Average loss for proximals vs distals (was hungry, etc)

[Guest guest]

Does anyone else on the list have the 50-55% figure from somewhere for

proximals to answer Cindy? This number comes from Dr. Kih Oh in Seattle. Since

he

only does distals (I think), I doubt it would be from his own patient base. And

yes, one has to remember that averages are the mean, or centerline, of

anything. The 75% figure quoted by Weight For Life in their pre-op seminars for

proximals is quoted as an average as well. My point is that perhaps proximals

are

not always being given the correct data as pre-ops--not that it would

necessarily change anyone's mind about having the surgery. Probably any MO would

still

go for 50% rather than 75% simply bcuz it's a whole lot better than the status

quo. My desire is to get the bariatric surgical community to tell us the

truth and not sugar-coat anything and not omit any info just bcuz the

percentages

are small (such as failed or stretched stoma). Actually, I'm not even sure IF

the percentages on that are small. I just do not know.

As far as obesityhelp.com / AMOS is concerned, did y'all read Ray's post

about who owns it and who advertises on it? I guess that would explain why they

1)

don't want any posts on there about possible problems/ complications/

failures and 2) why that site wouldn't be interested in any study like what

Cindy

suggests. Personally I don't need a study to know that stretched stoma DOES

happen. I have the scope results to prove it. And whether it happens to 60% or

0.6%

doesn't mean a heckuva lot when it happens to YOU. As for the percentage of

loss? I've lost to date (not quite 2 years out) exactly 50% of what I need to

lose to be mid-point of normal BMI. Lost the major part of it in the first 6

months. And in the past 2 months, have started to regain. That's why I think it

behooves the surgeons and their shills (such as WFL, the Wish Center, etc) to

TELL every WLS candidate what CAN happen. If they've got statistics on the

percentages, so much the better. But it ain't MY job to conduct such a study.

I'm

not going in and re-arranging anyone's insides in such a manner that if a

problem occurs, it cannot be fixed. Maybe someone else wants to undertake to do

the study? Cindy, what about you? You have the questions; maybe you can help

find the answers....................

Forgive me if I'm interpreting your post incorrectly. But I get the feeling

that in your mind, I must be to blame, and even if I'm not, I must not have the

right info.

Carol A

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In a message dated 7/29/2003 10:32:25 AM Central Daylight Time,

cindyjrubin@... writes:>

>

> Where does it say that its closer to 50-55% for proximals? Is this just one

> docs opinion from his patient base? Where are you getting that from? Your

> the only one I have heard espouse that figure... I guess that if you take the

> averages, perhaps, it may shake out that way. For instance, a lightweight

> that only has to lose 100 or so, could lose 100 percent of excess weight, and

> perhaps even with regain, still have 75% or more permanent loss. But someone

> who started at 400 pounds, may lose 150 pounds, an awesome amount but it may

> only be 50-60 percent of what they had to lose...does that make any sense?

>

> I know for me, so far at 17 mo post-op (and I won't feel comfortable until I

> reach the 3-5 year mark), I have lost 84% of what the insurance tables say I

> should weigh, but 97% of what I set out to lose (my own goal). Even with

> some regain, I am and will stay way above the 55% and I am a proximal. I

think

> what we need is a major study, and why shouldn't obesity help do one? For

> instance, they have thousands and thousands of post-op posters. Why not take

> a poll and chart it somehow, showing % of weight lost at 1 year, 18 mo, 2

> years, 3 years etc for proximal, distal RNy and DS, lap band etc..?? Or even,

> get the docs to submit their info...

>

> What are your thoughts on this?

>

> Tuesdynite@... wrote:

>

> >> In a message dated 7/27/2003 5:02:05 PM Central Daylight Time,

>> cindyjrubin@... writes:

>>

>> >>> I'm wondering, what is the percent of those who have the RNY who have

>>> stoma problems, andat what point in their journey-there are those who

>>> start out with an enlarged stoma, but what percent have the relaxed

>>> stomas and at what point do they occur, and do they occur to everyone

>>> or just some, and what causes it-overeating?

>>>

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

>

>