Guest guest Posted August 10, 2001 Report Share Posted August 10, 2001 At 12:06 AM +0000 8/11/01, pensiondude@... wrote: >... >He said that he's not sure that I am a good candidate for the DS, due >to the fact that I had a colon resection in the past(20years). He I have no expertise in this area at all. Get some second opinions before proceeding further. >mentioned that DS patients have substantial diarrhea after surgery, >with 4-6 bowel movements per day and I could probably expect to have >substantially worsened diarrhea postop. We will speak more next week. Many do. Many do not. But, what's a little diarrhea for a few weeks between consenting adults, compared to the years and years of normalcy you get with a DS? --Steve -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2001 Report Share Posted August 10, 2001 , the only diarrhea I had was in the hospital, and that was mostly from the antibiotics and pre-op bowel prep. Now I have one, maybe two a day. YMMV, but I think most DS folks dont have regular diarrhea. Most surgeons who cant or wont do the DS will naturally recommend Rny. Best of luck, Meli -- In duodenalswitch@y..., pensiondude@o... wrote: > I was scheduled to have RNY surgery on 9/7/01 but after more research > I decided to tell the doctor that I was not happy about it and wanted > to have the duodenal switch method. > > He said that he's not sure that I am a good candidate for the DS, due > to the fact that I had a colon resection in the past(20years). He > mentioned that DS patients have substantial diarrhea after surgery, > with 4-6 bowel movements per day and I could probably expect to have > substantially worsened diarrhea postop. We will speak more next week. > > I have spoken to other specialists and they say that RNY is the way to > go. I don't want to be pressured into a WLS surgery I don't want. > > Right now, I'm so depressed..I dont know if I will have the surgery. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2001 Report Share Posted August 10, 2001 , the only diarrhea I had was in the hospital, and that was mostly from the antibiotics and pre-op bowel prep. Now I have one, maybe two a day. YMMV, but I think most DS folks dont have regular diarrhea. Most surgeons who cant or wont do the DS will naturally recommend Rny. Best of luck, Meli -- In duodenalswitch@y..., pensiondude@o... wrote: > I was scheduled to have RNY surgery on 9/7/01 but after more research > I decided to tell the doctor that I was not happy about it and wanted > to have the duodenal switch method. > > He said that he's not sure that I am a good candidate for the DS, due > to the fact that I had a colon resection in the past(20years). He > mentioned that DS patients have substantial diarrhea after surgery, > with 4-6 bowel movements per day and I could probably expect to have > substantially worsened diarrhea postop. We will speak more next week. > > I have spoken to other specialists and they say that RNY is the way to > go. I don't want to be pressured into a WLS surgery I don't want. > > Right now, I'm so depressed..I dont know if I will have the surgery. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2001 Report Share Posted August 10, 2001 , I was diagnosed with ulcerative colitis almost two years ago. Since researching WLS, I too have decided that I want the quality of life that the DS has to offer. I was very worried about pursuing this because of the post-op diarrhea battle. I was even afraid to ask if this operation would be possible for me. I've made great progress in managing this disease and I finally posted about this on the list. I didn't get a response, but I finally discussed it with my gastroenterologist and he said I would possibly have to change my current medication post-op but that surgery would be okay. You know what your current bathroom habits are. If you feel your condition would be manageble given what you know about the after affects of this surgery then find more Dr.'s opinions about this. Don't give up ! Jill Koepke 289/BMI 46 1st consult w/Dr.Herron Oct.24,01!