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RE: GB Removal After WLS

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You will mostly likely not notice any difference after your gall bladder

is gone. All the gb actually does is to store bile (made by the liver)

to deliver to the stomach when you eat a big fatty meal. Since we never

will eat a big meal again, the liver can provide enough bile to the old

stomach directly when you eat. My surgeon removes all gall bladders that

are evenly remotely suspicious when he does RNYs (22 years of bariatric

experience). He says that he finds that even with Acti-Gall, 80% of the

gall bladders NOT removed during gastric bypass are removed within the

first year post-op, typically on an emergency basis. A nice, profitable

second surgery for those surgeons who are at all unethical, IMO.

Ziobro

Open RNY 09/17/01

310/130

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GB Removal After WLS

Hello Everyone,

Got a question for those who had their gall bladder removed after wls.

I had wls 04/2002 and had my gall bladder removed in 06/2003.

I was having some problems with vomitting and this is how it was

discovered that my gall bladder was not working. Now with the exception

of not vomitting (yeah) I have not really noticed any difference since

the gb is gone.

My question is should there be any big differences since the gall

bladder is gone?

thanks

(usually just lurking in lurkdome)

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Z wrote:

<< gall bladders NOT removed during gastric bypass are removed within the

first year post-op, typically on an emergency basis. A nice, profitable

second surgery for those surgeons who are at all unethical, IMO. >>

This is a very unfair statement. All surgeons who do not routinely remove

the gall bladder during WLS are not unethical. Many are forbidden to remove

a healthy organ by their insurance carriers. To me, it would seem that

removing a healthy organ and then billing insurance for it is unethical.

There are lots of " for instances " along those lines. Years ago pouches

weren't transected. Today, most WLS surgeons transect the pouch because

they've learned from experience that there's a huge probability that the

staple line will disrupt if it's not transected, but are the ones who don't

transect unethcial, even though they know that they'll very likely be seeing

the patients again when their staple line disrupts? That would seem like

the same situation you described earlier - they're doing something that they

know will bring in a little extra cash flow later on. If the gall bladder

is unhealthy, then it should be removed, and it is true that many people

with healthy GBs at the time of WLS will end up back in surgery to have the

GB removed later on. It would make sense that it would be removed along

with WLS for that reason, but if the insurance carriers (ours and the docs)

won't allow it, then it can't/shouldn't be done. I asked the surgeon who

did my original WLS about removing my appendix with my WLS (my GB was gone

long ago) and he explained about what I just wrote. In a strange

coincidence, I ended up having an emergency appendectomy 9 months later, but

that doesn't mean it's his fault for not removing it when I asked him to

because it was healthy when I had WLS. JMO of course.

Terry

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In a message dated 6/30/2003 11:47:02 PM Eastern Standard Time,

joanenglund@... writes:

> ....oh

> how I miss my milk in my cereal and ice cream!!!!!!!!! YIKES..Joan

>

This is how I always described food. My popcorn, my pretzels etc. I heard a

discussion on TV about this. " Normal " people do not say " my. " They say " I

miss milk on the cereal I eat. " We MO possess our food, they just eat their

food. But, now I try not to say it that way, but I still think that way. Like,

get away from " my " popcorn.

Fay Bayuk

**300/168

10/23/01

Dr.

Open RNY 150 cm

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<A

HREF= " http://obesityhelp.com/morbidobesity/profile.phtml?N=Bayuk951061008 " >http:\

//obesityhelp.com/morbidobesity/profile.phtml?N=Bayuk951061008</A>

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I donated at 23. Can follow childbirth, too.

I could not tolerate LOTS of things right after. No fresh veggies, no

bacon, no milk

I could eventually, but not for awhile

Thanks,

Vitalady, Inc. T

www.vitalady.com

If you are interested in PayPal, please click here:

https://www.paypal.com/affil/pal=orders%40vitalady.com

GB Removal After WLS

>

> Hello Everyone,

> Got a question for those who had their gall bladder removed after wls.

> I had wls 04/2002 and had my gall bladder removed in 06/2003.

> I was having some problems with vomitting and this is how it was

> discovered that my gall bladder was not working. Now with the exception

> of not vomitting (yeah) I have not really noticed any difference since

> the gb is gone.

> My question is should there be any big differences since the gall

> bladder is gone?

>

> thanks

>

> (usually just lurking in lurkdome)

>

> Homepage: http://groups.yahoo.com/group/Graduate-OSSG

>

> Unsubscribe: mailto:Graduate-OSSG-unsubscribe

>

>

>

>

>

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