Guest guest Posted June 4, 2001 Report Share Posted June 4, 2001 What are the long term differences in the Distal RNY and the DS? Wouldn't the weight maitnance be about the same since you the malabsortion in both surgeries? I bet everyone has an opinion on this! Thanks for your time in advance! Audrey Pre Op Dr. Coster Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2001 Report Share Posted June 4, 2001 > What are the long term differences in the Distal RNY and the DS? > Wouldn't the weight maitnance be about the same since you the > malabsortion in both surgeries? I bet everyone has an opinion on this! I view the distal RNY as a more radical procedure, as the pouch never regains the size of even a small stomach. I have read that this procedure is used as a fallback if proximal RNY fails. DS, on the other hand, allows for the partial gastrectomied stomach to stretch back almost to normal stomach size after 18 mo. or so. So in summary, I would say that DS is malabsorptive AND restrictive at first, later becoming primarily malabsorptive, whereas Distal RNY is malabsorptive AND restrictive forever. Or at least until you blow your staples :-) > > Thanks for your time in advance! > > Audrey > Pre Op > Dr. Coster Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2001 Report Share Posted June 4, 2001 > What are the long term differences in the Distal RNY and the DS? > Wouldn't the weight maintenance be about the same since you the > malabsortion in both surgeries? I bet everyone has an opinion on this! Audrey, to answer this question, we have to assume a few things: 1.) Let's assume that the distal RNY and the DS being compared are equally malabsorptive, and 2.) let's assume that the patient is equally diligent in maintaining their ongoing lifelong aftercare and supplementation. Assuming these two things to be true, the two procedures are equally promising for weight loss and maintenance over the long term. But what price do we pay for that success? My opinion is that the distal RNY comes at a higher price, in several ways. First, you may require a higher level of supplementation for certain nutrients like protein, B-12, iron and calcium. Second, you will always have a higher level of food restrictions with the RNY, both in quantity and in variety. Overall, the DS offers a quality of life and eating that is more like someone who never had surgery at all. I'm at 19+ months post-op, and I can tell you that I eat whatever, whenever, however much I want. I'm not sure that I could say that if I were a distal RNY post-op. Chances are that if I had opted for the distal RNY, I'd still/always be dealing with " dumping syndrome " to some degree, as well as " pouch/stoma " issues (eg. the possibility of experiencing a blockage, stricture, or ulceration) -- these are ongoing concerns with the RNY that simply aren't present in the DS. Hope this helps. M. --- in Valrico, FL, age 38 Starting weight 299, now 156 Starting BMI 49.7, now 26.0 Lap DGB/DS by Dr. Rabkin 10-19-99 http://www.duodenalswitch.com Direct replies: mailto:melanie@... _________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2001 Report Share Posted June 5, 2001 The principal difference is in the configuration of the stomach-- RNY bypasses most of the stomach and the intestines are hooked into a very small pouch that doesn't expand much. Causes dumping, and vomiting a lot, and is prone to getting clogged if food is not chewed to puree. DS makes use of the pyloric valve to control the flow of food into the intestines. No ( or very little) dumping, little vomiting, stomach does expand a little over time. RNY size, maybe an ounce, DS size, half cup. NO MATTER what the intestine configuration, you couldn't pay me to have an RNY of any kind! Nan E. On Mon, 04 Jun 2001 22:22:29 -0000 " Audrey Young " ayoung67@...> writes: > What are the long term differences in the Distal RNY and the DS? > Wouldn't the weight maitnance be about the same since you the > malabsortion in both surgeries? I bet everyone has an opinion on > this! > > Thanks for your time in advance! > > Audrey > Pre Op > Dr. Coster > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2001 Report Share Posted June 5, 2001 i went to a support group last night and many were complaining about vomiting everytime they went out to eat and formation of ulcers. this is eliminated with the ds. or lessened. this will be a good thing, i just want to give up over eating and eat healthier. cheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2001 Report Share Posted June 5, 2001 , "BLOW YOUR STAPLES"????????? LOL!!! That cracks me up, but it is NOT a pleasant thought!!! Pam Pre-op in MD Dr. Vanguri Surgery date July 9, 2001 Quote Link to comment Share on other sites More sharing options...
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