![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by prettygoodpatient on November 4, 2012, at 19:40:56
Hello all,
I'm considering gastric bypass surgery and I'm concerned about my body's ability to take in meds afterwards. I know many of the meds I take can be gotten in liquid form. Does anyone on this board have experience with psych medication and gastric bypass surgery?I'm biplor and I currently take Depakote, Saphris, Risperdal and Klonopin.
Thanks.
Posted by phillipa on November 4, 2012, at 19:54:55
In reply to Considering gastric bypass - med questions, posted by prettygoodpatient on November 4, 2012, at 19:40:56
Welcome to babble. I know someone that had this proceedure. I will try to contact him and see if he will respond. Which type are you considering? So there are absorption problems after the procedure? Phillipa
Posted by jane d on November 4, 2012, at 23:20:30
In reply to Considering gastric bypass - med questions, posted by prettygoodpatient on November 4, 2012, at 19:40:56
> Hello all,
> I'm considering gastric bypass surgery and I'm concerned about my body's ability to take in meds afterwards. I know many of the meds I take can be gotten in liquid form. Does anyone on this board have experience with psych medication and gastric bypass surgery?
>
> I'm biplor and I currently take Depakote, Saphris, Risperdal and Klonopin.I know someone who had a similar type of surgery. They had a problem with all medication afterwards but were able to make adjustments most of the time. If you don't get enough answers here (and I suspect not many of our posters have first hand experience with this) I think you may get better answers on a forum specializing in the surgery and asking about medications in general.
Posted by jono_in_adelaide on November 4, 2012, at 23:32:17
In reply to Re: Considering gastric bypass - med questions » prettygoodpatient, posted by jane d on November 4, 2012, at 23:20:30
The surgeon doing the peocidure should speak with your psychiatrist, between them they should be able to nut out an appropriate regimen for you.
Posted by softheprairie on November 5, 2012, at 2:38:10
In reply to Considering gastric bypass - med questions, posted by prettygoodpatient on November 4, 2012, at 19:40:56
I think (not sure) they will be okay if you can get them in the immediate-release pill form, and then you might have to take them multiple times a day, and may need to raise the dose to account for some malabsorption. It is a bonus if you would have been on ones that can get a good reading via blood level (such as desipramine or lithium), but I know most psych meds don't have that. Plus, other delivery methods that are occasionally available are likely to work (liquid, as you said, plus injections, orally disintegrating tablets, or a patch, if more would take that up in the future).
I am 2.3 years post-op from a different type of weight loss surgery. I had the duodenal switch. I am pretty evangelical about it's benefits over other weight loss surgeries. I have lost over a hundred pounds from my highest known weight. I have been okay in terms of meds being absorbed, at least as far as I know. I did have to be on a very high dose of desipramine when I was on it, based on my lab work, even with it being immediate-release. I do take an extended-release omeprazole (generic Prilosec for acid reflux), only available in extended-release, and it works for me.
You might ask your question on a message board called obesityhelp.com, their main board (has "amos" in the url, which I think came from association for morbid obesity support, or something like that) and their board for the RNY gastric bypass. (They also have a board for mental health, but it may be too inactive to help.) I hope you will also read the info at dsfacts.com :) It promotes the duodenal switch, but is just done by a patient, no one makes money from it. (There used to be a very active group of DS patients on obesityhelp, but most have left to join the weight loss surgery site at proboards.com or closed groups within facebook.)
On another med note, if you get a gastric bypass you will be forbidden from taking NSAID pain relievers for life. With the duodenal switch, you can take them in moderation, the same as regular people who have never had stomach surgery. For myself, I take ibuprofen a few days a month for menstural pain. I snap or cut them open so that I have more assurance that the active ingredient gets absorbed without having to wait on the coating to dissolve.
Posted by Vincent_QC on November 5, 2012, at 11:40:29
In reply to Considering gastric bypass - med questions, posted by prettygoodpatient on November 4, 2012, at 19:40:56
> Hello all,
> I'm considering gastric bypass surgery and I'm concerned about my body's ability to take in meds afterwards. I know many of the meds I take can be gotten in liquid form. Does anyone on this board have experience with psych medication and gastric bypass surgery?
>
> I'm biplor and I currently take Depakote, Saphris, Risperdal and Klonopin.
>Hi, I had a gastric by-pass surgery back in 2001... to be honnest its the worse thing I do and too bad I cant return back.
Are you sure you want that surgery? Did you try everything like protein diets, change in diet, regular exercises? Did you gain your weight from the meds???
