Guest guest Posted June 14, 2003 Report Share Posted June 14, 2003 Debbie- I found this on vitalady.com for you: What’s the difference between distal, medial and proximal procedures? Let's assume that we all start with 300" of (small) intestine. We don't, but we need to have a figure, so that's it. If you've seen pix you've seen of RNY/gastric bypass, you know there is a left side, right side and tail of the Y. The "junction" of the sides is the determiner if a procedure is proximal or distal. The original intestine comes out of the old stomach and carries the digestive juices that are manufactured in the old stomach. This piece is called the bileo-pancreatic limb because it carries bile from the gallbladder and pancreatic juice from the pancreas. There is no food here. This is the LEFT side of the Y. This is the portion that is bypassed. The alimentary limb connects to the pouch and only carries food, but cannot digest or absorb. This is the RIGHT side of the Y. The tail of the Y is where both elements mix together and where digestion (if any) and whatever absorption will occur. This is the part that is still in use and is also referred to as the common channel. If the junction of the Y occurs in near proximity to the stomach, it is said to be proximal. If the junction occurs at a far distance from the stomach, it is said to be distal. That said, neither word describes any actual measurements of anything, so the meaning is in the mind of the person speaking of the procedure. What is proximal to my doctor is considered distal by another. Generally speaking, ALL RNY people will have to supplement at least the basic 8 elements, though in varying doses. We are all missing the stomach and its normal digestive function. Truly distal (with a lot bypassed, and a short common channel) people need to supplement in larger volume, but will achieve and maintain the better weight loss over time. Proximal (less bypassed, longer common channel) people still need to supplement the basics and can reach a reasonable weight, but after 2 years may have to work a little harder to maintain their goal weight. My doctor measures what is in use, not what is not. So, in my case, I have a 40" common channel, then 60" was used to reach the pouch. The bypassed portion is then ABOUT 200". Most procedures performed are measured backwards from that. The doctor will bypass 12 to 72", use 60-80" for the right side of the Y, and the common channel will be 100-200". Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2003 Report Share Posted June 14, 2003 Debbie- I found this on vitalady.com for you: What’s the difference between distal, medial and proximal procedures? Let's assume that we all start with 300" of (small) intestine. We don't, but we need to have a figure, so that's it. If you've seen pix you've seen of RNY/gastric bypass, you know there is a left side, right side and tail of the Y. The "junction" of the sides is the determiner if a procedure is proximal or distal. The original intestine comes out of the old stomach and carries the digestive juices that are manufactured in the old stomach. This piece is called the bileo-pancreatic limb because it carries bile from the gallbladder and pancreatic juice from the pancreas. There is no food here. This is the LEFT side of the Y. This is the portion that is bypassed. The alimentary limb connects to the pouch and only carries food, but cannot digest or absorb. This is the RIGHT side of the Y. The tail of the Y is where both elements mix together and where digestion (if any) and whatever absorption will occur. This is the part that is still in use and is also referred to as the common channel. If the junction of the Y occurs in near proximity to the stomach, it is said to be proximal. If the junction occurs at a far distance from the stomach, it is said to be distal. That said, neither word describes any actual measurements of anything, so the meaning is in the mind of the person speaking of the procedure. What is proximal to my doctor is considered distal by another. Generally speaking, ALL RNY people will have to supplement at least the basic 8 elements, though in varying doses. We are all missing the stomach and its normal digestive function. Truly distal (with a lot bypassed, and a short common channel) people need to supplement in larger volume, but will achieve and maintain the better weight loss over time. Proximal (less bypassed, longer common channel) people still need to supplement the basics and can reach a reasonable weight, but after 2 years may have to work a little harder to maintain their goal weight. My doctor measures what is in use, not what is not. So, in my case, I have a 40" common channel, then 60" was used to reach the pouch. The bypassed portion is then ABOUT 200". Most procedures performed are measured backwards from that. The doctor will bypass 12 to 72", use 60-80" for the right side of the Y, and the common channel will be 100-200". Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2003 Report Share Posted June 14, 2003 First of all, Kaiser doesn't cover the DS. And many DS patients go on to have RNY's. That's what I've heard, anyway. Don't know a lot more about it. Laurie W. RnY vs DS Hello, I have been hearing about DS and would appreciate any feed back I could get from any of you who know something about comparing the two and your opinion on the differences. Thank you, Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2003 Report Share Posted June 16, 2003 Yes I was interested in RnY vs. DS but the infomation you gave me was great! I am continually looking for all the knowledge I can get on this as I continue forward getting approved etc. Thank you, Debbie--- In gastric-bypass-support-kaiser-patients , " Kennedy " <lanell65@s...> wrote: > But wasn't this description for the RNY (distal, proximal and medial) rather > than the RNY versus the DS? I think I may be confused! > Hugs, > > Kennedy > Lap RNY 11/5/02 > 265/183/135 (-82#) > > -----Original Message----- > > Thank you so very much! this is very informative and makes total > sense! I thank you so much for taking the time to write to me! I do > understand it better! In appreciation! Debbie > > --- In gastric-bypass-support-kaiser-patients , > > Debbie- > > I found this on vitalady.com for you: > > What’s the difference between distal, medial and proximal > procedures? > > > > Let's assume that we all start with 300 " of (small) intestine. We > don't, but > > we need to have a figure, so that's it. If you've seen pix you've > seen of > > RNY/gastric bypass, you know there is a left side, right side and > tail of the Y. > > The " junction " of the sides is the determiner if a procedure is > proximal or > > distal. > > > > The original intestine comes out of the old stomach and carries the > digestive > > juices that are manufactured in the old stomach. This piece is > called the > > bileo-pancreatic limb because it carries bile from the gallbladder > and pancreatic > > juice from the pancreas. There is no food here. This is the LEFT > side of the > > Y. This is the portion that is bypassed. > > > > The alimentary limb connects to the pouch and only carries food, > but cannot > > digest or absorb. This is the RIGHT side of the Y. > > > > The tail of the Y is where both elements mix together and where > digestion (if > > any) and whatever absorption will occur. This is the part that is > still in > > use and is also referred to as the common channel. > > > > If the junction of the Y occurs in near proximity to the stomach, > it is said > > to be proximal. If the junction occurs at a far distance from the > stomach, it > > is said to be distal. That said, neither word describes any actual > > measurements of anything, so the meaning is in the mind of the > person speaking of the > > procedure. What is proximal to my doctor is considered distal by > another. > > > > Generally speaking, ALL RNY people will have to supplement at least > the basic > > 8 elements, though in varying doses. We are all missing the stomach > and its > > normal digestive function. > > > > Truly distal (with a lot bypassed, and a short common channel) > people need to > > supplement in larger volume, but will achieve and maintain the > better weight > > loss over time. Proximal (less bypassed, longer common channel) > people still > > need to supplement the basics and can reach a reasonable weight, > but after 2 > > years may have to work a little harder to maintain their goal > weight. > > > > My doctor measures what is in use, not what is not. So, in my case, > I have a > > 40 " common channel, then 60 " was used to reach the pouch. The > bypassed portion > > is then ABOUT 200 " . > > > > Most procedures performed are measured backwards from that. The > doctor will > > bypass 12 to 72 " , use 60-80 " for the right side of the Y, and the > common > > channel will be 100-200 " . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 17, 2003 Report Share Posted June 17, 2003 Kaiser only does RNY. You can go to obesityhelp.com and get information about all different types of procedures. -----Original Message-----From: mchrysler2001 Sent: Saturday, June 14, 2003 7:52 AMTo: gastric-bypass-support-kaiser-patients Subject: RnY vs DSHello, I have been hearing about DS and would appreciate any feed back I could get from any of you who know something about comparing the two and your opinion on the differences. Thank you, Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 17, 2003 Report Share Posted June 17, 2003 Kaiser only does RNY. You can go to obesityhelp.com and get information about all different types of procedures. -----Original