Re: considering duodenal switch

[Guest guest]

In a message dated 09/10/2001 5:43:30 AM Central Daylight Time,

lcamp2001@... writes:

> I initially had decided that I wanted to go the RNY route for my WLS

> surgery. Then I read about the DS and decided that was the way for me

> to go since it didn't have the " dumping " side effects. I read

> recently about recearch that showed there were long term serious

> nutional side effects. Can you help me out and tell me what your

> surgeons have told you and who did you surgery? Thanks!!!!!!!! Leigh

>

>

>

My surgeon was Dr. Hess. My take on the nutritional problems is this. You

must have your follow up bloodwork done. You must take your vitamins. You

need to make sure you get good portions of protein each day. For almost all

of us any nutritional problems are easily fixed as long as they are caught

early. But early is the key word here. This is why you must have your

bloodwork done. It is much more difficult to fix the problems if you wait

until you have actual physical symptoms. Now there is that very small

percentage (the other part of the almost all) that have more difficulty

fixing their nutritional problems. However, they still are able to fix

them---just with much more bother. The absolute most extreme method for

fixing problems (in that very rare, small percentage) would be more surgery

to modify the length of the common channel. The effects of this surgery are

entirely reversible. The stomach portion is not, but over the long term the

amount we can eat will not effect your health. It is the malabsorbtion part

that would cause nutritional problems and it is entirely reversible should

someone be in that rare, rare problem of nutritional problems that are not

resolved by other means.

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]

> Perhaps it would help respond to your

> concerns if you would please post the

> source of your information so that we

> may read it and reply appropriately.

I think a slightly better way of phrasing this would be:

" Perhaps it would help respond to your

concerns if you would please post the

source of your *MIS-information* so that we

may read it and *LAUGH HEARTILY*. "

(;

I know, not really helpful, but I'm in a playful mood this morning.

I can't help it -- I just spent the last half-hour playing chase all

around the house with my vicious watchdog, Augie. Do you have any

idea how long it's been since I was last able to do ANYTHING physical

for that long? Well, NEITHER DO I!

Plus, I'm a bit less than six months post-op, and only 74 pounds from

my goal of losing 80% of my excess weight!

Happy, Happy, Joy, Joy!

Tom

Panniculectomy, Dr. Anthone, 11/10/2000

Open DS, Dr. Anthone, 03/30/2001

Support Group -- http://groups.yahoo.com/group/ds_usc

Goal: Lose 80% of Excess Weight

*******************************

* Starting Weight = 386 *

* " Ideal " Weight = 142 *

* =========================== *

* Total Excess Weight = 244 *

* 80% x Excess Weight = 201 *

* Goal Weight = 386-201 = 185 *

* =========================== *

* Total Needed to Lose = 201 *

* Loss To Date = 127 *

* =========================== *

* Remainder to Goal = 74 *

*******************************

Weight By Date:

(most recent first)

09/10/2001 . . 259

09/03/2001 . . 265

08/27/2001 . . 265

08/20/2001 . . 268

08/13/2001 . . 270

08/06/2001 . . 272

07/30/2001 . . 275

07/23/2001 . . 276

07/16/2001 . . 278

07/03/2001 . . 286

06/25/2001 . . 293

06/15/2001 . . 299

06/03/2001 . . 301

05/18/2001 . . 316

05/03/2001 . . 328

04/19/2001 . . 338

03/30/2001 . . 360

11/10/2000 . . 386

[Guest guest]

Tom,

That's wonderful, congratulations on your weight loss and your new

found energy level!! But calling Augie 'your vicious watchdog' while

probably good for his ego, maybe a tad incorrect! I don't think

licking strangers to death neccessarily qualifies one as a 'vicious

attack dog'. Now, my dog will bark and then go hide in the

bedroom..and sometimes he sneak attacks and tries to bite people in

the back of the knee..during his sneak attacks it would be

appropriate to call my dog a 'vicious attack dog'..of course he

doesn't draw blood, but you'd think he'd maimed someone by the way my

cousin yelped!

