Question:
SHould I continue to try to persuade my surgeon to bypass more?

I am having open RNY on thursday, Aug 5. My BMI is 47. My surgeon, John Pilcher generally does a proximal bypass of 75 cm for folks with my BMI. It seems that many I have talked to have done better with longer bypass. I have questioned him about this but he assures me that I will lose lots of weight with the proximal. Should I let the subject drop or contine pressing the issue. I know that each surgeon does things differently, but I REALLY want this to work. I feel that this is my last chance. Thanks for any input    — Teri L. (posted on August 2, 1999)

August 2, 1999
Hello, This is just my opinion, though learned the hard way. Listen to your surgeon. If too much intestine is bypassed, it can lead to severe diarrhea, dumping, and malnutrition. This happened to me and caused me much sickness and suffering. Your surgeon is the expert, take his advice. Good luck with your surgery,it's the beginning of the rest of your life! Blessings, Bev.
   — BJ K.

August 2, 1999
My BMI was 39 and I was bypassed 110 cm. I am doing just fine with no dumping (of course I stick to the food plan) and no gas, no unpleasant side effects at all. I would worry that 75 cm is not enough at your BMI. I believe the higher the BMI, the slower the metabolism, and therefore the more radical of a procedure that would be needed. Some surgeons are still doing VBG, even though it has been proven to be not as effective as the RNY, and these surgeons are presenting it to the patient as the best choice for them, no matter how much they weigh. I believe the surgeon does the surgery they feel comfortable with. A new procedure has a learning curve and many surgeons are afraid to jump in head first. Maybe you should shop around more and get some second opinions from other doctors.
   — Deborah L.

August 2, 1999
I am distal. I wouldn't have it any other way.
   — vitalady

August 5, 1999
Janet-from City, MO. Everything is going to be just fine. Take one day at a time. You will be in my thoughts and prayers Monday and days to follow. Take care.
   — Barb S.