Considering DS over a RNY
You could not pay me enough to get a RNY. It was DS or go home for me.
no NSAIDS
stretched stomas
bounce back
macro malabsorption comes back
remnant stomach ulcers
No drinking with food!!
Hell no. Do your research, choose wisely, and cut once.
RNY->DS=extremely complicated surgery that only a few select surgeons IN THE WORLD have any business doing. Do not go into RNY thinking you can always convert to DS. If you choose RNY, choose it because it is the best surgery for you and you would not have any other surgery. Do not get it because, well, its already set up, or I may have to postpone and do more research, or I just want to get it over with or the RNY will be good enough, or at least Im getting something. Choose the RNY because you know, after having done extensive research on all WLS, that the RNY, hands down, is the best thing you could choose for yourself.
I know you are going to Mexico. Look into Dr. Ungson for a DS if that is what you choose. He has done them on lightweights, he is vetted, and very well regarded. There is another surgeon in Mx who has done them with Dr. Ungson, but I can not think of his name right now. I do not know if he is considered vetted yet, but Ungson or Ungson with this other doctor (someone come by and given the name, please) are your options in Mexico. DO NOT LET ANYONE WHO IS NOT VETTING CUT ON YOU. DO NOT LET WHOMEVER YOU HAVE LINED UP FOR THE RNY IN MX TELL YOU THEY CAN DO A DS UNLESS THEY ARE ONE OF THESE TWO SURGEONS. PERIOD.
Keep us posted and keep asking questions.
All valid reasons. As far as I'm concerned the DS will always win out over the RNY. Better quality of life and you don't gain back all the weight.
Close to 10 years ago I had the DS, 4 0f my co-workers had the RNY, and one had the band. Two of us are still pretty 'normal', me and one of the RNY people. The others are all bigger than they were before surgery.
After reading so many posts, I was concerned about him suggesting a revision from RNY to DS. So, went back and reread the messages from him. His suggestions was to actually do a sleeve, with possible revision to DS. So sorry for the confusion. Not sure that is any better, but thought I better speak correctly, as I don't want to cloud anyones opinion of this doc. I have been doing more research about what docs do the DS, and honestly there aren't a lot in MX. Dr. Ungson, and Dr. Lopez are the only two that I can find any feedback for.
Age: 34; Ht: 5'2; High Wt: 190; Goal Wt: 120; DS by Dr. Lopez 12/12/12
on 11/19/12 5:34 am
Never heard of Lopez doing the DS...... now Dr. Ungson is known to be a excellent DS surgeon.
Dr. Stewart in Denton TX also has a good self pay price, and a wonderful surgeon in Brazil, Dr. Marchesini (who was my surgeon).
Go to ~ dsfacts.com ~ there is a list of great surgeon around the world that you know will do a good job.
DS 2009
Ahh...Makes much more sense. Some docs do a two part DS (two surgeries). It is generally frowned upon by most here. My guess is your dr thinks maybe the sleeve might be adequate for you. If not, he can do part two of the DS.
I can't say that I have heard of too many people on the boards who have done this. However, with a BMI of 35, I totally understand your drs position. I had the DS with a BMI of almost 40. Sometimes I wish I would have just had the sleeve, because I just don't have much of an appetite. I think you should look at your eating patterns....do you generally eat a lot all the time? If so, consider the DS. I generally had a bowl of cereal for breakfast around 10, a lean cuisine for lunch around 2, and a big dinner....and probably a few too many snacks in between. I find myself falling back into old patterns, but I must force myself to eat protein even when I don't feel like it.
I had the DS because I was gaining a lot of weight, had no self discipline when it came to my eating, and saw that my blood results were trending poorly. Being lean and thin was a secondary goal for me. I am at 142 and am 5-7 at a little over one year out. I would have been happy at 170, but the DS really does give you the best chance to lose weight. If being thin is your primary objective, then the full DS will probably work better for you.
Lastly, there is a lifetime of supplements with the DS, and some, simply may not work. I don't absorb iron so I must have infusions. Who knows what impact the DS will have on calcium absorption and bone density. But there are many benefits to the malabsorption that you will not get from the sleeve alone.
