revision + questions for preopers to consider
I know I posted on the mb, but I figured I'd post here to give preopers some "stuff" to consider when choosing surgery type.
I am having revision to the DS to correct severe dumping syndrome, vomiting, acid reflux, and nausea. I am also hoping to resolve my reactive hypoglycemia. I am having my surgery April 11th. Note that I do not have weight to lose (read signature).
if you are preop please research all surgery types extensively before you get cut. Think of your surgery like you are getting a haircut for the most important event of your life. Pick your surgery type before you choose a surgeon. Print out a picture of the surgery you want and show it to your surgeon. Then talk business (insurance, cash pay, etc).
The number one mistake you can make with wls is asking a surgeon which procedure to have. Just because they are surgeons does not mean they truly know what's best for you. Surgeons are not the ones who must live with the surgery. Also, please get a reality check that surgeons are not there to save you from your obesity problem. They are businessmen and businesswomen. Whatever advice they give you on surgery type is fuled by profit motive, and I would not trust a surgeon to advise on surgery type.
When doing your research please do not look at newly post ops in their first year for inspiration on a surgery type. Another reality check: problems with major regain and complications that require reoperation generally occur after the first year. You cannot judge a surgery by someone who is melting away at 3 months out and in love with their surgery. Come back in a couple years and see how much they love their surgery.
I'm sure you want a surgery that will give you the best chance at overcoming morbid obesity and resolving your comorbidities. As you research procedures please also consider the quality of life after the surgery. The following are some questions I would consider about each procedure:
Notes: medical research defines wls success as losing 50% excess weight by the 5 year mark. You should find the answers to these questions in peer reviewed medical research. Do not ask a surgeon these questions.
1) How successful is the procedure?
a) what percent are successful?
b) How much excess weight is lost on average?
c) what percent of patient will have resolved comorbidities (look at the ones you have if any) ?
d) What percent of patients require reoperation (revision)?
2) What is the quality of life after surgery?
a) complications?
b) What is the diet like?
3) What is the difference between restriction and malabsorbtion?
a) What procedures are primarily restrictive?
b) what procedures are primarily malabsorbtion?
These are just some questions to consider. My advice is to think twice and cut once. That way you won't end up like me going under the knife again. If you want to know about the surgery type that medical research shows to be the most successful with weight loss and curing diabetes, please research the duodenal switch (DS). A good site put up by a DSer is www.dsfacts.com
http://www.ncbi.nlm.nih.gov/pubmed/19937190
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856567/
http://www.medpagetoday.com/MeetingCoverage/DDW/14541
http://www.ncbi.nlm.nih.gov/pubmed/15826478
I am having revision to the DS to correct severe dumping syndrome, vomiting, acid reflux, and nausea. I am also hoping to resolve my reactive hypoglycemia. I am having my surgery April 11th. Note that I do not have weight to lose (read signature).
if you are preop please research all surgery types extensively before you get cut. Think of your surgery like you are getting a haircut for the most important event of your life. Pick your surgery type before you choose a surgeon. Print out a picture of the surgery you want and show it to your surgeon. Then talk business (insurance, cash pay, etc).
The number one mistake you can make with wls is asking a surgeon which procedure to have. Just because they are surgeons does not mean they truly know what's best for you. Surgeons are not the ones who must live with the surgery. Also, please get a reality check that surgeons are not there to save you from your obesity problem. They are businessmen and businesswomen. Whatever advice they give you on surgery type is fuled by profit motive, and I would not trust a surgeon to advise on surgery type.
When doing your research please do not look at newly post ops in their first year for inspiration on a surgery type. Another reality check: problems with major regain and complications that require reoperation generally occur after the first year. You cannot judge a surgery by someone who is melting away at 3 months out and in love with their surgery. Come back in a couple years and see how much they love their surgery.
I'm sure you want a surgery that will give you the best chance at overcoming morbid obesity and resolving your comorbidities. As you research procedures please also consider the quality of life after the surgery. The following are some questions I would consider about each procedure:
Notes: medical research defines wls success as losing 50% excess weight by the 5 year mark. You should find the answers to these questions in peer reviewed medical research. Do not ask a surgeon these questions.
1) How successful is the procedure?
a) what percent are successful?
b) How much excess weight is lost on average?
c) what percent of patient will have resolved comorbidities (look at the ones you have if any) ?
d) What percent of patients require reoperation (revision)?
2) What is the quality of life after surgery?
a) complications?
b) What is the diet like?
3) What is the difference between restriction and malabsorbtion?
a) What procedures are primarily restrictive?
b) what procedures are primarily malabsorbtion?
These are just some questions to consider. My advice is to think twice and cut once. That way you won't end up like me going under the knife again. If you want to know about the surgery type that medical research shows to be the most successful with weight loss and curing diabetes, please research the duodenal switch (DS). A good site put up by a DSer is www.dsfacts.com
http://www.ncbi.nlm.nih.gov/pubmed/19937190
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856567/
http://www.medpagetoday.com/MeetingCoverage/DDW/14541
http://www.ncbi.nlm.nih.gov/pubmed/15826478
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