Re: Trying to decide DS or RNY.....please let me know your experiences.

[Guest guest]

Steve,

Well this is always a favorite topic of discussion. I have read a

huge volume of research. To summarize it:

The DS does lead to more frequent and fowel smelling bowel movements,

though rarely diarhea. If you go to the fiels section under " Chris

Hull's foler " you will find a summary of the Marceau paper (1998).

This is the best paper regarding study of DS side effects.

On the other hand, it is harder to find information on the side

effects of the RNY: Not because they are less frequent, but because

RNY surgeons are not usually very interested in quality of life

issues.

If you do read them you will find out about problems like vomiting,

meat intolerance, and an inability to eat more than a tiny amount of

food. Most of all, the majority get the dumping syndrome. The

dumping syndrome is so common for the RNY that suregons have actually

tried to claim it as an advantage! They claim that it forces you to

eat fewer sweets.

I experienced the impact of RNY up close, because my wife had the RNY

(with Fobi modification). Her frequnt vomiting, nausea, and lack of

ability to eat a decent volume of food convinced me that gastric

bypass surgery was not for me (I made statments like: " I will never

get that procedure).

When I discovered the DS, I had found what I had been waiting for. It

is not perfect, but it is the most effective solution available at

this time. There is not late weight regain like there is with the

RNY and all the banded techniques. You can continue to eat smaller

but still decent quatities of food.

You must be prepared for lifelong monitoring of your blood, along

with daily vitamins and followup with your surgeon at least once per

year.

You must accept that for a few percent of the patients the DS is too

effecctive and that you loose to MUCH weight (in which case a

restoration of intestinal continuity may be necessary).

It is a personal decision that is best made after learning as much as

you can about both procedures. Most who take the time to learn will

choose the DS, though some make an informed choice to go with the

RNY. I have great respect for their choice. I am concerned about

those that go with the RNY just because that is all that they really

know about.

If you want more information on my research, look under " Hull's

folder " in the files section.

http://groups.yahoo.com/group/duodenalswitch/files/

You will find in that folder a boat load of info that I think you

will find usefull.

Hull

> I'm really on the fence on this one. I've researched all WLS

> procedures and it has come down to DS or RNY. I'm leaning toward

DS,

> but have heard that there are frequent post-op problems with

> diarhhea, gas, or frequent bowel movements. I'm leaning toward DS

> because of the supposed better quality of life with food variety

and

> quantity, etc... but I don't want to be incapacitated by bowel

> problems. Honest experience answers will be appreciated. Thank you!

>

> Steve