Dr Marchesini

Nejy22
on 5/1/13 3:17 am - Trenton, Canada

Hi everyone,

I have received an initial reply email from Dr. Marchesini regarding my interest
in having a DS revision (I had gastric bypass in 2009). I have gained back
almost half of what I lost and cannot seem to lose anymore.
I am confused by the info he has provided me with so far.

He recommends a biliopancreatic diversion without the switch. I have read a lot
about people saying this is an old method and not very successful. As stated in
his email "To convert to a biliopancreatic diversion with duodenal switch the
stomach will need a reconstruction involving several suture lines that will
offer higher risk of leakage and fistula...The difference between
biliopancreatic diversion with and without duodenal switch is the way to cut the
stomach. In the first one the gastrectomy is distal and in the duodenal switch
the gastrectomy is vertical (sleeve). The final results are the same".

Is there anyone that can help me understand his recommendation further? I have
been doing quite a bit of research but hoped to hear from someone that the Dr.
has done a complete DS revision on them. I have read that he does do this
revision so that is why I am confused.

Thanks for reading : )

Hislady
on 5/1/13 3:44 am - Vancouver, WA

Post this on the DS forum there are some really brilliant folks over there that can give you good advice.

Nejy22
on 5/15/13 6:08 am - Trenton, Canada

I received a reply from DR M regarding my need for rny to ds revision.


Dear Jennifer
Yes, I will accept doing a DS for you if you accept to have it started laparoscopically and converted to open if necessary for your safety.
As the surgical risk is greater doing this way (instead of BPD) you may need I.C.U. In this cir****tance I won't be able to give a correct idea of expenses.
If you accept these conditions I will be glad to have you as my patient.
Hoping to hear from you
Regards
Dr. Marchesini

Is there anyone on here who has had DR M perform this surgery on them? What should I do???

 



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