Guest guest Posted November 1, 2001 Report Share Posted November 1, 2001 Kathy, What's this about possibly slower weight loss if the gall bladder is left in?? Dr. Gagner leaves it in typically (I guess as part of the whole " less-invasive " approach, which I DO appreciate), but he didn't mention anything about slower weight loss. Why are so attached to it, anyway? Would I be missing something wonderful if it were just gone from my life? > > What kind of wishes do you have for your dream surgery? > > I would love to keep my gall bladder, I've never had trouble with it, > and I wouldn't mind taking actigall and risk the possible attendant > slower/less weight loss, for the joy of keeping it if its really in > good shape. Also I'm not anxious to have the shortest common channel > in town, I will be well pleased to get to 200 lbs (I haven't been > there since 1975), though I suspect that 150 is not out of the > question. > > I want to not have morphine and so I am getting an epidural. > > I wanted to let Dr.Welker know that I would always rather be on the > conservative side of most any thing that might arise DURING the > surgery that would still be in keeping with good procedure on his > part. > > Also I need an umbilical hernia repair, and I told him I would like > it repaired now, as it is very painful at times and I could only see > it getting more uncomfortable as I lose weight. So I told Dr. Welker > that I would trade off a TT later, if he could give me relief now, as > at age 53, and happily married fro 35 yrs., I'm not trying to become > a beauty queen here! lol > > But the wonderful part is that he said he can do BOTH, give me relief > now and a major rebuild later, so I am a VERY happy camper. > > Kathy sen > BMI 58, 352.5 lbs > Surgery scheduled Nov 19th > Dr. Welker Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2001 Report Share Posted November 1, 2001 > What's this about possibly slower weight loss if the gall bladder is > left in?? There is MUCHO discussion on the list Archives about this, just type it in and duck!! Dr. Gagner leaves it in typically (I guess as part of the > whole " less-invasive " approach, which I DO appreciate), but he didn't > mention anything about slower weight loss. I think that is because it is only a guess on some surgeons' part and not really established as a fact. > Why are so attached to it, anyway? Would I be missing something > wonderful if it were just gone from my life?If it is true, as some have speculated, that part of the typical woes of WKS patients may actually be the result of having had thier gall bladder removed at the same time and if it is possibly true that " fat is our friend " , then, I want to keep it!!!! Hope this helps, Kathy sen BMI 58, 352.5 lbs Surgery scheduled Nov 19th Dr. Welker > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2001 Report Share Posted November 1, 2001 Aren't Gagner and the other NY full lap DS surgeons the only ones (aside from RNY surgeons, of course) who leave the gall bladder? My suspicion is that the full lap is so complex already that they don't want to make it any more difficulty by adding the cholycystectomy (sp?). I have heard that the other DS surgeons feel strongly about taking it out. What has the experience of the patients of other DS surgeons been? Best - Nick in Sage Re: dream surgery--HUH?! > Kathy, > > What's this about possibly slower weight loss if the gall bladder is > left in?? Dr. Gagner leaves it in typically (I guess as part of the > whole " less-invasive " approach, which I DO appreciate), but he didn't > mention anything about slower weight loss. > > Why are so attached to it, anyway? Would I be missing something > wonderful if it were just gone from my life? > > > > > > > What kind of wishes do you have for your dream surgery? > > > > I would love to keep my gall bladder, I've never had trouble with > it, > > and I wouldn't mind taking actigall and risk the possible attendant > > slower/less weight loss, for the joy of keeping it if its really in > > good shape. Also I'm not anxious to have the shortest common > channel > > in town, I will be well pleased to get to 200 lbs (I haven't been > > there since 1975), though I suspect that 150 is not out of the > > question. > > > > I want to not have morphine and so I am getting an epidural. > > > > I wanted to let Dr.Welker know that I would always rather be on the > > conservative side of most any thing that might arise DURING the > > surgery that would still be in keeping with good procedure on his > > part. > > > > Also I need an umbilical hernia repair, and I told him I would like > > it repaired now, as it is very painful at times and I could only > see > > it getting more uncomfortable as I lose weight. So I told Dr. > Welker > > that I would trade off a TT later, if he could give me relief now, > as > > at age 53, and happily married fro 35 yrs., I'm not trying to > become > > a beauty queen