Memorial Site Nick? DS verse RNY

[Guest guest]

Hi Nick,

You need to count better...........

You forgot to count the largest one.....the sugical vertical cutting

and complete removal of the greater curvature of the stomach!

Yes, I did mean mortality not morbidity.

The " informant " of the double the mortality risk...was Dr. Herron as

well as Dr. Baltaser in Spain.

Yes, The DS is a superior WLS, but it is a more complicated, and

ALWAYS longer operation. Period! Gallbladder in or out...DS is

tougher and longer for the surgeon. A few examples might be the

obvious danger and critical nature of cutting the stomach very close

to the esophagous inorder to give the volume of the stomach its

proper 4-6 ounce volume capacity. In the DS, the surgeon must

critically cut the Duodenum and resect in this area, which is very

fragile. In the DS, the surgeon must measure and judge the three

lenghts of intestines to a much tougher standard. The closing off of

an approx. 12 inch vertical removal along the greater

curvature...with no leaks.

It would not be honest to tell anyone that the intensity, risk,

length, complexity of the RNY vis a vie DS is equal. Just the

mortality involved in the longer time under anesthia is substantial.

Hoping you and all on this list , have a great and healthy holiday

season.

Dan

> Hi Dan -

>

> Let's count the anastamoses -

>

> RNY -

> intestine to stoma = 1

> small intestine back to itself = 1

> Total for RNY = 2

>

> DS -

> duodenum to alimentary channel = 1

> biliopancreatic channel

> to alimentary channel = 1

> Total for DS = 2

>

> Those anastamoses look pretty similar to me.

>

> The morbidity rate is not the mortality rate. Morbidity relates to

> surgically related complications. I would assume that the memorial

page

> relates to mortality and not morbidity. I would take issue with

the RNY

> having a lower morbidity rate, too. I would love to see the

statistics that

> were being used by whoever " informed " you. Blockages of the stoma,

dumping,

> late weight regain, vomiting and marginal ulcers are part and

parcel of the

> inferior RNY surgery. DS patients don't have those issues at all

(except

> for a person in San Francisco, who will not be reminded of this at

the

> present time).

>

> The morbidity rate for both is approximately the same as it is for

any

> abdominal surgery utilizing general anesthesia.

>

> The RNY has far more morbidity and mortality rates from

complications with

> the gallbladder because RNY surgeons are not as likely to want to

take the

> extra 20 min. to remove the gallbladder. The DS surgeons, at

worst, will

> give their patients Actigall. At best, they remove it altogether.

>

> Best-

>

> Nick in Sage