Re: RNY vs DS

[Guest guest]

Pam,

Check out the website: http://www.duodenalswitch.com/

There you will find a boatload of information on the DS.

Regarding binge eating, the DS is clearly the best surgery for them,

as the RNY is not very effective for them, especially in those with a

pre-op BMI > 50.

Sugar is a problem with all of the procedures. It is fully absorbed

and it sneeks through all restriction. The Roux-En-Y is claimed to

be effective by punishing you with the " dumping syndrome " . If that

is what you want, just ask your SO to punch you every time you touch

sweet things - that would have the same effect, and at a much lower

cost (well - bailing him out of jail might get expensive, so maybee

another idea - how about an electronic monitor that gives you as

shock everytime you touch sugar).

DS post-ops can usually eat sweets in moderation, but it is best to

avoid their excess use, especially in the first year - as we will

need all the protien we can cram in that small gastric volume. As

the stomach expands, eating of moderate volumes of sweets is

certianlly permissable.

The real sin is high-caloric beverages. It is quite easy to get

addicted to Coca Cola and drink a 6 pack (or even a 12 pack) per day.

Doing this wiil defeat ANY weight loss surgery. Similar results can

be obtained from fruit juices and other sweatened beverages.

Cakes and Ice Cream take enough room that they probably arn't going

to be the big problem as far as weight loss and maintance are

concerned.

However, be aware that about 1/2 of all DS'ers become lactouse

intolerant (as do many RNY patients) and ice cream and milk are two

foods on the aviod list in that case (there is lactouse free milk

available at the grocery store, and I seem to remember lactouse free

ice cream somewhere - health food store maybee?).

Hull

p.s.:

The suregons in land are:

Baltimore

Apparo Vanguri, M.D.

Phone:

9805 Harford Road

Baltimore, MD 21234

Silver Spring

Y. Marcus, M.D.

E-mail: marcuslin@...

Phone:

Fax:

10801 Lockwood Drive #325

Silver Spring, land 20901

And in PENNSYLVANIA

S. s D.O., F.A.C.S.

E-mail: wspdo@...

Phone:

Professional Service Building

MidValley Hospital

1400 Main St.

Peckville, Pa. 18452

http://www.cutweight.org

> Hello, I am new to this site. One of your members, Dawn, sent me

an

> email about the distal rny and explained the ds a little bit. I

> thought that since I have binged and have a tendency to eat a lot

of

> sweets (usually PMS) that I should have the RNY. However, after

> reading some of the messages here, I am beginning to think I should

> have the DS. It seems that DSers can eat what ever, sweets don't

> seem to appeal as much as previously. (I think this can partially

be

> attributed to eating the protein first. I have done the Zone,

> Carbohydrate Addicts, Schwartzbein Principal, etc. I do believe

they

> are on the right track about the protein carbo relationship, but

the

> info wasn't enough for my body and came to late for me.)

>

> Some of the official sites about the different types of surgery

said

> the DS is a more severe surgery, but if your pyloris is kept

intact,

> it seems to me it would be less severe, and if this didn't work one

> could always try the RNY. You couldn't say the same of the

reverse.

> (going from RNY to DS.) Is there a web site that realistically

> compares the two? I am really leaning towards the DS and want to

be

> sure.

>

> There are no surgeons that I know of in my area that perform the

DS.

> Does anyone know of a surgeon in the South Central PA or Baltimore

MD

> area who do the DS? Is there a web site to search for one?

>

> Dawn said she traveled 2 states away to see her surgeon. I am

> willing to travel if I have to, but as a single mom with kids and a

> new job, that isn't very realistic. But, as I said before, I want

to

> make the right decision, with no regrets.

> Pam

[Guest guest]

Pam,

Doing your research and making the right choice is the most important

decision you will make in your life.

I chose the DS because I was a big meal eater, not much sugar, but

big on the fat. You can't always depend on the RnY to keep you from

the sugar, some people don't dump and some stop dumping.

I am a single mother too and I flew from New Mexico to Ohio to get

the DS. I hired a lawyer and fought my insurance company tooth and

nail for the DS. They offered to pay for a RNY at 100% or the DS at

70%, I took the DS because I was thinking a lifetime.

Think about what is best for you and not what is cheaper or easier.

Teri

[Guest guest]

Hi Pam,

I'm New to this group but I have investigated the DS and I am more

interested in this type of surgury than the RNY.I have all my pretesting

completed and have had one consult with one surgeon and will see another

one locally Thur.There is a Dr. in Winston Salem in NC that does

the switch. I live near Charlotte NC.I think its worth the wait to check

out the switch since its a lifetime change and I want the best results.

Thanks for your info..

in South Carolina

[Guest guest]

Go to www.duodenalswitch.com and all the surgeons in the world that

do the DS are listed there.

in Seattle

> Hi everyone,

> I live in Vancouver, BC. As I understand it, there are only wls in

> Saskatchewan and Quebec is it? and that the waiting lists go on

forever. Is

> there any way of getting into see a doctor in Washington or

somewhere else

> close like that? If so, can someone give the names of the surgeons

in

> Washington? Thanx for your time,

> Dora