Re: surgeons who do *both*

[Guest guest]

> How many surgeons offer both? The two I considered had *done* both,

> but only perform their choice surgery now, amusingly enough for the

> same reaseon... " Oh that surgery had problems/bad results, so I do

> *this* one now.... " The Alvarado clinic has gone from doing the DS

> to the RnY and Rabkin has gone from doing the RnY to the DS....Are

> there any who still *perform* both?

I don't know how this myth gets perpetuated! ALVARADO HAS NEVER DONE THE

BPD/DS!! Never!

Sorry for yelling. Let me say it again in measured tones so that nobody

misses it: Alvarado has never, never, never performed the BPD/DS procedure.

They *did* do the Scopinaro BPD a long time ago, but abandoned it because (I

think) they didn't want to commit to lifelong aftercare for their patients.

Our Sharon Snyder is proof of that.

As for Dr. Rabkin, he has performed all types of WLS in his over 20 years of

experience, and was not happy with the rate of patients having RNY

pouch-related complications, so he no longer does it routinely. He *is*

however (unlike Alvarado) still dedicated to ALL his patients, and does

provide aftercare for all of them, including RNY patients.

M.

---

in Fremont, CA, age 38

Starting weight 299, now 182

Starting BMI 49.7, now 30.3

Lap DGB/DS by Dr. Rabkin 10-19-99

http://www.duodenalswitch.com

Direct replies: mailto:melanie@...

[Guest guest]

.. The Alvarado Group had never done the DS. Only the unmodified BPD

(Scopinaro).