I think its a personal choice, but most lightweights are quite happy with their DS. My hesitation to fully recommend the DS is not the norm. You really have to look at the reasons why you are choosing weight loss surgery and let those reasons guide your choice.
Ahh...Makes much more sense. Some docs do a two part DS (two surgeries). It is generally frowned upon by most here. My guess is your dr thinks maybe the sleeve might be adequate for you. If not, he can do part two of the DS.
I can't say that I have heard of too many people on the boards who have done this. However, with a BMI of 35, I totally understand your drs position. I had the DS with a BMI of almost 40. Sometimes I wish I would have just had the sleeve, because I just don't have much of an appetite. I think you should look at your eating patterns....do you generally eat a lot all the time? If so, consider the DS. I generally had a bowl of cereal for breakfast around 10, a lean cuisine for lunch around 2, and a big dinner....and probably a few too many snacks in between. I find myself falling back into old patterns, but I must force myself to eat protein even when I don't feel like it.
I had the DS because I was gaining a lot of weight, had no self discipline when it came to my eating, and saw that my blood results were trending poorly. Being lean and thin was a secondary goal for me. I am at 142 and am 5-7 at a little over one year out. I would have been happy at 170, but the DS really does give you the best chance to lose weight. If being thin is your primary objective, then the full DS will probably work better for you.
Lastly, there is a lifetime of supplements with the DS, and some, simply may not work. I don't absorb iron so I must have infusions. Who knows what impact the DS will have on calcium absorption and bone density. But there are many benefits to the malabsorption that you will not get from the sleeve alone.
I think its a personal choice, but most lightweights are quite happy with their DS. My hesitation to fully recommend the DS is not the norm. You really have to look at the reasons why you are choosing weight loss surgery and let those reasons guide your choice.
Dr. Lopez's recommendation is the sleeve because I am young, and relatively low BMI, and I could still take NSAIDS. However, I really do not want something strictly restrictive...if I am gonna do this, I would rather go all the way and get the DS. One of my problems with previous diets is that I NEVER feel full, and can/will eat a LOT of food. I will admit that I want both things; first to be a "normal" BMI, and to be visibly thinner.
I have read about the 2part surgeries...and I do NOT want to have any revisions. This needs to be a one time thing for me!
Age: 34; Ht: 5'2; High Wt: 190; Goal Wt: 120; DS by Dr. Lopez 12/12/12
on 11/19/12 9:42 pm
I agree with what everyone else said.
Just wanted to add, that when you say you dont want something purely restrictie - do you realize that the malabsoprtion with the RNY is temporary? Your body compensates and after a few years you are left with something that is just restrictive. Your body adapts. It also adapts with the DS, but the malabsoprtion is so much greater that it cant fully adapt back, as it does with the RNY.
Dr Ungson is an excellent DS surgeon. I feel better about your surgeon recommending the sleeve to DS route - BUT - if you really want the DS in Mexico, the only one to consider is Dr Ungson.
I am planning on going to the info meeting in right under 2 wks. The secretary has been there for yrs & I told her that I wanted the DS. When I told her my BMI (34.7), she said that she wasn't 100% certain but that they normally not perform that on people w/a lower BMI. I have numerous co-morbidities & know that my fibromyalgia, asthma, arthritis, I could go on & on..the large & fast weight loss from this will be better. She'd said that the doctor will want to know which one I'll be wanting but that's not a guarantee that he'll go ahead & do it. I feel that if there's any need for weight loss, the docs should all approve. I can't (& don't want) have the band. I have GERD too much so that I have to take a pill for it daily. I've been really worried that the doc will turn me down. I weigh 221 before this I weighed 130-135lbs & that was for apx 23 yrs. Growing up I was on the chubby side when I hit high school.
I want to get the weight off @ a decent speed. I want to get down to 115 lbs. I'm 5'7" so it won't be so bad. I look & feel better @ a smaller weight. I also need to be on a plan that will allow for me to have longer & more stable weight loss. I don't want a risk getting the weight back because I don't think the state/feds will like paying for another.
