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Re: acid reducer required after rny?

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I don't think this is a bad discussion. It has been quite informative actually.

This is how we learn. I " can " throw up, (as many of us can and do) so the

original post about throwing up causing tooth loss because of stomach acid got

me to start wondering about this. It has been a very good discussion!!

As for Doc's saying things that aren't exactly right...My sister is in the

pre-op stages right now, and since she is disabled, I drive her to all her

appointments and stay with her. Last night we went to a pre-nutrition meeting

with a dietician.

I have a sore tongue from biting it all night to shut up. She actually tells

new post-ops to make up a protein shake and sip on it all day long. Ewwww.

Think of the bacteria going into that new pouch!

She said lots of other stuff that wasn't right also, but......since it is not

" my " meeting, I had to just shut up. Anyone who wanted to talk to me privately

though...I did tell the truth to.

I'll give her one thing...she did get the calcium citrate rather than calcium

carbonate right.

She was young...probably not out of school long...not a WLS patient, so what

does she really know except what she has learned about normies in school. It

is really really good for all of us to be on these lists so we can find out what

really works.

Chrissie

shihtzumom@...

http://users.snip.net/~shihtzumom

My WLS Journey:

http://millennium.fortunecity.com/doddington/691/WLS/this_is_me.htm

----- Original Message ----- From: nancy pugliese

EXACTLY......sorry if you took my statement as a blanket

statement.....nothing I have said was intended as such. It was exactly the

point that I was trying to make....that noone can say " my doctor didn't say

so, so obviously we don't need to. " I listened to everything my physician

said...questioned it, read and prayed....then did what I thought

sounded/felt right. I guess because I paraphrased it the way my Doc said

it..... " All WLS patients will have to take acid reducers for life! " ,it

sounded as though " I " was making a blanket statement..I guess I never really

stopped to question that there might be other Doc's out there who

don't.........well, I guess we can chalk this one up there with the

" protein, water, aspartame etc debates.........sorry folks....didn't mean to

start anything :( nancy p.

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Here is a link about the Mason bypass.

http://www.homanmd.com/mgb.htm

RE: Re: acid reducer required after rny?

>

>

> I can't explain HOW, I can only tell you it DOES. When I had my surgery,

> NONE of my stomach was removed. A small part was stapled off (about 3

> ounces), and my intestines were resected..but not removed. None of my

> stomach was removed, just taken out of commission. 20 some odd years

post

> op, I started doing some research. To the best of my knowledge, I had a

> proximal RNY, but at the time, it was called a Mason By Pass. I was

told, at

> the time, that none of my stomach was removed, because it would continue

to

> produce digestive juices, and although it wouldn't get any food, would

> continue to contribute to my digestion normally. It seems to have done

that,

> but I still have gastric reflux, and consequently, I have dentures. And

I've

> weighed around 150 lbs for almost 20 years.

>

> Jac

> mailto:jholdaway@...

> http://www.pictureitdigitaldesigns.com/

> http://members.cox.net/xxxfarmpaints

>

>

>

>

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Well, thanks. I wish it had a picture of what he's talking about. I'm on a

mission now to get all my hospital records (and my mother's too, at her

request). Unfortunately, the surgeon who did our surgeries is now retired,

but I can pester the hospital to death. :) And I think I can track the

doctor down and find out where his files are, as well.

Jac

mailto:jholdaway@...

http://www.pictureitdigitaldesigns.com/

http://members.cox.net/xxxfarmpaints

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You can find some pictures of the original Mason bypass and subsequent revisions

up to the RNY here...

http://www.asbs.org/html/story/chapter4.html

Hope this helps.

Chrissie

shihtzumom@...

http://users.snip.net/~shihtzumom

My WLS Journey:

http://millennium.fortunecity.com/doddington/691/WLS/this_is_me.htm

RE: Re: acid reducer required after rny?

Well, thanks. I wish it had a picture of what he's talking about. I'm on a

mission now to get all my hospital records (and my mother's too, at her

request). Unfortunately, the surgeon who did our surgeries is now retired,

but I can pester the hospital to death. :) And I think I can track the

doctor down and find out where his files are, as well.

