I think I may be going with the SADI-S or Loop DS.......anyone else had this done?

I started taking the dry 50,000iu. Dr. Roslin promotes me to follow the same vitamin regimen as the standard DS.. Thank you , Val.. 

How long did Dr. Roslin do your alimentary limb?

I just had a second follow-up with my Doctor and I do think that I am going with the SADI-S Loop. I know that it is new (5years out for him)....and the long term weight loss maintenance is not known.....HOWEVER - how many thousands of patients have had the RNY and CONTINUE to have the RNY even though the weight regain IS known. I think it all comes down to relearning to properly eat for our bodies....so some self control is going to be necessary (fingers crossed)!

My only conern I had was the bile reflux but as my doctor explains this new 'connection' is VERY VERY close to where the bile comes in in our normal anatomy and the the pyloric valve does keeps this out as it's job. Also that there is always some bile reflux in the stomach...in a normal anatomy. Hoping for the best. As I've been reading about bile reflux - with out any search for it's relation with bariatric surgery - it doesn't really alarm me thus far. It exists in normal anatomy AND is treated the same as acid reflux.

In the beginning I started to explore different surgeries and decided what was going to work best for me. I didn't do the RNY because I have friends who lost but gained a lot of weight back and I couldn't do the lap band because I have MS and it wasn't advised. Dr. Roslin only does the sleeve, DS and loop DS, he is not for the RNY or lap band because of the weight regain. 

I believe my common channel is either 125 or 150 and he removed 85 percent of my stomach....

Can you find out for certain? From what I've been reading, I thought most surgeons who did the SADI left a 250 cm common channel. For ME, I think this would be far, far too much, when compared to the 90 cm common channel I have with my DS.

Dr. Roslin does either 125 or 150 CC depending upon the persons weight.. I agree , 200/250 is to much.. 

I also know with Dr. Roslin , he felt smaller stomach with a 125/150 CC would also assist in maintaining the weight. 

I'd like you to check this as well. Those numbers sound like the common channel lengths used in a traditional DS rather than the Loop. Dr. Sanchez uses 250 but revised to 300 and my doctor does 300 on the LOOP.

May I ask why you're choosing the SADI over the DS? I mean, why you want an experimental procedure rather than a tried and true?

Gosh - I'll try and explain the way my doctor did. Hopefully I won't misrepresent it. The traditional DS has an extra anastomosis (?spell) down where it forms the Y. He drew it for me so it's hard to explain in words. When they connect again here it leaves a space that they do close up but it has presented problems with hernia\bowel pushing through. The traditional DS has the issue of gas and diarreaha......and if the patient is NOT compliant with checking labs and vitams supplements it can cause them real harm.

I guess I don't view this procedure as that experimental. Dr. Hess had 1,000 patients and 10 years follow-up for the DS when it was published or generally accepted. This loop has been done for 7 years....4 or so years in the states. Between the 4 doctors I know that have been doing this there is probably close to 600 patients just with them (the 2 gals on this thread are 2 more doctors doing it). Dr. Sanchez and my doctor have not seen any issue with bile reflux (350 patients). They have seen same or very close to the same in weight loss - in the ones that are 3 to 5 years out maintenance has been good.

So WHY - I do see that it has a benefit of one less cut (minimal)but lessens hernia issues and add to that that you're under anesthesia less time (good for very MO people). I know the malabsorption is not as awesome as the DS.....this could potentially be a downfall considering the individual and their change in behavior modification. If you have a hard time modifiying your behaviors with food though are you going to be hard headed as well about your labs and vitamin regimen?? It is also a benefit of not as bad gas\diarreaha.

Trust me ....... I have been back and forth on this until I'm ready to jump! I am keeping my 2nd opinion appointment that I have with another surgeon....but frankly unless he can say something to convince me of the bile reflux issue I can't see any other potential problems perse (in my very limited knowledge base)....other than not as much malabsorption as DS BUT....BUT much more still than the RNY.