Re: [MGB-TRUTH] Doesn't look like RNY is the perfect answer either.......

[Guest guest]

Hi , I spoke with a surgeon last week,before I made my final

decision,and asked if he would revise,reverse or turn into an RNY if I

needed it done.He was very clear that if the surgeon who performed the BII

would not,he would.He has previously performed surgery on me.He is a board

certified General Surgeon and has performed more than 50 BII's for various

reasons.He is not a Bariatric Surgeon.We discussed DrR and his MGB in

detail.He typically refers to a group in Greenville,NC that do an RNY(they

call it the Greenville RY5,I believe).However,he had just recently

researched DrR for a referring physician friends'daughter,and the results of

his research were 'thumbs up',in a nutshell.I am confident that I have made

the right choice for me. Janet

>Reply-To: MGB-TRUTH (AT) egroups (DOT) com

>To: MGB-TRUTH (AT) egroups (DOT) com

>Subject: Re: [MGB-TRUTH] Doesn't look like RNY is the perfect answer

>either.......

>Date: Fri, 06 Oct 2000 13:43:06 -0500

>

>

>

>

>This is just ONE reason I've been trying so hard to warn people NOT TO

>HAVE THE MGB. Their options are LIMITED after they have it and none of

>them are good.

>

>The RNY is the preferred treatment to correct the bile reflux of the

>Billroth II. Whether it's perfect or not is no longer a " choice " if

>we've already had the MGB and gotten bile reflux. The MGB CAUSES bile

>reflux and it's very dangerous. Then it's " pick your poison " -- live

>with the MGB as is and get alkaline ulcers, more surgeries, and maybe

>cancer, or get it corrected, run the risk of another surgery, plus the

>risks of the corrective procedure.

>

>If Rutledge had told the truth about the Billroth II, that it is the

>ONLY procedure that causes the bile reflux, then no one in her right

>mind would have the procedure. And that's the point. He doesn't tell,

>people don't know, we have the surgery, and now, these are our options.

>

>

>wlsresearch2000@... wrote:

> >

> > Obes Surg 1994 Aug;4(3):219-226 Related Articles, Books

> >

> > Motility Disorders after Roux-en-Y Gastrojejunostomy.

> >

> > Tu BN, KA

> >

> > Department of Surgery, Mayo Clinic, sdale, AZ, 85259, USA.

> >

> > [Record supplied by publisher]

> >

> > About 30% of patients who have a Roux-en-Y gastrojejunostomy after

> > gastrectomy suffer from abdominal pain, nausea, vomiting of food and

> > bloating made worse by eating. This syndrome, called the Roux stasis

> > syndrome, is caused, in part, by a motility disorder of the Roux

> > limb. Transection of the jejunum during the construction of the limb

> > separates the limb from the natural small intestinal pacemaker

> > located in the duodenum. Ectopic pacemakers then appear in the limb

> > and trigger retrograde contractions in its proximal portion. These

> > contractions slow transit through the limb and result in Roux stasis.

> > Current nonsurgical treatment of the syndrome includes the use of

> > prokinetic agents and intestinal pacing, neither of which has

> > demonstrated long-term benefits. A near-total gastrectomy may speed

> > upper gastrointestinal transit somewhat, but stasis in the Roux limb

> > often persists. Our current approach alms at preventing the syndrome

> > by the use of an 'uncut' Roux limb, an operation which preserves

> > myoneural continuity between the duodenal pacemaker and the Roux limb

> > and so prevents the appearance of ectopic pacemakers and stasis in

> > the limb.

> >

> > PMID: 10742777

> >

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>--

>Kind regards,

>

>

>http://www.fourlane.com/lindat

>lindat @ mindspring.com (no spaces)

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

> ROBERT R. RUTLEDGE, M.D., BUSTED!

> http://www.fourlane.com/mgb

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

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