Well, the gold standard in medicine is the controlled clinical trial. We don’t go subjecting 100,000 people to a surgical procedure without doing a controlled clinical trial or dozens of clinical trials, and then looking at the results. Do you know how many clinical trials have been published on weight-loss surgery or gastric bypass? Zero. None of them have compared it to clinical conservative treatment and found it to be superior for life expectancy or for anything else other than, you know, risk factors. A number of trials have been started, and the final results have never been reported. We have to ask, you know, why haven’t we seen the final results? I think it’s because it’s bad news. (Paul Ernsberger on Donahue, 2002)
Edward Mason (MD, PhD - inventor of the gastric bypass) wrote this in an article in 1999:
Bariatric surgery still does not have sufficient data from enough patients with any procedure to say which operation is best. I am concerned about the goals of surgeons and patients and their level of interest in what really goes on inside the body after alterations of the anatomy. I am concerned about the focus on the superficial and results from the first year with a lack of concern about how life will be affected when patients are 10 and 20 years older.
For the vast majority of patients today, there is no operation that will control weight to a "normal" level without introducing risks and side effects that over a lifetime may raise questions about its use for surgical treatment of obesity.
As for me and my problems, the most recent thing going on is I have a fistula and a 4cm ulceration in my pouch. Yipee, huh....
The treatment right now is a lovely med called Zegerid . Not covered by my insurance and costs over $300. Lucky for me the insurance company appears to be understanding about the complications following WLS and after the GI doc puts in the paperwork they will approve it. The GI doc gave me plenty of samples. This same lovely GI doc did everything but outright call me a liar when he handed me my discharge papers. They detailed a soft diet(useless because it was super high carb) and a medication list of NO NO's---NSAIDS. When I told him I had never taken any type of NSAID since my surgery, he politely said well you just may not know what all that entails....blah, blah, blah....In other words he didn't believe me.
Being who I am.... and the Versed probably had something to do with it too....I let him know in no uncertain terms that I know what the hell an NSAID is and have never used them. I've resigned myself to live in constant pain because I don't want to be dependent on narcotics and the Tylenol doesn't help, rather than take NSAIDS.
This is only the most recent of things wrong with me all because of having WLS. All the others, I have just looked over because they are deemed "normal" after WLS. I've since come to realize that ill health is not normal whatever the cause.
Severe anemia---requiring IV iron
Severe malnutrition---requiring multiple doses of mega supplements
Osteoporosis---really no acceptable treatment, the meds for this can not be taken
Multiple fractures in my spine---2 broken ribs---several broken toes
Severe tooth loss---I'll soon have all my teeth gone and be wearing dentures
Gall Bladder removed
Hair loss--still going on despite supplements
These are just the things off the top of my head. I still don't know what route I am going to go right now. I'm looking at all my options.
Hindsight is 20/20 as they say. Would I go through surgery again knowing what I know now? Who knows, the nearly 400 lb me probably would. The sick and tired 155lb me doesn't know.
I have joined a yahoo support group . I'm learning alot from others who are going through the same things I am. Tons of great info there from those who have been there done that.