I ask all of this because if you dont have a real metabolic problem who lead to morbid obesity then try first to go on a healthy diet and regular exercise cause a gastric by-pass is a drastic surgery and can change your life for the good or the worse...
What kind of gastric by-pass you will have? If its the kind of usually reduce stomach to a very small pounch size without reducing the lenght of the intestine (usually done in the USA), meds will be well absorb since the intestine stay normal and the stomach size dont affect the med.
If you want to have a roux-en-y type of gastric by-pass, they will by-pass a long part of the intestine, the part who absorb the proteins and fat (so fat solube vitamins or meds are not well absorb), so all the meds who are long release, slow release, XR, SR or CR release.will not be well absorb for sure... dont know for the other meds you take but try the Saphris 1 time and its absorb under the tongue so no problem for it...
I had a different type of gastric by-pass made only in Quebec city (Canada, Quebec province, Quebec city), its call a ''derivation bilo-pancreatique''...they remove 2/3 of the stomach and only keep 1.5 meters of working intestine, they remove the gallbalder as well... its a drastic method and it lead to severe malabsorbtion, had 8 to 10 liquid stools a day for 8 years after the surgery.
I have to take very high dose of fat solube vitamins every day until I will die (Vit D 50 000, Vit A 30 000 units, 1 strong Centrum, 2 x 300 mg or Iron, 3 x 500 mg of Calcium) have to take those uge amount of vitamins every day and still have problems with some of my vitamins levels...
Before my gastric by-pass surgery I had only social phobia and panic disorder who was under control with the help of Paxil and a 2 years coghitive therapy with a Psychologist. I did tried other AD like Celexa, Zoloft and some atypical antipsychotic at low dose but the Paxil completly eliminate the panic and stop my anxiety and fears...
My panic disorder but not the social phobia was under control for 5 years prior the surgery and the Paxil was stop 4 years prior the surgery.
For the psych meds, after my surgery, I had A LOT of problems with all the meds... in fact most of them didnt work like in the past, for example SSRI'S AD, all the XR or SR or CR release are not working and most of them are not offer in liquid or normal release ( effexor-xr, cymbalta, pristiq, wellbutrin...) in the Canada they are not offer in oral suspension or immediate release.
In fact we dont know how the body absorb the meds after a gastric by-pass, sometimes it can increase the effect of meds like it do with me and the SSRI's, sometimes meds dont work or need higher dose of them like with the benzo meds, sometimes meds only give rare side effects who appear normally in less than 0.1 % of the peoples who take them...
So be sure to ask what kind of surgery they will do and the effect on meds...Most of the Docs who do that kind of surgeries dont even know how it affect the meds absorbtiion and efficacity... but overall it will affect all meds in one or another way, different peak time, low or high level in the blood, no effect or too strong effect...change in the half life who lead to short or too long time of action of the med and not stable blood level...
Also having a gastric by-pass is not easy, not only physically but mentally! Be sure to have a PDoc who will follow you and understand the process of having a gastric by-pass and the effect on the self esteem and body image...
For me, it was a mistake, before the surgery I had morbid obesity but my life was a lot better. My self esteem was better, I was happy all the time and not depress, I was strong physically and had a lot of strenght. Was working in a big restaurant for 12 hours a day with no problem, I had only sleep apnea but wasnt aware of it before I had the surgery. Ok I tried all the kind of diets, I think at 10 yo I was already on the Weight Watcher diet, was doing a lot of physical activities and regular exercises but at the end I was tired to starve myself all the time to stay on a normal weight...so I stop taking care of eating good foods and jump into the junk foods bad habit and return in the 450 pounds boat and morbid obesity.
I was at 450 pounds before the gastric by-pass...I was single at the time and never had a BF or a relation ship... I go down to 180 pounds in less than 9 months... I was ok for 3 years after the surgery, my anxiety was under control without taking meds... in fact I felt very good for the first time of my life for that 3 years period of time.
I was more confident and my self esteem was a lot better... but I had my first relationship who was a disaster, social phobia was still there but was happy with how good I look and my body, but the lack of energy hit me like never before after the 3 years happy period... its when I start drinking tons of coffee to stay awake and alert...I had to stop working cause I had no muscles strenght...and was tired all the time...
In 2004 I start dating guys and most of them wasnt able to deal with how my body look without clothes on me and with all the extra skin (plastic surgery cost too much and cant afford it) and then I discover that even if I was now slim, I had no energy, lost all my muscles even with physical exercises and high amount of proteins, start having self esteem problems again with strong social phobia and body dismorphic disorder... panic attacks in public places...