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2001 Report Share Posted August 10, 2001 , I was diagnosed with ulcerative colitis almost two years ago. Since researching WLS, I too have decided that I want the quality of life that the DS has to offer. I was very worried about pursuing this because of the post-op diarrhea battle. I was even afraid to ask if this operation would be possible for me. I've made great progress in managing this disease and I finally posted about this on the list. I didn't get a response, but I finally discussed it with my gastroenterologist and he said I would possibly have to change my current medication post-op but that surgery would be okay. You know what your current bathroom habits are. If you feel your condition would be manageble given what you know about the after affects of this surgery then find more Dr.'s opinions about this. Don't give up ! Jill Koepke 289/BMI 46 1st consult w/Dr.Herron Oct.24,01!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2001 Report Share Posted August 10, 2001 > . But, what's a little diarrhea for a few weeks > between consenting adults, compared to the years and years of > normalcy you get with a DS? > > --Steve > - Steve, I'm not going to ask you to describe diarrhea between consenting adults, and just how that works, because I'm afraid you'd answer me..... Meli Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2001 Report Share Posted August 10, 2001 > . But, what's a little diarrhea for a few weeks > between consenting adults, compared to the years and years of > normalcy you get with a DS? > > --Steve > - Steve, I'm not going to ask you to describe diarrhea between consenting adults, and just how that works, because I'm afraid you'd answer me..... Meli Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 In a message dated 8/10/01 9:59:18 PM, duodenalswitch writes: << Many do. Many do not. But, what's a little diarrhea for a few weeks between consenting adults, compared to the years and years of normalcy you get with a DS? >> Steve: I agree - IF the diahhrea will be relatively short term and taper off (i.e. - be largely a result of the body's reaction to the surgery).... BUT, perhaps the surgeon is referring to LONG TERM, LIFELONG diahhrea associated with a distal surgery... In this case, then I think one really has to think long and hard about the 'normalcy' that the DS may bring. I think such cases are in the minority--- But I have heard of people with IBD (irritable Bowel Disease) not able to get the surgery because of long term side effects like diahhrea. I think that, generally, if anyone has a disease of the colon or serious colon condition, the DS is almost always NOT recommended. I would ask the surgeon what kind of RNY he/she plans to perform -- It better NOT be a distal RNY! If so, then I think you have an excellent chance of getting the DS. Why would a distal RNY be any different in terms of post-op diahhrea, etc.? If the surgeon would only consider a proximal RNY, perhaps you could get a second opinion. Is it the previous surgery and possible scarring, etc. that makes the surgeon hesitant to do the DS (in this case a surgeon that is more experienced may be in order)? Or, is it not the mechanics of the surgery but truly concern about post-op lifestyle? All the best, lap ds with gallbladder removal January 25, 2001 Dr. GAgner/Mt. Sinai/NYC six months post-op and still feelin' fabu pre-op: 307 lbs/bmi 45 now: 228 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 In a message dated 8/11/01 5:24:58 AM, duodenalswitch writes: << , the only diarrhea I had was in the hospital, and that was mostly from the antibiotics and pre-op bowel prep. Now I have one, maybe two a day. YMMV, but I think most DS folks dont have regular diarrhea. Most surgeons who cant or wont do the DS will naturally recommend Rny. Best of luck, Meli >> Yes, the majority of people do not have diahhrea (or severe diahhrea) after a few weeks post-op. However, the one situation where the DS is NOT recommended (generally across the board) involves existing (previous?) colon disease. I remember asking Dr. Gagner about IBS and he said that was fine - but with IBD -- chrohns, ulcerative colitis, etc. and the like - there is NO way he would do the DS. I am not sure what kind of condition had/has that necessitated the colon surgery but if there is a history of serious colon disease, this pretty much *can* rule one out as a candidate for the DS. I agree, though, that many surgeons will try to push the RNY because they do not feel so confident about the DS (either in their skills and/or the procedure). Perhaps 's condition now would not rule him out and the fact that he had previous colon surgery really isn't an issue - I don' t know all the details about it. If is really, really set on the DS, why not correspond with some of the top DS surgeons in the country (Dr. Gagner, Dr. Herron, Dr. K, Dr. Hess, etc.) and see what their responses would be in regards to this matter??? At