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Re: Bile &acid reflux

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Hi Lori: I'm not on the green team, and I can't speak for bile

reflux. I haven't experienced it. But the green team is not the folks

that have bile reflux so you might not want to be misled into

thinking so. I coined the phrase after one person, Trish Lanman,

reported vomiting bile. It was a joke. Nothing more. Then, just being

silly, we named anyone who'd ever vomited a member of the green team.

I'm not sure how many actually have experienced bile

reflux...but...the number of folks who say they're on the green team

would not be an accurate assessment of those patients of Dr.

Rutledge's who have experienced an incident of bile reflux or who

have it at all. You say there are " too many post-ops on the green

team to ignore this " . I just want you to understand that the joke

about the green team is just that, a joke, and not in any way an

accurate reflection of those who may have bile reflux, which to those

who have had it is not at all a joke.

There might be lots of folks...or there might only be a few...but

certainly using that term is done in jest and not in any way to

reflect a side affect such as bile reflux. And I suspect that not

everyone who has bile reflux has reported it to Dr. Rutledge. You

might want to email a sampling of post-op patients if this is a

concern to you and will help you in making your decision pro or con.

A month before surgery, another pre-op and I became concerned about

another aspect of gastric surgery. We wrote an email, divided the

list in half and each emailed a sampling of patients to ask them a

few questions. We got lots of response and we were satisfied with the

answers we got and have both gone forward with surgery. We preferred

to get the answers from those who have had surgery and could give us

a detailed answer about their own experience.

You many want to ask a large number of patients if this has happened

to them. This would give you a more accurate and more clear

understanding of how frequently this has happened.

Best wishes in your research. This is not an easy decision to make

and a surgical solution to " our problem " surely is not all positive.

It's serious surgery, does have long term concerns, and should be

looked at from every angle.

When I have a concern (pre-op and post-op) I email Dr. Rutledge

privately and he is always thorough and answers me. You may want to

do that if you are concerns about the possibily to bile caused ulcers

and their treatment or the inability to treat them. Again, best

wishes as you plod through the myriad of information available.

Flo in land

>

> I still haven't gotten any answers about treatment of bile reflux,

if it happens post-op. Is it treatable??? Can bile caused ulcers be

prevented by meds???? The Truth site says no. Dr. Rutledge, can you

tell the pre-ops & the post-ops the answer to this one.? I would like

to hear it from you. If you bdevelop bile reflux,what can be done????

There seems to be too many post-ops on the Green Team to ignore this

question any longer.

>

> Still trying to decide, RED {Lori Garnes}

>

>

>

> ---------------------------------

>

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Forgive me if this is a redundant post, I have tons of posts to wade

through. But as I read this, the thought also occurred to me that

before surgery, when I would get the dry heaves, I would vomit bile.

That happened to me many times, and as a retired ER nurse, I've seen

people with normal tummies do the same thing. So I guess my point

is, you don't have to have the surgery to vomit bile.

?

ebbieday

> >

> > I still haven't gotten any answers about treatment of bile

reflux,

> if it happens post-op. Is it treatable??? Can bile caused ulcers be

> prevented by meds???? The Truth site says no. Dr. Rutledge, can you

> tell the pre-ops & the post-ops the answer to this one.? I would

like

> to hear it from you. If you bdevelop bile reflux,what can be

done????

> There seems to be too many post-ops on the Green Team to ignore

this

> question any longer.

> >

> > Still trying to decide, RED {Lori Garnes}

> >

> >

> >

> > ---------------------------------

> >

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Hi Lori,

I am a post-op already, but was prompted by posts to this site to do

a bit more research regarding MGB. I found one site --

www.medhelp.org -- that is used by the internet public to get answers

to various medical questions.

I found a 11/98 post having to do with bile reflux and esophagitis.

A son wrote in and indicated his father had a total gastrectomy and

that since then, reflux of bile has been very bad. The physician's

response was that Amphogel (and aluminum antacid) is sometimes

helpful or cholestyramine (Questran) since these act as binders for

the bile. The doc also noted that these have limited success.

Since this man had his entire stomach removed, I don't know how

relevant this is to MGB because some stomach remains and esophagitis

(GERD) is actually 'cured' in MGB patients. I share it mainly

because it provided some information about drug therapy.

Best of luck on your decision.

Debbie

>

> I still haven't gotten any answers about treatment of bile reflux,

if it happens post-op. Is it treatable??? Can bile caused ulcers be

prevented by meds???? The Truth site says no. Dr. Rutledge, can you

tell the pre-ops & the post-ops the answer to this one.? I would like

to hear it from you. If you bdevelop bile reflux,what can be done????

There seems to be too many post-ops on the Green Team to ignore this

question any longer.

>

> Still trying to decide, RED {Lori Garnes}

>

>

>

> ---------------------------------

>

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