surgery

August 10, 2001

At 12:06 AM +0000 8/11/01, pensiondude@... wrote:

>...

>He said that he's not sure that I am a good candidate for the DS, due

>to the fact that I had a colon resection in the past(20years). He

I have no expertise in this area at all. Get some second opinions

before proceeding further.

>mentioned that DS patients have substantial diarrhea after surgery,

>with 4-6 bowel movements per day and I could probably expect to have

>substantially worsened diarrhea postop. We will speak more next week.

Many do. Many do not. But, what's a little diarrhea for a few weeks

between consenting adults, compared to the years and years of

normalcy you get with a DS?

--Steve

--

August 10, 2001

, the only diarrhea I had was in the hospital, and that was

mostly from the antibiotics and pre-op bowel prep. Now I have one,

maybe two a day. YMMV, but I think most DS folks dont have regular

diarrhea. Most surgeons who cant or wont do the DS will naturally

recommend Rny. Best of luck, Meli

-- In duodenalswitch@y..., pensiondude@o... wrote:

> I was scheduled to have RNY surgery on 9/7/01 but after more

research

> I decided to tell the doctor that I was not happy about it and

wanted

> to have the duodenal switch method.

>

> He said that he's not sure that I am a good candidate for the DS,

due

> to the fact that I had a colon resection in the past(20years). He

> mentioned that DS patients have substantial diarrhea after surgery,

> with 4-6 bowel movements per day and I could probably expect to have

> substantially worsened diarrhea postop. We will speak more next

week.

>

> I have spoken to other specialists and they say that RNY is the way

to

> go. I don't want to be pressured into a WLS surgery I don't want.

>

> Right now, I'm so depressed..I dont know if I will have the surgery.

>

August 10, 2001

, the only diarrhea I had was in the hospital, and that was

mostly from the antibiotics and pre-op bowel prep. Now I have one,

maybe two a day. YMMV, but I think most DS folks dont have regular

diarrhea. Most surgeons who cant or wont do the DS will naturally

recommend Rny. Best of luck, Meli

-- In duodenalswitch@y..., pensiondude@o... wrote:

> I was scheduled to have RNY surgery on 9/7/01 but after more

research

> I decided to tell the doctor that I was not happy about it and

wanted

> to have the duodenal switch method.

>

> He said that he's not sure that I am a good candidate for the DS,

due

> to the fact that I had a colon resection in the past(20years). He

> mentioned that DS patients have substantial diarrhea after surgery,

> with 4-6 bowel movements per day and I could probably expect to have

> substantially worsened diarrhea postop. We will speak more next

week.

>

> I have spoken to other specialists and they say that RNY is the way

to

> go. I don't want to be pressured into a WLS surgery I don't want.

>

> Right now, I'm so depressed..I dont know if I will have the surgery.

>

August 10, 2001

,

I was diagnosed with ulcerative colitis almost two years

ago. Since researching WLS, I too have decided that I

want the quality of life that the DS has to offer. I was

very worried about pursuing this because of the post-op

diarrhea battle. I was even afraid to ask if this operation

would be possible for me. I've made great progress in

managing this disease and I finally posted about this on the

list. I didn't get a response, but I finally discussed it

with my gastroenterologist and he said I would possibly have to

change my current medication post-op but that surgery would be

okay.

You know what your current bathroom habits are. If you feel

your condition would be manageble given what you know about

the after affects of this surgery then find more Dr.'s

opinions about this. Don't give up !

Jill Koepke

289/BMI 46

1st consult w/Dr.Herron

Oct.24,01!!

August 10, 2001

,

I was diagnosed with ulcerative colitis almost two years

ago. Since researching WLS, I too have decided that I

want the quality of life that the DS has to offer. I was

very worried about pursuing this because of the post-op

diarrhea battle. I was even afraid to ask if this operation

would be possible for me. I've made great progress in

managing this disease and I finally posted about this on the

list. I didn't get a response, but I finally discussed it

with my gastroenterologist and he said I would possibly have to

change my current medication post-op but that surgery would be

okay.

You know what your current bathroom habits are. If you feel

your condition would be manageble given what you know about

the after affects of this surgery then find more Dr.'s

opinions about this. Don't give up !

Jill Koepke

289/BMI 46

1st consult w/Dr.Herron

Oct.24,01!!

August 10, 2001

> . But, what's a little diarrhea for a few weeks

> between consenting adults, compared to the years and years of

> normalcy you get with a DS?

>

> --Steve

> -

Steve, I'm not going to ask you to describe diarrhea between

consenting adults, and just how that works, because I'm afraid you'd

answer me..... Meli

August 10, 2001

> . But, what's a little diarrhea for a few weeks

> between consenting adults, compared to the years and years of

> normalcy you get with a DS?