least he could feel more confident if there is a consensus about it that the DS would not be advisable or he could find out that it may be ok in his particular case. all the best, lap ds with gallbladder removal January 25, 2001 Dr. Gagner/Mt. Sinai/NYC six months post-op and still feelin' fabu! pre-op: 307 lbs/bmi 45 Now: 228 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 In a message dated 8/11/01 5:24:58 AM, duodenalswitch writes: << I've made great progress in managing this disease and I finally posted about this on the list. I didn't get a response, but I finally discussed it with my gastroenterologist and he said I would possibly have to change my current medication post-op but that surgery would be okay. You know what your current bathroom habits are. If you feel your condition would be manageble given what you know about the after affects of this surgery then find more Dr.'s opinions about this. Don't give up ! >> Jill: So glad to hear about your progress! I totally agree that should correspond with other surgeons and see what they think about this issue. It's great to have someone with the personal experience speaking up about it. All the best, NOverr-Chin co-moderator, duodenalswitch lap ds with gallbladder removal January 25, 2001 six months post-op and still feelin' fabu! pre-op: 307 lbs/bmi 45 now: 228 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 In a message dated 8/11/01 11:51:37 AM Eastern Daylight Time, ruisha@... writes: > But I have heard of people with IBD > (irritable Bowel Disease) not able to get the surgery because of long term > side effects like diahhrea. I've spoken with several people with IBS who improved after the DS. Go figure! I thought I had IBS but now truly think I have alot of food allergies including dairy and fatty foods. When I eat " cleanly " , my stomach is fine. If I don't, I appear to have IBS. Sherry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 Jill, Thanks for the support. I read a lot of information about RNYamd the problems people have. I dont want to have WLS and then regain my weight. If the doctors feel that strong about this, I will not have RNY surgery performed. ---- jkoepke@... wrote: > , > I was diagnosed with ulcerative colitis almost two years > ago. Since researching WLS, I too have decided that I > want the quality of life that the DS has to offer. I was > very worried about pursuing this because of the post-op > diarrhea battle. I was even afraid to ask if this operation > would be possible for me. I've made great progress in > managing this disease and I finally posted about this on the > list. I didn't get a response, but I finally discussed it > with my gastroenterologist and he said I would possibly have to > change my current medication post-op but that surgery would be > okay. > You know what your current bathroom habits are. If you feel > your condition would be manageble given what you know about > the after affects of this surgery then find more Dr.'s > opinions about this. Don't give up ! > > Jill Koepke > 289/BMI 46 > 1st consult w/Dr.Herron > Oct.24,01!! > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 Do you remember how much of your colon was resected? How is it behaving now? The sleeve gastrectomy portion of the DS would have no bearing on your bowel resection--this is the most appealing part of the DS procedure. I'm sorry, but the RNY does a hatchet job on the stomach and food moves through faster, which I think would be harsher for your colon. You should consult with a couple DS surgeons--but from my knowledge of the anatomy--unless you have had the entire colon removed and have a colostomy--they can rearrange the small bowel without any adverse affects. Don't make any hasty decicions--most docs have a limited first hand knowledge of the DS and how it affects the body. Pammi > >... > >He said that he's not sure that I am a good candidate for the DS, due > >to the fact that I had a colon resection in the past(20years). He > > I have no expertise in this area at all. Get some second opinions > before proceeding further. > > >mentioned that DS patients have substantial diarrhea after surgery, > >with 4-6 bowel movements per day and I could probably expect to have > >substantially worsened diarrhea postop. We will speak more next week. > > > Many do. Many do not. But, what's a little diarrhea for a few weeks > between consenting adults, compared to the years and years of > normalcy you get with a DS? > > --Steve > -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 