Jac

mailto:jholdaway@...

http://www.pictureitdigitaldesigns.com/

http://members.cox.net/xxxfarmpaints

Homepage: http://groups.yahoo.com/group/Graduate-OSSG

Unsubscribe: mailto:Graduate-OSSG-unsubscribe

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I have ben doing a little research on this subject and found the below article.

It is quite technical, but I have quoted one part.

This pertains to the RNY.....

I got it from http://www.obesitysurgery.com/

Obesity Surgery, 12, 399-403

Does Reduction in Gastric Acid Secretion in Bariatric Surgery Increase

Diet-Induced Thermogenesis?

s, MD, FACS;1 Emmanuel Kampitakis, MD;1 Schoretsanitis, MD;1

Mouzas MD;2 Elias Kouroumalis, MD;2 Demetrios D. Tsiftsis, MD, FACS1

Departments of 1Surgical Oncology and 2Gastroenterology, Heraklion University

Hospital, University of Crete Medical School, Greece

Almost to the end of the article it states this.....

" Previous studies indicated that basal and post-pentagastric stimulation gastric

acid secretion is virtually absent from the proximal gastric pouch of patients

after RYGBP. "

Chrissie

shihtzumom@...

http://users.snip.net/~shihtzumom

My WLS Journey:

http://millennium.fortunecity.com/doddington/691/WLS/this_is_me.htm

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Well, I finally broke down and called my original surgeon. I talked to his

wife (the number I had was their home phone). The old fart was assisting in

surgery and wasn’t home. LOL. She told me “thank goodness he has theses

little extra jobs and he is OUT OF MY HAIR We have a farm now, and I can’t

find anything for him to go mow right now!!” (The man has to be well into

his 80’s.) He’s supposed to call me back. I hope if he’s still with it

enough to be doing surgery, he can tell me something about my surgery.

Jac

mailto:jholdaway@...

http://www.pictureitdigitaldesigns.com/

http://members.cox.net/xxxfarmpaints

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WOW Chrissie...you reminded me of an incedent I experienced several months

post-op. My neighbor was getting surgery with a different surgeon than mine.

She asked me to please go to her support group meeting. The topic was on

constipation. The " specialist " that they had speaking that night was giving

rather " stupid " suggestions if you ask me....all stuff for " normies " ......I

finally piped up (in a room full of HUNDRED'S of people) and asked if it

couldn't be cause by us having our intestines re-routed, can't remember exactly

what I said as it was a couple of years ago, but I DO remember his answer.....in

front of the whole group he laughed at me and said " WHAT???, there is no cutting

involved in a gastric bypass, your intestines are still routed the same as

mine!!! " and totally humiliated me!! I couldn't believe it........I just stood

there stunned.....and not one person in that room dared rebuke this " holier than

though so-called best specialist in Pgh!! " I have never gone back to another

meeting.........I just use you guys :) The best specialist I know :) P.

Re: acid reducer required after RnY?

I don't think this is a bad discussion. It has been quite informative

actually. This is how we learn. I " can " throw up, (as many of us can and do)

so the original post about throwing up causing tooth loss because of stomach

acid got me to start wondering about this. It has been a very good discussion!!

As for Doc's saying things that aren't exactly right...My sister is in the

pre-op stages right now, and since she is disabled, I drive her to all her

appointments and stay with her. Last night we went to a pre-nutrition meeting

with a dietician.

I have a sore tongue from biting it all night to shut up. She actually tells

new post-ops to make up a protein shake and sip on it all day long. Ewwww.

Think of the bacteria going into that new pouch!

She said lots of other stuff that wasn't right also, but......since it is not

" my " meeting, I had to just shut up. Anyone who wanted to talk to me privately

though...I did tell the truth to.

I'll give her one thing...she did get the calcium citrate rather than calcium

carbonate right.

She was young...probably not out of school long...not a WLS patient, so what

does she really know except what she has learned about normies in school. It

is really really good for all of us to be on these lists so we can find out what

really works.

