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Duodenal switch in revisional bariatric surgery: conclusions from an expert consensus panel
A.E. Merza,â?--,
Email the author A.E. Merz
,
R.B. Blackstoneb
,
M. Gagnerc,d
,
A.J. Torrese
,
J. Himpensf
,
K.D. Higag,h
,
R.J. Rosenthali
,
A. Lloydh
,
E.J. DeMariaj
Published Online: March 21, 2019
https://doi.org/10.1016/j.soard.2019.03.009
Publication stage: In Press Uncorrected Proof 
I imagine it's this article, although I haven't read it yet.
Merz AE, Blackstone RB, Gagner M, Torres AJ, Himpens J, Higa KD, Rosenthal RJ, Lloyd A, DeMaria EJ. Duodenal switch in revisional bariatric surgery: conclusions from an expert consensus panel. Surgery for Obesity and Related Diseases. 2019 Mar 21.
Eliza, could you provide the reference for this article? Thank you!
Larra
There is Dr. Ayoola in TX, or Dr. Dennis Smith in Fla, or Dr. Sudan at Duke in No. Carolina. These are the closest ones to you that I can think of.
The DS is the same whether done open or lap. It's the same surgery on the inside, just a different way of getting there.
Larra
Sorry to hear about your issues, that has to be scary. I would tell you Dr. Gary Anthone in Omaha Ne. He did an open DS on my mom 7 years ago, she's a rock star with that procedure. Wish I would have had it when I had the money, but can't complain the sleeve has worked well for me. He was a co-surgeon when I had my sleeve Laproscopically over 10 years ago. I can't say enough good things about Dr. Anthone, heard him speak on many occasions (wonderful human being) He still practices out of a small clinic here in Omaha, NE
https://omahacatholicdoctors.org/profile/gary-j-anthone-md-f -a-c-s/
It's associated with https://www.chihealth.com/en/about-us.html
Looks like it's about 950 miles from where your at in McComb Mississippi to Omaha, Ne. Do some research on Dr. Anthone, he's a great surgeon and better human being. Hope this gives you an option.
Good luck
Some heavyweight bariatric surgeons published a consensus view of when to use the DS as a second procedure. 29 surgeons contributed and the summary was written by surgeons, A.E. Merz,R.B. Blackstone,M. Gagner,A.J. Torres,J. Himpens,K.D. Higa,R.J. Rosenthal,A. Lloyd,E.J. DeMaria. You may or may not agree with their conclusions, but I think it is interesting how important they view the DS for revisions. They said it was increasingly more popular for revisions. This is the conclusion paragraph: "As a second-stage procedure, BPD/DS is most appropriate after sleeve gastrectomy (SG) for the treatment of super morbid obesity (96.7% agree) or as a subsequent operation for a reliable patient with insufficient weight loss after SG (88.5%). In a patient with weight regain and reflux and/or enlarged fundus after SG, Roux-en-Y gastric bypass is preferable and BPD/DS should be avoided (90%). BPD/DS should not be used prophylactically in patients with a history of jejunoileal bypass who are otherwise doing well (80.8%). Applicability of BPD/DS is limited by technical difficulty; 86.2% of experts would routinely recommend or consider the procedure if it were more technically feasible after failed bypass. No consensus was found on approaches to revision of BPD/DS for protein malnutrition."
The plastics forum might be useful for you --
VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)
Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170
TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)
I'm a vet. 20 yrs. I had BPD/DS open. I was a lightweight at the time. 5'7" and 240. I'm now at 186.
I've had issues in recent years with symptoms mimicking IBD. My son has chrohns. Been in and out of gastroenterologist offices, General surgeons and ER with many issues. Belly pain, diarrhea bloating. Supspected blockages or illeus but then nothing shows up.
I have messantariitis that has progressed rapidly too. They're watching it.
I'm at my wits end on what's wrong. I never had real follow up as my surgeon lived 2 states away and no one understood this surgery...still can't find anyone who does, especially old school bpd/DS open, at that.
So im trying to find someone well versed in this procedure to talk to about the issues I'm having. About reversal. Tests or possible diagnosis. I'm so tired of being sick constantly.
I currently live in McComb Mississippi. Willing to travel for help I just have no idea whom to see that would be sympathetic to my issues.
Iron supplements that have ferrous, such as ferrous sulfate, ferrous gluconate, etc, are very constipating. Theme iron and carbon iron are not constipation. Give one of them a try.
6'3" tall, male.
Highest weight was 475. RNY on 08/21/12. Current weight: 198.
M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.
