Guest guest Posted November 9, 2001 Report Share Posted November 9, 2001 In a message dated 11/09/2001 3:33:44 PM Central Standard Time, mkf5t@... writes: > Read another post about someone doing 60-75 cm. CCs. I thought > 100 cm. was standard " safe " procedure. What's up? What IS the > standard? > Dr. Hess most used common channel length is 75cm. I heard--not from him but some other source so check it out before using to discuss with surgeon--that Dr. Hess went to 100cm for a while but decided to go back to mostly 75cm. Now he does it to the particular patient based on small bowel length measurement, bmi, age, etc. My small intestine length was unusually short so he made my common channel 50cm. I was kind of shocked at first but after he explained it to me, I was GLAD he made it 50cm. Another reason I think he makes shorter common channels can be seen in his study onthe ds website. In this paper he indicated that individuals who end up with nutritional deficiencies or continual diarrhea were relieved of their problems when a revision was done and the common channel lengthened. However, those who had inadequate weight loss were not helped that much by doing a revision to shorten their common channel. Therefore, erring on the side of too short of a common channel is more effectively fixed than an error on too long of a common channel. Dawn--South Suburban Chicago area Dr. Hess, Bowling Green, OH BPD/DS 4/27/00 www.duodenalswitch.com 267 to 165 5' 4 " size 22 to size 10 have made size goal no more high blood pressure, sore feet, or dieting Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2001 Report Share Posted November 9, 2001 I had an enlightening conversation with a doctor regarding the common channel length. He stated that he had challanged and enlightened the physician's at the recent Bariatric Seminar who's statements were geared towards having no problem using a standard measurement for common channel lengths. He argues that they can not use the standard measurements of 75-100 cm common channel in either lap or open procedures because the measurement (or eyeballing in the case of lap) of the duodenum only does not take into consideration the " length " of the stomach (in longer stomach's - top to bottom - you will have to have a larger sized pouch and will need to accomodate for this in the absorption area to promote weight loss)and therefore the capacity, AND the actual " surface " of the intestine left to absorb in the common channel (in thicker duodenums there is a greater absorption field and the same 75 cm channel in another person would not be absorbing as much). He has had patient's with extremely long and thin duodenums where he has had to leave a much longer duodenum to account for an adequate amount of absorption. He stressed to the Bariatric Surgeons that they must start taking into account all factors instead of relying on the standard 50-125cm adjustments. I made not have explained it as well as he did to me, but the jist of it is there. I had not heard this type of argument before and thought it would be helpful to everyone in making sure they are getting their surgeries tailored to suit them SPECIFICALLY and not being forced to be a part of the 50 to 125 cm squad. Ellen W > > >... Is a 100 cm lap the same as 75 open cm channel > > > > > > > Not at all. I guess that my 100 cm lap would, if stretched out as > in > > open, be more like 125 cm. And, I am losing rather slowly, too. > > --Steve > > -- > > Steve Goldstein, age 61 > > Lap BPD/DS on May 2, 2001 > > Dr. Elariny, INOVA Fairfax Hospital, Virginia > > Starting (05/02/01) BMI = 51 > > BMI on 10/25 = 39 (-75 lb.) -- No longer M.O. > > Losing more slowly than most, but enjoying renewed health and life > in general. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2001 Report Share Posted November 9, 2001 <<He argues that they can not use the standard measurements of 75-100 cm common channel in either lap or open procedures because the measurement (or eyeballing in the case of lap) >> I read my surgical report and spoke with my surgeon. When doing a full lap BPD/DS, she does not " eyeball " the measurements. My surgical reports says in part... " Using a 100 cm piece of umbilical tape, 100 cm of ileum was measured proximal to the ileocecal valve, where it was marked with a silk stitch. From this point, an additional 150 cm of ileum was measured proximally, where it was divided...... " Jane J. 38 yrs. old 230/153 (-77 lbs) 5' 3.5 " Lap BPD/DS 4/26/01 Dr. Ren Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2001 Report Share Posted November 9, 2001 > I had an enlightening conversation with a doctor regarding the common > channel length. He stated Ellen who is the doctor you are referring to? Thanks Edee pre-opt Chicago Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2001 Report Share Posted November 11, 2001 He is Dr. Hares in Bloomfield Hills MI. A truely wonderful physician. I have been to a total of four surgeons discussing the procedure. The first did not do the DS, but was equally wonderful. The second and third surgeon made me feel as if I was one in a herd of cattle going in for the cut. I am sure they had the expertise, but I did not feel as if I was being treated as an individual. The feeling of being cattle started for me with the initial phone call to the office and getting the standard " What's your weight, height, address, phone number? Read the information we send you and call back for an appointment. " I'd call back and get an appointment three months later, only to have to sit through a seminar and then wait again to see if I can get approved through insurance and then wait again to get a surgery date. Dr. Hares administration person, Carol, was warm from the very first call. She got me in within 30 days. I did not have to sit in a seminar, but actually sat with the DOCTOR and one other person for a very personal and informative Q & A. The follow-up care director, Jackie, is equally warm and accomodating. I have a date of 12/10/01, pending insurance approval. I felt SO GOOD walking out of there! The one-on-one attention of 100% was very comforting. The office is busy and each person handles that pressure with such grace and compassion for each patient. I highly recommend this office. (I am sure there are other equally wonderful physician's out there. He's just my choice.) > > I had an enlightening conversation with a doctor regarding the > common > > channel length. He stated > > Ellen who is the doctor you are referring to? > > Thanks > Edee > pre-opt Chicago Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2001 Report Share Posted November 11, 2001 I had my surgery with Dr. Hares this past July. I have been very impressed with the personal care I have gotten. I know there is a person that had a bad experience with Dr. Hares when he first started doing the DS on his own, but he has since done hundreds of them and everyone I have met has only had wonderful things to say about him. Of course anyone that can help you lose a lot of weight would look very good in your eyes. I have been losing very rapidly and the office is keeping a close eye on me. If I don't report to them every 2 weeks, they call me to get a progress report. The support group also does a lot of good things besides all the important informational stuff. Our next meeting is a fashion show where post-op's model some of the latest clothes from a local clothing store. The best part of this is that it makes the models feel good about their progress. I am going to be one of the models and I am really looking forward to it. The following meeting is another fashion show where everyone we ars their pre-op clothing. That should be pretty funny and really show how far everyone has come. When you are pre-op, it is very important to have a good surgeon and that you feel confident with their skill. Right after surgery, you need a surgeon that you can trust to take care of any complications that may arise. Now that I am 4 months out, having a group of people to help me through this time is so very important. For those of us that can take part in local in-person support groups, that is a wonderful way to get support. Otherwise, this list and others like it can really make a world of difference in your emotional recovery. Keep in mind that this is only my opinion and others may feel differently. I do not have any medical training so I can only speak from my own experience. Kathy M. DS 7/19/01 Quote Link to comment Share on other sites More sharing options...
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