Re: Contraindications to the DS

[Guest guest]

,

I met with Dr. Jossart today, and grilled him as to why he would even

offer the Roux en Y...laughing. You know how mild mannered and

unopinionated I am. He told me exactly what you just said. He said

that absolutely the DS is the single most effective WLS for those who

qualify. Sadly, not everyone medically qualifies due to other

medical problems. He also stated that it is definitely most

important for the SMO because the rate of recidivism, if thats the

term, or the rate or regain on the roux en y makes it less than

desirable for the SMO. I hope I am quoting him correctly. He

mentioned a number of his patients that could not have the DS due to

blood thinner medication, prior abdominal and gastric surgeries, and

some compliance problems.

He did explain to me that where the person with a low BMI is

definitely at less risk for many of the possible complications that

they could be at much greater risk for the possibility of losing too

much weight. Although they are at greater risk for that

complication, it is a very small risk, and completely fixable.

Oh, for those who are looking for additional surgeons on the west

coast, I have to tell you I absolutely fell in love with Dr. J. His

list of experience is fantastic....He spent an entire HOUR with me.

He reviewed the entire surgery with me in detail as well as all

possible complications. He gave me a thorough medical exam and went

immediately to work fighting with my insurance for me. I recommend

him with no reservations.

I have started a site for Dr. Jossart.

http://groups.yahoo.com/group/DS_Jossart?yguid=72178121

As I will be working extensively on my insurance battle, I may not be

posting there real fast, but if anyone has any questions about Dr.

Jossart or his practice, I am happy to give my perceptions. I also

will be uploading his questionaire and practice information as soon

as I can convert it.

Theresa

> When Dr. Jossart was asked this question at a meeting in SF, he

answered

> that some liver conditions could be a contraindication to the DS. He

> also gave the example of organ transplant recipients, saying that a

> purely restrictive procedure would be the only viable WLS option for

> them, since it would be too risky to chance any of their anti-

rejection

> medicine being malabsorbed.

>

> M.

>

> ---

> in Valrico, FL, age 39

> Lap DGB/DS by Dr. Rabkin 10/19/99

> Starting weight 299, now 155

> Starting BMI 49.7, now 25.8

> Starting size 26/28, now 10/12

> http://www.duodenalswitch.com/Patients/_M_/melanie_m_.html

>

> Direct replies: mailto:melanie@t...

>

>

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