Was put on the Klonopin for my anxiety in 2005 after I trail several AD's and some atypical antipsychotic meds with no success and was ok with very high dose of Klonopin 8 mg day until 2007, when the 8 mg day of Klonopin stop working...since then im addicted to the benzo meds, was off them 2 times and had to return on them, sometimes lowering the dose of klonopin, sometimes being on Valium or Xanax or Ativan...or being on 2 differents benzo at the same time.
I had to try again AD meds, try all of them, find out they wasnt working as good as before the surgery, only the Paxil work again in 2009 but had a weight gain of 40 pounds with it so I was scare about the weight gain and stop it... big mistake... I try older AD's like Nardil or Parnate or tricyclics and had heart problems with them...
I start having problems of internal bleeding hemmorhoids back in 2006, the Gastro Doc didnt wanted to perform a surgery for the hemmorhoids on me cause I had too many liquid stools each day. So between 2006 and november 2009 I needed weekly IM iron treatment (infufer) at first and then IV iron treatments (venofer) for 2 years, had severe anemia, needed blood transfusions at some point cause of the very low hemoglobin level, had finally a surgery for the hemmorhoids and I start having severe anxiety again at the end of 2009... constipation, bad constipation hit me after the hemorrhoids surgery, me who had 8 to 9 liquid stools a day prior to the hemorrhoids surgery, now 10 glycerin suppositories will not do anything to help me to pass stools...also all the other laxatives dont work...
I had 2 intestinal obstructions cause of the gastric by pass last year who add a lot of anxiety and pain on my shoulder, needed 3 surgeries in 1 year cause of that, was and still be underweight now and only weight 150 pounds...if you remove the 20 pounds or more of extra skin im really underweight. I had a jejunostomy tube for enteral feeding pluged directly into my small intestine for 4 months but never gain weight, still have to drink Peptamen AF enteral feeding bootles 4 times a day with my normal food intake and cant gain weight...constipation is worse than ever, IBS - C, have very severe anxiety (agoraphobia, somatisation disorder, chronic headache, insomnia, 0 energy, panic disorder, heart problems like tachycardia and low blood pressure, orthostatic hypotension, jaw pain, have this all the time every day)... I live now in a constant panic attack spiral and fears everything...
Now im highly sensitive to meds...need to be back on the Paxil but take right now 1 mg dose (had to order it from the internet to have it in liquid), and even at 1/10 the starting dose I have side effects...
I have bad self esteem, my body look like im 90 years old with all the extra skin and im only 36 yo, I cant do physical exercises cause I have no energy and all my muscles are in pain. Im so weak that just climbing the stairs or taking a shower take all my energy and cant do anything else afer that.
I cant drive my car since 2 years, cant go out the house, cant stay alone (live with my parents), cant work, take high dose of rivotril (klonopin) 7 mg day, take 20 mg day of Inderal for my heart, my Gastric Doc increase my dose of Vitamins for the energy but its doing nothing...
Im in pain all the time and anxiety is now so severe that I have no life, wake up in the morning with all my chronic symptoms and scare and go to the bed in the same high anxiety state...
I do around 6 therapies since 2010 with no improve.
That surgery destroy my life.
Dont want to scare you but I saw a lot of peoples with the same problems than me when I was at the hospital for 1 month last year when I had my 2 intestinal obstructions... its frequent to have health and mental problems after a gastric by-pass, more than what the Doc will told you. I saw a lot of peoples with intestinal obstructions, pancreatic or liver diseases...
So be sure you really want a gastric by-pass before having it and be sure to try to change your foods habit before having it. Eliminate sugars, fast foods, go to the gym, do a strict diet like a protein one, try everything before having the surgery. Too much peoples have the surgery cause its an easy option but its not the good option. Also peoples think it will solve all their problems but its not true at all... if you choose the surgery then make sure its because you have a real metabolic problem and that its not linked to the meds you take...if the meds make you gain weight you can go to the gym and eat a healthy diet, it will make you loose all the weight and be better for you than a risky surgery...
If you choose the surgery then take care of yourself ok. See a psychologist for the body changes, be sure that your meds works like before and eat more protein and fiber with a lot of pre and probiotics to prevent liquid stools and stick to the diet, dont over eat or eat sugar or fat meal...