Chrissie

shihtzumom@...

http://users.snip.net/~shihtzumom

My WLS Journey:

http://millennium.fortunecity.com/doddington/691/WLS/this_is_me.htm

----- Original Message ----- From: nancy pugliese

EXACTLY......sorry if you took my statement as a blanket

statement.....nothing I have said was intended as such. It was exactly the

point that I was trying to make....that noone can say " my doctor didn't say

so, so obviously we don't need to. " I listened to everything my physician

said...questioned it, read and prayed....then did what I thought

sounded/felt right. I guess because I paraphrased it the way my Doc said

it..... " All WLS patients will have to take acid reducers for life! " ,it

sounded as though " I " was making a blanket statement..I guess I never really

stopped to question that there might be other Doc's out there who

don't.........well, I guess we can chalk this one up there with the

" protein, water, aspartame etc debates.........sorry folks....didn't mean to

start anything :( nancy p.

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YUP............that was the one....THANKS!!!!! P.

RE: Re: acid reducer required after rny?

Well, thanks. I wish it had a picture of what he's talking about. I'm on a

mission now to get all my hospital records (and my mother's too, at her

request). Unfortunately, the surgeon who did our surgeries is now retired,

but I can pester the hospital to death. :) And I think I can track the

doctor down and find out where his files are, as well.

Jac

mailto:jholdaway@...

http://www.pictureitdigitaldesigns.com/

http://members.cox.net/xxxfarmpaints

Homepage: http://groups.yahoo.com/group/Graduate-OSSG

Unsubscribe: mailto:Graduate-OSSG-unsubscribe

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Hi Chrissie.....OK, either I am not understanding this article (real

possibility), or I just might need someone a little more " medically " inclined

than myself to explain it. What I can't figure is.....WHY if there supposedly

isn't any stomach acid, then why all the " acid reducers " and suctioning of

stomach acids prior to testing........or am I reading this wrong.....meant to

look up the names of the drugs....maybe I'll try and go back and do that

now!!!!! Thanks, P.

Re: Re: acid reducer required after rny?

I have ben doing a little research on this subject and found the below

article. It is quite technical, but I have quoted one part.

This pertains to the RNY.....

I got it from http://www.obesitysurgery.com/

Obesity Surgery, 12, 399-403

Does Reduction in Gastric Acid Secretion in Bariatric Surgery Increase

Diet-Induced Thermogenesis?

s, MD, FACS;1 Emmanuel Kampitakis, MD;1 Schoretsanitis,

MD;1 Mouzas MD;2 Elias Kouroumalis, MD;2 Demetrios D. Tsiftsis, MD, FACS1

Departments of 1Surgical Oncology and 2Gastroenterology, Heraklion University

Hospital, University of Crete Medical School, Greece

Almost to the end of the article it states this.....

" Previous studies indicated that basal and post-pentagastric stimulation

gastric acid secretion is virtually absent from the proximal gastric pouch of

patients after RYGBP. "

Chrissie

shihtzumom@...

http://users.snip.net/~shihtzumom

My WLS Journey:

http://millennium.fortunecity.com/doddington/691/WLS/this_is_me.htm

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From what I understand the Zantac and other antacids are to coat the stomach

during healing to prevent ulcers and other irritation from food, etc while the

pouch is healing. But, hey, I could be wrong too.

Chrissie

shihtzumom@...

http://users.snip.net/~shihtzumom

My WLS Journey:

http://millennium.fortunecity.com/doddington/691/WLS/this_is_me.htm

Re: Re: acid reducer required after rny?

I have ben doing a little research on this subject and found the below

article. It is quite technical, but I have quoted one part.

This pertains to the RNY.....

I got it from http://www.obesitysurgery.com/

Obesity Surgery, 12, 399-403

Does Reduction in Gastric Acid Secretion in Bariatric Surgery Increase

Diet-Induced Thermogenesis?

s, MD, FACS;1 Emmanuel Kampitakis, MD;1 Schoretsanitis,

MD;1 Mouzas MD;2 Elias Kouroumalis, MD;2 Demetrios D. Tsiftsis, MD, FACS1

Departments of 1Surgical Oncology and 2Gastroenterology, Heraklion

University Hospital, University of Crete Medical School, Greece

Almost to the end of the article it states this.....

" Previous studies indicated that basal and post-pentagastric stimulation

gastric acid secretion is virtually absent from the proximal gastric pouch of

patients after RYGBP. "

Chrissie

shihtzumom@...

http://users.snip.net/~shihtzumom

My WLS Journey:

http://millennium.fortunecity.com/doddington/691/WLS/this_is_me.htm

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