DS Surgery
Oh Sweat Pea, you just opened up yourself a big 'ol can of DS Whoop Ass. Bless your heart.
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Edited to correct mispelling of important information.
Come visit us at weightlosssurgery.proboards.com
http://www.obesityhelp.com/forums/amos/4050017/Pre-ops-Make-sure-you-learn-about-the-DS-before-you-chose/
http://www.obesityhelp.com/forums/ds/4416755/Must-Read-Transcript-of-Dr-Roslins-Presentation-to-ASMBS-on/
http://www.dssurgery.com/procedures/compare-weight-loss-surgical-procedures.php
Bowel habits after gastric bypass versus the duodenal switch operation.
Wasserberg N, Hamoui N, Petrone P, Crookes PF, Kaufman HS.Division of Colorectal and Pelvic Floor Surgery, Department of Surgery, University of Southern California, Los Angeles, CA, USA. [email protected]
BACKGROUND: One of the perceived disadvantages of the biliopancreatic diversion with duodenal switch operation is diarrhea. The aim of this study was to compare the bowel habits of patients after duodenal switch operation or Roux-en-Y gastric bypass. METHODS: A prospective comparative case series design was used. Forty-six patients who underwent duodenal switch (n=28) or gastric bypass (n=18) were asked to complete a daily diary for 14 days after losing least 50% of their excess body weight. Data were collected on number of bowel episodes, incontinence, urgency, stool consistency, and awakening from sleep to defecate. Background variables were recorded from the medical files. RESULTS: The duodenal switch group was heavier (body mass index 53.5 vs 47.0 kg/m(2), p=0.03) and older (47.5 vs 41.0 years, p=NS) than the gastric bypass group. Median time to 50% excess body weight loss was 10 months in the duodenal switch group compared to 22.0 months in the gastric bypass group (p=0.001). Patients after duodenal switch surgery reported a median of 23.5 bowel episodes over the 14-day study period compared to 16.5 in the gastric bypass group (p=NS). There was no between-group differences in any of the other bowel parameters studied. CONCLUSIONS: Although duodenal switch is associated with more bowel episodes than gastric bypass, the difference is not statistically significant. Bowel habits are similar in patients who achieve 50% estimated body weight loss with duodenal switch surgery or gastric bypass.
PMID: 18752029 [PubMed - indexed for MEDLINE]
To Help With the Math that equals 1.6785714 BM's a day for the DS'ers, and 1.1785714 for the RNY'ers. or 0.49999997 more movements a day for the DS'ers v. the RNY'ers. So roughly a half a poo more. Does this sound like massively explosive, non stop OMG-IM-GONNA-CRAP-MYSELF diarreah??
CONCLUSIONS: Although duodenal switch is associated with more bowel episodes than gastric bypass, the difference is not statistically significant. Bowel habits are similar in patients who achieve 50% estimated body weight loss with duodenal switch surgery or gastric bypass.
Oh, bookmarked!!
The Medical Director of my insurance company used the "frequent diarrhea" as one excuse to deny my DS. When a court (I sued their sorry asses) asked him for his proof, he provided studies saying that DSers have an average of 3 BMs a day. I damn sure wouldn't call that 'almost always having constant diarrhea."
But yeah, the biggest down side is the constant diarrhea (stats at my surgeons office show 94% of patients with DS deal with this), which is something to really think about. With RNY, I only get mild diarrhea and thats if I eat something a little sugary.
~Heather
I grew up and lived in Oak Park, IL for 19 years. I think that makes me qualified to respond to your nonsense.
The reason that most DS'ers only stay on the DS board is because of the constant battle to deal with misinformed people who keep posting lies about the DS. It gets kind of annoying to have to keep saying, "I DO NOT HAVE DIAHHREA!"
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- Jules
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I had the RNY in 1999-it was horrible. I had much pain, developed complications and was re-hospitalized. Lost a lot of weight, but experienced a regain. This year (June 30) I was switched (open). It has been a breeze. I'm loosing weight and have no diarrhea,I don't know what the future holds but for now I'm delighted.
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Yes, I have to take vitamins and minerals-so what?
Yes, I have to pay attention to my diet-so what?
Yes, I had to self-pay, so what? I'll keep my 10 year old car.
Remember-malabsorption does not mean malnutrition.
Good luck to you! I wish you every success.
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I don't understand why you are making things up to badmouth the DS when you yourself say "As for regretting the RNY, I'm not regretting having done the RNY, I'm wishing I would have done the DS". Word it any way you want--you just admitted you got the wrong surgery.
Sucks for you, I know, but don't ask other people to make the same mistake just so you'll feel better about it.
Wow, someone sure sold you a bill of goods..... all the while laughing at your expense while they cashed your check for performing the only surgery that they were capable of doing.
Others have taken care of explaining your blatant inaccuracies, so I won't be redundant --- just add my voice to the chorus of "you're wrong, very wrong".
~ I am the proud wife of a Guatemalan, but most people call me Kimberley
Highest Known Weight = 370# / 59.7 bmi @ 5'6"
Current Weight = 168# / 26.4 bmi : fluctuates 5# either way @ 5'7" / more than 90% EWL
Normal BMI (24.9) = 159#: would have to compromise my muscle mass to get here without plastics, so this is not a goal.
I my DS. Don't go into WLS without knowing ALL of your options: DSFacts.com