tag:blogger.com,1999:blog-2760353953251845523.post8729297856825063633..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Unforeseen ConsequencesJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-2760353953251845523.post-44726064131669253202008-11-16T14:11:00.000-05:002008-11-16T14:11:00.000-05:00Dr. Schwab asserted: Absolutely incorrect: lap ban...Dr. Schwab asserted: <I>Absolutely incorrect: lap band cures diabetes as well and as rapidly as bypass.</I><BR/><BR/><A HREF="http://www.amjmed.com/article/S0002-9343(08)00571-8/abstract" REL="nofollow">Apparently you are mistaken:</A><BR/><I>In the highest-quality study, excess body weight loss was 76% with Roux-en-Y gastric bypass versus 48% with laparoscopic adjustable gastric banding, and <B>diabetes resolved in 78% versus 50% of cases</B>, respectively.</I>Hey, Youhttps://www.blogger.com/profile/16677869087980832387noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-40578420355791824982008-11-11T16:40:00.000-05:002008-11-11T16:40:00.000-05:00This comment has been removed by the author.Unknownhttps://www.blogger.com/profile/15469919944737503739noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-51559500711645480572008-05-27T17:40:00.000-04:002008-05-27T17:40:00.000-04:00Type 2 diabetes mellitus is about decreased insuli...Type 2 diabetes mellitus is about decreased insulin sensitivity leading to uncontrolled blood glucose level, whereas gastric bypass is about shortening the GI tract in order to decrease nutrient absorption [hopefully] leading to weight loss. There's no evidence in authoritative sources that suggests a correlation between the two, you see.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-16949113361077903752008-05-27T16:13:00.000-04:002008-05-27T16:13:00.000-04:00Absolutely incorrect: lap band cures diabetes as w...Absolutely incorrect: lap band cures diabetes as well and as rapidly as bypass. Also, the comment above about long-term complications over states the problem. Erosion was a problem early on. WIth newer bands and better techniques for installation, it's now very rare. WIthout doubt, if I were to have bariatric surgery, I'd have the band. The safety difference, and the nutritional consequences make it a no-brainer; to me, anyway.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-14928019142086197912008-05-23T11:40:00.000-04:002008-05-23T11:40:00.000-04:00I think I heard that gastric bypass also can cure/...I think I heard that gastric bypass also can cure/reduce type II diabetes, which lap band cannot. Big benefit, if true.Hey, Youhttps://www.blogger.com/profile/16677869087980832387noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-13148210142093016942008-05-17T09:47:00.000-04:002008-05-17T09:47:00.000-04:00ArkieRN: Thanks for explaining that to me, I appre...ArkieRN: Thanks for explaining that to me, I appreciate it. My school secretary just lost 100 lbs. with the lap band, and I was wondering how the surgeries compare.Devorrahhttps://www.blogger.com/profile/14542045173559671539noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-10876641551919780962008-05-17T02:15:00.000-04:002008-05-17T02:15:00.000-04:00Devorrah, in the short term, the risk of complicat...Devorrah, in the short term, the risk of complication with the lap band is lower. However it appears that over time the rate of complications is actually higher with a lap band. <BR/><BR/>By leaving a foreign object in the body, the risk of infection actually rises the further out from surgery as opposed to with Roux-en-Y or similar surgery where the risk lessens.<BR/><BR/>Also, there have been problems reported with the lap band excoriating the outside surface of the stomach by rubbing against it causing massive bleeding.ArkieRNhttps://www.blogger.com/profile/09640421826517978121noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-91633934101236476892008-05-16T10:09:00.000-04:002008-05-16T10:09:00.000-04:00Lorilei- Interestingly, she has had chronic epigas...Lorilei- Interestingly, she has had chronic epigastric discomfort for a few months. I suspect this was a chronic marginal ulcer that progressed to a full thickness injury (not on PPI's)<BR/><BR/>Jen- Your last paragraph is exactly right.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-39143464659672282192008-05-16T07:23:00.000-04:002008-05-16T07:23:00.000-04:00I think that as time goes by ER doctors especially...I think that as time goes by ER doctors especially are going to be seeing a lot more complications from weight loss surgery (lap band as well as bypass). My husband had his 3 years ago, and the complications (and lack of follow-up studies) that have become obvious since then are just staggering. The link to the study on falling morbidity is actually the only one that I've seen- it's encouraging that people may be getting better at actually performing the surgery, but since it unfortunately only follows people one year out it doesn't take into account the severe malnutrition, protein, and sugar issues that many people are having now. <BR/><BR/>I think that as the surgery becomes more heavily marketed and popular, doctors are going to need to be familiar with the common complications post-surgery.Jenhttps://www.blogger.com/profile/02809636995447795326noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-41879284974971681292008-05-16T02:05:00.000-04:002008-05-16T02:05:00.000-04:00Why would anyone get that surgery as opposed to a ...Why would anyone get that surgery as opposed to a lap band?Devorrahhttps://www.blogger.com/profile/14542045173559671539noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-62310132302154052412008-05-16T01:07:00.000-04:002008-05-16T01:07:00.000-04:00Interesting. I imagine the original surgery severe...Interesting. I imagine the original surgery severed enough of the nerve supply to the remaining stomach that she didn't feel the ulcer until perforation? Scary.Lorelei Armstronghttps://www.blogger.com/profile/07639663436142251951noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-29541240621679768702008-05-15T22:04:00.001-04:002008-05-15T22:04:00.001-04:00Wow, fascinating. Would routine follow-up visit (e...Wow, fascinating. Would routine follow-up visit (eg gastoscopy) be recommended after Roux-en-Y or similar surgery to look for signs of poor healing at the site of incision? Lifestyle modification is still the key, in my opinion; otherwise, the patient will probably keeps on ballooning until perforation happens, another procedure is again indicated, not to mention mounting risk factors for other ailments. Thanks for the informative post, Doc.HMShttps://www.blogger.com/profile/17168620011502808236noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-46619526717638513122008-05-15T22:04:00.000-04:002008-05-15T22:04:00.000-04:00Wow, fascinating. Would routine follow-up visit (e...Wow, fascinating. Would routine follow-up visit (eg gastoscopy) be recommended after Roux-en-Y or similar surgery to look for signs of poor healing at the site of incision? Lifestyle modification is still the key, in my opinion; otherwise, the patient will probably keeps on ballooning until perforation happens, another procedure is again indicated, not to mention mounting risk factors for other ailments. Thanks for the informative post, Doc.HMShttps://www.blogger.com/profile/17168620011502808236noreply@blogger.com