Guest guest Posted June 7, 2001 Report Share Posted June 7, 2001 I can share why I chose the BPD/DS. Some of the reasons would be as follows: It has the best success rate. I would be devastated if I had wls and did not lose and keep the weight off. I felt and still do that if a surgery could fail, I would be the one. Although the BPD/DS does not guarantee you will be " thin " it practically guarantees you will not remain " really fat " . I wanted to be able to gulp water and not have to sip all of the time. I had this real (but possibly not scientifically based) fear of being thirsty and not getting enough water in. I am a gulper not a sipper. At this point I can down an 8 ounce glass of water no problem in one set of gulps. There is no risk of stoma blockages and you don't have to chew your food to mush. There is no risk of ulcers from alkaline digestive juices in the small bowel coming in direct contact with your stomach. The idea of eating " small " amounts appealed to me. The idea of eating " tiny " amounts did not. Furthermore, I was worried that the " tiny " amounts would damage my metabolism even more than all the dieting I had done over the years had. A small part of the duodenum still comes in contact with food and you have a normal functioning stomach so nutrients like calcium, protein, iron, and b-12 can better absorbed. The stomach portion cannot be reversed but there is really no need for this since you have a normal functioning stomach. The intestine portion could be motified for more absorption if necessary down the road (thinking of growing elderly). Although many doctors say the RNY can be reversed, the reality is that the stomach portion is very difficult to ( and is not normal functioning) reverse and sometimes the pyloric valve cannot be woken up. When I asked surgeons in my area if they performed the BPD/DS, they said " no we feel it is too drastic for a first surgery " . HELLO I only want to have one surgery. If I have to have another surgery it is because I have lost too much (which looks like it is definitely not going to happen in my case) not because I didn't lose (that would be horribly devastating. There is little to no late regain with the BPD/DS. Sorry I rambled so much!! LOL Any questions, just ask! Dawn Dr. Hess, Bowling Green, OH BPD/DS www.duodenalswitch.com 267 to 165 size 22 to size 10 have made size goal, weight goal may need to be adjusted. no more high blood pressure, sore feet, or dieting! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2001 Report Share Posted June 8, 2001 dawn: thanks for being so honest about your choice. i am on the fence but feel this ds thing sounds too good to be true. why don't others have it? well i am about 80% there. i like all the reasons you listed. question...you mentioned elderly..are there any elderly people that have had this sugery? do you think we will have a problem then? cheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2001 Report Share Posted June 8, 2001 dawn: when did you have your surgery? are you happy at your present weight? i didn't understand about adjusting your weight goal. cheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2001 Report Share Posted June 8, 2001 dawn: when did you have your surgery? are you happy at your present weight? i didn't understand about adjusting your weight goal. cheryl I orginally thought I wanted to get down to 150. However, I also wanted to get down to a size 12. Well, I am a 10 (sometimes 8) but I weigh 165. I have told myself the final 15 pounds would just succeed in making me look older. I am very stable at 165 and can eat anything I want, so I think I should adjust my goal to 165. Dawn Dr. Hess 4/27/00 267 to 165 size 22 to size 10 no more high blood pressure, sore feet, or dieting! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2001 Report Share Posted June 8, 2001 dawn: how tall are you and when did you have surgery? you have done great! i am 5'8" and the dr sd my goal should be 143. i thought that was alittle low but i will see when i get there. cheryl Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2001 Report Share Posted June 8, 2001 In a message dated 06/08/2001 11:16:09 AM Central Daylight Time, star00066@... writes: << awn: thanks for being so honest about your choice. i am on the fence but feel this ds thing sounds too good to be true. why don't others have it? well i am about 80% there. i like all the reasons you listed. question...you mentioned elderly..are there any elderly people that have had this sugery? do you think we will have a problem then? cheryl >> For me this proceeder has been too good to be true, but it is true!!! I have not seen any elderly myself, but have heard of some through the grapevine that are doing fine. I figured first I had to do something that will allow me to get elderly, then I will cross those bridges when I come to them. This is a much more complicated procedure for the doctor to perform so not as many surgeons offer it. Therefore, the word has not gotten out. Also the NIH still has the RNY listed as the gold standard. This is partly due to there proclamation on this not having been updated in some time. Dawn Dr. Hess, Bowling Green, OH BPD/DS www.duodenalswitch.com 267 to 165 size 22 to size 10 have made size goal, weight goal may need to be adjusted. no more high blood pressure, sore feet, or dieting! