Re: Keeping weight off after DS

[Guest guest]

Hi all!

Just noticed Rita state that only 70% keep the weight they lose off after

DS. That figure may be correct for RNY or other types of WS surgery but the

main difference with DS long term is this:

In no published study as ANYONE gained back the weight lost. Not everyone

loses all they want to lose, but what goes never comes back without a

revision.

This is the reason for choosing DS over any other procedure. Go back and

look at the original studies by Scopinaro, Dr. Hess, etc. Look at the long

term charts. What goes away stays away.

I am almost 4 years post-op and eat anything I want when ever I want. I

choose good foods, but if I want a candy or a few fries, I can eat them with

out guilt or panic that I will add more pounds. My weight flucuates about 5

pounds up or down. If my jeans are too loose, I eat a bit more. If they

are too tight, I eat more salad and less bread for a few days. To a person

who has been struggling with an eating disorder for 35 years, this is truly

heaven. It is still a novelty to eat without guilt. Don't dispare in those

first few very miserable months. The light at the end is bright!

Deborah

BPD/DS

09/27/97

307 lbs

Current 154

[Guest guest]

--

Ok, so if somebody weighs 350lbs. or more, at an 80% loss they are

still going to weigh close to 200lbs. I wonder if there are studies

done that show whether people who start out at higher weights tend to

lose more or less than the 80%. At only 5'2, I am going to have to

lose more than that to get out of the obesity range. Any ideas on

this.

Shirley

- In duodenalswitch@y..., " Magruder " wrote:

> > Just noticed Rita state that only 70% keep the weight they

> > lose off after DS.

>

> Maybe I misunderstood, but I thought she was saying that most DS

> patients lose and keep off 70% of their excess weight, on average.

This

> goes along with the clinical data that seems to consistently report

> 70-80% excess weight lost and maintained long-term.

>

> Dr. Hess' report concludes, " Results: There is an average maximum

weight

> loss of 80% excess weight which occurs at 24 month post-operative

and

> continues at a 70% level for eight years. " , and further down in the

> report, there is a table showing the breakdown:

>

> http://www.duodenalswitch.com/Procedure/1998Hess/1998hess.html

>

> Weight lost % of patients

> ----------- -------------

> Excellent (80% EWL) 79.8%

> Good (60% EWL) 13.0%

> Fair (40% EWL) 6.9%

> Poor (20% EWL) 0.03%

> Failure (<2% EWL) 0.00%

>

> So, right around 80% of folks lost and kept off 80% of their excess

> weight.

>

> 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@t...

>

>

>

> _________________________________________________________

>

[Guest guest]

Shirly,

A couple of the studies separte the MO (BMI:40-50) and SMO (BMI>50).

Genearlly the reults of those who are SMO (super-morbidly obease) are

not as good in terms of percentage weight loss, but better in terms

of absolute weight loss. Some studies do show comparable percentage

weight loss. In either case, somebody who starts out 200lbs

overweight is likely to remain significantly overweight after the

procedure (40-60lbs). Still, the DS has the best long term results

for those in the >50 BMI category. No, you won't become a cosmo

model, but you will loose enough weight to dramatically improve your

health.

Hull

> > > Just noticed Rita state that only 70% keep the weight they

> > > lose off after DS.

> >

> > Maybe I misunderstood, but I thought she was saying that most DS

> > patients lose and keep off 70% of their excess weight, on

average.

> This

> > goes along with the clinical data that seems to consistently

report

> > 70-80% excess weight lost and maintained long-term.

> >

> > Dr. Hess' report concludes, " Results: There is an average maximum

> weight

> > loss of 80% excess weight which occurs at 24 month post-operative

> and

> > continues at a 70% level for eight years. " , and further down in

the

> > report, there is a table showing the breakdown:

> >

> > http://www.duodenalswitch.com/Procedure/1998Hess/1998hess.html

> >

> > Weight lost % of patients

> > ----------- -------------

> > Excellent (80% EWL) 79.8%

> > Good (60% EWL) 13.0%

> > Fair (40% EWL) 6.9%

> > Poor (20% EWL) 0.03%

> > Failure (<2% EWL) 0.00%

> >

> > So, right around 80% of folks lost and kept off 80% of their

excess

> > weight.

> >

> > 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@t...

> >

> >

> >

> > _________________________________________________________

> >