: a case series of 40 consecutive patients.Obes Surg. 2000

Dec;10(6):514-23

7) " Duodenal Switch: an Effective Therapy for Morbid Obesity-Intermediate

Results. " Obes Surg. 2001 Feb;11:54-59

Many of the above citations come from the NIH/NLM PUBMED Server using the

search string " duodenal switch. " Current research seems to indicate that

the DS procedure produces a greater loss of excess weight and may provide

better long term outcomes.

Please understand, the accuracy of information distributed by the NIH has a

major impact on the ability of Americans to access appropriate health care.

Many insurance companies deny benefits for the duodenal switch procedure

because they claim that it is " experimental. "

Thank you in advance for considering these comments; and I look forward to

seeing

updated content on your very informative site in the near future