Re: "This surgery will cure your diabetes!" Rant, not spam

On Tue, 13 Sep 2005 14:31:46 -0400, Susan
<nevermind@xxxxxxxxxx> wrote:

>x-no-archive: yes
>
>elaich wrote:
>> Ma¢k <youknow@xxxxxxxxxxxxxx> wrote in
>> news:j31ei15kltscnaftnin2ee63a4qmj3vaio@xxxxxxx:
>>
>>
>>>define "many" and which diabetics exactly do you know that have had
>>>this done without any complications.
>>
>>
>> Why do you have such a nasty, condescending attitude? This is not the first
>> time I've seen this.
>>
>> Look it up. It's easy to find on Google. And keep your surly attitude to
>> yourself.
>>
>> <PLONK>
>
>Note to both of you: It wasn't hard to find plenty of cites like this
>one. It took about 10 seconds.
>
>http://www.ajcn.org/cgi/content/abstract/81/6/1292
>
>" Diabetes (in 23% of patients before surgery) and hypertension (in 83%)
>were reduced (by 88% and 96%, respectively) after surgery. "
>
>Susan

It also wasn't hard to find the one below. The bit that
doesn't excite me is: "The risk of death following bariatric
surgery is between 1% and 2% in most series but is
significantly higher in patients with respiratory
insufficiency of obesity."

However, we have had successful results from posters here
(hi Bev:-)

I think I would be changing docs if I was Karen.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11851201&dopt=Citation
or http://tinyurl.com/9e4du

Bariatric surgery for severe obesity.

Sugerman HJ.

Department of Surgery, Medical College of Virginia, Virginia
Commonwealth University, Richmond, Virginia 23298-0519, USA.
hsugerma@xxxxxxxxxxx

Severe obesity is associated with multiple comorbidities and
is refractory to dietary management with or without
behavioral or drug therapies. There are a number of surgical
procedures for the treatment of morbid obesity, including
purely gastric restrictive, a combination of malabsorption
and gastric restriction or primary malabsorption. The purely
gastric restrictive procedures, including vertical banded
gastroplasty and laparoscopic adjustable silicone gastric
banding, do not provide adequate weight loss.
African-American patients do especially poorly after the
banding procedure with the loss of only 11% of excess weight
in one study. Gastric bypass (GBP) is associated with the
loss of 66% of excess weight at 1 to 2 years after surgery,
60% at 5 years and 50% at 10 years. For unknown reasons,
African-American patients lose significantly less weight
than Caucasians after GBP. There is a risk of micronutrient
deficiencies after GBP, including iron deficiency anemia in
menstruating women, vitamin B12, and calcium deficiencies.
Prophylactic supplementation of these nutrients is
necessary. Recurrent vomiting after bariatric surgery may be
associated with a severe polyneuropathy and must be
aggressively treated with endoscopic dilatation before this
complication is allowed to develop. The malabsorptive
procedures include the partial biliopancreatic bypass (BPD)
and BPD with duodenal switch (BPD/DS). The BPD appears to
cause severe protein-calorie malnutrition in American
patients; the BPD/DS may be associated with less
malnutrition. Weight loss failure after GBP does not respond
to tightening a dilated gastrojejunal stoma or reducing the
size of the gastric pouch. These patients may require
conversion to a malabsorptive distal GBP, similar to the
BPD. However, because of the risk of severe protein-calorie
malnutrition and calcium deficiency BPD should be reserved
for patients with severe obesity comorbidity. The risk of
death following bariatric surgery is between 1% and 2% in
most series but is significantly higher in patients with
respiratory insufficiency of obesity. In most patients,
surgically induced weight loss will correct hypertension,
type II diabetes mellitus, sleep apnea, obesity
hypoventilation syndrome, gastroesophageal reflux, venous
stasis disease, urinary incontinence, female sexual hormone
dysfunction, pseudotumor cerebri, degenerative joint disease
pains, as well as improved self-image and employability.
Cheers Alan, T2 d&e, Australia.
--
Everything in Moderation - Except Laughter.
.

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