Hello,
Of course there are risks involved but as you know, morbid obesity has known, serious risks associated. If you do not take care of this problem, you are likely to have much more risk of premature death as well as
diabetes,
hypertension, joint problems, other endocrine disorders and a myriad of other problems. In all procedures you must weigh the risks and benefits. I doubt this risk is greater than the risk of NOT getting this life-saving procedure but you should discuss it with your RNY surgeon. You already have the opinion of the rheumatologist. With all the facts out, you will need to decide what is right for you. Your surgeon should be well-versed in the risks associated with the surgeon and with proper follow-up you may be able to counter any ill-effects from the IgA insufficiency. I don't know a lot about this but if ulcers are of concern there is the evidence that the small pouch is less likely to produce ulcer-forming acids and when ulcer does occur it may be treated with medication.
You definitely face risks whether you go ahead with the procedure or not. You need to feel good about which risk is the greater; which is the lesser. You might benefit from some online support through a bariatric specialty such as
www.bariatricsupportcenter.com - these folks have been in the business for a very long time and can help you understand the long-term implications and the importance of follow-up care and dietary restrictions, exercise, education, support, etc. for your success.
Good luck.
The answers in online forums are for information only and are not intended to substitute for medical advice and care. Please see your personal health care provider for further evaluation of your individual case.
Debbie Miller, RN
