Guest guest Posted October 7, 2000 Report Share Posted October 7, 2000 The following interchange between and myself may be of interest and relevance to some folks on this mailing list, thus I am posting it here to the list. Anyone is welcome to cross post, if they wish. ----- Original Message ----- From: " " <lindat@m...> > Somehow you have managed to twist this into an RNY v. MGB issue and it If the MGB is safer than the RNY (which at this point, bile reflux or not) it appears so, then Dr R is not any more at fault for performing it than any other surgeon who performs the gastric bypass if, in fact, performing the gastric bypass is a bad thing (and we have not established that performing a gastric bypass IS a bad thing since so many individuals are pleased with the results and feel that WLS has increased their quality of life a hundredfold). > The Billroth II procedure causes bile reflux and that has been Perhaps you missed this little detail but what Dr R does is a modification of the B.II. And some of his small changes make the procedure safer, from what I have read. Not that ANY WLS is real safe and Dr R is honest enough to say this clearly on his website and I really respect him for that. > corrected for years, by giving the person an RNY if they have enough > intestine -- NOT as a weight loss surgery, but to save them from the > bile reflux. As I have understood it, the RNY is principally performed FOR weight loss surgery and not for other purposes. Are you saying that the gastric bypass has no other complications except bile reflux in an MGB? Does the MGB correct some of the things which are very wrong and dangerous with the RNY? Dr R believes it does. So far, I tend to agree with him. You have not shown me anything yet that says the MGB is not safer than the RNY. This is Dr R's contention also. > My life and 900 other people's lives are at stake, here, Sue. That's right but perhaps your decision of the MGB was a good one. I am rather astonished that you refuse to entertain the possibility that you might have been mistaken about the dangers involved since, although you would have to perhaps change your website back to the way it was two weeks ago, it might mean a whole lot of serenity in your life and perhaps obtaining help for the few problems which you do have in managing your surgery at present and enjoying the effects of the weight loss. What you don't seem to understand is that the dangers of cancer, osteoporosis, Raynauds, R.A., LUPUS, peripheral neuropathy and other long term complications are the same with ANY gastric bypass but that the MGB has saved many, the repeat trips to the hospital from hernias (which a LARGE percentage of RNYs seem to get), internal bleeding, infection and other short term rather serious problems connected with the RNY which CAN BE life threatening and do cause death in a small percentage of patients. Additionally, since the MGB is quite a bit 'less invasive' than the RNY which in surgery is VERY SIGNIFICANT, it may be that having the MGB will correct some of the long term complications of the RNY also. Have you lurked several mailing lists? I have for over a year now, read ALL the messages on several mailing lists and have observed first hand, the percentage of those who have to return to the hospital for immediate complications associated with the RNY which I have mentioned above and have also occasionally observed people to die from such complications. I have also observed that for 1 to 2 weeks after an RNY, the pain is INTENSE and patients are heavily sedated while in the MGB, it seems that patients not only suffer much less pain but also are up and about much earlier than in other types of gastric bypass. If Dr R's MGB can prevent these immediate complications, then he's ahead of the game (as are his patients). Perhaps he will help to find ways to prevent the long term side effects also as he has cleverly avoided some of the life threatening short term side effects. As a matter of fact, I am so impressed with the procedure after looking at things more closely that I plan to take down my anti-MGB article. I feel I was wrong before and understand now, why Dr R calls it 'mini'. > > Your careless and cavalier attitude and your misinformation just > absolutely floored me, frankly. No I don't have a cavalier attitude at all and am very concerned about your life and that of all those who have weight loss surgery. Perhaps someday if and when you understand more, if you are truly, as you say you are, interested in the welfare of others, you will understand just how caring and concerned I am to have given so much of my life (over 1 year and 4 months) to the study of a subject in which I am not personally involved any more than the fact that I was once a candidate for WLS and that I am concerned for folks like myself and DH, battling genetic obesity every day of our lives. In studying this myself and discussing this at length with the medical advisor for my health website, I feel at this point, looking at the overall picture, that even with the complication of bile reflux, the MGB may be a good choice of procedures. Since you obviously do not believe me (and that's ok), perhaps you might want to bring another medical provider (i.e. physician, physician's assistant or nurse practitioner) into the picture, one who is not selling a different WLS procedure and have them look at the information you have provided - it can't hurt and might give you serenity, if you are really interested in whether you made a good decision or not. More educated opinions surely can't hurt, as they say. I wish you luck, health and happiness in your choices, whatever they will be. Respectfully, Sue Widemark PS: With your kind indulgence, I will continue to read and observe (as I have on so many other mailing lists) and am always open to learning more and to the fact that I might be wrong. I am truly sorry if I have annoyed or upset you or other individuals in my fact finding search. --- End forwarded message --- Quote Link to comment Share on other sites More sharing options...
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