rny vs ds vs iliel bypass

[Guest guest]

I have pancreatitis and was advised I would require a surgery with a

greater malabsorption than RNY. I went to see Dr. Buchwald in MN and

he suggested gastroplasty with an iliel bypass. What concerns me is

that he made the decision without checking into by current labs

showing the lipid levels (caused pancreatitis). It is my

understanding that the ilieal bypass is very drastic and I will not

have that done. 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). I left the office.

Upon my return hime I contact several other surgeons in the Chicago

area, trying to find one that did the DS. I spoke with a nurse at

University of Chicago who was interested in my case and presented it

to the surgeon. 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.

Now, I am really getting confused! I want the " normal " function of

my stomach. I want to be able to drink with my meals. And, I want

the long term weight management. I want the pancreatitis to

subside. If the RNY can be classified as the " same " benifit of the

DS, why is the DS still inexistence? Why do the doctors avoid the

DS? Is it non-profit? 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? Please respond with

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

malabsorption.