Guest guest Posted March 19, 2001 Report Share Posted March 19, 2001 > I'm so confused about all the different WLS!!!! First I was leaning towards the > RNY. Then I found out about the DS and thought I found a better match for me. > The doctor I found to do the DS lap is moving to Baltimore. I got the dreaded > call from his Washington, DC office informing me of the change (in July 2001) > and CANCELING my consult appointment with him in June! Now I feel like I'm back > to square one! > > (Exploring all her options, but getting impatient!) > jvaszil@m... > , I remember how anxious I was to just *get it done!* BUT......You will live with this surgery for the rest of your life. Don't be pound foolish, penny wise.... I am 3 months out and today for lunch I had some grilled ham and cheese sandwich, and some mash potatos and salad and a bit of apple crisp with decadent vanilla bean ice cream on top for lunch..... and felt great afterwards!! No dumping no vomiting nada, and I've lost half my weight already ;-} The wait is worth it! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2001 Report Share Posted March 19, 2001 who is the doc doing the lap DS in Baltimore? __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2001 Report Share Posted March 19, 2001 , Dr Vanguri is in Baltimore but he does open DS. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2001 Report Share Posted March 28, 2001 Hi! I am from the Chicago area and traveled to Bowling Green, Ohio to have the BPD/DS. Did you read the information on the www.duodenalswitch.com site. It will tell you all about the surgery and the differences. I think it is something you should consider because the weight loss is better and you have a better quality of eating life in the long run. It is a more complicated procedure, but once you are recovered, I think you are reminded less daily that you have had this done. You must however, be compliant with follow up blood work and vitamins. If you have any questions, just ask! Dawn Dr. Hess 4/27/00 267 to 169 size 22 to size 10 no more high blood pressure or sore feet! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2001 Report Share Posted March 28, 2001 Ed: Your question is one which is a favorite of everyone on this list. I predict you will get 50 to 100 answers. The basic difference between the DS and the RNY is first in the stomach. In the RNY the stomach is bypassed and the food passes into a pouch as you noted. In the DS the food goes into the stomach but the stomach is resected to make it from 25 to 30% the size it was before. Then the RNY pouch passes the food directly into the upper intestine where absorption takes place. With the DS it goes through the pyloric valve which is bypassed in the RNY, into the shortened Duodenum which is also bypassed with the RNY and then on into the upper intestine. This retains most of the normal functioning which you had before the surgery. With the RNY you bypass it. Both surgeries have a significant upper intestine bypass but it is typically much more drastic with the DS. The major weight loss component with the RNY is the stomach pouch with the bypass playing a part depending on how severe the bypass is. With the DS the major component is the bypass though the resected stomach also comes into play. Your surgeon is wrong about the lap band being new. You will see literally hundreds here on the list that have had the surgery, had it fail and are being changed to a DS. It has been done in Europe for years and has a terrible success rate. The RNY on the other hand has a very good success rate. But the DS is better. And success rate is measured by the percentage of excess weight lost and kept off for five years. The complexity of the DS is higher so there are risks. You have to weigh all those factors. I went for the DS and though I had some major surgical complications they were of a nature that they could have occurred with any of the surgeries and I'm doing super now. Regards. Joe Frost, old gentleman, not old fart San , TX, 60 years old Dr. Welker 340 starting weight, currently 260 http://www.duodenalswitch.com/Patients/Joe/joe.html RNY vs. DS > Hi Everyone > > I just found this group tonight and boy do I feel confused. I have > been considering WLS for some time now. My insurance provider (BCBS) > says it is a covered benefit and that I meet the criteria. I've had > my psych evaluation (which was a joke) and my initial consulation > with a doctor (but not a surgeon yet). > > My doctor told me I had two surgery options, an RNY or a lap band. > It's my understanding the lap band is where they squeeze your stomach > together with a clamp of some sort and restrict the amount of food > you can take in at one time. He said it's a new proceedure, not > approved by the FDA yet and he's not sure about it's long term > success (but the pros are it's a quick surgery with fast