Distal bypass with a lap procedure

[Guest guest]

My cofounder of our local support group and I have been discussing

the pros and cons of lap RNY. I wanted to ask all of you how many of

your doctors (or doctors that you know of) perform a true distal

procedure (measured in terms of common channel remaining) by way of

laproscopic surgery? If so, what is the amount of the common channel

after surgery?

Thanks in advance for your responses.

Sheri

In sunny Florida

[Guest guest]

Sheri,

My surgeon only does open procedures, and won't bypass more than 200 cm

(leaving about 500 cm or 200 " of common channel for the average person).

My surgeon is Dr. Weber in Seattle, and he's been doing bariatric

surgery for 22 years... He's been doing cancer surgery for longer than

that, and often does THAT surgery laparoscopically with his partner.

Ziobro

Open RNY 09.17.01

310/126/144 (goal was 160)

Then/lowest/now

http://www.ziobro.us/index.html

Distal bypass with a lap procedure

My cofounder of our local support group and I have been discussing the

pros and cons of lap RNY. I wanted to ask all of you how many of your

doctors (or doctors that you know of) perform a true distal procedure

(measured in terms of common channel remaining) by way of laproscopic

surgery? If so, what is the amount of the common channel after surgery?

Thanks in advance for your responses.

Sheri

In sunny Florida

[Guest guest]

I had the DS, so I don't know if your question applies to me, but my surgery

was a distal procedure done laparoscopically.

My surgeon (Dr. Hazem Elariny in Northern Virginia) specializes in lap

procedures, and he routinely performs the lap DS with a 100 cm common

channel (and 150cm Roux limb). He also performs laparoscopic BPDs on

occasion when the DS is not possible (a.k.a, very similar to a

100cm-common-channel distal RNY, except the pouch is significantly larger

and the remnant stomach is removed from the body).

He recommends against very distal RNYs as a rule, preferring the DS instead.

My understanding is that his RNYs are almost always proximal or medial.

Hope this helps,

B. (also in sunny Florida)

Distal bypass with a lap procedure

My cofounder of our local support group and I have been discussing

the pros and cons of lap RNY. I wanted to ask all of you how many of

your doctors (or doctors that you know of) perform a true distal

procedure (measured in terms of common channel remaining) by way of

laproscopic surgery? If so, what is the amount of the common channel

after surgery?

Thanks in advance for your responses.

Sheri

In sunny Florida

[Guest guest]

In Kushner, R. MD, Managing the Obese Patient After Bariatric Surgery: A Case

Report of Severe Malnutrition and Review of the Literature, Journal of

Parenteral and Enternal Nutrition, Vol 9 Issue 2, 2000, pp 126-132, the

following definitions are offered for the difference in the remaining length

of the common channels.  I do not know if this is universally accepted

though.

" If the remaining jejunum is 101 " + (255 cm+) in length, it is referred to as

being a proximal RNY (Figure 3). A remaining jejunum length of 61 " to 100 "

(153 to 254 cm) is a medial RNY. A remaining jejunum length of 40 " to 60 "

(101 to 152 cm) is a distal RNY. "

Ray Hooks

For WLS nutrition info, visit

http://www.bariatricsupplementsystem.com

 

Sheri s wrote:

> My cofounder of our local support group and I have been discussing

> the pros and cons of lap RNY. I wanted to ask all of you how many of

> your doctors (or doctors that you know of) perform a true distal

> procedure (measured in terms of common channel remaining) by way of

> laproscopic surgery? If so, what is the amount of the common channel

> after surgery?

>

> Thanks in advance for your responses.

>

> Sheri

> In sunny Florida

>

> Homepage:  http://groups.yahoo.com/group/Graduate-OSSG

>

> Unsubscribe: mailto:Graduate-OSSG-unsubscribe

>  

>  

>

>