e: Re: Question about RNY vs. DS

[Guest guest]

>

> This is an arguable point because some post-ops have felt like

> their pylorus isn't working properly... It's SUPPOSED TO and I

> think it does in the majority of cases. However, I don't think

> this has been studied enough.. how the pyloric valve may suffer

> some kind of damage or become 'sluggish' after the surgery...

Dr. Jossart, in a support group meeting in SF awhile back, said that -

- they don't know exactly why, but they hypothesize that it may be

due to the jostling of the vagus nerve during surgery -- some

people's stomachs are slower to get back to normal muscular

functioning after surgery. If I recall correctly, he may have

described it as the stomach being " confused " for awhile before

figuring things out and getting normal again.

>

> Although I totally agree that, in most cases, the dumping doesn't

> occur.. but I think it can sometimes

My completely nonmedical-person guess is that although it may not

be " dumping " per se, it may be that the food is now reaching a part

of the intestine in a state that that particular section of intestine

isn't accustomed to handling. I know I'm probably not expressing

myself well, but if the stomach/pylorus/duodenum section is now

directly connected to a section of the intestine that USED to be x

number of feet further down, that section of intestine might have an

insulin reaction akin to dumping when high-sugar stuff hits it. Sound

plausible?