Guest guest Posted September 13, 2001 Report Share Posted September 13, 2001 In a message dated 9/12/01 10:14:19 PM Central Daylight Time, steve-goldstein@... writes: > Medial or proximal RnY can also explain why many regain > A proximal RNY is mostly a restrictive procedure as well as a procedure that can bully you into not eating sweets. The distal procedure is more malabsorbtive like the DS. A medial RNY is somewhere inbetween. Dawn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2001 Report Share Posted September 13, 2001 In a message dated 9/12/01 10:21:35 PM Central Daylight Time, timarie55@... writes: > 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! > > Except that with the DS eating meat is often easier and therefore the patient is able to eat larger quantities of meat making iron levels and protein levels easier to maintain. Also the distal RNY will have more difficulty with B-12 as their " pouch " cannot produce intrinsic factor. Dawn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2001 Report Share Posted September 13, 2001 Dawn, This is quite true. In fact the common channel length for a distal RNY is required to be 150cm to avoid nutritonal problems. So the distal RNY is not quite as malabsorptive as the DS. They tried 50cm common channel with the distal RNY, and had terrible results! Hull > > Except that with the DS eating meat is often easier and therefore the patient > is able to eat larger quantities of meat making iron levels and protein > levels easier to maintain. Also the distal RNY will have more difficulty > with B-12 as their " pouch " cannot produce intrinsic factor. > > Dawn > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2001 Report Share Posted September 13, 2001 Dr Fox in Tacoma makes a 50cm common channel for the distals. Don't know where you got that 150 cm info. in Seattle > Dawn, > > This is quite true. In fact the common channel length for a distal > RNY is required to be 150cm to avoid nutritonal problems. So the > distal RNY is not quite as malabsorptive as the DS. They tried 50cm > common channel with the distal RNY, and had terrible results! > > Hull Quote Link to comment Share on other sites More sharing options...
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