LOOP Duodenal Switch

http://www.surgeryvideo.net/loop-duodenal-switch-video-2

ok I was offerred this in place of the more widely accepted Duodenal switch because I am an RNY to DS revision....
It doesnt sound that bad... no roux limbs and no common channel.

What will I be missing out on without those two?

I am trying to wrap my brain around this and I am struggling. Conceptually it sounds like a duodenal switch about 225cm of small intestine will be bypassed. so there the malabsorption w the same sleeve gastrectomy.

Unfortunately there aren't any studies on this only about 100 have ever been perform and so no good info out there for stats as far as how revisiers will do. Faster operative time thus better recup time. I need ur thought gotta let the doc know on Operative day what I will do.

Monique, you're revising with Dr. Roslin, right?  I am a RNY to DS revision as well.  I am having my final consult with him on Friday and then my surgery is on Monday.  When I saw him the first time, he started rattling off different things he could do with my insides, but it was above my head.  I'll get him to explain it better to me on Friday.  I do tend to trust his judgment, BUT since this will be our second and last surgery, I want to be sure it's done right too.  

Sandy

Yes indeed Sandy. Yes my surgeon is Dr. Roslin and today was my final consult prior to surgery and I was a lil erie about trying to make a decision on the spot so I will left him know my decision on the operative date. pls do get clarification esp how does he do the limb length for the traditional DS if I were to choose that . He says the weight loss curve is the similar
my surgery date is July 18 and no one else in my family can think this thru w me.

You now the phrase if ur the smartest one in ur circle of friends u need a new circle.. well I need a new circle :-)

I have never heard that phrase, but that's a good one!!!!  

I'll message you sometime this weekend after I talk with him on Friday.

Sandy

 Hmmm, never heard of it, (but that doesn't mean anything though, lots of things I've never heard of). But.....that right there would be the reason of why I would NOT go with that surgery. At least with the DS I know what I'm getting. 

But, if you understand the explanation of what the other one does, than you just need to make an educated guess and decide which one would be to your advantage.

I know what I would do...........

I hope you make the right decision for yourself.

Inge

Did he say why?

I say no no no.  Get a real DS with REAL, proven results.  Get your DS and get it done right.  These "mini" or variation surgeries never stick around.

ETA: Oh, and you've actually got it a teensy bit backwards.  The ileocecal valve is the beginning of your colon.  Usually the common channel is measured 100 cm (or however) upstream from this.  So you're actually having all BUT 225 cm bypassed, instead of the other way around.

ETA #2: Make sure you understand whatever surgery it is that you do decide getting.  This is very critical.

 If there's only been 100 done, how does ANYONE know the weightloss is similar or what will happen over time?

I haven't looked at the video - but my answer would be NONONO. Compromise at this point for less than the full DS would be potentially ******g away your LAST CHANCE.

As my kids would say "Hell to the no!"

I am writing to agree with Diana, Kayla, and Patty.

I would first ask why you were offered this instead of the DS, to me it doesn't make sense it is because you are a rny to ds revision, there is something missing.  ask why you were offered this instead?  while the DS is different depending on surgeon prefference and the patient, Dr Roslin usually does a 150 roux limb and a 125-150 cc.  yes the surgery time is faster, just the shear reason there is less limbs and anastomosis, don't agree with less recup time. 

Again ask why you were given this as a treatment plan?  .....