Posted by Vincent_QC on November 6, 2012, at 16:16:05
In reply to Re: Considering gastric bypass - med questions, posted by softheprairie on November 6, 2012, at 14:01:40
> Definitely read lots about your choices before making such a major decision.
>
> The chance of a morbidly obese person losing the weight on their own through diet & excercise and keeping it off more than 5 years is in the 2-5% range. Surgery offers much better weight loss chances (they vary by surgery type). If you had cancer, would you go with the treatment with 2-5% chance of success, or the treatment with a higher rate?
>Hummm not sure about this... success rate can be higher with the gastric by-pass but problems are also higher... I know a lot of peoples who keep their weight stable after a diet...
> It sounds to me like Vincent had the Scopinaro procedure, aka the biliopancreatic diversion withOUT duodenal switch. That procedure has, for the most part, been abandoned, and rightfully so.
> All of it's advantages can be had with the duodenal switch (aka biliopancreatic diversion WITH duodenal switch), while getting rid of or reducing some of the risks and side effects of the Scopinaro procedure, especially those related to loss of the pyloric valve, and to the Scopinaro procedure's pouch.
>No, I had a bilopancreatic derivation and its not like the older italian technic from Scoparino. The pyloric valve stay in place and no GERD problem occur or dumping syndrome. The stomach size increase to the initial state generally after 3 or 4 years...
Here a great website link who explain the surgery I had...read it carefully...also the bilopancreatic have surgery change a lot since I had my surgery, they now offer only the reduction of the stomach for peoples who dont have morbid obesity but have obesity only and not a body mass index of 40... or they can have both stomach reduction size and by-pass of the intestine. They now reduce only to 2 meters the functionnal intestine part and they do the surgery by laparoscopy.
http://www.montrealobesitysurgery.com/biliopancreatic-derivation.htm
> Whatever you do, I would especially avoid the adjustable gastric bands (such as name brands Lap-Band or Realize Band). They are only "less-invasive" on the day of surgery. They have a low rate of patient satisfaction, and lower rate of weight loss. They have a high rate of needing to be re-operated on down the road. Many of their patients come to call them "crapbands.">>Again its not totally true...the lap-band is safer and success rate is high, higher than the stomach reduction size only.
>If you want only a little bit of surgical help (restriction only), I would recommend the vertical sleeve gastrectomy. You would still absorb practically all the calories you consume, but would not face the bowel and gas changes that come with having the DS, nor need to consume as much protein, nor as many mineral and vitamin supplements, nor watch labs as closely. For myself, I am all about the malabsorption though. That, and keeping the pyloric valve functioning normally. In other words, the DS. Surgeons who push the sleeve over-hype the supposed big impact of removing most of the grehlin-producing part of the stomach, saying your hunger will be way down. I have not found that to be the case for myself, so I am very grateful to not absorb all the calories I am still hungry to eat. (The DS includes the vertical sleeve gastrectomy, plus rerouting the intestines.) It is not politically correct to say, but I'll go ahead anyway: with the DS, you can get away with eating the most (compared to the other surgeries or non-surgical dieting), and still have the best weight loss; that's my kind of surgery.
>The bilopancreatic include the vertical sleev gastrectomy and the rerouting of the intestine. I can eat everything I want but only need to avoid nuts, corn and some small fruits... the semi-liquid stools decrease in time and frequency. The success rate is over 85%...
> Generally speaking, I would only potentially go with a RNY gastric bypass if your worst problem were GERD.Both type of gastric surgeries have some risk and side-effects...even the stomach reduction only can have serious risk... they are major surgeries and keep only for peoples with a very high body mass index...
No surgery is better than another one...or safer...they all have their own risk...
poster:Vincent_QC
thread:1030679
URL: http://www.dr-bob.org/babble/20121029/msgs/1030836.html