Re: [MiniGastricBypass]

December 30, 2000

Hey .

What is RNY? It is a gastric bypass that is more complicated, takes longer

to perform, requires a longer hospital stay, results in greater blood loss,

and leaves a big ol scare right in the middle of your chest. (that is

because very few doctors are doing it with a laparoscope)

I suggest that you look at DR. Rutlege's web page under " old loop " (on the

left side of the page,) then follow your nose.

As for the procedure of the RNY (that's short for Roux-en-Y,(pronounced

Roo-N-Y) or as I prefer (Ruin Y. because if you have any complications this

surgery can RUIN Your day :-) ))

With the RNY the stomach pouch is higher up on the stomach and smaller than

with MGB, so the new connection to your bypassed intestine WILL be in close

proximity to your esophagus. That is why the " old loop " was abandoned some

30 years ago, it used the same " thumb sized " stomach pouch high on the

stomach.

This closeness to the esophagus necessitates doing something to prevent

gastric juices secreted by the liver and pancreas from entering the stomach

and irritating the esophagus.

What they do it this. Your small intestine is cut completely in two. The

end that continues on to the large intestine (Lets call this the distal

end)and out of the body is then attached to the new stomach pouch. (This

has its own set of problems). The end that comes from your stomach (and

passes the liver and pancreas collecting all those gastric juices) is then

reattached the distal portion of your small intestine a little ways

downstream from your stomach pouch.

Seems like a good idea, except for the complications that I mentioned. (And

by the way, what I didn't mention is the lesions from the scar tissue (a lot

of it) and the fact that the more connections you have the higher likelihood

you have of Leakage.)

Now, to be honest, leakage can happen in any procedure, but with RNY, to fix

it they carve you up again (resulting in a LOT of scar tissue and leasions)

whereas with the MGB the fix is once again with the scope and is finished in

about 30 minutes.

RNY is pretty much the " accepted " way of doing things, but it took YEARS to

convince this same bunch to wash their hands between surgeries too.

I'm not a doctor so I can say this without fear of repercussions. The

medical community, in general, tends to be a bunch of pig headed old farts

who won't change until several boots to the pants have been administered.

A small example. In the Lab, test results are given in many cases as MG/DL

or Milligrams per Deciliter. In the old days this was expressed as Gr % or

Grams percent.

Well, seeing as how we work with quantities MUCH smaller than Grams we went

to the more realistic expression of MG/DL. The numbers are EXACTLY the same,

it is a math thing, we removed a couple zeros from BOTH the numerator and

the denominator, if you remember your high school math that is allowed. It

is called simplification.

This changeover was done YEARS ago, and to this day doctors will storm into

the Lab demanding to know " What in hell is this value in Grams percent? " It

is the same number so what we have to do is take the report that is crumpled

up is his agitated little paw, and where it says 120 mg/dl we scratch out

the letters and write GR%.

This is the mind set that medical professionals have to deal with whenever

they find a better way of doing things. Like mating elephants, lots of

screaming and stomping and it takes YEARS to get results.

In short the RNY is what the medical community considers the " New and

Improved " method of doing things. The fact of the matter is the RNY was

developed some 30 years ago, so if you would like to go with the best answer

they came up with in the 60's go for it. (to me it's rather like being

thrilled with color TV in this age of HDTV. It worked in its time but we

have gone on from there.)

I also have a theory about why the RNY doesn't work as often as it should,

but that is for another time.

Jerry

Re:

> Hi Lynnette, my name is and I'm considering WLS. I know what MGB is,

but

> I don't know what RNY is. I'd appreciate it if you could tell me. Thanks,

> .

>

December 30, 2000

Hey .

What is RNY? It is a gastric bypass that is more complicated, takes longer

to perform, requires a longer hospital stay, results in greater blood loss,

and leaves a big ol scare right in the middle of your chest. (that is

because very few doctors are doing it with a laparoscope)

I suggest that you look at DR. Rutlege's web page under " old loop " (on the

left side of the page,) then follow your nose.

As for the procedure of the RNY (that's short for Roux-en-Y,(pronounced

Roo-N-Y) or as I prefer (Ruin Y. because if you have any complications this

surgery can RUIN Your day :-) ))

With the RNY the stomach pouch is higher up on the stomach and smaller than

with MGB, so the new connection to your bypassed intestine WILL be in close

proximity to your esophagus. That is why the " old loop " was abandoned some

30 years ago, it used the same " thumb sized " stomach pouch high on the

stomach.

