preparing my appeal

[Guest guest]

Elle,

To get abstrats go to the sight:

http://www.ncbi.nlm.nih.gov/PubMed/

Below is the one you are looking for, I didn't use this one in my

Aetna letter because my BMI is only 45; however, I did use a number

of other papers which you can find the abstracts for on the site

above. The relavant references are:

Brolin RE et all, Lipid Risk profile and weight stability after

gastric restrictive operations for morbid obesity, J Gastrointest

Surg 2000 Sep-Oct;4(5):464-9

Hsu LK et all, Nonsurgical factors that influence the outcome of

bariatric surgery: a review. Psychosom Med 1998 May-Jun;60(3):338-46

Bloomston M et all, Outcome following bariatric surgery in the

super versus morbidly obese patients: does weight matter? Obes Surg

1997 Oct;7(5):414-9

Oh CH, Kim HJ, Oh S, Weight loss following transected gastric

bypass with proximal Roux-en-Y, Obes Surg 1997 Apr;7(2):142-8

Reinhold RB, Late results of gastric bypass surgery for morbid

obiesity, J Am Coll Nutr 1994 Aug;13(4):326-31

S et all, Roux-en-Y Gastric Bypass: A 7-year Retrospective

Review of 3855 Patients, Obes Surg, 1995 Aug;5(3):314-318.

Pories WJ, Swanson MS et all, Who would have thought it? An

operation proves to be the most effective therapy for adult-onset

diabetes mellitus. Ann Surg 1995 Sep;222(3):339-50

I can fax you the full length articles of the last 3 papers if you

like.

Hull

---------------------------------------------------------------------

Late outcome of isolated gastric bypass.

MacLean LD, Rhode BM, Nohr CW.

Department of Surgery, Royal Hospital and McGill University,

Montreal, Quebec, Canada.

OBJECTIVE: To complete a long-term (>5 years) follow-up of patients

undergoing isolated gastric bypass for severe obesity. SUMMARY

BACKGROUND DATA: Previous experience as well as randomized trials

suggested that the ideal operation for obesity should rely on

manipulation of satiety rather than the production of malabsorption.

Such an operation should incorporate a small gastric pouch of less

than 30 mL placed in a dependent position on the lesser curvature of

the stomach, not dependent on staples, and separated from the

remaining stomach with a retrocolic, retrogastric Roux-en-Y

gastrojejunostomy without external support. METHODS: The authors

established an obesity clinic where patients were seen six times

during the first year and semiannually thereafter. Emphasis was

placed on defining success in terms of approximation to normal body-

mass index. RESULTS: Of 274 patients, 243 (89%) were followed up for

5.5 +/- 1.5 years. Before surgery, the patients were obese (n = 13),

morbidly obese (n = 134), or super-obese (n = 96). The obese and

morbidly obese group achieved an excellent result, and the super-

obese a good result. Individual results showed considerable variation

from the mean. CONCLUSIONS: This study of isolated gastric bypass

with a 5.5-year follow-up rate of 88.6% revealed a success rate of

93% in obese or morbidly obese patients and 57% in super-obese

patients. Isolated gastric bypass compares favorably with

biliopancreatic diversion in terms of weight loss, maximum weight

loss, weight regain, current body-mass index, and percentage of

patients with a body-mass index less than 35 kg/m2.

PMID: 10749613 [PubMed - indexed for MEDLINE]

> I wanted to know when DS site would be back up because I wanted to

be able

> to copy some of the research on it.

>

> I'm preparing an appeal to my medical group who have denied me the

surgery.

> My plan is to write a complex letter/report, which I will place in a

> notebook which will then reference copies of every abstract/study

that I can

> find supporting the DS or listing difficulties with the RNY.

>

> The study I MOST want to get ahold of is McLean's study which

showed a 47%

> failure rate in people with a BMI over 50. If anyone has a copy of

it, or

> an abstract, I would be really happy to pay for its shipment. I

have posted

> everything that I can find on my wls web site under " research " at

> http://www.growley.com/mywls/index.html

>

> If you have anything that you think would be helpful in my

notebook, I would

> appreciate it.

>

> Thanks... Elle

>

>

> RE:

http://www.duodenalswitch.com/index.htm

>

>

> > > Anyone know when http://www.duodenalswitch.com/index.htm will

> > > be available again? I know there has been discussion about

> > > it being down for awhile, but I was hoping to find out an

> > > approximate date it is estimated to be back up.

> >

> > When I spoke to , he said " a day or two " , and we agreed that

if it

> > wasn't back up by Monday, we'd touch base and he'd give me a

status

> > update at that time.

> >

> > In the meantime, I still have the entire site on my local disk --

is

> > there something in particular that you need? Perhaps I can help

you.

> >

> >

[Guest guest]

Thank you so much Chris. I have the articles up on the web... and they will

be integrated into my appeal. I may have to " move " to the Delano area so

that I can change my primary care physician to Delano Medical Group...

fortunately, my auntie lives only 20 miles away, so it will be quite easy

(and I'm less than 3 hours away at my " other " home

However, since Dee has told me that there is a minimum 6 month wait before

Delano Medical Group will consider refering one for the DS, I am attempting

to get my present Medical Group to change its mind. My physician thinks it

may not be hopeless... but he has thrown his hands up and said he has " no

power " in his Medical Group. I do, however, now have the name, phone # and

addresses of the " top dogs " of the Medical Group.

My husband's work fax # is . He gets 90% of the faxes, so

there is no real problem. If you can send the three full texts, it would be

great. If it is a problem, I will do with the abstracts. I do plan to keep

my site up forever... well, as long as my forever is... so anything you give

me, I will make available on the web for others.

Again, thank you for your assistance. You are a hope for us all.

Elle **