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Re: DS vs RNY

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At 7:59 PM -0700 9/12/01, Shirley Groom wrote:

>I've been reading and studying the two for a while now. I still don't

>understand why DS has a higher incidence in malnutrition than RNY. Don't

>they both have a malabsorption component?

Distal RnY is similar, but the RnY common channel can be longer

(medial) or much longer (proximal) than that of the DS. Longer

common channel = more absorption. Most RnY-ers have no idea about

these details or whether they were done proximally, medially or

distally. Medial or proximal RnY can also explain why many regain

weight after their pouch stretches.

--Steve

--

Steve Goldstein, age 61

Lap BPD/DS on May 2, 2001

Dr. Elariny, INOVA Fairfax Hospital, Virginia

Starting (05/02/01) BMI = 51

BMI on 09/12 = 41 (-63 lb.)

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Both the distal roux en Y and the DS have a malabsorption component

that is comparable. There should be no higher incidence of

malnutrition with either surgery as long as the patient remembers to

take their supplements AS INSTRUCTED!

Theresa

> I've been reading and studying the two for a while now. I still

don't

> understand why DS has a higher incidence in malnutrition than RNY.

Don't

> they both have a malabsorption component? Someone explain.

> ~~ShirleyAnn in Arcata

> Pre-op Dr Welker

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