This closeness to the esophagus necessitates doing something to prevent

gastric juices secreted by the liver and pancreas from entering the stomach

and irritating the esophagus.

What they do it this. Your small intestine is cut completely in two. The

end that continues on to the large intestine (Lets call this the distal

end)and out of the body is then attached to the new stomach pouch. (This

has its own set of problems). The end that comes from your stomach (and

passes the liver and pancreas collecting all those gastric juices) is then

reattached the distal portion of your small intestine a little ways

downstream from your stomach pouch.

Seems like a good idea, except for the complications that I mentioned. (And

by the way, what I didn't mention is the lesions from the scar tissue (a lot

of it) and the fact that the more connections you have the higher likelihood

you have of Leakage.)

Now, to be honest, leakage can happen in any procedure, but with RNY, to fix

it they carve you up again (resulting in a LOT of scar tissue and leasions)

whereas with the MGB the fix is once again with the scope and is finished in

about 30 minutes.

RNY is pretty much the " accepted " way of doing things, but it took YEARS to

convince this same bunch to wash their hands between surgeries too.

I'm not a doctor so I can say this without fear of repercussions. The

medical community, in general, tends to be a bunch of pig headed old farts

who won't change until several boots to the pants have been administered.

A small example. In the Lab, test results are given in many cases as MG/DL

or Milligrams per Deciliter. In the old days this was expressed as Gr % or

Grams percent.

Well, seeing as how we work with quantities MUCH smaller than Grams we went

to the more realistic expression of MG/DL. The numbers are EXACTLY the same,

it is a math thing, we removed a couple zeros from BOTH the numerator and

the denominator, if you remember your high school math that is allowed. It

is called simplification.

This changeover was done YEARS ago, and to this day doctors will storm into

the Lab demanding to know " What in hell is this value in Grams percent? " It

is the same number so what we have to do is take the report that is crumpled

up is his agitated little paw, and where it says 120 mg/dl we scratch out

the letters and write GR%.

This is the mind set that medical professionals have to deal with whenever

they find a better way of doing things. Like mating elephants, lots of

screaming and stomping and it takes YEARS to get results.

In short the RNY is what the medical community considers the " New and

Improved " method of doing things. The fact of the matter is the RNY was

developed some 30 years ago, so if you would like to go with the best answer

they came up with in the 60's go for it. (to me it's rather like being

thrilled with color TV in this age of HDTV. It worked in its time but we

have gone on from there.)

I also have a theory about why the RNY doesn't work as often as it should,

but that is for another time.

Jerry

Re:

> Hi Lynnette, my name is and I'm considering WLS. I know what MGB is,

but

> I don't know what RNY is. I'd appreciate it if you could tell me. Thanks,

> .

>

December 30, 2000

would just like to say that not all doctors are still doing the RNY the " old "

way. As in cutting open the stomach. I did find one that will do it the lap

way.... guess that would be a yeah for me since I can't get to NC to have the

MGB done by Dr. R.

Lynnette

Re:

> Hi Lynnette, my name is and I'm considering WLS. I know what MGB is,

but

> I don't know what RNY is. I'd appreciate it if you could tell me. Thanks,

> .

>

December 30, 2000

would just like to say that not all doctors are still doing the RNY the " old "

way. As in cutting open the stomach. I did find one that will do it the lap

way.... guess that would be a yeah for me since I can't get to NC to have the

MGB done by Dr. R.

Lynnette

Re:

> Hi Lynnette, my name is and I'm considering WLS. I know what MGB is,

but

> I don't know what RNY is. I'd appreciate it if you could tell me. Thanks,

> .

>

December 30, 2000

Happy New Year to you to, Bobbie

Keep us posted on that great weight loss.

Suzanne

MGB 1/10/01

December 30, 2000

Happy New Year to you to, Bobbie

Keep us posted on that great weight loss.

Suzanne

MGB 1/10/01

December 31, 2000

Bobbie, so good to hear from you. You're doing so well!!!!

I can tell ya', Trude and Jude are doing fine. Trude is down about 40 pounds

and is in the 200's now (Yeah!! Trude) and I am coming out of the

poopie'gassies, and starting to feel like a person again and about 30 pounds

down. We're both looking forward to a wonderful 2001, and being thin and

gorgeous by this time next year. Thanks, Bobbie, for asking and thanks for

coming back and letting all of us know you're doing so well. You've been

missed! Fondly, PhillyJude

December 31, 2000

Bobbie, so good to hear from you. You're doing so well!!!!

