IMPORTANT FOR PRE-OPS!! DS vs. SADI/SIPS/LoopDS CONSENT INFORMATION

Discussion in 'Duodenal Switch' started by DianaCox, Sep 20, 2015.

  1.  
    DianaCox

    DianaCox Bad Cop

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    Please look at this form! http://www.dsfacts.com/consentinformation.php

    "This is a guide to educate and inform those patients who are planning to have the duodenal switch operation done. Duodenal switch operation is not SADI, Loop DS, SIPS, or variation of. These are all different procedures, some of which are not even considered acceptable procedures. It is important that clear distinctions are made between these procedures and realize that they are not discretion of the same procedures.

    The procedure to which I consent is the duodenal switch, comprising a vertical sleeve gastrectomy, with a small bowel intestinal reconstruction comprising an alimentary limb to include the ileum (with or without some distal jejunum, at the surgeon’s discretion) proximally anastomosed to the proximal post pyloric duodenum, and a separate biliopancreatic limb which includes the duodenum that was transected proximally and at least majority of the jejunum, the distal end of which is anastomosed to the distal ileum approximately 75-150 cm proximal to the ileocecal valve, forming a 75-150 cm common channel in which food, bile and pancreatic enzymes mix, thereby creating selective fat malabsorption. I expressly do not consent to any other procedures (variation of the duodenal switch procedure) , including but not limited to Single Anastomosis Duodenoileal bypass (SADI), Stomach Intestinal Pylorus-sparing Surgery (SIPS), or Loop Duodenal Switch (LoopDS or LDS)."

    [Yes, the Armenglish needs to be fixed - I'm working on it with Dr. K. Please feel free to provide comments and proofreading help as he revises the site.]
     
    Munchkin likes this.
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    Larra

    Larra Well-Known Member

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    Actually it's more medicalese than Armenglish. The only thing I would change is the first line, where I would say "comprised of a" rather than "comprising a" but this is a very minor point.
    If Dr. K likes we could add something about these other procedures not being standard of care to the first paragraph, which to my mind is stronger than saying not considered acceptable, and which also speaks to the issue of insurance coverage, since no policy covers procedures that are not standard of care.
     
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  3.  
    DianaCox

    DianaCox Bad Cop

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    He would be grateful to people to review the site, and help make it better. I can collate the suggestions.
     
    Carolynn R likes this.
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    Remingtonh

    Remingtonh Well-Known Member

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    Whatever happened with this? Was the consent information ever revised?
     
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    Carolynn R

    Carolynn R New Member

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    Please help I need more info on this matter!! I am considering Dr Keshishian or Dr Cottam
     
  6.  
    southernlady

    southernlady Administrator Staff Member

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    Dr. K only does the two anastomosis DS...no need to worry about him doing one of the others.
    Dr. Cottam, however, no longer does the two anastomosis DS. He ONLY does one of the non-standard of care variants. IF you are in Utah, check out Rocky Mountain Associated Physicians at St Marks hospital. http://bariatricfacts.org/threads/dr-daniel-cottam-bmi-of-utah.2661/
     
    Remingtonh likes this.
  7.  
    DianaCox

    DianaCox Bad Cop

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    Cottam: NoNoNoNoNo - he’s not doing real DSs.
    Keshishian: Nobody better.

    This isn’t even a contest.
     
    Last edited: Sep 8, 2018
    RainCity, GrammyLuLu and southernlady like this.
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    GrammyLuLu

    GrammyLuLu Well-Known Member

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    Dr Cottom is not with Rocky Mountain Associated Physicians at St Marks hospital Dr Simper is who does do the standard of care DS.
     

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