>

> --Steve

> -

Steve, I'm not going to ask you to describe diarrhea between

consenting adults, and just how that works, because I'm afraid you'd

answer me..... Meli

August 11, 2001

In a message dated 8/10/01 9:59:18 PM, duodenalswitch writes:

<< Many do. Many do not. But, what's a little diarrhea for a few weeks

between consenting adults, compared to the years and years of

normalcy you get with a DS?

>>

Steve: I agree - IF the diahhrea will be relatively short term and taper off

(i.e. - be largely a result of the body's reaction to the surgery).... BUT,

perhaps the surgeon is referring to LONG TERM, LIFELONG diahhrea associated

with a distal surgery... In this case, then I think one really has to think

long and hard about the 'normalcy' that the DS may bring.

I think such cases are in the minority--- But I have heard of people with IBD

(irritable Bowel Disease) not able to get the surgery because of long term

side effects like diahhrea. I think that, generally, if anyone has a disease

of the colon or serious colon condition, the DS is almost always NOT

recommended.

I would ask the surgeon what kind of RNY he/she plans to perform -- It better

NOT be a distal RNY! If so, then I think you have an excellent chance of

getting the DS. Why would a distal RNY be any different in terms of post-op

diahhrea, etc.? If the surgeon would only consider a proximal RNY, perhaps

you could get a second opinion. Is it the previous surgery and possible

scarring, etc. that makes the surgeon hesitant to do the DS (in this case a

surgeon that is more experienced may be in order)? Or, is it not the

mechanics of the surgery but truly concern about post-op lifestyle?

All the best,

lap ds with gallbladder removal

January 25, 2001

Dr. GAgner/Mt. Sinai/NYC

six months post-op and still feelin' fabu

pre-op: 307 lbs/bmi 45

now: 228

August 11, 2001

In a message dated 8/11/01 5:24:58 AM, duodenalswitch writes:

<< , the only diarrhea I had was in the hospital, and that was

mostly from the antibiotics and pre-op bowel prep. Now I have one,

maybe two a day. YMMV, but I think most DS folks dont have regular

diarrhea. Most surgeons who cant or wont do the DS will naturally

recommend Rny. Best of luck, Meli

>>

Yes, the majority of people do not have diahhrea (or severe diahhrea) after a

few weeks post-op. However, the one situation where the DS is NOT

recommended (generally across the board) involves existing (previous?) colon

disease. I remember asking Dr. Gagner about IBS and he said that was fine -

but with IBD -- chrohns, ulcerative colitis, etc. and the like - there is NO

way he would do the DS. I am not sure what kind of condition had/has

that necessitated the colon surgery but if there is a history of serious

colon disease, this pretty much *can* rule one out as a candidate for the DS.

I agree, though, that many surgeons will try to push the RNY because they do

not feel so confident about the DS (either in their skills and/or the

procedure). Perhaps 's condition now would not rule him out and the fact

that he had previous colon surgery really isn't an issue - I don' t know all

the details about it. If is really, really set on the DS, why not

correspond with some of the top DS surgeons in the country (Dr. Gagner, Dr.

Herron, Dr. K, Dr. Hess, etc.) and see what their responses would be in

regards to this matter??? At least he could feel more confident if there is

a consensus about it that the DS would not be advisable or he could find out

that it may be ok in his particular case.

all the best,

lap ds with gallbladder removal

January 25, 2001

Dr. Gagner/Mt. Sinai/NYC

six months post-op and still feelin' fabu!

pre-op: 307 lbs/bmi 45

Now: 228

August 11, 2001

In a message dated 8/11/01 5:24:58 AM, duodenalswitch writes:

<< I've made great progress in

managing this disease and I finally posted about this on the

list. I didn't get a response, but I finally discussed it

with my gastroenterologist and he said I would possibly have to

change my current medication post-op but that surgery would be

okay.

You know what your current bathroom habits are. If you feel

your condition would be manageble given what you know about

the after affects of this surgery then find more Dr.'s

opinions about this. Don't give up !

>>

Jill: So glad to hear about your progress! I totally agree that

should correspond with other surgeons and see what they think about this

issue. It's great to have someone with the personal experience speaking up

about it.

All the best,

NOverr-Chin

co-moderator, duodenalswitch

lap ds with gallbladder removal

January 25, 2001

six months post-op and still feelin' fabu!

pre-op: 307 lbs/bmi 45

now: 228

August 11, 2001

In a message dated 8/11/01 11:51:37 AM Eastern Daylight Time, ruisha@...

writes:

> But I have heard of people with IBD

> (irritable Bowel Disease) not able to get the surgery because of long term

> side effects like diahhrea.