I can tell ya', Trude and Jude are doing fine. Trude is down about 40 pounds

and is in the 200's now (Yeah!! Trude) and I am coming out of the

poopie'gassies, and starting to feel like a person again and about 30 pounds

down. We're both looking forward to a wonderful 2001, and being thin and

gorgeous by this time next year. Thanks, Bobbie, for asking and thanks for

coming back and letting all of us know you're doing so well. You've been

missed! Fondly, PhillyJude

December 31, 2000

Why the problem with lettuce? What happens when you eat it?

December 31, 2000

Why the problem with lettuce? What happens when you eat it?

December 31, 2000

Gwen,

I'm one of the newbies who'd have misconstrued what type of surgery

had, without clarification from you and others. I agree with those who are

saying she should be more than welcome to post to the group, and that her

experiences are of extreme value to anyone who is considering WLS... but

because of the structure of e-groups, with no history of messages available

to newcomers, it's beneficial for non-MGB postops to share what sort of

surgical procedure they chose.

(for the above reasons of no structural history or message categories, I

much much MUCH prefer a forum setting to an email group; Delphi forums

would be a great platform for the MGBers, but since I'm a newbie, I won't

make any suggestions for changing the world just yet!)

(KY)

MGB wannabe

Re:

> >Date: Fri, 29 Dec 2000 13:56:28 EST

> >

> >I must say that I agree with the person (Trudy maybe) who said that

> >should share her experiences with the group. I also think that she

should

> >make note on every post that she did not have the MGB. I have been on

here

> >long enough to know that she had the RNY but the new people wont know

that.

> >Her weight loss has been exceptional, due to slight complications, and I

> >think her results can be misleading to some. I, personally, do not want

> >pre-ops to see her mention her weight loss and think that the same type

of

> >weight loss is attainable for them.

> >

> >Secondly, I did not see anything offensive with what was said to her. I

> >did

> >think that her comment about " haters " on this list was offensive to me.

I

> >have never seen anyone on this list be anything but helpful and

supportive.

> >The folks on this list were very supportive to and I think that

is

> >the main reason that she is here.

> >

> >Just adding my 5 cents,

> >Gwen in Durham

> >MGB 11/22/00

> >338/310

> > >>

>

December 31, 2000

Gwen,

I'm one of the newbies who'd have misconstrued what type of surgery

had, without clarification from you and others. I agree with those who are

saying she should be more than welcome to post to the group, and that her

experiences are of extreme value to anyone who is considering WLS... but

because of the structure of e-groups, with no history of messages available

to newcomers, it's beneficial for non-MGB postops to share what sort of

surgical procedure they chose.

(for the above reasons of no structural history or message categories, I

much much MUCH prefer a forum setting to an email group; Delphi forums

would be a great platform for the MGBers, but since I'm a newbie, I won't

make any suggestions for changing the world just yet!)

(KY)

MGB wannabe

Re:

> >Date: Fri, 29 Dec 2000 13:56:28 EST

> >

> >I must say that I agree with the person (Trudy maybe) who said that

> >should share her experiences with the group. I also think that she

should

> >make note on every post that she did not have the MGB. I have been on

here

> >long enough to know that she had the RNY but the new people wont know

that.

> >Her weight loss has been exceptional, due to slight complications, and I

> >think her results can be misleading to some. I, personally, do not want

> >pre-ops to see her mention her weight loss and think that the same type

of

> >weight loss is attainable for them.

> >

> >Secondly, I did not see anything offensive with what was said to her. I

> >did

> >think that her comment about " haters " on this list was offensive to me.

I

> >have never seen anyone on this list be anything but helpful and

supportive.

> >The folks on this list were very supportive to and I think that

is

> >the main reason that she is here.

> >

> >Just adding my 5 cents,

> >Gwen in Durham

> >MGB 11/22/00

> >338/310

> > >>

>

December 31, 2000

Hi There!!! Is anyone having their surgery on Jan. 31st? I am. I am so

excited to finally have a date!! Thank-you to everyone who talked with me

about their experiences!! Love, Y. Ferguson

Re:

>Why the problem with lettuce? What happens when you eat it?

>

December 31, 2000

Hi There!!! Is anyone having their surgery on Jan. 31st? I am. I am so

excited to finally have a date!! Thank-you to everyone who talked with me

about their experiences!! Love, Y. Ferguson

Re:

>Why the problem with lettuce? What happens when you eat it?

