DS Surgery

Cassandra77
on 8/4/09 12:43 pm, edited 8/4/09 1:00 pm - Sacramento, CA
LOL.  Thats what I wouldn't have said if someone told me about myself too....    Say I didn't read it.    That's hilarious.

CASSANDRA

RNY 289/LW 185/REVISION 290/CW 140

divagoddess
on 8/4/09 12:43 pm - Dayton, OH
  Hi DSer here... Not from Illinois.. But met several. We are on the DS forum because 99% of talk on the main boards is RNY and Lap. So we stick together. There are TONS of us out here.

Oh yeah... Not Diarrhea here.. Almost 2 years out. And it's NOT controlled by water consumption. If we don't drink enough, we can become constipated. If we do not eat enough fats, we can become constipated. Doesn't sound like diarrhea..

Out of the 40+ DSers I have met IN REAL LIFE won't even count ones on messages board, there has been ONE person with bathroom issues. She was eating quite a bit of carbs early out and has talked to her surgeon about it, and they are working through it. Not quite the stats you claim.

Don't be a Bitter Betty
                             ~Brandy~                          
                            HW- 333 SW-306 CW- 144 GW-150     
                                    
Elizabeth N.
on 8/4/09 1:02 pm - Burlington County, NJ

You don't see many DS'ers on "these forums" because you don't open your eyes beyond your little state hole here. That's okay, though. Other people know how to look for other forums, even though you don't.

Your surgeon doesn't know what he's talking about. He doesn't do the DS, so he has a vested interest in spreading bull**** about it. That's very common.

But that's okay. You, a couple weeks out of surgery, know everything about a surgery you didn't have, learned from a surgeon that doesn't know how to or want to do the procedure. Right.

People with minds will see just how reliable of a resource you are.

How many DS'ers do you KNOW? I already know the answer to that.

Folks, if you're curious about the DS, ignore the knowitall freshly RNY'ed person and come visit us on the DS board. Also, please investigate www.dsfacts.com and www.duodenalswitch.com .

Earthy_Mami
on 8/4/09 1:50 pm, edited 8/4/09 1:54 pm
Hello again dear..  Now picture me talking to you in an ohso soothing soft voice as I say this to you: you... were... LIED... to.  PERIOD.  Here's another delightful article on the efficacy of the DS for curing Type 2 Diabetes in people with a BMI of 35 or less.  Smooches darling...  My condolences to you for being told a lie.  OH! & Before I forget, BCBS does NOT cover the DS, unless you're a BMI of 50 or greater, or are willing to fight for it.  I know because I have BCBS and I fought my arse off to get it approved- and 3 months later I have my freaking approval letter & surgery scheduled for the 21st!  Anywho, here's the article that your lovely surgeon apparently overlooked in his vast knowledge of all things DS:

 

Long-term control of type 2 diabetes mellitus and the other major components of the metabolic syndrome after duodenal switch in patients with BMI < 35 kg/m2.

 

 

 

Scopinaro N, Papadia F, Marinari G, Camerini G, Adami G.

University of Genoa Medical School, Azienda Ospedaliera Universitaria San Martino, Department of Surgery, Genoa, Italy. [email protected]

BACKGROUND: Bariatric operations are the most powerful means of curing type 2 diabetes mellitus (T2D) and the other major components of the metabolic syndrome. Despite the very frequent occurrence of metabolic disturbances in patients with BMI from 30 to 35, there is a general reluctance to operate on these patients, as their disease is considered less severe.

METHODS: 7 T2D obese patients with mean BMI < 35 underwent BPD/DS between 1976 and 1996 at the Azienda Ospedaliera Universitaria San Martino of Genoa, Italy. Mean age was 49 years, mean body weight 91 kg, and mean waist circumference 115 (M) and 98 (F) cm. The mean follow-up was 13 (10-18) years. All 7 patients had abnormally high values of serum triglyceride, serum cholesterol, and arterial pressure.

RESULTS: In all patients, serum glucose was normalized at 1,2, and 3 years. In 5 patients, a slight increase of serum glucose above 125 mg/dl was observed at or around 5 years, the values being maintained at all subsequent times, with no one value higher than 160 mg ever being recorded. The other 2 patients showed full resolution of diabetes at all follow-up times. Both serum cholesterol and triglyceride values fell to normal 1 year after BPD/DS, and remained within the normal range in all 7 patients during the entire follow-up observation. Arterial pressure normalized in 6 cases and was improved in 1 case.
No patient had excessive weight loss at any postoperative time.


CONCLUSIONS: T2D patients with BMI < 35 have very severe metabolic disturbances. Surgical therapy for these patients is warranted, and it should be performed as soon as possible, before the rapid evolution of the pattern leads them to a point where even the most effective metabolic surgery operation could be insufficient to yield complete and permanent control of their diabetes.

PMID: 17476869 [PubMed - indexed for MEDLINE]

Edited to make it fit (had to try it twice to get it to work! lol!)

