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Old 04-17-03, 08:35 PM
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cbhungry
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Why would she recommend surgery? Is your body mass index above 40? Do have other comorbidities? They have yet to diagnose you with diabetes or high cholesterol.

This surgery still carries with it complications such as injury to the mesentery ( intestinal stuff) and esophageal perforation (poking a hole in the swallowing tube which requires a surgical approach equivalent to open heart surgery to repair). Not to mention idiosyncratic reaction to the anesthesia which is still the number one cause of death in elective surgeries (that's why anesthesiologists have higher malpractice premiums than most cardiac and neurosurgeons.)

A recent article in the annals of surgery described 49 redo surgeries in 625 people.

I definately would not embark on this surgery, as minimally invasive as it sounds because there is no such thing as a safe surgery.... this would be completely elective and there are ways to lose weight without it.

She otherwise sounds like a great PA.

http://www.medscape.com/viewarticle/447511

here is the link to the article in the Annals of Surgery 237(11):10-16 2003.


http://www.medscape.com/viewarticle/444393

This link shows that men more than women seem to have higher adverse outcomes from this surgery.
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Last edited by cbhungry; 04-17-03 at 11:12 PM.
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