Looking to understand DS... (RNY revision questions)

Hi,

I had the RNY first and I can related to be always hungry, being able to eat a large volume of food and then being hungry again in a short amount of time. I never had the restriction that other people had.

I had a RNY to DS revision in March 2012 with Dr. John Rabkin - www.paclap.com - and just wanted to say it is a complex surgery. I had complications. Make sure your doctor has done a lot of revisions.

I just got off the feeding tube in August so eating as a DSer is still new too me. I try to concentrate on protein, protien, protien but will admit avoiding the simple white flour carbs has been a challenge for me. My weight loss has slowed way down because of the carbs so I am really trying to avoid them. It is a challege everyday just like a diet was.

Best of luck! Terri

Thank you all.

I will discuss this with Dr. Hong, I know his mentor and he was trained by Dr. Michel Gagner, who is on the "list".

Dr. Hong has done several DS surgeries, he was originally in the USA before coming to Canada, but I will be sure to clarify if he will be doing a take-down and DS or jus the bottom part.

Thank you again.

If Dr. Hong says DS, he means DS, not distal RNY (which is not actually the bottom configuration of the DS, it is totally different). He sends the RNY to DS revisions to Dr. Gagner in Montreal.

Emily, I just had a sleeve done by Gagner and another woman from Ottawa has the DS 7 weeks ago also by him. We are both very happy. Recovery has been easy. I would highly recommend him. Apparently he is very highly skilled and if anyone can convert your RNY and construct you a sleeve and put your pyloric valve back into the digestive mechanism, Gagner is one of those who can do it. Good luck to you!

Hi,
Am I reading correctly you are 160-165 and you only need to loose 25 pounds? I would do anything to only be up that much. Can you go back to basics? Protine water and exersize? I not preaching but a revision seems drastic for 25 pounds. 
Good luck whatever your path.
Whit

Hi Whit,

thank you for the information, I'm not doing it because of the last 25lbs, I'm having a lot of trouble with RNY and the weight doesn't stay off. It was a suggestiob by the surgeon and dietician to prevent me from gaining it all a 3rd time.

I have another 5 months to see before I see him again to even discuss it, so nothing will be instant.

Thanks,

Besides, it is 25lbs today, but that number is just going to keep increasing.  Why put your body through that?  Weight gain maybe IS reason enough?  The DS would certainly give you a better quality of life and you can't put a price on that.   Good luck.

Personal experience: RNY revised to DS - pouch is gone, stomached is sleeved, plyoric intact, intestines switched at the duodenum - a complete and true DS.

Glad to hear of your positive results, puppysweets!

I had only learned of the "pouch retention" revision from others who've had the "switch" portion, or shortening of the common channel. 

Glad to know it can be done. 

I do have one question for you though:  How does the DS revision work with the much-storied increase in villi density I've read about RNY's? I've read that is what causes the higher incidence of regain in RNY's.

Does the DS pretty much nullify that with the revision?

The much storied villi compensation does happen, to a degree, in both the RNY and the DS.  Supposedly the body learns what to do to compensate and grows more villi.  Even with the compensated villi regrowth, the DS wins hands down because a lot more of the intestine in bypassed.