Every opinion we share, every favor we perform, every moment we intently listen to someone talk about themselves is our opportunity to pass along something positive to a person who needs us.

    
hayley_hayley
on 8/4/09 1:34 pm
On August 4, 2009 at 12:17 PM Pacific Time, Heather S. wrote:
Well seeming how you didn't read my post clearly, acting as if I was saying RNY doesnt need supplements when my post said they needed even more than RNY, etc shows me that not only are you correcting a post that you didn't read but you are not even a DS Patient so how could you possibly know that they do not have diarrhea issues. If you noticed I also said it depends on your water intake / food consumption.

So I guess all the DS patients & doctors I've talked to in the last 5 years of research have lied to me. Shame on me.
I do not have ANY bathroom issues.  Your research clearly did not take you to the DS forum on this site.  If people have bathroom issues it is usually short lived (beginning months).  You really shouldnt talk in absolutes. 

Vitamins...RNY take or rather are SUPPOSED to take just as many vitamins but of different variation. 

I personally take a multi, a+d, calcium, and iron.  
1 multi, 1a, 1d, 2 calcium, 1 iron = 6 in the morning
1multi, 2 calcium = 3 at night

The only thing that is different from before having weightloss surgery is the a and d.  Not too shabby in my opinion. A big whopping 2 pill difference. 

Next time, refer the person to websites or the DS forum where they can get accurate answers from people who actually HAVE the DS. Thanks. =)

Minus 202 pounds; Height=5'10.5; Plastic Surgery = arms; Pant: 24 to 4/6; Top 3x to sm/med, I My DS! .

wonkad
on 8/5/09 1:14 am - IL
I read your post....several times 

True, I'm not a DS patient....I'm a VERY informed patient. My research was(is) vast and extensive.

BTW.....I have NO regrets about my surgery choice that I partially paid for.

shock.gif


**Weight loss since June 08**

 

Earthy_Mami
on 8/5/09 10:37 am


BTW- your Janice Dickenson on your sig line absolutely cracks me up! LOVE THAT LOONEY LADY!
Every opinion we share, every favor we perform, every moment we intently listen to someone talk about themselves is our opportunity to pass along something positive to a person who needs us.

    
Felicia S.
on 8/4/09 12:31 pm - Lincoln, NE
Hi Heather!  I have to respectfully disagree with your statistics.  It seems that a huge percentage of us on the DS forum here lean more toward constipation than diarrhea.

I have never had diarrhea.  My biggest issue is NOT going enough.  I go like every 2 to 4 days.  Before surgery I went 3 times a day.

I need to drink more water and eat more fat to soften up my stools.

We do have malabsorption, but it can be a real blessing.  Our reduced tummy size helps us lose the weight and the malabsorption helps us lose (also) and more importantly maintain our weight loss.

To the Original Poster:  As far as negatives about the DS go--my only negatives (per se) were mourning the ability to eat large quantities of food (I even cried at the beginning), but now I can truly appreciate what a blessing this has been.  Also, I had a lot of nausea and vomiting the first 2 months...but this is NOT a typical reaction and 90% of the time I knew exactly what caused it and could have avoided it.

I feel great now at 4 months' out and am so happy that I made the decision to have a DS.

Good luck with whatever you decide!  I know what a tough decision it is.

Warm regards,

Felicia
HW 264 SW 248 CW 140.8 GW 140 

216948 
krissywats
on 8/4/09 12:39 pm - Kew Gardens, NY
Funny - I had my DS the day after you had your RNY.  I've had no diarrhea at all.  Zero.  Totally normal BMs every morning.  My surgeon who does all three surgeries but is also one of the top DS surgeons in the country never mentioned diarrhea as an issue.

In my opinion the malabsorption (of fat) is a bonus of this surgery and it lasts a lifetime so my chances of keeping the weight off are stellar according to every study I've seen.  Having to take a handful of vitamins in order to get THAT bonus is no big deal to me. 

If there is a downside I would say that it is a very complex surgery and you want to find a surgeon that really knows what they are doing - however most recent studies show no more chance of death than with any other surgery.

7/19/09 - DS with Dr. Alfons Pomp
7/11/12 -  tummy tuck, UBL, larg lipo sculpting of torso, lipo of "buffalo hump" with Dr. Sauceda
(deactivated member)
on 8/4/09 12:46 pm - San Jose, CA
SHAME ON YOUR SURGEON FOR LYING TO YOU AND SHAME ON YOU FOR SPREADING THE LIES.

I feel very sorry for you that your surgeon LIED to you about the DS, because you probably would have been THRILLED to have it instead of that Ruined-and-WHY? that he talked you into having, because he is incompetent to perform the DS.  Sorry to tell you, sweet cheeks, but you got SCAMMED.

The DS has VERY little issues with malabsorption and diarrhea, when a few easy to follow rules are followed (avoid processed wheat flour products, fluid milk if you are lactose intolerant, sugar alcohols).  The issues with diarrhea and malnutrition are Snopes-worthy -- they are lies, extrapolated and exaggerated from the issues with an earlier version of the surgery, the BPD, which is rarely done anymore, because the DS solved the majority of those issues.

Your surgeon SUCKS for lying to you, but YOU suck if you keep repeating those lies.  Take a look at the REAL statistics:  http://files.meetup.com/379062/DUODENAL%20SWITCH%20LONG-TERM %20RESULTS.pdf

Read 'em and weep.
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