Post by nyuboi on Oct 4, 2012 16:20:36 GMT -5
I am getting the DS on 10/22. However, one thing the surgeon wanted me to consider was doing the traditional BPD unmodified. While the common channel would be the same in each procedure on me, the difference would be the way the stomach is divided instead of the sleeve. I realize this goes against Dr. Roslin’s feelings about preserving the pyloric valve, but keep in mind this is still better than RNY and the BPD component of the BPD/DS.
WHY, PAUL, WHY?: Well, 1 main reason.. leaks. Apparently one thing Dr. Roslin never went over with me was the risk of stapling through the scar tissue I have from major lap-band problems where they would make the sleeve. NYU and Columbia explained this to me in great detail. A leakage could result in major issues including prolonged hospital stays. The normal risk of such is about 2%, but with a lap-band with a lot of scar tissue, NYU says it will go up to about 6-8% because they are in a sense stapling through scar tissues in the dark. With the BPD, I would basically have my stomach reduced the other way – that its horizontal instead of vertical – allowing them to avoid the top left area where they staple during the sleeve. It was for this reason Columbia doesn’t like a sleeve on me, combined with my esophagus and heartburn problems which a high pressure sleeve system would make worse. (This is the one area where RNY is preferred, although I have ruled that out).
I was concerned about weight loss results and the surgeon assured me it’s still NOT RNY and on-par with DS. He stated he did a study years back of 80 BPD-DS patients versus 80 BPD patients and found no difference in the weight loss. The point I want to make is even a BPD would be superior to a RNY so I hope I would have your support in selecting the BPD or the BPD-DS procedure we all know.
Having said that, I HAVE SCHEDULED THE CURRENTLY KNOWN DS (BPD-DS) as you all love, with the intention of a “gentle sleeve” and a “more conservative common channel of 150.” NYU actually wanted to be more aggressive, saying I may not get thin with a 150 CC. (Surprising for an institution that rarely does DS on new patients…) Again, the head surgeon does all the revisional procedures. Even when asked about RNY, he was not a fan and mentioned seeing just two patients that day who had re-gained weight. He said either the BPD or the BPD-DS. He did NOT agree with just removing the band and thinks I will gain weight easily and that I should do a revisional at the same time.
While I have a date, I am waiting for the final green light from insurance. I don’t suspect this to be a problem since Lenox Hill had it previously approved.
DOES ANYONE KNOW MORE ABOUT THE TRADITIONAL BPD OR HAVE A UNMODIFIED DS ON HERE? WITHOUT A SLEEVE? My friend and I (in the exam room) did not like the idea the moment we heard it. Perhaps I should upload the drawn pictures showing the risk areas of the leakage… that is the only reason to consider having the stomach portion be structured differently instead of a sleeve.
Paul
WHY, PAUL, WHY?: Well, 1 main reason.. leaks. Apparently one thing Dr. Roslin never went over with me was the risk of stapling through the scar tissue I have from major lap-band problems where they would make the sleeve. NYU and Columbia explained this to me in great detail. A leakage could result in major issues including prolonged hospital stays. The normal risk of such is about 2%, but with a lap-band with a lot of scar tissue, NYU says it will go up to about 6-8% because they are in a sense stapling through scar tissues in the dark. With the BPD, I would basically have my stomach reduced the other way – that its horizontal instead of vertical – allowing them to avoid the top left area where they staple during the sleeve. It was for this reason Columbia doesn’t like a sleeve on me, combined with my esophagus and heartburn problems which a high pressure sleeve system would make worse. (This is the one area where RNY is preferred, although I have ruled that out).
I was concerned about weight loss results and the surgeon assured me it’s still NOT RNY and on-par with DS. He stated he did a study years back of 80 BPD-DS patients versus 80 BPD patients and found no difference in the weight loss. The point I want to make is even a BPD would be superior to a RNY so I hope I would have your support in selecting the BPD or the BPD-DS procedure we all know.
Having said that, I HAVE SCHEDULED THE CURRENTLY KNOWN DS (BPD-DS) as you all love, with the intention of a “gentle sleeve” and a “more conservative common channel of 150.” NYU actually wanted to be more aggressive, saying I may not get thin with a 150 CC. (Surprising for an institution that rarely does DS on new patients…) Again, the head surgeon does all the revisional procedures. Even when asked about RNY, he was not a fan and mentioned seeing just two patients that day who had re-gained weight. He said either the BPD or the BPD-DS. He did NOT agree with just removing the band and thinks I will gain weight easily and that I should do a revisional at the same time.
While I have a date, I am waiting for the final green light from insurance. I don’t suspect this to be a problem since Lenox Hill had it previously approved.
DOES ANYONE KNOW MORE ABOUT THE TRADITIONAL BPD OR HAVE A UNMODIFIED DS ON HERE? WITHOUT A SLEEVE? My friend and I (in the exam room) did not like the idea the moment we heard it. Perhaps I should upload the drawn pictures showing the risk areas of the leakage… that is the only reason to consider having the stomach portion be structured differently instead of a sleeve.
Paul