Take care of you, Vincent
Posted by janed on November 5, 2012, at 16:52:16
In reply to Re: Considering gastric bypass - med questions, posted by jono_in_adelaide on November 4, 2012, at 23:32:17
> The surgeon doing the peocidure should speak with your psychiatrist, between them they should be able to nut out an appropriate regimen for you.
It may be different where you are but in the US surgeons generally don't concern themselves with anything outside of the surgery itself. And they are selling this surgery - their bias is to downplay any problems with it. There are internists who specialize in people who have had the surgery. How you find them or how helpful they really are I don't know but it's almost got to be better than asking the surgeon.
Posted by Vincent_QC on November 5, 2012, at 18:53:08
In reply to Re: Considering gastric bypass - med questions » jono_in_adelaide, posted by janed on November 5, 2012, at 16:52:16
> It may be different where you are but in the US surgeons generally don't concern themselves with anything outside of the surgery itself. And they are selling this surgery - their bias is to downplay any problems with it. There are internists who specialize in people who have had the surgery. How you find them or how helpful they really are I don't know but it's almost got to be better than asking the surgeon.Here in Quebec city they dont sell that surgery, its free but you need to have morbid obesity with a body mass index over 40 or having diseases from obesity like diabete, sleep apnea...
Also even if they dont sell it, the Surgeons dont know a lot of things about long term side effects or the risk of that surgery, they always say you have less than 2% of chances to have minor health problems following the surgery but by experience and for all the peoples I meet and who had the same surgery the % of peoples who have health problems after the surgery is more 40%...problems like severe anemia, mental illiness, malabsorbtion problems, hemorrhoids, intestinal obstructions, vitamins difficiency, name it...the list is long...
We dont have internists, its a team of nurses and Surgeons of the Gastric by-pass departement only and you see one and he say something different than another one...they dont even are able to fix my bad constipation problem. We have blood tests done 3 times a year, but most of the time even if you feel weak and tired all the time they cant find out why and only say its all in your head...
That kind of surgery is not a cure to obesity... healthy diet change and regular exercises or the key...
Peoples often see that surgery as a quick fix and they dont think in a long term view about side effects or meds absorbtion for example...
Its not a quick fix, its a major surgery and a dangerous one.
I understand that being overweight or having morbid obesity is not good for the health but you can fix it naturally by doing the good and healthy changesin your habits...
If meds cause weight gain then do more exercises, eat well, but dont blame the meds for the weight gain...meds can increase the appetite and make you craving for junk foods but usually the weight you gain is comming from you and your bad food habits and choices...
Real metabolic disorder who lead to morbid obesity is rare... normally when you do a strict protein only diet with only 500 calories a day and vitamins and intensive exercises program and cant lost weight then its a sign that you have a real metabolic disorder who lead to major weight gain not from eating too much or being not physically active...
Too bad, I had a real metabolic disorder, was fat even at 4 yo and wasnt eating more than others peoples in my family.
Anyway, meds absorbtion will vary with the type of surgery you will have. I think the best surgery is the lap-band...cause its reversible and not dangerous...you choose how fast you want to loose the weight, can inflate the lap-band when you start gaining weight again and deflate it when you lost all your weight. Its the safer surgery and dont affect the absorbtion of foods or meds, you just cant eat a lot when the lap-band is inflated in the weight loose phase... I know some peoples who had it done and they have no problem at all...
When I had my surgery, the lap-band wasnt offerd here...now its popular and effective.
Well, it was my advises...
Like I always say, before I was fat but strong mentally and physically, now im underweight, im tired all the time (not anxiety related), all my body hurt and I look like an old man of 90 yo and probably have the same amount of energy that someone of that age...
Posted by prettygoodpatient on November 6, 2012, at 8:56:40
In reply to Considering gastric bypass - med questions, posted by prettygoodpatient on November 4, 2012, at 19:40:56
Thank you to everyone who has chipped in. I'm going to give Weight Watchers another 3 month run and continue to gather information about gastric bypass.
Posted by Vincent_QC on November 6, 2012, at 10:49:02
In reply to Re: Considering gastric bypass - med questions, posted by prettygoodpatient on November 6, 2012, at 8:56:40
> Thank you to everyone who has chipped in. I'm going to give Weight Watchers another 3 month run and continue to gather information about gastric bypass.
You didnt tell us what kind of gastric by-pass surgery you want to have?
That's a great idea, even if you choose to have the gastric by-pass surgery, going to the weight watchers is good because you will learn to eat well, who is very important when you have a gastric by-pass...
