LOOP Duodenal Switch

NO. As a revision myself, I agree with wanting this to be the last surgery. Go for what's proven and leave it at that.

OK, I didn't view the video...but I did read the description, and it sounds like this approach would leave your pouch as is, meaning whatever pouch issues you presently have you would still have, and it would create a 200 cm common channel, which IMHO is too long. The classic DS common channel is 100 cm. There are some DS surgeons going a bit longer, like 125 or even 150 cm, but not 200.
     My best guess is that Dr. Roslin is proposing this because the RNY to DS revision does carry more risk than a virgin DS, and he's hoping to lower your surgical risks. That's a good thing in theory, but there is absolutely no way to know what kind of results you would get with this somewhat hybrid approach.
      I can't tell you what to do or what not to do. There is no question but that a true RNY to DS revision is more complex and higher risk, and I can understand Dr. Roslin's desire to keep his patients' risks as low as possible, but is the price of keeping your pouch and unknown results worth lower risk to you? Only you can answer that question.

Larra

I think I've read that Dr. Anthone (sp?) in Nebraska routinely does 200 cm common channels.   Am I right?

I don't know that I would say he does 200 cm common channels routinely.  But he does a longer common channel w/a smaller tummy.

My common channel is 150cm.

From what I understand from the crappy drawing at the beginning of the video and the explanation: the 200cm...whatever it is, is a common channel and an alimentary limb all rolled into one.

 I don't know how the entire procedure works, but there is definitely a sleeve involved, not a pouch.  He is very anti-pouch.  

L- I had dinner with some Canadian docs and they were discussing this. I just said, "No." They seemed totally surprised that I had an opinion on other than vitamins, it was amusing. So, they asked why. I asked, "So where do the acid and bile GO?" Well, they said, down, downhill. I asked if there is no chance whatsoever that those pesky things could possibly come back UPHILL. It gave them pause, because they are mentally rolling around the technical procedure, while I am picturing living with it. For me, th

HELL NO I would NOT go with any procedure done just a handful of times and NO data/history to back it up. Why on earth would I do that to myself? I am not a guinea pig or a laboratory rat.

Who CARES about difference in recovery time? It's a couple weeks' difference compared to the rest of your life. Get the procedure that has hard evidence and experience (AND the support system of veterans!!!!!!!) to back it up.

I'm a big believer in knowing what you are going to get.  There is no way I would subject myself to anything other than what I wanted.  100 performed?  Hell no.

I did watch most of the video- altough I do have a "weak" stomach. i wanted to understand the procedure as I am also seeing Dr Roslin and looking to have a DS revision.

I didn't really understand it?? I would ask Dr. Roslin more questions, before I went with something new. However that being said all of our surgeries were "new" at sometime.

If it wasn't for people before us having the DS we wouldn't know what a great surgery it could be.

After meeting with Dr. Roslin, I would think there is a reason he is suggesting a different surgery, after reviewing your scans and endoscopy maybe he feels this is a safer alternative?

Again - I would ask more questions.

Best of luck...let us know what you find out and what you decide.