Guest guest Posted November 25, 2001 Report Share Posted November 25, 2001 In a message dated 11/24/01 11:27:06 PM, duodenalswitch writes: << The only DS reversals I am aware of were due to alcoholism. Rabkin reversed one for that reason, and I saw in an earlier post here that Baltasar did too. I have never heard of a DS patient needing a reversal due to a failure of the surgery, and I have been in contact with hundreds of DS post-ops over the past few years. I just had to reformat the Hess Report page of the DS website due to a technical problem, and while I was working on the page, I was reminded again how much great information there is there! >> : Thanks for the clarification on this -- I do recall reading something to this effect (alcoholism causing liver damage, etc. in a post-op DS patient) as being a reason for reversal (of the intestinal portion, of course). all the best, lap ds with gallbladder removal January 25, 2001 Dr. Gagner/Mt. Sinai/NYC almost 10 months post-op and still feelin' fabu preop: 307 lbs/bmi 45 now: 204 lbs (up again!)/size sweet 16/large-MEDIUM in normal people's clothing! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 25, 2001 Report Share Posted November 25, 2001 Hi All, Regarding reversals/revisions of the intestinal portion of the DS: these do occur in 1-3% of the cases. As Theresa mentioned, Alcoholism and drug abuse play a major role. Another reasons for revision is anerexia. Revision or reversal is much more prevelent among women then men (women are 4x more likely according to a study by Clare). Occasionally a revision/reversal is necessary due to excess weight loss. This excess weight loss is usually accompanied by protien malnutrion. Joe Frost would be a case and point. Some surgeons will revise the common and/or alimentary channel lengths (i.e. Hess). Dr. Anthone preferes a full anatomical reversal of the intestinal part of the procedure. Hull > > In a message dated 11/24/01 11:27:06 PM, duodenalswitch@y... > writes: > > << The only DS reversals I am aware of were due to alcoholism. Rabkin > reversed one for that reason, and I saw in an earlier post here that > Baltasar did too. > > I have never heard of a DS patient needing a reversal due to a failure > of the surgery, and I have been in contact with hundreds of DS post- ops > over the past few years. I just had to reformat the Hess Report page of > the DS website due to a technical problem, and while I was working on > the page, I was reminded again how much great information there is > there! > >> > > : Thanks for the clarification on this -- I do recall reading > something to this effect (alcoholism causing liver damage, etc. in a post-op > DS patient) as being a reason for reversal (of the intestinal portion, of > course). > > all the best, > > lap ds with gallbladder removal > January 25, 2001 > Dr. Gagner/Mt. Sinai/NYC > > almost 10 months post-op and still feelin' fabu > > preop: 307 lbs/bmi 45 > now: 204 lbs (up again!)/size sweet 16/large-MEDIUM in normal people's > clothing! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 25, 2001 Report Share Posted November 25, 2001 Why would you have to reverse a DS due to alcoholism? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 26, 2001 Report Share Posted November 26, 2001 > Why would you have to reverse a DS due to alcoholism? I'm not exactly sure. I just know that Dr. Rabkin's published report mentions that reversal due to alcoholism. Must have something to do with overstressing the liver though, I'm guessing. I'll ask Dr. Rabkin and see if I can find out more. I'll let you know what I find out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 26, 2001 Report Share Posted November 26, 2001 In a message dated 11/26/01 11:19:27 AM, duodenalswitch writes: << I'm not exactly sure. I just know that Dr. Rabkin's published report mentions that reversal due to alcoholism. Must have something to do with overstressing the liver though, I'm guessing. I'll ask Dr. Rabkin and see if I can find out more. I'll let you know what I find out. >> Yeah, I think that's what it is -- the development of fatty liver (in the extreme) due to alcoholism. It can get pretty serious if it reaches those proportions... Let us know what Dr. Rabkin says. all the best, TEresa lap ds with gallbladder removal January 25, 2001 Dr. Gagner/Mt. Sinai/NYC 10 months post-op and still feelin' fabu preop: 307 lbs/bmi 45 now: 204 lbs (gained - yuck!)/size sweet 16/large-MEDIUM in normal people's clothing! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 26, 2001 Report Share Posted November 26, 2001 > > Why would you have to reverse a DS due to alcoholism? > > I'm not exactly sure. I just know that Dr. Rabkin's published > report mentions that reversal due to alcoholism. Must have > something to do with overstressing the liver though, I'm guessing. > I'll ask Dr. Rabkin and see if I can find out more. I'll let you > know what I find out. Here's what I found out. Without knowing specifics about the particular case, the answer seems to be that alcohol and drug abusers can become noncompliant, failing to eat right, take their supplements and get their followups. If a person can't be relied upon to take proper care of themselves after the DS, then the best recourse is to reverse things in order to eliminate the malabsorption. M. --- in Valrico, FL, age 39 Lap DGB/DS by Dr. Rabkin 10/19/99 Starting weight 299, now 153 Starting BMI 49.7, now 25.5 Starting size 26/28, now 10/12 http://www.duodenalswitch.com/Patients/M/melaniem.html Direct replies: mailto:melanie@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 26, 2001 Report Share Posted November 26, 2001 Alcoholism can cause liver damage and eventually liver failure even in people who are binge drinkers and continue to eat fairly well most of the time. So there are probably many reasons to reverse a DS for an active alcoholic. Unfortunately the liver damage from alcohol generally does not show up in lab tests until there is only about 5% of the liver left functioning. And one of the telling tests is the albumin level, which typically gets too low as it does with protein malabsorption and inadequate protein intake. I have had one post WLS patient who was an alcoholic and he had an old JIB which was reversed due to liver failure. He's on the transplant waiting list now. Lots of fun I had trying to prescribe for him. LOL /Seattle > > > Why would you have to reverse a DS due to alcoholism? Quote Link to comment Share on other sites More sharing options...
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