tag:blogger.com,1999:blog-2760353953251845523.post255771750305705766..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Interview: Phillip Hornbostle,MD Bariatric SurgeonJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-2760353953251845523.post-88299708456156512892013-03-24T20:22:42.979-04:002013-03-24T20:22:42.979-04:00I have a question about bariatric surgery for peop...I have a question about bariatric surgery for people with Chronic Pancreatitis. I read awhile back that the bypass was originally done for people with chronic pancreatitis to bypass the pancreas and make it less painful for the patient. <br />I recently had a pancreatic pseudocyst drained and have been dealing with chronic pancreatitis for a very long time and have asked about the procedure many times. <br />I am 46, f, have type 2 diabetes and high blood pressure and am overweight by more than 50#. <br />I still have a blake drain and feeding tube in place, I see my surgeon on Wednesday and am going to ask again about the procedure. <br />The weight loss would be nice, but the relief from the pancreas would be even better. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-12047184970383227382013-01-26T23:01:27.514-05:002013-01-26T23:01:27.514-05:00Overall a very interesting interview, but disappoi...Overall a very interesting interview, but disappointed with the sweeping generalization about bad information from dietitians. There are many dietitians who insist on evidenced based practice. These dietitians are often successful in keeping patients from becoming obese- but the primary care providers need to refer when patients are starting to gain weight. I sometimes get referrals for "weight loss teaching" for patients with BMIs 40-50. Understandably some patients don't present until already obese, but overall patients would be much better served to be referred to dietitians when say, 20, 30lbs overweight vs over 150 lbs overweight and not standing a snowball's chance in hell of losing without the surgery discussed in the interview.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-45026074236722703682013-01-26T08:52:42.963-05:002013-01-26T08:52:42.963-05:00Dr Parks--great interview! I am a strong proponent...Dr Parks--great interview! I am a strong proponent of bariatric surgery (done by qualified surgeons) for those battling morbid obesity. On occasion I see a relatively young (age 40-60) morbidly obese patient in ICU w. respiratory failure,multiple comorbidities and I wonder why that patient's PCP did not recommend RYGB surgery years ago. Given the FACT that there is no other treatment (pharmacological or diet/exercise) that provides such substantial and lasting weight loss in this patient population it is almost criminal that gastric bypass is not viewed as the first, best treatment option. The benefits clearly outweigh the risks as demonstrated by mortality rates in COE hospitals at or below 0.3%. I worked as a bariatric program coordinator for several years and saw first hand the transformation in health and QOL in our patients. It is a unique surgical treatment in that it not only helps pts loose weight but reduces or eliminates multiple health problems all with one surgery. Truly amazing. The word needs to get out to the Primary Care providers so they can educate their patients on options.<br /><br />An NP in Western PAAnonymousnoreply@blogger.com