Re: prox. RNY to Distal gastric bypass-DS

[Guest guest]

Heidi:

Sounds to me like Dr. Ren is practicing some CYA. Yes there is a

risk of malnutrition. But no more than with a distal RNY. There is

a need for testing for the rest of your life. But that is simply the

price you pay for having a bypass. All DS patients should have that

to avoid just the malnutrition you speak of, not just revisions. The

testing is simply blood tests every six months or so.

On the whole the DS carries no more risk than a distal RNY but the

quality of life is far superior. And the weight loss is generally

better and more permanent.

Regards.

Joe Frost, old gentleman, not old fart

San , Tx., 60 years old

Surgery 11/29/00 by Dr. Welker

Lateral Gastrectomy with Duodenal Switch

340 Starting Weight, currently 235

http://www.duodenalswitch.com/Patients/Joe/joe.html

http://groups.yahoo.com/group/WLS-12StepRecovery

> Hi I wrote to Dr. Ren about my not losing enough weight with the

> proximal RNY and my regain of some weight. Rny done in Nov. 99. I

am

> still a type 2 diabetic who will eventually go on insulin if I

don't

> lose more weight. Dr. Ren said that I could have a distal gastric

> bypass-DS but would be at risk of protein malnutrition. She also

> mentioned some nutritional testing. Does anyboby know what this

> testing consists of? The protein malnutrition, I believe would be

> eating enough protein, supplementing with high protein drinks? Has

> anyone had any major problems with these two side effects, and what

> did you do about it? Thanks Heidi

[Guest guest]

--- Dr. Ren said that I could have a distal gastric

> bypass-DS but would be at risk of protein malnutrition.

I don't understand what this is.

If she is keeping your stomach pouch the same as it is RNY " small " and

then she is giving you the distal bypass, you will have to be even

more dilegent than DS about your nutrition. We have a bigger stomach

than RNY's so we can eat more, but we malabsorb more than people with

proximal " regular " RNY.

You will not be able to eat more, but you will get the same malabsorb

we do, which means you will have to be real careful about your

protein. I was lurking on the vit4life list for a few days. Many

have the distal RNY--it seems that they have to have at least 120

grams a protein a day. It seems most did that using protein drink via

vita4life (I found their liquid protein horrible). Maybe you can ask

Dr. Ren if she can make your stomach more like a DSers.

NYU, Dr. Ren, Jan12

LAP DS BMI 38, Now 26.1

Bluecross Healthchoice

65+ pounds