recovery). > However, he recommended the RNY for me because as he put it " it has > at least a 10 year record of success " . > > Now, I was pretty much sold on the RNY procedure, and low and behold > I find this group. I don't even really understand what a DS > procedure is? What is the difference? In addition to a new > smaller " pouch " the RNY redirects intestines too to limit caloric > (and nutritional) absorbtion, so what's the difference? > > >From what I've read tonight everyone here seems to favor the DS over > the RNY and now I don't know what to do. Can someone explain the > difference to me and why they feel it's a better procedure? My > doctor is confident the RNY will work wonders for me. He says their > hospital currently does about 100 RNY's per year. (It's UIC in > Chicago). I'm 35 years old, 6'2 " , 392 lbs, BMI of 50 and desperate! > > Thanks for your help! > > Ed > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2001 Report Share Posted March 28, 2001 Can someone explain the > difference to me and why they feel it's a better procedure? I compiled this from the DS website for a friend who wanted to know the difference. The biggest advantage of the DS is that you keep an honest-to- goodness stomach, [which is usually 150-200cc is size (as opposed to the 15-30cc pouch of the RNY)]. With the BPD/DS the stomach is reduced but the function is left intact. It can churn food and empty normally. With the RNY procedure people need to chew their food beyond what is normal because the " pouch " does not do any actual digestion. The Pouch also empties immediately into the intestines, which causes severe reactions to sugar and carbohydrates (dumping syndrome). These reactions can be nausea, vomiting, bloating, diarrhea, and shortness of breath also weakness, sweating, and dizziness. The BPD/DS procedure leaves the pylorus*, which allows the stomach to empty naturally. DS patients don't have dumping syndrome, clogging of the anastamosis*, ulcers at the stoma, etc. With the Pylorus intact there is a feeling of fullness that allows a person to feel satisfied. The RNY procedure has left a lot of people with the feeling that they are constantly hungry. The DS procedure includes a " distal " gastric bypass, which means that more of the small intestine is by passed than in a " proximal " bypass. (The RNY can be done with either a distal or a proximal bypass.) Distal bypass means that fewer calories and nutrients are absorbed than with a proximal bypass. This results in more successful weight loss, but it also means more vigilance is necessary in taking vitamins and calcium supplements. Studies have shown that people who have distal bypasses have greater success at losing large amounts of weight and keeping it off. The Duodenal Switch procedure is essentially a newer, arguably more advanced version of the RNY, which avoids all of the above-mentioned problems. The ability to eat normal foods and in portions that approach normal, leave many with a much higher quality of life. *The pyloric valve is a sphincter muscle that opens and closes to regulate the release of stomach contents into the digestive tract. * " anastamosis " -- that is the artificial outlet from the " stomach " pouch into the intestine I hope that you will research this fully and make the decision that you feel is best for you. This is a life long decision. I personally want to be able to live my life as close to normal as possible. That includes being able to eat sugar once in a while. Machelle Pre-op Good luck to you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2001 Report Share Posted March 28, 2001 Wow, Joe! Are you a teacher? I could almost visualize the pointer at the chalkboard! This is the clearest explanation I have ever heard. I've printed it out and put in in my notebook. Thanks so much. --- Joe Frost joefrost@...> wrote: > Ed: > > Your question is one which is a favorite of everyone > on this list. I > predict you will get 50 to 100 answers. The basic > difference between the DS > and the RNY is... ===== Age 41 BMI 61 Consult 6/7/01 Dr. Herron __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2001 Report Share Posted March 28, 2001 I agree Joe. In fact I printed so I could explain it better to others. Re: RNY vs. DS > Wow, Joe! Are you a teacher? I could almost > visualize the pointer at the chalkboard! This is the > clearest explanation I have ever heard. I've printed > it out and put in in my notebook. Thanks so much. > > --- Joe Frost joefrost@...> wrote: > > Ed: > > > > Your question is one which is a favorite of everyone > > on this list. I > > predict you will get 50 to 100 answers. The basic > > difference between the DS > > and the RNY is... > > > ===== > > Age 41 > BMI 61 > Consult 6/7/01 > Dr. Herron > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
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