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Options....Duodenal Switch or RNY????

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Hey Kathy -- well, most of us here are dyed in the wool DS fans. The RNY surgery may be effective, but it gives me the creeps. The many side effects, like dumping syndrome, sound perfectly awful. I like the idea of keeping my pyloric valve intact, thanks, and I am absolutely sold on Dr. Anthone at USC. His web site does a nice job of explaining the procedure. You can kick it up doing a Morbid Obesity search in any engine, I think.

Nan E. pre op in CA

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Hi,

I was checking out your site...and was wondering what the pros and

cons of having the Duodenal switch are. I am considering either the

DS or the RNY. My " Significant Other " had an RNY in January and has

lost 96 pounds!!! I am very fortunate that my insuarance is about to

change to CIGNA and they may approve the surgery....my QualChoice had

an exclusion built-in to the policy and would not pay. So...I'm back

now researching the right surgery for me....I have about 100 pounds

to lose...and have bad knees (I've had bi-lateral knee replacement

surgery) along with arthritis in the knees. If anyone could offer me

any advice...I'd surely apprciate it. My e-mail address is

kkislek@....

Thanks for your help!

Kathy

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> Hey Kathy -- well, most of us here are dyed in the wool DS fans.

The RNY

> surgery may be effective, but it gives me the creeps. The many side

effects,

> like dumping syndrome, sound perfectly awful. I like the idea of

keeping my

> pyloric valve intact, thanks, and I am absolutely sold on Dr.

Anthone at USC.

> His web site does a nice job of explaining the procedure. You can

kick it up

> doing a Morbid Obesity search in any engine, I think.

> Nan E. pre op in CA

Nan is right.. other problems with the RnY include marginal ulcers

where the intestine is anastamosed to the stomach, spontaneous closure

of the stoma (an emergency situation requiring an endoscopic dilation

in the ER), decreased absorption of protein, iron & calcium, chronic

B-12 deficiencies (because their stomaches aren't big enough to make

it any more), and the worst one... long term weight regain.

Thanks, but no thanks.. I'll take the DS any day. =)

BTW, congrats to your SO for such a great loss!

Hugs,

Liane

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Hi Kathy,

First of all, let me say that just about all of us here on the DS site would likely give a hard sell to the DS surgery over the RNY surgery. Admittedly, the RNY seems also to be an excellent surgery, but the quality of life with the DS seems to be its strongest attraction, along with the ability to keep weight off once it is lost. Now, please understand, I have not yet had the surgery myself, but through months and months of research on this list, and through visiting www.duodenalswitch.com, I have chosen this surgery for me.

Check out that website, and see what you think. If you have any questions after that, just fire away. There are SO many wise and intelligent people on this list that will be able to answer your questions.

Good luck and welcome to our group!!

Pam

Pre-op in MD

Dr. Vanguri

Surgery date July 9, 2001

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