>

December 31, 2000

Thank you ,

You made my point exactly!!

Gwen in Durham

In a message dated 12/31/2000 3:16:22 PM Eastern Standard Time,

midwife@... writes:

<< Gwen,

I'm one of the newbies who'd have misconstrued what type of surgery

had, without clarification from you and others. I agree with those who are

saying she should be more than welcome to post to the group, and that her

experiences are of extreme value to anyone who is considering WLS... but

because of the structure of e-groups, with no history of messages available

to newcomers, it's beneficial for non-MGB postops to share what sort of

surgical procedure they chose.

(for the above reasons of no structural history or message categories, I

much much MUCH prefer a forum setting to an email group; Delphi forums

would be a great platform for the MGBers, but since I'm a newbie, I won't

make any suggestions for changing the world just yet!)

(KY)

MGB wannabe

Re:

> Lynnette,

>

> I dont want to " chastise " anyone. But since this IS the Mini Gastric

Bypass

> egroup and she did not have the MGB, she is somewhat different. I never

said

> that she should leave. What I said was that I think she should let it be

> known that she had a different procedure. Her experiences and

complications

> can be valuable information to pre-ops and those seeking information

about

> different procedures.

>

> I am SURE that there were some newbies to the list who assumed she had the

> MGB. I am a big advocate of being " correctly " informed and being able to

> make an informed decision.

>

> If you are feeling neglected on the site... maybe you dont participate. I

> dont ever remember seeing a post from you except within the last few days.

> There are more than enough topics discussed or questions asked to make

anyone

> feel welcome and have their say.

>

> But this is just one black woman's opinion and my dad always says,

" Opinions

> are like a**holes, everyone has one, and most of them stink.

>

> Gwen in Durham

> Stepping down from her soapbox

>

> In a message dated 12/29/2000 2:14:29 PM Eastern Standard Time,

> Lynnwrks2@... writes:

> >>

December 31, 2000

Thank you ,

You made my point exactly!!

Gwen in Durham

In a message dated 12/31/2000 3:16:22 PM Eastern Standard Time,

midwife@... writes:

<< Gwen,

I'm one of the newbies who'd have misconstrued what type of surgery

had, without clarification from you and others. I agree with those who are

saying she should be more than welcome to post to the group, and that her

experiences are of extreme value to anyone who is considering WLS... but

because of the structure of e-groups, with no history of messages available

to newcomers, it's beneficial for non-MGB postops to share what sort of

surgical procedure they chose.

(for the above reasons of no structural history or message categories, I

much much MUCH prefer a forum setting to an email group; Delphi forums

would be a great platform for the MGBers, but since I'm a newbie, I won't

make any suggestions for changing the world just yet!)

(KY)

MGB wannabe

Re:

> Lynnette,

>

> I dont want to " chastise " anyone. But since this IS the Mini Gastric

Bypass

> egroup and she did not have the MGB, she is somewhat different. I never

said

> that she should leave. What I said was that I think she should let it be

> known that she had a different procedure. Her experiences and

complications

> can be valuable information to pre-ops and those seeking information

about

> different procedures.

>

> I am SURE that there were some newbies to the list who assumed she had the

> MGB. I am a big advocate of being " correctly " informed and being able to

> make an informed decision.

>

> If you are feeling neglected on the site... maybe you dont participate. I

> dont ever remember seeing a post from you except within the last few days.

> There are more than enough topics discussed or questions asked to make

anyone

> feel welcome and have their say.

>

> But this is just one black woman's opinion and my dad always says,

" Opinions

> are like a**holes, everyone has one, and most of them stink.

>

> Gwen in Durham

> Stepping down from her soapbox

>

> In a message dated 12/29/2000 2:14:29 PM Eastern Standard Time,

> Lynnwrks2@... writes:

> >>

January 1, 2001

Hi my name is Cindy and I am almost ready to send in my packet! I have my

physical w/ mr DR 1/3 but what is the deal with the past history? I dont know

if my Dr will want to do all that stuff? I must have misunderstood about the

past medical records. I thought you gathered those up and your physical ltr

and psyc ltr from your Dr along w/ your approval ltr and your family ltr and

your 10 page ltr and that was it. It has taken 2 weeks just to get him to

finally write and dictate the okay ltr! Also whn I have my physical should I

have my cbc and egk also at the same time?? I am open to any suggestions

anyone might have at this time. I want to do this right the first time.

Thanks for all the help

Cindy in KC Wanting MGB

January 1, 2001