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Re: DS/Dr. Herron

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> Why would the RNY be considered " less radical " and safer " , as you

> say, than the DS procedure?

Would it be safe to assume that ruisha@a... meant to imply that

for the lower BMI's she feels that Dr. Herron might be more

comfortable presenting the RNY, with it's lower percentage of weight

loss and longer medical history, to people who have less weight to

lose?

Of course, I feel that the BPD/DS may be more technically

challenging for the doctor, but is actually less radical for the

patient, as we have:

* fewer side effects (dumping, etc.),

* a more normal eating pattern after surgery,

* a lesser number of possible complications (no blocked stoma),

* and a complete stomach, plus the ability to absorb more

nutrients than what those with the RNY can absorb.

Hugs,

Shelly

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In a message dated 10/8/01 9:48:24 AM, duodenalswitch writes:

<<

Would it be safe to assume that ruisha@a... meant to imply that

for the lower BMI's she feels that Dr. Herron might be more

comfortable presenting the RNY, with it's lower percentage of weight

loss and longer medical history, to people who have less weight to

lose?

>>

Hi, Shelly -- Yes, I think that Dr. Herron *may* be more inclined to

recommend the RNY over the DS for those patients with a 'lower' bmi range

(under 50, I would think). He was not my surgeon so I don't have any direct

experience, but I've heard from some others that is his preference in many

cases (certainly not all). I also know people on whom he DID recommend and

perform the DS. I don't think he would outright refuse anyone who desired a

DS or anything like that but I think he *may be* of the opinion that the RNY

is the 'safer' or 'better' way to go unless one is at a higher bmi. :)

I don't necessarily agree with that outlook. My starting bmi was 45 and I

would NOT have gotten the RNY after I read about the DS. It was the long

term weight loss stats and post-op lifestyle that really attracted me and I

wouldn't have had it any other way. I have lost almost 100 lbs so far at

almost 9 months out and have about 40-50 lbs more to go. My weight loss

hasn't been incredibly fast nor do I think I will lose too much. My common

channel is 100 cm and that has been perfect for me. :)

all the best,

lap ds with gallbladder removal

January 25, 2001

Dr. Gagner, Mt. Sinai, NYC

almost 9 months post-op and still feelin' fabu!

preop: 307 lbs/bmi 45

now: 213 ??? I don't have a scale here! Yikes!~ LOL

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In a message dated 10/11/01 2:19:59 PM Eastern Daylight Time, ruisha@...

writes:

> <<

> Would it be safe to assume that ruisha@a... meant to imply that

> for the lower BMI's she feels that Dr. Herron might be more

> comfortable presenting the RNY, with it's lower percentage of weight

> loss and longer medical history, to people who have less weight to

> lose?

> >>

>

> Hi, Shelly -- Yes, I think that Dr. Herron *may* be more inclined to

> recommend the RNY over the DS for those patients with a 'lower' bmi range

> (under 50, I would think). He was not my surgeon so I don't have any

> direct

>

I had the DS with DR Herron in June. He seemed to be leaning toward RNY but I

told him I wanted DS and he said okay...its my choice. He did make special

points about the stools and odors after DS...which haven't been a problem

recently. BMI was 48 at time of surgery.

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