Guest guest Posted August 7, 2001 Report Share Posted August 7, 2001 , Ask him for a citation on a study of longer than 20 years on the RNY. I have looked at over 800 abstracts and I can't find one. I would be really interested in the results, since my wife had this procedure (with Fobi ring). Your surgeon is certainly right to steer clear of VBG, as they fail in the majority of cases (yes more than 50%!!). The RNY is 10 years older than the DS, so if you need to be 40 to have the DS than you need to be 30 to have the RNY. By that logic you should have the jejernal intestinal bypass in your 20's, but I doubt you will find anybody to reccomend that. Keep in mind that the RNY is difficult to take down because nowdays they transect the stomach as well as bypass it. So this is a lifetime decision. What is your BMI? One consideration for one so young is to wait a few years to see how things develop - but I fully understand why you might not want to wait. If your BMI has reached 50 then I would go for the DS. If you BMI is in the low 40's and you have no comorbidites than I might try the diet thing one last time - if only to buy some time. Again it is a tough personal decision. I am 37 and my life expectency without surgery is less than 20 years, so for me it was easy. I can sort of see the surgeons point, though I do not quite agree with the logic. Hull > Well I got to meet my surgeon yesterday FINALLY! > He is recommending an RNY for me because of my age. He says that he generally recommends the DS only for older patients (40's and up) since he doesn't feel they have enough data on DS patients in the long run (past 20 years). He does not feel I am a candidate for the AGB and he didn't seem to like the VGB too much. > He was very straight forward and I liked that. His nurse made up the more " human " part of their team, as he was very prooofessional. That certainly is not a bad thing though. I guess I've just gotten used to my PCM--he's a very personable guy; likes to joke a lot! > Anyway, all in all I consider my consult to be a good experience! > in FL > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2001 Report Share Posted August 7, 2001 , Ask him for a citation on a study of longer than 20 years on the RNY. I have looked at over 800 abstracts and I can't find one. I would be really interested in the results, since my wife had this procedure (with Fobi ring). Your surgeon is certainly right to steer clear of VBG, as they fail in the majority of cases (yes more than 50%!!). The RNY is 10 years older than the DS, so if you need to be 40 to have the DS than you need to be 30 to have the RNY. By that logic you should have the jejernal intestinal bypass in your 20's, but I doubt you will find anybody to reccomend that. Keep in mind that the RNY is difficult to take down because nowdays they transect the stomach as well as bypass it. So this is a lifetime decision. What is your BMI? One consideration for one so young is to wait a few years to see how things develop - but I fully understand why you might not want to wait. If your BMI has reached 50 then I would go for the DS. If you BMI is in the low 40's and you have no comorbidites than I might try the diet thing one last time - if only to buy some time. Again it is a tough personal decision. I am 37 and my life expectency without surgery is less than 20 years, so for me it was easy. I can sort of see the surgeons point, though I do not quite agree with the logic. Hull > Well I got to meet my surgeon yesterday FINALLY! > He is recommending an RNY for me because of my age. He says that he generally recommends the DS only for older patients (40's and up) since he doesn't feel they have enough data on DS patients in the long run (past 20 years). He does not feel I am a candidate for the AGB and he didn't seem to like the VGB too much. > He was very straight forward and I liked that. His nurse made up the more " human " part of their team, as he was very prooofessional. That certainly is not a bad thing though. I guess I've just gotten used to my PCM--he's a very personable guy; likes to joke a lot! > Anyway, all in all I consider my consult to be a good experience! > in FL > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2001 Report Share Posted August 8, 2001 -I don't know how old you are nor do I know who your Dr. is, but I would strongly suggest that you do more research about these operations and the significance of your quality of life post-op. For me there is no contest. The DS is the way to go, when originally I would have settled on the Rny. The Dr.'s age requirement seems arbitrary to me. Keep fact-finding, asking questions and communicating with experienced post-ops. Of course I'm not one of the ranks as of yet but I sure hope that I will be!! I'm not putting down the Rny. For some, it has been very succesful and it is a deeply personal choice. Good luck. Jill Koepke Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2001 Report Share Posted August 8, 2001 -I don't know how old you are nor do I know who your Dr. is, but I would strongly suggest that you do more research about these operations and the significance of your quality of life post-op. For me there is no contest. The DS is the way to go, when originally I would have settled on the Rny. The Dr.'s age requirement seems arbitrary to me. Keep fact-finding, asking questions and communicating with experienced post-ops. Of course I'm not one of the ranks as of yet but I sure hope that I will be!! I'm not putting down the Rny. For some, it has been very succesful and it is a deeply personal choice. Good luck. Jill Koepke Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2001 Report Share Posted August 8, 2001 > , > > > The RNY is 10 years older than the DS, so if you need to be 40 to > have the DS than you need to be 30 to have the RNY. > > By that logic you should have the jejernal intestinal bypass in your > 20's, but I doubt you will find anybody to reccomend that. > > This made me nearly bust a gut laughing!! I lkie the way you think! Meli (had the DS at age 38...oh no!!!) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2001 Report Share Posted August 8, 2001 , I would ask him about the condition of your stomach for the rest of your life. I think having a normal functioning stomach that most likely will have no problems and never have to be operated on again is important. There will be no stoma blockages, no ulcers, etc. If at a later date when we are getting to be little old ladies we have nutrtional problems, the surgery to reverse the intestinal part of our surgery is very dooable. But the stomach part will be normal functioning and hold a significant amount of food so it does not need to be messed with. Dawn Dr. Hess, Bowling Green, OH BPD/DS 4/27/00 www.duodenalswitch.com 267 to 165 size 22 to size 10 have made size goal no more high blood pressure, sore feet, or dieting! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 How dreadful. More years of limited eating. More years of potential weight regain. I would recommed the DS for a 16 year old. In fact I know of two teen agers who had it. His view doesn't make sense to me. Surgeons generally want to do newer and better procedures. Are you certain that your doc is adequately educated on the DS? Or is he new at doing it??? in Seattle > > He is recommending an RNY for me because of my age. He says that he generally recommends the DS only for older patients (40's and up) since he doesn't feel they have enough data on DS patients in the long run (past 20 years). He does not feel I am a candidate for the AGB and he didn't seem to like the VGB too much. > He was very straight forward and I liked that. His nurse made up the more " human " part of their team, as he was very prooofessional. That certainly is not a bad thing though. I guess I've just gotten used to my PCM--he's a very personable guy; likes to joke a lot! > Anyway, all in all I consider my consult to be a good experience! > in FL > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 How dreadful. More years of limited eating. More years of potential weight regain. I would recommed the DS for a 16 year old. In fact I know of two teen agers who had it. His view doesn't make sense to me. Surgeons generally want to do newer and better procedures. Are you certain that your doc is adequately educated on the DS? Or is he new at doing it??? in Seattle > > He is recommending an RNY for me because of my age. He says that he generally recommends the DS only for older patients (40's and up) since he doesn't feel they have enough data on DS patients in the long run (past 20 years). He does not feel I am a candidate for the AGB and he didn't seem to like the VGB too much. > He was very straight forward and I liked that. His nurse made up the more " human " part of their team, as he was very prooofessional. That certainly is not a bad thing though. I guess I've just gotten used to my PCM--he's a very personable guy; likes to joke a lot! > Anyway, all in all I consider my consult to be a good experience! > in FL > Quote Link to comment Share on other sites More sharing options...
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