I learn my lesson... didnt change my food habits before the gastric by-pass and that's why I think I had 2 intestinal obstructions, I didnt follow carfully the diet and eat forbiden foods like corn, nuts, so after 10 years all those foods accumulate in a small pounch inside my intestine and lead to the obstructions...
That kind of sugery have to be done after the patient have meet several times a dietetist and learn how to eat well and also move (exercises)...
too bad when I had the surgery back in 2001, that kind of service wasnt include before the surgery, had the phone 2 weeks before having the surgery saying that it was my turn, I waited almost 7 years before having the surgery since it's free here so you are put on a waiting list... of course in the meantime I do a least 1 new diet by year, lost more than 200 pounds prior to the surgery,gain all the weight I lost several times and gain more weight overtime...and reach the 450 pounds...
Weight Watchers is a good program, you have to go to the weekly meeting to make it more effective...
Good luck and keep us udates about your situation ok.
Take care, Vincent
Posted by softheprairie on November 6, 2012, at 14:01:40
In reply to Re: Considering gastric bypass - med questions, posted by prettygoodpatient on November 6, 2012, at 8:56:40
Definitely read lots about your choices before making such a major decision.
The chance of a morbidly obese person losing the weight on their own through diet & excercise and keeping it off more than 5 years is in the 2-5% range. Surgery offers much better weight loss chances (they vary by surgery type). If you had cancer, would you go with the treatment with 2-5% chance of success, or the treatment with a higher rate?
It sounds to me like Vincent had the Scopinaro procedure, aka the biliopancreatic diversion withOUT duodenal switch. That procedure has, for the most part, been abandoned, and rightfully so.
All of it's advantages can be had with the duodenal switch (aka biliopancreatic diversion WITH duodenal switch), while getting rid of or reducing some of the risks and side effects of the Scopinaro procedure, especially those related to loss of the pyloric valve, and to the Scopinaro procedure's pouch.Whatever you do, I would especially avoid the adjustable gastric bands (such as name brands Lap-Band or Realize Band). They are only "less-invasive" on the day of surgery. They have a low rate of patient satisfaction, and lower rate of weight loss. They have a high rate of needing to be re-operated on down the road. Many of their patients come to call them "crapbands." If you want only a little bit of surgical help (restriction only), I would recommend the vertical sleeve gastrectomy. You would still absorb practically all the calories you consume, but would not face the bowel and gas changes that come with having the DS, nor need to consume as much protein, nor as many mineral and vitamin supplements, nor watch labs as closely. For myself, I am all about the malabsorption though. That, and keeping the pyloric valve functioning normally. In other words, the DS. Surgeons who push the sleeve over-hype the supposed big impact of removing most of the grehlin-producing part of the stomach, saying your hunger will be way down. I have not found that to be the case for myself, so I am very grateful to not absorb all the calories I am still hungry to eat. (The DS includes the vertical sleeve gastrectomy, plus rerouting the intestines.) It is not politically correct to say, but I'll go ahead anyway: with the DS, you can get away with eating the most (compared to the other surgeries or non-surgical dieting), and still have the best weight loss; that's my kind of surgery.
Generally speaking, I would only potentially go with a RNY gastric bypass if your worst problem were GERD.
Posted by Vincent_QC on November 6, 2012, at 16:16:05
In reply to Re: Considering gastric bypass - med questions, posted by softheprairie on November 6, 2012, at 14:01:40
> Definitely read lots about your choices before making such a major decision.
>
> The chance of a morbidly obese person losing the weight on their own through diet & excercise and keeping it off more than 5 years is in the 2-5% range. Surgery offers much better weight loss chances (they vary by surgery type). If you had cancer, would you go with the treatment with 2-5% chance of success, or the treatment with a higher rate?
>Hummm not sure about this... success rate can be higher with the gastric by-pass but problems are also higher... I know a lot of peoples who keep their weight stable after a diet...
> It sounds to me like Vincent had the Scopinaro procedure, aka the biliopancreatic diversion withOUT duodenal switch. That procedure has, for the most part, been abandoned, and rightfully so.
> All of it's advantages can be had with the duodenal switch (aka biliopancreatic diversion WITH duodenal switch), while getting rid of or reducing some of the risks and side effects of the Scopinaro procedure, especially those related to loss of the pyloric valve, and to the Scopinaro procedure's pouch.
>No, I had a bilopancreatic derivation and its not like the older italian technic from Scoparino. The pyloric valve stay in place and no GERD problem occur or dumping syndrome. The stomach size increase to the initial state generally after 3 or 4 years...
