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Re: Fielding/AGB

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Hi -

The worldwide studies were much better for the AGB than were the FDA trials

here. I don't remember the figures any more, but, I researched the AGB

prior to it's approval in the USA. At that time, it could be done in Mexico

at some fairly credible hospitals and by equally credible surgeons at a

rather reasonable cost. The stats were NOT up to either the RNY or the DS,

though.

At best, the AGB offers usually safe alternative to people with lower BMI's.

It can have some rather nasty problems, though.

When the figures came out from FDA, the stats were significantly worse. As

I recall, the conjecture was that our surgeons did not have the followup

experience and were not as adept at adjusting the devices at subsequent

refill times.

Anyway, suffice it to say that I decided upon other options, especially when

I read about band slippage and band erosion. Sometimes the AGB can be

downright unfriendly.

Best -

Nick

Re: Why surgeons are changing from the DS

> >

> >

> > Hello.

> >

> > What Nick said here:

> >

> > > It is a shame that surgeons who aren't up to handling the

> > > complexity of the DS spend their time bashing it instead of

> > > perfecting their techniques.

> >

> > is so concisely worded that I hesitated (but only for a second!) to

> > throw in my third? posting of what Dr. Gagner personally said to me

> > about this issue.

> >

> > His statement was SOMETHING to this effect: " The old BPD without

> > duodenal switch that [Ren, , et al] are doing is a complete

> > and total regression. Maybe they are taking their cues from Dr.

> > Fielding of Australia. The only reason I can see that they would be

> > doing this is that the BPD alone is much easier on the surgeon. I

> am

> > not interested in 'easy.' I do what's best for my patients. "

> >

> > Ya know, I have since wondered about this Fielding guy. Didn't

> > Tracey just report that he, too, was abandoning the D/S, BUT THAT HE

> > JUST DID SO VERY RECENTLY? If so, then where did Gagner's " Maybe

> > they are taking their cues from Dr. Fielding of Australia " come from

> > in October of this year? Any ideas? Has Fielding been

> > researching/writing about BPD vs. BPD/DS for a while??

> >

> > Best,

> >

> >

> >

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

> --

> >

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