distal bypass vs ds surgery (long)

I told my doctor that I didnt want the regular bypass and I wanted the DS because I know there will be a time later in life when i would be unable to move around between prosthesis switching...it does say on OH that he does this surgery online but not according to the office...

His very first answer was are you aware of how severe this surgery is?I said um yeah...I been online all day every day researching...most non researchers don't even know what a ds is let alone suggest it... I also  Have yet to meet a DSer who didnt know their ****every DSer profile on here is chocked full of info...but here is my main issue he claimes that lots of doctors refuse to do this surgery because its too dangerous... and whoever is doing the surgery isn't supposed to be doing this surgery ...and they (i guess the head honchos) are thinking about stopping it completely because it has too many complications....and is too severe of a surgery....

It doesnt say that around the web but whatever he thinks besides

  From what i hear on the DS boards I almost never see a I regret my ds post.... and I never see you guys on revision sites only to recruit or defend your title..

He doesnt recommend this surgery for me because its too dangerous...he offered to perform the distal bypass....surgery where I would have the stomach of a regular bypass person but the malabsorption of the ds people.

He claims this sugery is soooo much better and safer  than the ds with less complications....

Even though it does sound like a simpler surgery...It seems as if I would have more things to worry about with this surgery than with the ds...

I don't understand how could I have ds malabsorption and be able to nourish my body with a bypass pouch...he claims that I would take multi viatims for that.....

I asked him will I dump he said everyone doesnt dump....I said how will I not dump without my pyloric valve....He said that is the least thing to worry about....and he makes the pouch just rate he has no complications(which is true havent heard bad things about him)

I asked him would I be able to take pills whole he says yea...I'll have a bigger stomach but how is that possible if I have a RNY pouch just a lil bigger it cant be that much bigger...
I do understand down the line my pouch  would get a little bigger after the surgery..but that doesnt seem to sound good for the staples....doesnt stretching your pouch cause issues for the RNY or does the ds malabsorption kick in.....

What do you guys think about this

 

lol finally edited font

You are the patient. You need to decide to run or have the rny -
you already said he does not do the DS of course he'll tell you No.
 
Me I'd go to a doctor who does all the surgeries I love my surgeon check them out you will have to wait for a slot they are very busy now even with bringing on another Dr.

Anything he says is suspect to me, it just does not match the info from the center I use and from my life as a DS patient.

The old BPD is no longer done - the DS is how it now and it is wonderful in my real life opinion

Editted to add: check out Dr. Greenbaum (sp?) he is in NJ

WOAH!!!!! YOUR WORDS ARE HUGE!!!...lol,  could you edit them to be smaller?  But anyway, a Distal RNY is not a DS.  It is totally different.  You will have a pouch and not a fully working stomach.  You will still have a blind stomach and you will not be able to eat fat, sweets, or take Nsaids.  While Dsers can do this, we try to cut back on the sweets so we can maximize the weight loss.  As far as the intestinal part goes you will have more malabsorbtion, but not as much as a DSer, which will be better than a regular proximanl RNY.

I think your doctor is full of a bunch of Hoo Hah!  Most doctors have problems with the intestinal portion of the DS because of all the malabsorbtion.  The stomach is the least of their worries.  Why would he even give you a distal, I personally think that is more dangerous than a DS because you have a pouch and extra malabsorbtion.  It may be possible that you wont have enough room to get in your protien and vitiamins, that you would need extra of in the beginning because your pouch wont allow you.

I just can't fathom the fact of having RNY at all.  I hate pouches and I don't want a pouch.  Your doctor is a nutcase and doesn't know what he is talking about.  He is jsut trying to get money off of you.  He doesn't have you in his best interest because if he did he would help you as much as possible.  I will let the others chime in because I obviously havn't had surgery yet.  So let someone talk from experience.  I have no clue why your surgeon acts like that.

Hi:  in your reply, you said   "As far as the intestinal part goes you will have more malabsorbtion, but not as much as a DSer, which will be better than a regular proximanl RNY"
why would an ENRY have less malabsorbtion  than a DSer if they were both had a 100cc common channel?

Thanks so much,
Joyce

Get Another Doctor!
what an ********eriously...

Your surgeon is a liar.  While a VERY FEW DS surgeons have quit doing the DS (big surprise -- usually the ones whose patients didn't do very well, to which I say "Don't let the door hit you on the ass on the way out"), there are in fact more surgeons learning it every day, especially since the information about how it cures type II diabetes permanently gets spread.

The distal RNY combines the WORST features of the RNY and DS.  You have all the negatives of malabsorption (need to eat a lot of protein and supplements [not that eating a lot of protein bothers me a bit!], along with all the negatives of a pou*****luding the protein intolerances!  Plus inability to take NSAIDs, B12 and iron issues DSers don't have or have less of, dumping, marginal ulcers, etc.  There is ample evidence that the distal RNY has MORE complications than the DS.

I don't understand how could I have ds malabsorption and be able to nourish my body with a bypass pouch...he claims that I would take multi viatims for that.....

His claim is an out and out lie.  While distal RNYers and DSers BOTH have to take vitamins, distal RNYers have to take MORE, and still have the issues of not being able to eat protein as easily as DSers because of the stupid pouch.

The DS is no more dangerous in skilled hands than the RNY.  The problem (for your surgeon) is that it takes a more skilled surgeon to do the DS than he is.  And he doesn't want to take the time out from his busy RNY mill life to go and be proctored to learn how to do a DS. 

The good news is you have an EXCELLENT surgeon in your neck of the woods in Dr. Greenbaum, who did just that -- he is a skilled bariatric surgeon who spent about 6 months being proctored by the Rabkins a couple of years ago, so he is even a skilled DS revision surgeon.  I urge you to contact him and RUN AWAY from the liar you have been talking to.

The surgeon list on OH is unreliable.  The only reliable list of DS surgeons is found on duodenalswitch.com.

It sounds like you saw what we call around here a bait and don't switch doctor.  An RNY surgeon is going to try to sell you on the RNY.  To get accurate information about the DS you are going to need to see a real DS surgeon.

Red

Girl you already got some good advice and I agree. Why don't you go to a doctor on duodenalswitch.com and see what they have to say. My surgeon for example does all the surgeries so I trust his judgement. A surgeon that doesn't do all of them has biased advice...they want you to use them so why would they sing praises for the DS? Stop lookin at the OH list. You will be wasting your time

Run, don't walk, away from that surgeon.  I can't believe that he is outright lying to you like that.

You went in and asked for the DS - GOOD FOR YOU!!!  You already knew you wanted it.  Now find yourself a surgeon that performs it.

In PA - Dr. William Peters, Scranton & Dr. Fernando Bonnani, Abingdon
In NJ - Dr. Greenbaum, Willingboro
In NYC - Dr. Alfons Pomp & Dr. Gregory Dakin (Weill Cornell Medical College, NY Presbyterian Hosp.); Dr. Mitchell Roslin.

Bear in mind that all of these surgeons perform *all* of the Bariatric Surgeries available, and will happily talk to you about any of them.  I'm sure I may have missed one or two, so be sure to check out the full list on www.duodenalswitch.com .  Good luck, and for the record, I LOVE my DS!!

I am FUMING at what your surgeon told you! It's not that I haven't heard it before, and even been through it myself, but they usually back off with the BS when they realize how informed you are. GRR. Everyone has given you very good advice, RUN, RUN AWAY! DO NOT MAKE EYE CONTACT, DO NOT LOOK BACK, JUST RUN THE @#$% AWAY!