Message-----From: mchrysler2001 Sent: Saturday, June 14, 2003 7:52 AMTo: gastric-bypass-support-kaiser-patients Subject: RnY vs DSHello, I have been hearing about DS and would appreciate any feed back I could get from any of you who know something about comparing the two and your opinion on the differences. Thank you, Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 17, 2003 Report Share Posted June 17, 2003 Kaiser only does RNY. You can go to obesityhelp.com and get information about all different types of procedures. -----Original Message-----From: mchrysler2001 Sent: Saturday, June 14, 2003 7:52 AMTo: gastric-bypass-support-kaiser-patients Subject: RnY vs DSHello, I have been hearing about DS and would appreciate any feed back I could get from any of you who know something about comparing the two and your opinion on the differences. Thank you, Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 27, 2003 Report Share Posted June 27, 2003 In the d/s they cut and toss the right side of your stomach away so you have the left side left. this will work just like it did befor it is just smaller and will strech out again. they also take out some of you intestines too. the d/s ers love this because you can eat what you want and loose weight but after you end up where you was cause the stomach will strech out again. and they have to take vitamines too just not as much as we do. Elaina > > But wasn't this description for the RNY (distal, proximal and > medial) rather > > than the RNY versus the DS? I think I may be confused! > > Hugs, > > > > Kennedy > > Lap RNY 11/5/02 > > 265/183/135 (-82#) > > > > -----Original Message----- > > > > Thank you so very much! this is very informative and makes total > > sense! I thank you so much for taking the time to write to me! > I do > > understand it better! In appreciation! Debbie > > > > --- In gastric-bypass-support-kaiser-patients , > > > Debbie- > > > I found this on vitalady.com for you: > > > What’s the difference between distal, medial and proximal > > procedures? > > > > > > Let's assume that we all start with 300 " of (small) intestine. > We > > don't, but > > > we need to have a figure, so that's it. If you've seen pix > you've > > seen of > > > RNY/gastric bypass, you know there is a left side, right side > and > > tail of the Y. > > > The " junction " of the sides is the determiner if a procedure is > > proximal or > > > distal. > > > > > > The original intestine comes out of the old stomach and carries > the > > digestive > > > juices that are manufactured in the old stomach. This piece is > > called the > > > bileo-pancreatic limb because it carries bile from the > gallbladder > > and pancreatic > > > juice from the pancreas. There is no food here. This is the LEFT > > side of the > > > Y. This is the portion that is bypassed. > > > > > > The alimentary limb connects to the pouch and only carries food, > > but cannot > > > digest or absorb. This is the RIGHT side of the Y. > > > > > > The tail of the Y is where both elements mix together and where > > digestion (if > > > any) and whatever absorption will occur. This is the part that > is > > still in > > > use and is also referred to as the common channel. > > > > > > If the junction of the Y occurs in near proximity to the > stomach, > > it is said > > > to be proximal. If the junction occurs at a far distance from > the > > stomach, it > > > is said to be distal. That said, neither word describes any > actual > > > measurements of anything, so the meaning is in the mind of the > > person speaking of the > > > procedure. What is proximal to my doctor is considered distal by > > another. > > > > > > Generally speaking, ALL RNY people will have to supplement at > least > > the basic > > > 8 elements, though in varying doses. We are all missing the > stomach > > and its > > > normal digestive function. > > > > > > Truly distal (with a lot bypassed, and a short common channel) > > people need to > > > supplement in larger volume, but will achieve and maintain the > > better weight > > > loss over time. Proximal (less bypassed, longer common channel) > > people still > > > need to supplement the basics and can reach a reasonable weight, > > but after 2 > > > years may have to work a little harder to maintain their goal > > weight. > > > > > > My doctor measures what is in use, not what is not. So, in my > case, > > I have a > > > 40 " common channel, then 60 " was used to reach the pouch. The > > bypassed portion > > > is then ABOUT 200 " . > > > > > > Most procedures performed are measured backwards from that. The > > doctor will > > > bypass 12 to 72 " , use 60-80 " for the right side of the Y, and > the > > common > > > channel will be 100-200 " . Quote Link to comment Share on other sites More sharing options...
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