Re: Few questions

[Guest guest]

in IL,

Regarding the surgeons, I think that there are still none in Chicago,

but there are some in Michagin and Ohio.

Revising the RNY to the DS is possible, but difficult. A more common

approach is to modify the RNY to a distal RNY. This adds the same

malabsorptive component that the BPD/DS procedure has, but it

maintains the small pouch for the stomach instead of restoring normal

gastric function. If this person is only concerned about the weight

rather than the side effect of the RNY than a conversion to distal is

appropriate. If this person is very unhappy with the eating

restrictions of the RNY then a full conversion to BPD/DS should be

considered.

The surgeon probably wants this person to wait because it is possible

that she is on a long plateau and will loose more weight on her own

in the next 6 months. How far is this person from her goal. If her

BMI is still greater than 40 or she still has problems with

comorbidites than I think that immediate conversion is appropriate.

On the other hand, if this person just wants to drop another 30-40

lbs for cosmetic reasons that it would be best to wait and see.

Hull

> Hi everyone! My name is and I had the DS on 2/28/01. Since

> that time I have lost 105 pounds and I feel great.

>

> The reason that I am writing today is that my endocrinologist has

> referred a few of her patients to me to discuss the DS. I tried to

> go to the duodenalswitch.cim web site to look up information for

> these people and it seems to be down for now.

>

> I have two questions that I would love an answer to:

>

> 1. I had my surgery in Atlanta (although I live in Chicago)

because

> there were no surgeons in Illinois or any surrounding states. Is

> this still the case?

>

> 2. One of the callers wants a revision from the RNY. Her surgery

> was 1 year ago and she has not lost any weight in the past 2

months.

> Her surgeon told her to wait another six months. Did anyone that

had

> a revision have to wait a certain period of time before having the

DS?

>

> Thanks for your help!

>

> in IL