I've spoken with several people with IBS who improved after the DS. Go

figure! I thought I had IBS but now truly think I have alot of food

allergies including dairy and fatty foods. When I eat " cleanly " , my stomach

is fine. If I don't, I appear to have IBS.

Sherry

August 11, 2001

Jill,

Thanks for the support. I read a lot of information about RNYamd the

problems people have. I dont want to have WLS and then regain my weight.

If the doctors feel that strong about this, I will not have RNY surgery

performed.

---- jkoepke@... wrote:

> ,

> I was diagnosed with ulcerative colitis almost two years

> ago. Since researching WLS, I too have decided that I

> want the quality of life that the DS has to offer. I was

> very worried about pursuing this because of the post-op

> diarrhea battle. I was even afraid to ask if this operation

> would be possible for me. I've made great progress in

> managing this disease and I finally posted about this on the

> list. I didn't get a response, but I finally discussed it

> with my gastroenterologist and he said I would possibly have to

> change my current medication post-op but that surgery would be

> okay.

> You know what your current bathroom habits are. If you feel

> your condition would be manageble given what you know about

> the after affects of this surgery then find more Dr.'s

> opinions about this. Don't give up !

>

> Jill Koepke

> 289/BMI 46

> 1st consult w/Dr.Herron

> Oct.24,01!!

>

> ----------------------------------------------------------------------

>

August 11, 2001

Do you remember how much of your colon was resected? How is it

behaving now? The sleeve gastrectomy portion of the DS would have no

bearing on your bowel resection--this is the most appealing part of

the DS procedure. I'm sorry, but the RNY does a hatchet job on the

stomach and food moves through faster, which I think would be harsher

for your colon.

You should consult with a couple DS surgeons--but from my knowledge

of the anatomy--unless you have had the entire colon removed and have

a colostomy--they can rearrange the small bowel without any adverse

affects.

Don't make any hasty decicions--most docs have a limited first hand

knowledge of the DS and how it affects the body.

Pammi

> >...

> >He said that he's not sure that I am a good candidate for the DS,

due

> >to the fact that I had a colon resection in the past(20years). He

>

> I have no expertise in this area at all. Get some second opinions

> before proceeding further.

>

> >mentioned that DS patients have substantial diarrhea after surgery,

> >with 4-6 bowel movements per day and I could probably expect to

have

> >substantially worsened diarrhea postop. We will speak more next

week.

>

> Many do. Many do not. But, what's a little diarrhea for a few

weeks

> between consenting adults, compared to the years and years of

> normalcy you get with a DS?

>

> --Steve

> --

August 11, 2001

Do you remember how much of your colon was resected? How is it

behaving now? The sleeve gastrectomy portion of the DS would have no

bearing on your bowel resection--this is the most appealing part of

the DS procedure. I'm sorry, but the RNY does a hatchet job on the

stomach and food moves through faster, which I think would be harsher

for your colon.

You should consult with a couple DS surgeons--but from my knowledge

of the anatomy--unless you have had the entire colon removed and have

a colostomy--they can rearrange the small bowel without any adverse

affects.

Don't make any hasty decicions--most docs have a limited first hand

knowledge of the DS and how it affects the body.

Pammi

> >...

> >He said that he's not sure that I am a good candidate for the DS,

due

> >to the fact that I had a colon resection in the past(20years). He

>

> I have no expertise in this area at all. Get some second opinions

> before proceeding further.

>

> >mentioned that DS patients have substantial diarrhea after surgery,

> >with 4-6 bowel movements per day and I could probably expect to

have

> >substantially worsened diarrhea postop. We will speak more next

week.

>

> Many do. Many do not. But, what's a little diarrhea for a few

weeks

> between consenting adults, compared to the years and years of

> normalcy you get with a DS?

>

> --Steve

> --

August 11, 2001

Just another thought----

There are some DS surgeons doing it in 2 parts with the sleeve

gastrectomy 1st. It may be an option for you just to get that and

lose enough wt. and you'll not be messing around with the intestines

too much.

There are options!!

Pammi

> > >...

> > >He said that he's not sure that I am a good candidate for the

DS,

> due

> > >to the fact that I had a colon resection in the past(20years). He

> >

> > I have no expertise in this area at all. Get some second

opinions

> > before proceeding further.

> >

> > >mentioned that DS patients have substantial diarrhea after

surgery,

> > >with 4-6 bowel movements per day and I could probably expect to

> have

> > >substantially worsened diarrhea postop. We will speak more next

> week.

> >

> > Many do. Many do not. But, what's a little diarrhea for a few

> weeks

> > between consenting adults, compared to the years and years of

> > normalcy you get with a DS?