Do you remember how much of your colon was resected? How is it behaving now? The sleeve gastrectomy portion of the DS would have no bearing on your bowel resection--this is the most appealing part of the DS procedure. I'm sorry, but the RNY does a hatchet job on the stomach and food moves through faster, which I think would be harsher for your colon. You should consult with a couple DS surgeons--but from my knowledge of the anatomy--unless you have had the entire colon removed and have a colostomy--they can rearrange the small bowel without any adverse affects. Don't make any hasty decicions--most docs have a limited first hand knowledge of the DS and how it affects the body. Pammi > >... > >He said that he's not sure that I am a good candidate for the DS, due > >to the fact that I had a colon resection in the past(20years). He > > I have no expertise in this area at all. Get some second opinions > before proceeding further. > > >mentioned that DS patients have substantial diarrhea after surgery, > >with 4-6 bowel movements per day and I could probably expect to have > >substantially worsened diarrhea postop. We will speak more next week. > > > Many do. Many do not. But, what's a little diarrhea for a few weeks > between consenting adults, compared to the years and years of > normalcy you get with a DS? > > --Steve > -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 Just another thought---- There are some DS surgeons doing it in 2 parts with the sleeve gastrectomy 1st. It may be an option for you just to get that and lose enough wt. and you'll not be messing around with the intestines too much. There are options!! Pammi > > >... > > >He said that he's not sure that I am a good candidate for the DS, > due > > >to the fact that I had a colon resection in the past(20years). He > > > > I have no expertise in this area at all. Get some second opinions > > before proceeding further. > > > > >mentioned that DS patients have substantial diarrhea after surgery, > > >with 4-6 bowel movements per day and I could probably expect to > have > > >substantially worsened diarrhea postop. We will speak more next > week. > > > > > > Many do. Many do not. But, what's a little diarrhea for a few > weeks > > between consenting adults, compared to the years and years of > > normalcy you get with a DS? > > > > --Steve > > -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 In a message dated 8/11/01 2:37:30 PM Pacific Daylight Time, raina28@... writes: > I think that IBS is a combination of stress and diet. I found that Pre-DS > when I wasnt stressing and eating good foods that my IBS was non-existent > (just an opinion though) > I've had that same experience. I think you're right about the stress. ~~* AJ *~~ Post op 7/24/01 self pay - Dr Baltasar -Alcoy Spain 07/24/01 BMI 64 - 415.1 08/06/01 BMI 59 - 390.2 -24.9 lbs!!!!!!!!!!~~~~ Check out the Bellingham Support for WLS WWW.WLSBellingham.homestead.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 In a message dated 8/11/01 2:37:30 PM Pacific Daylight Time, raina28@... writes: > I think that IBS is a combination of stress and diet. I found that Pre-DS > when I wasnt stressing and eating good foods that my IBS was non-existent > (just an opinion though) > I've had that same experience. I think you're right about the stress. ~~* AJ *~~ Post op 7/24/01 self pay - Dr Baltasar -Alcoy Spain 07/24/01 BMI 64 - 415.1 08/06/01 BMI 59 - 390.2 -24.9 lbs!!!!!!!!!!~~~~ Check out the Bellingham Support for WLS WWW.WLSBellingham.homestead.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 I think that IBS is a combination of stress and diet. I found that Pre-DS when I wasnt stressing and eating good foods that my IBS was non-existent (just an opinion though) Lisbeth Dr. Macura June 25, 2001 GABS12992@... wrote: In a message dated 8/11/01 11:51:37 AM Eastern Daylight Time, ruisha@... writes: > But I have heard of people with IBD > (irritable Bowel Disease) not able to get the surgery because of long term > side effects like diahhrea. I've spoken with several people with IBS who improved after the DS. Go figure! I thought I had IBS but now truly think I have alot of food allergies including dairy and fatty foods. When I eat " cleanly " , my stomach is fine. If I don't, I appear to have IBS. Sherry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 I think that IBS is a combination of stress and diet. I found that Pre-DS when I wasnt stressing and eating good foods that my IBS was non-existent (just an opinion though) Lisbeth