Re: Effortless? I don't think so...

[Guest guest]

Hey, here's the response I got from the person on the ossg hungry list (the one

who stated she gained weight 2 years post op after DS). ...Is it me, or is her

answer STILL unclear?

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valadybnkr@... wrote: In a message dated 10/19/01 11:10:13 PM Eastern

Daylight Time,

bethferro@... writes:

I'm interested in this subject, but I have a question...

> In a previous message of yours (#3140), you state in the content that

> you had a " distal bypass with BPD " , but you stated in the signature

> line that you had a " distal RNY on 3/2/98 " .

> In your Oct. 11th message (#7994), you stated that you had the DS and

> have regained 14 lbs.

> The BPD/DS (biliopancreatic diversion/duodenal switch) AND the RNY

> are 2 totally different surgeries, as you know, but it's not clear as

> to which one you had.

> Please clarify which one you had. THANK YOU, Beth (open DS 9/18/01

> Dr. Macura

>

That was my error. I actually contacted my doctor to confirm what I had done

because I had become confused! I had the distal bypass with BPD on 03/02/98,

NOT the D/S. My doctor bypasses about 10 ft of intestine...it is pretty

extreme. He has since revised his surgical procedure and now does the

D/S...but wasn't at that time. I have pretty much concluded that my weight

regain is partially " par for the course " as a 3+ year RNY post-op, but part

of it might be due to a stretched stoma. I can't afford a revision (and not

sure I want to go through it either)...so I am going to focus on my eating

habits and increase my exercise and hold myself accountable for what the

scale says since I can't completely count on the surgery to do it for me

anymore. I had originally regained about 14 lbs (since the beginning of the

year) but recently put on another 10 lbs because I stopped going to the gym

and reverted back to poor eating habits. I have decided to roll up my

sleeves and stop this insanity before I wake up and find myself 100 lbs

overweight again! Sorry I confused you!

..

[Guest guest]

> I had the distal bypass with BPD on 03/02/98,

> NOT the D/S. My doctor bypasses about 10 ft of

> intestine...it is pretty extreme.

Let's try to give some perspective to what she's saying with regard to

her bypassed intestine.

Here are my intestinal measurements as they were on the day of my

surgery:

675cm (22.1 feet) is my total intestinal length

250cm (8.2 feet) is my alimentary limb (including 100cm common channel)

325cm (10.7 feet) is my biliary limb

The biliary limb is what would be considered the " bypassed " intestine.

So, my Rabkin Lap DS left me with 10.7 feet bypassed. But that number is

only meaningful when taken in context of the total intestinal length. My

325cm bypassed out of 675cm total equates to 60% of my total intestinal

length.

This writer says she has a " pretty extreme " distal bypass of 10 feet

bypassed. We can't really know how extreme that is without knowing her

total intestinal length. Here are some scenarios to illustrate my point:

- If she has a total intestinal length of 950cm (longest Rabkin has

seen), her bypassed portion would equate to 32% of her total intestinal

length, which isn't exactly " extreme " .

- If she has a total intestinal length of 450 cm (shortest Rabkin has

seen), her bypassed portion would equate to 68% of her total intestinal

length, which would undoubtedly be considered extreme.

My point is that when we see folks talking in terms of how much is

bypassed, it's really doesn't tell us much, and it's hard to get a read

on how much regain might be related to those lengths.

M.

---

in Valrico, FL, age 39

Lap DGB/DS by Dr. Rabkin 10/19/99

Starting weight 299, now 155

Starting BMI 49.7, now 25.8

Starting size 26/28, now 10/12

http://www.duodenalswitch.com/Patients/_M_/melanie_m_.html

Direct replies: mailto:melanie@...

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[Guest guest]

I think it must be an RNY because she refers to a stretched stoma.

The DS is a stoma-free surgery, preserving the pyloric valve.

t

open DS 12/11/00

Dr Baltasar, Spain

273/153

In a message dated 10/19/01 11:10:13 PM

Eastern Daylight Time,

> bethferro@y... writes:

>

>

> I'm interested in this subject, but I have a question...

> > In a previous message of yours (#3140), you state in the content

that

> > you had a " distal bypass with BPD " , but you stated in the

signature

> > line that you had a " distal RNY on 3/2/98 " .

> > In your Oct. 11th message (#7994), you stated that you had the DS

and

> > have regained 14 lbs.

> > The BPD/DS (biliopancreatic diversion/duodenal switch) AND the

RNY

> > are 2 totally different surgeries, as you know, but it's not

clear as

> > to which one you had.

> > Please clarify which one you had. THANK YOU, Beth (open DS 9/18/01

> > Dr. Macura

> >

>

> That was my error. I actually contacted my doctor to confirm what

I had done

> because I had become confused! I had the distal bypass with BPD on

03/02/98,

> NOT the D/S. My doctor bypasses about 10 ft of intestine...it is

pretty

> extreme. He has since revised his surgical procedure and now does

the

> D/S...but wasn't at that time. I have pretty much concluded that

my weight

> regain is partially " par for the course " as a 3+ year RNY post-op,

but part

> of it might be due to a stretched stoma. I can't afford a revision

(and not

> sure I want to go through it either)...so I am going to focus on my

eating

> habits and increase my exercise and hold myself accountable for

what the

> scale says since I can't completely count on the surgery to do it

for me

> anymore. I had originally regained about 14 lbs (since the

beginning of the

> year) but recently put on another 10 lbs because I stopped going to

the gym

> and reverted back to poor eating habits. I have decided to roll up

my

> sleeves and stop this insanity before I wake up and find myself 100

lbs

> overweight again! Sorry I confused you!

> .

>

>

>

>

>