Anita

Pre-op in Denver

I just spent the last half-hour playing chase all

> around the house with my vicious watchdog, Augie. Do you have any

> idea how long it's been since I was last able to do ANYTHING

physical

> for that long? Well, NEITHER DO I!

>

> Plus, I'm a bit less than six months post-op, and only 74 pounds

from

> my goal of losing 80% of my excess weight!

>

> Happy, Happy, Joy, Joy!

>

> Tom

>

> Panniculectomy, Dr. Anthone, 11/10/2000

> Open DS, Dr. Anthone, 03/30/2001

> Support Group -- http://groups.yahoo.com/group/ds_usc

>

> Goal: Lose 80% of Excess Weight

> *******************************

> * Starting Weight = 386 *

> * " Ideal " Weight = 142 *

> * =========================== *

> * Total Excess Weight = 244 *

> * 80% x Excess Weight = 201 *

> * Goal Weight = 386-201 = 185 *

> * =========================== *

> * Total Needed to Lose = 201 *

> * Loss To Date = 127 *

> * =========================== *

> * Remainder to Goal = 74 *

> *******************************

> Weight By Date:

> (most recent first)

> 09/10/2001 . . 259

> 09/03/2001 . . 265

> 08/27/2001 . . 265

> 08/20/2001 . . 268

> 08/13/2001 . . 270

> 08/06/2001 . . 272

> 07/30/2001 . . 275

> 07/23/2001 . . 276

> 07/16/2001 . . 278

> 07/03/2001 . . 286

> 06/25/2001 . . 293

> 06/15/2001 . . 299

> 06/03/2001 . . 301

> 05/18/2001 . . 316

> 05/03/2001 . . 328

> 04/19/2001 . . 338

> 03/30/2001 . . 360

> 11/10/2000 . . 386

[Guest guest]

Leigh,

I have done tons of research on this subject. You can find a summary

of my results in the Files section under " Hull's folder " . The

file is called " Aetna Letter " , because it was motivated by Aetna's

and BC/BS claim that the DS is investigational.

A quick summary: The malabsorptive part of the procedure reduces

your ability to absorb fat solubale vitamins (A,D,E,and K) as well as

some key minerals (calcium, iron, folic acid). With proper oral

supplimentation one can compensate for the reduced absorption in 90%

of the cases. Some menstruating women need intra-muscular shots of

iron (about 10%).

A second issue is the potential of protien malnutrion. Early attempts

at the old BPD procedure yielded over 10% occurance of protien

malnutriton; however, with the modifications of a longer channel

length and a longer alimentary limb (slightly less malabsorptive)

this has been reduced to only a few percent. In those cases it is

necessary to return to the hospital for treatment. Occasionaly the

malnutrion problem is chronic and a restoration of intestinal

continuity is required (about 1% of the cases).

Hull

> I initially had decided that I wanted to go the RNY route for my

WLS

> surgery. Then I read about the DS and decided that was the way for

me

> to go since it didn't have the " dumping " side effects. I read

> recently about recearch that showed there were long term serious

> nutional side effects. Can you help me out and tell me what your

> surgeons have told you and who did you surgery? Thanks!!!!!!!!

Leigh

[Guest guest]

Glad that you're feeling so spunky this am Tom!!

I do know that some of the RNY surgeons are touting the " DANGEROUS

MALABSORBPTION OF DS "

WHen I first started researching--I found a gal who lives in my town

that had WLS(RNY), we set up a time to call, in the meantime I found

the DS. WHen we talked, I asked her if she heard of it--1st words

out of her mouth-- " that causes serious malabsoption " .

When I asked her how she was doing--whe said-- " well, I guess OK. "

with a real non-commital, semi=pained voice---that told me more than

anything.

OK, now I know that RNY isn't for moi!!

I am so thankful that I am a digger and researcher--and want to get

the " rest of the story " because I found the best surgery for me!!

Now, go chase Augie some more!!!

Pammi