Re: rny vs ds vs iliel bypass

[Guest guest]

You need to go to the duodenalswitch.com site and get the list of DS docs.

The thinking of reserving the DS for high BMI pts is quickly falling by the

wayside. If you truly want the sleeve gastrectomy portion of this

surgery--keep looking for the surgeon you need. The intestinal issue is

separate and will have to be determined in veiw of the pancreatitis. Is

this something that is chronic or will this clear up for you?

Keep digging!!

Pammi

_________________________________________________________

[Guest guest]

rny vs ds vs iliel bypass

> supposedly creating the same results as DS? Please respond with

> facts that you may have found that support DS over the RNY for

> malabsorption.

But the difference between RNY and DS is so much bigger than

malabsorption -- it's the whole pyloric valve thing with the larger (more

normal) stomach, etc., that makes a huge difference as well. With RNY,

you've got a 1 oz pouch to deal with, not a 4-6 oz stomach. There are all

kinds of differences between the two.

alyssa

[Guest guest]

This is probably Alveredy(sp) in Chicago that you are talking to. The Distal

RNY can produce the same weight loss and maintenance results, but not the

same quality of life results. Also there is more of a chance of nutritional

problems with a distal RNY than with a DS.

Dawn----South suburban chicago area

Dr. Hess, Bowling Green, OH

BPD/DS

4/27/00

www.duodenalswitch.com

267 to 165 5' 4 "

size 22 to size 10

have made size goal

no more high blood pressure, sore feet, or dieting!

[Guest guest]

> It is my understanding that the ilieal

> bypass is very drastic and I will not

> have that done.

I think you are confusing what he suggested with the old JIB -- the

infamous jejuno-ileal bypass, which bypassed 90-95% of the small

intestine, left the remainder just floating out there, caused all

kinds of liver problems, etc...

It sounds to me like what he is suggesting is sort of a " medial " DS,

i.e., with LESS malabsorption than the DS, not more.

> I stressed to him that I would prefer

> the DS but he stated that he reserves

> that for his larger patients (I'm 5'3''

> 265).

This kind of thinking is a HUGE red flag for me, showing that the

surgeon doesn't really understand obesity. I would NEVER go to a

surgeon who " offers " different surgeries depending on how MO the

patient is. If a surgeon lacks the basic medical knowledge and

judgment to see that the DS is the best surgery for the MO patient,

then I don't want anything to do with him/her/it.

> I left the office.

GOOD FOR YOU!

>

> He came back with the response that

> the RNY can be done with a shorter

> common channel and can therefore

> create the same malabsorption as

> the DS.

ANOTHER MORON HEARD FROM!

>

> If the RNY can be classified as the

> " same " benifit of the DS, why is the

> DS still inexistence?

The RNY cannot be classified as giving the same benefits as the DS.

Sure, it can provide the same MALABSORPTION as the DS, but that means

very little.

The bottom line is the different treatment of your stomach, and hence

the difference in your ENTIRE LIFE as a post-op.

The DS makes your stomach SMALLER;

The RNY MUTILATES your stomach!

> Why do the doctors avoid the DS?

1. Ignorance -- they confuse any " malabsorptive " procedure with the

JI Bypass;

2. Lack of ability/skill -- the DS is a more difficult surgery, and

requires a better surgeon;

3. MONEY -- the RNY takes much less time to perform, but insurance

companies pay the same for the RNY and DS, so the RNY surgeon pads

his pockets at the patients' expense;

4. Prejudice -- many surgeons like the RNY because the extreme food

restriction, constant vomiting, and dumping all serve to PUNISH the

patient for being a big, fat, lazy, shiftless, slob. (This is how

the ENTIRE MEDICAL PROFESSION looked upon us until very recently, and

I dare say it's how much of the profession STILL looks upon us!)

> I want to stick to my guns in getting

> the DS, but what is my argument to have

> it if RNY, a more acceptable surgery

> to insurance and a more promoted surgery

> by physician's, is supposedly creating

> the same results as DS?

STICK TO YOUR GUNS, AND FIND ANOTHER SURGEON!

The only argument you need make is this one:

" IT'S MY F--KING BODY, YOU A$$HOLE, SO DO WHAT I WANT OR GO TO #ELL!

There are plenty of DS surgeons. Go to http://www.duodenalswitch.com

for the entire list. Sure, you may have to drive a bit farther, but

so what? (I drove 350 miles to get my surgery done!) Believe me,

the extra effort is worth it.

Tom

[Guest guest]

> " IT'S MY F--KING BODY, YOU A$$HOLE, SO DO WHAT I WANT

OR GO TO #ELL!

Tom,

I'm going to put that on my stationery to my insurance company!

Thanks!

-maria