Dr. Hess's style vs Dr. Marceau's style

[Guest guest]

Hi everyone-

I would like to get some opinions here. It seems to me that there are two major

" styles " of the ds- the type done by Dr. Doug Hess- in which he gives people

different stomach sizes, alimentary limbs (or canals ) , and common channels-

according to patient measurements. The patient ( or Dr. Hess ) will not know

their final measurements until AFTER the surgery. And then there is Dr.

Picard Marceau- who has done the most number of ds's in the world- he uses a

" fixed " method for most people. Most everyone gets an alimentary limb (or

canal) of 150 centimeters PLUS he gives most people 100 centimeter of common

channel, for a total length of 250 centimeters. Unfortunately, while I have

read the Hess report previously, I have web tv and have not been able to access

most of Dr. Marceaus reports . My question then is- for those of you who have

read the reports from BOTH doctors- which of them is having better LONG TERM

results ? With all due respect to Dr. Hess, who I respect tremendously, I

prefer Dr. Marceau's style,as I like the idea of knowing BEFORE surgery what my

measurements will be. However, I will be going into surgery at 550 pounds- I am

5 foot 10- and male- and I wish to keep an open mind . I want a 100 centimeter

common channel, but I don't want to worry about weight regain . Again, I would

like to hear from individuals who have an opinion,and also why you would favor

one " style " over another. I am NOT looking to start a Hess vs. Marceau war

here- I have personally spoken to both men and they both seem to care about

their patients,and I'm sure they truly believe in their individual styles.

I look forward to your opinions. Oh, and those of you who have read both

doctor's reports, please give me some input too !!!

[Guest guest]

Regarding the sytles, Dr. Hess's patients have somewhat more weight

loss (mid 80% vs mid 70% EWL) but at the expense of a higher revision

rate and more problems with portien malnutrion.

Marceau's choice to use a larger gastric volume and longer common

channel length are jointly responsible for the very low rates of

revision that he has.

Hull

> Hi everyone-

I would like to get some

opinions here. It seems to me that there are two major " styles " of

the ds- the type done by Dr. Doug Hess- in which he gives people

different stomach sizes, alimentary limbs (or canals ) , and common

channels- according to patient measurements. The patient ( or Dr.

Hess ) will not know their final measurements until AFTER the

surgery. And then there is Dr. Picard Marceau- who

has done the most number of ds's in the world- he uses a " fixed "

method for most people. Most everyone gets an alimentary limb (or

canal) of 150 centimeters PLUS he gives most people 100 centimeter

of common channel, for a total length of 250 centimeters.

Unfortunately, while I have read the Hess report previously, I have

web tv and have not been able to access most of Dr. Marceaus

reports . My question then is- for those of you who have read the

reports from BOTH doctors- which of them is having better LONG

TERM results ? With all due respect to Dr. Hess, who I respect

tremendously, I prefer Dr. Marceau's style,as I like the idea of

knowing BEFORE surgery what my measurements will be. However, I will

be going into surgery at 550 pounds- I am 5 foot 10- and male- and I

wish to keep an open mind . I want a 100 centimeter common channel,

but I don't want to worry about weight regain . Again, I would like

to hear from individuals who have an opinion,and also why you would

favor one " style " over another. I am NOT looking to start a Hess

vs. Marceau war here- I have personally spoken to both men and they

both seem to care about their patients,and I'm sure they truly

believe in their individual styles. I look forward to your

opinions. Oh, and those of you who have read both doctor's reports,

please give me some input too !!!