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2001 Report Share Posted June 11, 2001 Dawn...thanks so much for your excellent list of reasons for choosing DS over RNY! I'm wondering if you or anyone else can cite any of the studies that show the results (long and short term) for DS vs. RNY. I'm planning on having the DS, but am getting some " flak " from people about it. I'd like to be able to provide them with a copy of a study that proves my point! Thanks for your help, Margy > I can share why I chose the BPD/DS. Some of the reasons would be as follows: > > It has the best success rate. I would be devastated if I had wls and did not > lose and keep the weight off. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2001 Report Share Posted June 12, 2001 In a message dated 06/11/2001 10:19:20 PM Central Daylight Time, margybca@... writes: << Dawn...thanks so much for your excellent list of reasons for choosing DS over RNY! I'm wondering if you or anyone else can cite any of the studies that show the results (long and short term) for DS vs. RNY. I'm planning on having the DS, but am getting some " flak " from people about it. I'd like to be able to provide them with a copy of a study that proves my point! Thanks for your help, Margy >> Many of mine reasons are just based on the regimen (no drinking with meals and only sipping for the RNY for example) that many of the websites say we must be willing to follow after surgery. Have you already read (some dry) the research on the www.duodenalswitch.com website??? If not, there is loads of information there. Hope this helps. It is hard because I have accumulated knowledge over the last 1.5 about the ds but did not keep track of where I got the knowledge. Dawn 4/27/00 Dr. Hess, Bowling Green, OH BPD/DS www.duodenalswitch.com 267 to 165 size 22 to size 10 have made size goal, weight goal may need to be adjusted. no more high blood pressure, sore feet, or dieting! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2001 Report Share Posted June 12, 2001 I don't believe there are any specific " DS vs. RNY " studies out there. The best you can do is to go to Pubmed and dig through the abstracts there to try to glean out RNY outcomes, then compare those numbers to what is found in the studies on the DS website's PROCEDURE page. In my own research, I determined that the long-term (2+ years) expectation of weight loss in the standard RNY is about 50%-60% of excess weight lost, with regain an ongoing concern. With the DS, the success rate all the way out to Hess's very first patients who were done in 1988 is more like 70%-80% excess weight loss, with no late regain of weight. Awhile back, there were some pretty lively debates, with cites, on the AMOS website on this issue. If you can stand the heat, you should go there and look at the AMOS libraries. Go to the AMOS libraries: http://www.obesityhelp.com/morbidobesity/dbsearch.phtml and type in " DS vs. RNY " as the search term. That's a good starting point. Then, you can go to the SURGERY TYPES section of the site and surf awhile. There's a lot to glean out about the DS here, and the DS vs. RNY question: http://www.obesityhelp.com/morbidobesity/showtopicquestions.phtml?Topic=Pre- Op+Surgery+Types Happy reading! 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@... > Re: Re: ds or rny > > > In a message dated 06/11/2001 10:19:20 PM Central Daylight Time, > margybca@... writes: > > << Dawn...thanks so much for your excellent list of reasons for choosing > DS over RNY! I'm wondering if you or anyone else can cite any of the > studies that show the results (long and short term) for DS vs. RNY. > I'm planning on having the DS, but am getting some " flak " from people > about it. I'd like to be able to provide them with a copy of a study > that proves my point! > > Thanks for your help, > > Margy >> > > Many of mine reasons are just based on the regimen (no drinking > with meals > and only sipping for the RNY for example) that many of the > websites say we > must be willing to follow after surgery. > > Have you already read (some dry) the research on the > www.duodenalswitch.com > website??? If not, there is loads of information there. > > Hope this helps. It is hard because I have accumulated knowledge > over the > last 1.5 about the ds but did not keep track of where I got the > knowledge. > > Dawn > 4/27/00 > Dr. Hess, Bowling Green, OH > BPD/DS > www.duodenalswitch.com > 267 to 165 > size 22 to size 10 > have made size goal, weight goal may need to be adjusted. > no more high blood pressure, sore feet, or dieting! > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
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