kris

~~~~~~~~~~~~~~~~~

Aniceto Baltasar, MD

Alcoy, SPAIN

July 23, 1999 - self pay

Open BPD/DS

60.35 inches gone

140+ lbs gone to the wind

La vita e bella!

See my pics: http://www.duodenalswitch.com/Patients/Kris/kris.html

surgeons who do *both*

> How many surgeons offer both? The two I considered had *done* both,

> but only perform their choice surgery now, amusingly enough for the

> same reaseon... " Oh that surgery had problems/bad results, so I do

> *this* one now.... " The Alvarado clinic has gone from doing the DS

> to the RnY and Rabkin has gone from doing the RnY to the DS....Are

> there any who still *perform* both?

>

>

> > - I am not sure that I would consider some of the scientific

> > literature that addresses the RNY and BPD/DS biased - the data is

> what

> > it is and you can make your own comparison of successes. However,

> if

> > you are looking for anobjective person with whom to consult, talk

> to

> a

> > surgeon who does both the RNY and the BPD/DS.

> >

> > Kathleen B.

> > land

> > Lap DS with Dr. Gagner on 8/7

> > CareFirst BCBS/PPO

>

>

>

>

[Guest guest]

You're forgetting the Warrior " wonder " Welker. Dr. Welker does both RnY and

DS.

Hugs, Carla K

[Guest guest]

Dr. Buchwald in Minneapolis does the RNY, VGB and the DS. He wants his

patients to chose what is best for them, that is why he does all three.

Tami Honl

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[Guest guest]

" Joe Frost " <joefrost@e...> wrote:

> Dr. Welker still does the RNY for patients for whom he feels it is

> appropriate.

So does Dr Rabkin if he feels that RNY would be more suitable in a

particular case.

[Guest guest]

> Alvarado did do something other than the RnY that had *some*

> similarities to Ds? Whats the diff between a BPD and the DS?

Where the BPD/DS and the BPD differ greatly is in the restrictive component.

The DS leaves the stomach a smaller version of its natural self, with all

its normal anatomy and functionality intact. The BPD (sans DS) makes an

RNY-style pouch, but bigger. It removes the remaining stomach, including the

pyloric valve. Here's a picture of the Scopinaro-style BPD (no DS):

http://www.duodenalswitch.com/Scopinaro.jpg

The BPD's malabsorptive component is similar to the BPD/DS, except that the

BPD often has a much shorter common tract -- which means it is more

malabsorptive than the DS. In addition, the BPD (sans DS) bypasses the

duodenum. The BPD/DS does not. Here's a picture of the BPD/DS:

http://www.duodenalswitch.com/Procedure/procedure.html

Read Marceau's abstract, which talks about how and why the BPD/DS improves

upon the Scopinaro BPD:

http://www.duodenalswitch.com/Procedure/DS_vs__RNY/93Marceau/93marceau.html

M.

---

in Fremont, CA, age 38

Starting weight 299, now 182

Starting BMI 49.7, now 30.3

Lap DGB/DS by Dr. Rabkin 10-19-99

http://www.duodenalswitch.com

Direct replies: mailto:melanie@...

[Guest guest]

Dr. Maguire does both the BPD/DS and the RNY. He leaves the decision to

each individual. However, he does remind everyone that the BPD/DS is his

surgery of choice and believes it is more effective for long term weight

loss.

Kristi

Cincinnati, Ohio

5'7 " , 39 years old

8/22 - 283 - BMI 44.3

10/3 - 243.5 - BMI 37.9

ciao to 39.5 lbs. & 30+ inches in 6 weeks

Open BPD/DS 08/22/00

Dr. Maguire, Kettering OH

HumanaFreedom Plus Plan

willbefit@...

Re: surgeons who do *both*

| Dr. Welker still does the RNY for patients for whom he feels it is

| appropriate.

|

| Regards.

|

| Joe Frost, old gentleman, not old fart

| Pre-op, San , TX

| 60 years old, BMI 48

| Dr. Welker, Surgery Scheduled 11/29/00

|

|

| > > How many surgeons offer both? The two I considered had *done*

| both,

| > > but only perform their choice surgery now, amusingly enough for

| the

| > > same reaseon... " Oh that surgery had problems/bad results, so I do

| > > *this* one now.... " The Alvarado clinic has gone from doing the DS

| > > to the RnY and Rabkin has gone from doing the RnY to the DS....Are

| > > there any who still *perform* both?

| >

| > I don't know how this myth gets perpetuated! ALVARADO HAS NEVER

| DONE THE

| > BPD/DS!! Never!

| >

| > Sorry for yelling. Let me say it again in measured tones so that

| nobody

| > misses it: Alvarado has never, never, never performed the BPD/DS

| procedure.

| > They *did* do the Scopinaro BPD a long time ago, but abandoned it

| because (I

| > think) they didn't want to commit to lifelong aftercare for their

| patients.

| > Our Sharon Snyder is proof of that.

| >

| > As for Dr. Rabkin, he has performed all types of WLS in his over 20

| years of

| > experience, and was not happy with the rate of patients having RNY

| > pouch-related complications, so he no longer does it routinely. He

| *is*

| > however (unlike Alvarado) still dedicated to ALL his patients, and

| does

| > provide aftercare for all of them, including RNY patients.

| >

| > M.

| >

| > ---

| > in Fremont, CA, age 38

| > Starting weight 299, now 182

| > Starting BMI 49.7, now 30.3

| > Lap DGB/DS by Dr. Rabkin 10-19-99

| > http://www.duodenalswitch.com

| >

| > Direct replies: mailto:melanie@t...

|

|

|

|

|

[Guest guest]

Dr. Welker says that there are situations in which the DS is *not*

the preferred wls. Certain people with severely diseased livers,

people with certain types of inflammatory bowel disease, people with

a history of small intestinal or colon cancer, etc. need a more

gastric restrictive procedure than a primarily mal-absorptive

procedure. He tailors his wls recommendations to the individual's

needs.

And, he said at the last support group meeting that the way he does

his RNY's the stomas DON'T GET BLOCKED... yep, that's right, Dr.

Welker's RNY'S don't get blocked-- he makes the stoma bigger and uses

special techniques so the scarring and adhesions are minimized.

Joy (Joe's Other Half!)

Pre-Op Age: 47 BMI: 48

Dr. Welker

Date to be determined-- (waiting for Insurance Approval)

> | > > How many surgeons offer both? The two I considered had *done*

> | both,

> | > > but only perform their choice surgery now, amusingly enough

for

> | the

> | > > same reaseon... " Oh that surgery had problems/bad results, so

I do

> | > > *this* one now.... " The Alvarado clinic has gone from doing

the DS

> | > > to the RnY and Rabkin has gone from doing the RnY to the

DS....Are

> | > > there any who still *perform* both?

> | >

> | > I don't know how this myth gets perpetuated! ALVARADO HAS NEVER

> | DONE THE

> | > BPD/DS!! Never!

> | >

> | > Sorry for yelling. Let me say it again in measured tones so that

> | nobody

> | > misses it: Alvarado has never, never, never performed the BPD/DS

> | procedure.

> | > They *did* do the Scopinaro BPD a long time ago, but abandoned

it

> | because (I

> | > think) they didn't want to commit to lifelong aftercare for

their

> | patients.

> | > Our Sharon Snyder is proof of that.

> | >

> | > As for Dr. Rabkin, he has performed all types of WLS in his

over 20

> | years of

> | > experience, and was not happy with the rate of patients having

RNY

> | > pouch-related complications, so he no longer does it routinely.

He

> | *is*

> | > however (unlike Alvarado) still dedicated to ALL his patients,

and

> | does

> | > provide aftercare for all of them, including RNY patients.

> | >

> | > M.

> | >

> | > ---

> | > in Fremont, CA, age 38

> | > Starting weight 299, now 182

> | > Starting BMI 49.7, now 30.3

> | > Lap DGB/DS by Dr. Rabkin 10-19-99

> | > http://www.duodenalswitch.com

> | >

> | > Direct replies: mailto:melanie@t...

> |

> |

> |

> |

> |