Dr. Macura June 25, 2001 GABS12992@... wrote: In a message dated 8/11/01 11:51:37 AM Eastern Daylight Time, ruisha@... writes: > But I have heard of people with IBD > (irritable Bowel Disease) not able to get the surgery because of long term > side effects like diahhrea. I've spoken with several people with IBS who improved after the DS. Go figure! I thought I had IBS but now truly think I have alot of food allergies including dairy and fatty foods. When I eat " cleanly " , my stomach is fine. If I don't, I appear to have IBS. Sherry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 In a message dated 8/11/01 5:37:43 PM Eastern Daylight Time, raina28@... writes: > I think that IBS is a combination of stress and diet. I found that Pre-DS > when I wasnt stressing and eating good foods that my IBS was non-existent > (just an opinion though) > I agree with you out of my own experience! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 In a message dated 8/11/01 5:37:43 PM Eastern Daylight Time, raina28@... writes: > I think that IBS is a combination of stress and diet. I found that Pre-DS > when I wasnt stressing and eating good foods that my IBS was non-existent > (just an opinion though) > I agree with you out of my own experience! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 > But I have heard of people with IBD > (irritable Bowel Disease) not able to get the surgery because of long term > side effects like diahhrea. I've spoken with several people with IBS who improved after the DS. Go figure! I thought I had IBS but now truly think I have alot of food allergies including dairy and fatty foods. When I eat " cleanly " , my stomach is fine. If I don't, I appear to have IBS.>>>>> Yes, Sherry: I was diagnosed with IBS (Irritable Bowel Syndrome, different and less severe and specific than IBD, Irritable Bowel Disease) and it has been overall better as a post-op. I didn't have diahhrea as a pre-op, though but constipation. If anything, the DS has made me a lot more 'regular' ROFL My theory is that the intestines have to work a little 'less in that the entire intestines are not absorbing food. I think there's less neurological impulses therefore being sent and less blood flowing there... It gives the intestines a chance to kind of 'relax' until the common channel.... All the best, lap ds with gallbladder removal January 25, 2001 Dr. Gagner/Mt. Sinai/NYC six months post-op and still feelin' fabu! preop: 307 lbs/bmi 45 now: 228 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 > But I have heard of people with IBD > (irritable Bowel Disease) not able to get the surgery because of long term > side effects like diahhrea. I've spoken with several people with IBS who improved after the DS. Go figure! I thought I had IBS but now truly think I have alot of food allergies including dairy and fatty foods. When I eat " cleanly " , my stomach is fine. If I don't, I appear to have IBS.>>>>> Yes, Sherry: I was diagnosed with IBS (Irritable Bowel Syndrome, different and less severe and specific than IBD, Irritable Bowel Disease) and it has been overall better as a post-op. I didn't have diahhrea as a pre-op, though but constipation. If anything, the DS has made me a lot more 'regular' ROFL My theory is that the intestines have to work a little 'less in that the entire intestines are not absorbing food. I think there's less neurological impulses therefore being sent and less blood flowing there... It gives the intestines a chance to kind of 'relax' until the common channel.... All the best, lap ds with gallbladder removal January 25, 2001 Dr. Gagner/Mt. Sinai/NYC six months post-op and still feelin' fabu! preop: 307 lbs/bmi 45 now: 228 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2001 Report Share Posted August 12, 2001 Hi - I am very regular with the Ds surgery. I go 3 times in the morning and that is it. Once in a while I will have to go later on but that is rare. I think it depends on how much fat one eats. I don't have diarrea and some do and some don't. Hope this helps. Ellen(Pam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2001 Report Share Posted August 12, 2001 Hi - I am very regular with the Ds surgery. I go 3 times in the morning and that is it. Once in a while I will have to go later on but that is rare. I think it depends on how much fat one eats. I don't have diarrea and some do and some don't. Hope this helps. Ellen(Pam Quote Link to comment Share on other sites More sharing options...
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