Here a great website link who explain the surgery I had...read it carefully...also the bilopancreatic have surgery change a lot since I had my surgery, they now offer only the reduction of the stomach for peoples who dont have morbid obesity but have obesity only and not a body mass index of 40... or they can have both stomach reduction size and by-pass of the intestine. They now reduce only to 2 meters the functionnal intestine part and they do the surgery by laparoscopy.
http://www.montrealobesitysurgery.com/biliopancreatic-derivation.htm
> Whatever you do, I would especially avoid the adjustable gastric bands (such as name brands Lap-Band or Realize Band). They are only "less-invasive" on the day of surgery. They have a low rate of patient satisfaction, and lower rate of weight loss. They have a high rate of needing to be re-operated on down the road. Many of their patients come to call them "crapbands.">>Again its not totally true...the lap-band is safer and success rate is high, higher than the stomach reduction size only.
>If you want only a little bit of surgical help (restriction only), I would recommend the vertical sleeve gastrectomy. You would still absorb practically all the calories you consume, but would not face the bowel and gas changes that come with having the DS, nor need to consume as much protein, nor as many mineral and vitamin supplements, nor watch labs as closely. For myself, I am all about the malabsorption though. That, and keeping the pyloric valve functioning normally. In other words, the DS. Surgeons who push the sleeve over-hype the supposed big impact of removing most of the grehlin-producing part of the stomach, saying your hunger will be way down. I have not found that to be the case for myself, so I am very grateful to not absorb all the calories I am still hungry to eat. (The DS includes the vertical sleeve gastrectomy, plus rerouting the intestines.) It is not politically correct to say, but I'll go ahead anyway: with the DS, you can get away with eating the most (compared to the other surgeries or non-surgical dieting), and still have the best weight loss; that's my kind of surgery.
>The bilopancreatic include the vertical sleev gastrectomy and the rerouting of the intestine. I can eat everything I want but only need to avoid nuts, corn and some small fruits... the semi-liquid stools decrease in time and frequency. The success rate is over 85%...
> Generally speaking, I would only potentially go with a RNY gastric bypass if your worst problem were GERD.Both type of gastric surgeries have some risk and side-effects...even the stomach reduction only can have serious risk... they are major surgeries and keep only for peoples with a very high body mass index...
No surgery is better than another one...or safer...they all have their own risk...
Posted by jono_in_adelaide on November 6, 2012, at 20:34:20
In reply to Re: Considering gastric bypass - med questions » janed, posted by Vincent_QC on November 5, 2012, at 18:53:08
Gastric banding would seem to be a more sensible route to take, as if side efrects do crop up, its easy to reverse
Posted by softheprairie on November 6, 2012, at 23:19:43
In reply to Re: Considering gastric bypass - med questions » softheprairie, posted by Vincent_QC on November 6, 2012, at 16:16:05
Vincent, thank you for clarifying what you have. I am sorry you have had so many complications and health problems.
Posted by Vincent_QC on November 7, 2012, at 9:34:09
In reply to Re: Considering gastric bypass - med questions » Vincent_QC, posted by softheprairie on November 6, 2012, at 23:19:43
> Vincent, thank you for clarifying what you have. I am sorry you have had so many complications and health problems.
No problem -;)
I just wanted to be sure that peoples understand the kind of surgery I had...
Im in the small minority of peoples who have severe complications and health problems after the surgery.
I've seen a lot of peoples when I was admited to the hospital for a whole month for the 2 intestinal obstructions and see a lot of them with the same problems than me and some with worse problems...
Its very common to see someone who had my surgery with a TNJ tube pluged in the nose to receive enteral feeding and the jejunostomy tube is also common...the malabsorbtion rate is higher with the kind of surgery I had I guess and lead to malnutrition state and severe vitamins diffiencies...
Where I live, the choice of gastric surgeries are limited cause you dont pay to have them... we have 3 choices, the one where they remove the stomach and only leave a small pounch but dont toutch the intestine, the one I had and the lap-band...
Peoples wait often 6 to 8 years before having the surgery and some of them die from obesity... the joice of a public health system...
Posted by Phillipa on November 7, 2012, at 18:03:26
In reply to Re: Considering gastric bypass - med questions » softheprairie, posted by Vincent_QC on November 7, 2012, at 9:34:09
New computer no one in contact bood so no email addresses could you send yours to me again via either facebook or babblemail? Phillipa
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.