> >

> > --Steve

> > --

August 11, 2001

In a message dated 8/11/01 2:37:30 PM Pacific Daylight Time,

raina28@... writes:

> I think that IBS is a combination of stress and diet. I found that Pre-DS

> when I wasnt stressing and eating good foods that my IBS was non-existent

> (just an opinion though)

>

I've had that same experience. I think you're right about the stress.

~~* AJ *~~

Post op 7/24/01

self pay - Dr Baltasar -Alcoy Spain

07/24/01 BMI 64 - 415.1

08/06/01 BMI 59 - 390.2 -24.9 lbs!!!!!!!!!!~~~~

Check out the

Bellingham Support for WLS

WWW.WLSBellingham.homestead.com

August 11, 2001

In a message dated 8/11/01 2:37:30 PM Pacific Daylight Time,

raina28@... writes:

> I think that IBS is a combination of stress and diet. I found that Pre-DS

> when I wasnt stressing and eating good foods that my IBS was non-existent

> (just an opinion though)

>

I've had that same experience. I think you're right about the stress.

~~* AJ *~~

Post op 7/24/01

self pay - Dr Baltasar -Alcoy Spain

07/24/01 BMI 64 - 415.1

08/06/01 BMI 59 - 390.2 -24.9 lbs!!!!!!!!!!~~~~

Check out the

Bellingham Support for WLS

WWW.WLSBellingham.homestead.com

August 11, 2001

I think that IBS is a combination of stress and diet. I found that Pre-DS when

I wasnt stressing and eating good foods that my IBS was non-existent (just an

opinion though)

Lisbeth

Dr. Macura

June 25, 2001

GABS12992@... wrote: In a message dated 8/11/01 11:51:37 AM Eastern

Daylight Time, ruisha@...

writes:

> But I have heard of people with IBD

> (irritable Bowel Disease) not able to get the surgery because of long term

> side effects like diahhrea.

I've spoken with several people with IBS who improved after the DS. Go

figure! I thought I had IBS but now truly think I have alot of food

allergies including dairy and fatty foods. When I eat " cleanly " , my stomach

is fine. If I don't, I appear to have IBS.

Sherry

August 11, 2001

I think that IBS is a combination of stress and diet. I found that Pre-DS when

I wasnt stressing and eating good foods that my IBS was non-existent (just an

opinion though)

Lisbeth

Dr. Macura

June 25, 2001

GABS12992@... wrote: In a message dated 8/11/01 11:51:37 AM Eastern

Daylight Time, ruisha@...

writes:

> But I have heard of people with IBD

> (irritable Bowel Disease) not able to get the surgery because of long term

> side effects like diahhrea.

I've spoken with several people with IBS who improved after the DS. Go

figure! I thought I had IBS but now truly think I have alot of food

allergies including dairy and fatty foods. When I eat " cleanly " , my stomach

is fine. If I don't, I appear to have IBS.

Sherry

August 11, 2001

In a message dated 8/11/01 5:37:43 PM Eastern Daylight Time,

raina28@... writes:

> I think that IBS is a combination of stress and diet. I found that Pre-DS

> when I wasnt stressing and eating good foods that my IBS was non-existent

> (just an opinion though)

>

I agree with you out of my own experience!

August 11, 2001

In a message dated 8/11/01 5:37:43 PM Eastern Daylight Time,

raina28@... writes:

> I think that IBS is a combination of stress and diet. I found that Pre-DS

> when I wasnt stressing and eating good foods that my IBS was non-existent

> (just an opinion though)

>

I agree with you out of my own experience!

August 11, 2001

> But I have heard of people with IBD

> (irritable Bowel Disease) not able to get the surgery because of long term

> side effects like diahhrea.

I've spoken with several people with IBS who improved after the DS. Go

figure! I thought I had IBS but now truly think I have alot of food

allergies including dairy and fatty foods. When I eat " cleanly " , my stomach

is fine. If I don't, I appear to have IBS.>>>>>

Yes, Sherry: I was diagnosed with IBS (Irritable Bowel Syndrome, different

and less severe and specific than IBD, Irritable Bowel Disease) and it has

been overall better as a post-op. I didn't have diahhrea as a pre-op, though

but constipation. If anything, the DS has made me a lot more 'regular' ROFL

My theory is that the intestines have to work a little 'less in that the

entire intestines are not absorbing food. I think there's less neurological

impulses therefore being sent and less blood flowing there... It gives the

intestines a chance to kind of 'relax' until the common channel....

All the best,

lap ds with gallbladder removal

January 25, 2001

Dr. Gagner/Mt. Sinai/NYC

six months post-op and still feelin' fabu!

preop: 307 lbs/bmi 45

now: 228

August 11, 2001