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Pre-op Gastric Bypass Gastric bypass surgery dates, insurance issues, emotional preparation, etc.

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Old 07-02-2009, 07:44 PM   #11 (permalink)
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Originally Posted by suebry05 View Post
yikes!!!
Oh ok, yeah I wouldn't want to be a lab rat for a new surgeon. Then again for the right amount I may.
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Old 07-04-2009, 05:21 PM   #12 (permalink)
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Originally Posted by Monique1204 View Post
I saw them do this to a lady on Big Medicine that had bypass like 10 years ago. Her surgery never worked, so the dr. went through her throat and basically put darts in her pouch to make it smaller. I think it's very new which is why we haven't heard much about it.
I saw that the other day when I was flipping around. She had gotten it a really long time ago so had stretched and/or was never the right size for her. (Not to mention she didn't have patient education).
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Old 07-04-2009, 06:46 PM   #13 (permalink)
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I know there was a study done recently of a procedure that was done endoscopically. I'm not sure it's widely available yet, though. I think it basically involved going down the esophagus into the stomach and stapling the stomach to make it smaller.

Kelly
Yeah, I saw that on TV, it was almost like the gastric sleeve but they left an opening at the bottom for the acid to get out since they weren't removing the stomach. They said the success rate was only averaging a loss of 40% of excess weight. Why would anyone want to do that for only 40%?? So it is only restrictive, not malabsorptive.
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Old 07-04-2009, 07:16 PM   #14 (permalink)
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Here is what my surgeon has said about it.

"June 10, 2009

It seems many of you heard about the recent press release on the Transoral Gastroplasty for the Treatment of Morbid Obesity (TOGA®) system. There have been several calls since the story aired.

The procedure is performed without an incision. Doctors introduce a lighted tube through the mouth to look into the stomach. Many of you know this procedure as an EGD. They then use an instrument to plicate the stomach from the inside into a smaller diameter. The effect is somewhat like a drawstring. This is being done as part of a study that started last year and is scheduled to end in 2010.

While the thought of no incisions is very appealing on the surface, there are several things to consider with this type of procedure. What is the long-term benefit with this type of effect on the stomach? We all know people can lose weight. That's not the problem. The problem is keeping the weight off. The TOGA® procedure can be compared to the VBG (Vertical Banded Gastroplasty) which was often referred to as the stomach stapling. This procedure was performed through an incision. The stomach was narrowed at the top with a row of staples. The procedure was not adjustable. No portion of the stomach was removed or bypassed. This procedure is essentially obsolete today because of poor weight loss and complications. Many of the patients with the VBG procedure are seeking some form of revision surgery. The operation to revise the stomach stapling into a modern weight loss procedure is risky. There are greater complications due to changes in the stomach from the previous stapling. Will patients getting the incisionless TOGA® procedure be at risk if corrective surgery is needed later due to problems or inadequate weight loss like the VBG? These questions will need to be answered.

On the other hand, if the procedure proves to be an effective safe weight loss option without making an incision, I will be happy to become trained and start performing it. In the meantime, we have very effective surgical options available through our minimally invasive approach using very small "keyhole" incisions. "
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Old 07-04-2009, 07:21 PM   #15 (permalink)
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Originally Posted by Lynette View Post
Yeah, I saw that on TV, it was almost like the gastric sleeve but they left an opening at the bottom for the acid to get out since they weren't removing the stomach. They said the success rate was only averaging a loss of 40% of excess weight. Why would anyone want to do that for only 40%?? So it is only restrictive, not malabsorptive.
I don't know why you'd do that for only a 40% loss. I wouldn't.

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