Re: Digest Number 2139

[Guest guest]

In a message dated 09/18/2000 9:13:50 PM Eastern Daylight Time,

MiniGastricBypass (AT) egroups (DOT) com writes:

<<

Hi,

I moderated the list for the weekend to let some time pass.

Please everyone remeber that we encourage communiation and discussion.

We ask that we always use care and compassion in our discussions.

This is a very emotional time and both before and after surgery

emotions can run high.

>>

Dr. Rutledge,

What do you think the reason is that is not losing anymore and is now

gaining?

[Guest guest]

> >>

> Dr. Rutledge,

> What do you think the reason is that is not losing anymore and is

now

> gaining?

>

It is either:

1) (Most likely) Almost everyone goes up and down but the trend is down in

~98% of patients.

or

2) The surgery wasn't " enough " for her body but we know that the new stomach

is very small and ~1/4 to 1/3 of the bowel has been bypassed.

We know that the surgery will fail to produce adequate weight loss in a

certian number of patients.

All types of weight loss surgery have failure rates.

Revision rates for most reports range from 5-36%.

So far we have revised 6 for to much weight loss and 3 for additional weight

loss (One who had already lost ~200 lbs).

9 revisions / 874 patients = ~1% revision rate.

See:

http://clos.net/compare-mgb/mgb-bpd01.htm

http://clos.net/compare-mgb/mgb-lagb01.htm

If it is #2 we should know in 3-6 more months (she will not lose more) and

we could easily do a revision.

We did a revision the other day and it took 45 minutes, that is easier than

for any other type of surgery.

RR

Rutledge, M.D., F.A.C.S.

The Center for Laparoscopic Obesity Surgery

4301 Ben lin Blvd.

Durham, N.C. 27704

Telephone #:

Fax #:

Email: DrR@...

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>