here! lol > > > > But the wonderful part is that he said he can do BOTH, give me > relief > > now and a major rebuild later, so I am a VERY happy camper. > > > > Kathy sen > > BMI 58, 352.5 lbs > > Surgery scheduled Nov 19th > > Dr. Welker > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2001 Report Share Posted November 1, 2001 Dr. Macura performs the DS (and RNY) open he removes the Gallbladder... Lisbeth Nick wrote: Aren't Gagner and the other NY full lap DS surgeons the only ones (aside from RNY surgeons, of course) who leave the gall bladder? My suspicion is that the full lap is so complex already that they don't want to make it any more difficulty by adding the cholycystectomy (sp?). I have heard that the other DS surgeons feel strongly about taking it out. What has the experience of the patients of other DS surgeons been? Best - Nick in Sage Re: dream surgery--HUH?! > Kathy, > > What's this about possibly slower weight loss if the gall bladder is > left in?? Dr. Gagner leaves it in typically (I guess as part of the > whole " less-invasive " approach, which I DO appreciate), but he didn't > mention anything about slower weight loss. > > Why are so attached to it, anyway? Would I be missing something > wonderful if it were just gone from my life? > > > > > > > What kind of wishes do you have for your dream surgery? > > > > I would love to keep my gall bladder, I've never had trouble with > it, > > and I wouldn't mind taking actigall and risk the possible attendant > > slower/less weight loss, for the joy of keeping it if its really in > > good shape. Also I'm not anxious to have the shortest common > channel > > in town, I will be well pleased to get to 200 lbs (I haven't been > > there since 1975), though I suspect that 150 is not out of the > > question. > > > > I want to not have morphine and so I am getting an epidural. > > > > I wanted to let Dr.Welker know that I would always rather be on the > > conservative side of most any thing that might arise DURING the > > surgery that would still be in keeping with good procedure on his > > part. > > > > Also I need an umbilical hernia repair, and I told him I would like > > it repaired now, as it is very painful at times and I could only > see > > it getting more uncomfortable as I lose weight. So I told Dr. > Welker > > that I would trade off a TT later, if he could give me relief now, > as > > at age 53, and happily married fro 35 yrs., I'm not trying to > become > > a beauty queen here! lol > > > > But the wonderful part is that he said he can do BOTH, give me > relief > > now and a major rebuild later, so I am a VERY happy camper. > > > > Kathy sen > > BMI 58, 352.5 lbs > > Surgery scheduled Nov 19th > > Dr. Welker > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2001 Report Share Posted November 1, 2001 I had Dr. Warden in Ocean Springs, MS. He did my surgery fully lap, took my gallbladder and appendix, along with doing the DS all at the same time. The entire procedure took just under 4 hours. He felt very strongly that the gallbladder had to come out. I am pretty sure that he takes everyone's gallbladder out when he does the DS. M. in KC Re: Re: dream surgery--HUH?! Aren't Gagner and the other NY full lap DS surgeons the only ones (aside from RNY surgeons, of course) who leave the gall bladder? My suspicion is that the full lap is so complex already that they don't want to make it any more difficulty by adding the cholycystectomy (sp?). I have heard that the other DS surgeons feel strongly about taking it out. What has the experience of the patients of other DS surgeons been? Best - Nick in Sage Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2001 Report Share Posted November 1, 2001 At 9:24 AM -0800 11/1/01, Nick wrote: >Aren't Gagner and the other NY full lap DS surgeons the only ones (aside >from RNY surgeons, of course) who leave the gall bladder? > >My suspicion is that the full lap is so complex already that they don't want >to make it any more difficulty by adding the cholycystectomy (sp?). I have I recall that somebody quoted Gagner saying that after a few hours there is so much swelling of tissue inside (with lap surgery), that all things begin to look alike, and the risk of doing something wrong increases. >heard that the other DS surgeons feel strongly about taking it out. What >has the experience of the patients of other DS surgeons been? > Elariny leaves it in unless ultrasound shows stones. he says that there is a risk in screwing up around the bile ducts if he takes it out, and why have that added risk, along with the other surgical risks, if it is not necessary? --Steve -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2001 Report Share Posted November 1, 2001 Dr. Herron ripped mine out (galblader), cause I asked him before hand. No need to have gallblader problems. The milk and cookies tast just fine! Dan > Aren't Gagner and the other NY full lap DS surgeons the only ones (aside > from RNY surgeons, of course) who leave the gall bladder? > > My suspicion is that the full lap is so complex already that they don't want > to make it any more difficulty by adding the cholycystectomy (sp?). I have > heard that the other DS surgeons feel strongly about taking it out. What > has the experience of the patients of other DS surgeons been? > > Best - > > Nick in Sage > > Re: dream surgery--HUH?! > > > > Kathy, > > > > What's this about possibly slower weight loss if the gall bladder is > > left in?? Dr. Gagner leaves it in typically (I guess as part of the > > whole " less-invasive " approach, which I DO appreciate), but he didn't > > mention anything about slower weight loss. > > > > Why are so attached to it, anyway? Would I be missing something > > wonderful if it were just gone from my life? > > > > > > > > > > > > What kind of wishes do you have for your dream surgery? > > > > > > I would love to keep my gall bladder, I've never had trouble with > > it, > > > and I wouldn't mind taking actigall and risk the possible attendant > > > slower/less weight loss, for the joy of keeping it if its really in > > > good shape. Also I'm not anxious to have the shortest common > > channel > > > in town, I will be well pleased to get to 200 lbs (I haven't been > > > there since 1975), though I suspect that 150 is not out of the > > > question. > > > > > > I want to not have morphine and so I am getting an epidural. > > > > > > I wanted to let Dr.Welker know that I would always rather be on the > > > conservative side of most any thing that might arise DURING the > > > surgery that would still be in keeping with good procedure on his > > > part. > > > > > > Also I need an umbilical hernia repair, and I told him I would like > > > it repaired now, as it is very painful at times and I could only > > see > > > it getting more uncomfortable as I lose weight. So I told Dr. > > Welker > > > that I would trade off a TT later, if he could give me relief now, > > as > > > at age 53, and happily married fro 35 yrs., I'm not trying to > > become > > > a beauty queen here! lol > > > > > > But the wonderful part is that he said he can do BOTH, give me > > relief > > > now and a major rebuild later, so I am a VERY happy camper. > > > > > > Kathy sen > > > BMI 58, 352.5 lbs > > > Surgery scheduled Nov 19th > > > Dr. Welker > > > > > > ------------------------------------------------------------------ ---- > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2001 Report Share Posted November 1, 2001 Nick, When i met with Dr. Jossart, he stated that all the statistics indicate that there is no real benefit to removing the gallbladder if actigall is used, and there are some disadvantages to removing it. I have been without a gallbladder for 14 years, and I will tell you, a lot of the inconvenient side affects many folks experience immediately post op, are the same ones i have been living with for 14 years. I don't know if this is coincidental, or a direct affect of the gallbladder removal. However, I am not sure statistically how effective the actigall is, and having suffered gallbladder attacts, unless it were VERY effective, I would vote for ripping the bloody thing out! Theresa > > > > What kind of wishes do you have for your dream surgery? > > > > > > I would love to keep my gall bladder, I've never had trouble with > > it, > > > and I wouldn't mind taking actigall and risk the possible attendant > > > slower/less weight loss, for the joy of keeping it if its really in > > > good shape. Also I'm not anxious to have the shortest common > > channel > > > in town, I will be well pleased to get to 200 lbs (I haven't been > > > there since 1975), though I suspect that 150 is not out of the > > > question. > > > > > > I want to not have morphine and so I am getting an epidural. > > > > > > I wanted to let Dr.Welker know that I would always rather be on the > > > conservative side of most any thing that might arise DURING the > > > surgery that would still be in keeping with good procedure on his > > > part. > > > > > > Also I need an umbilical hernia repair, and I told him I would like > > > it repaired now, as it is very painful at times and I could only > > see > > > it getting more uncomfortable as I lose weight. So I told Dr. > > Welker > > > that I would trade off a TT later, if he could give me relief now, > > as > > > at age 53, and happily married fro 35 yrs., I'm not trying to > > become > > > a beauty queen here! lol > > > > > > But the wonderful part is that he said he can do BOTH, give me > > relief > > > now and a major rebuild later, so I am a VERY happy camper. > > > > > > Kathy sen > > > BMI 58, 352.5 lbs > > > Surgery scheduled Nov 19th > > > Dr. Welker > > > > > > ------------------------------------------------------------------ ---- > > Quote Link to comment Share on other sites More sharing options...
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