DS math

(deactivated member)
on 1/12/08 8:01 am - San Jose, CA
Hell, no!  The surgery depicted in that picture is a BPD, which is almost NEVER done anymore, because it combines with worst parts of the RNY and DS.*  The intestinal part is similar, but the stomach part is completely different, leaving the pyloric valve and just making the stomach smaller by removing the baggy part of the lower stomach, changing it from the size and shape of a lopsided football to a banana, and leaving all the functional parts in place.  No stoma like with the RNY and BPD (that unnatural connection of the intestine to the side of the stomach), but rather the ilium is attached to the proximal duodenum, allowing for normal stomach function. (* This reminds me of something in my 1970 college biology book, just before recombinant DNA technology was discovered.  The textbook talked about the selective breeding type of genetic engineering, where scientists tried to combine the best attributes of different species.  Their example was one of two jokes in the whole very dry book -- they told about an experiment to try and cross a radish with a cabbage, to try to breed a plant that had no waste -- of course they were trying to get the root of the radish and the leaves of a cabbage.  Sadly, the experiment failed, as the hybrid plant had the root of the cabbage and the leaves of the radish -- so they called the new plant "rubbage.")
Laurie LOVES her DS
on 1/12/08 8:08 am - Southern, CA
Jill ... NO NO NO  ... The BPD is NOT the same as the DS.  This is a common misconception and often studies of the BPD are quoted (inaccurately) as DS stats.  The DS stomach is a vertical gastrectomy, shaped like a banana, preserving the pyloric valve which eliminates dumping. The portion of the stomach that produces the hunger hormone Ghrelin is also removed.   As for the intestinal rearrangement, the DS procedure keeps a portion of the duodenum in the food stream. The preservation of the pylorus/duodenum pathway means that food is digested normally in the stomach before being excreted by the pylorus into the small intestine. As a result, the DS procedure enables more-normal absorption of many nutrients (including protein, calcium, iron and vitamin B12) than is seen after other gastric bypass procedures. Laurie

PRE OPS ...  Want a surgery that has the least chance of long-term re-gain, is BEST at curing your Diabetes (98%+), removes much of the hunger hormone Ghrelin, NO DUMPING, NO MARGINAL ULCERS and NO STOMA / STRICTURES? CURIOUS WHY I CHOSE THE DS?  VISIT MY PROFILE.

kypdurran
on 1/12/08 10:19 am - Baton Rouge, LA

Not sure.  Never heard of that one.  The one I was referring to, the Whipple, is a surgery that they do for patients that have pancreatic cancer.   It's crazy complex.  

http://www.cancercenter.com/whipple-surgery.htm

ladynitewolf
on 1/12/08 10:44 am - BFE, CA

Wowsers! I was looking at that surgery and yes, it's crazy complex. And it's actually not that far off from the DS, except there is no part of the small bowel that is removed, nor is the pancreas messed with in the DS. And I think it would take an even MORE experienced surgeon to do this surgery than the DS, simply because of the problems the pancreas presents.

~ Sarah P. 
Ask me about pregnancy after the Duodenal Switch!

They're here! My surro-sons were born July 21, 2009. Welcome to the world, Benjamin and Daniel. We love you very much!

Valerie G.
on 1/13/08 12:07 am - Northwest Mountains, GA
That's not the DS.  I can tell by the part of the stomach removed.  That's the old-school BPD, which had some dangerous issues that the DS has since corrected.

Valerie
DS 2005

There is room on this earth for all of God's creatures..
next to the mashed potatoes

Elizabeth N.
on 1/12/08 7:10 am - Burlington County, NJ
Your celebrated surgeon pulled a bait and switch on me. He deliberately gave me the impression that he really performs the DS in order to get me into his office for a consult, PLAINLY intending to sell me on the RNY. He was damned rude when he found out my mind was already made up, too. We won't talk about the $300 I had to pay his office manager up front, before my consultation, that he has refused to refund me.  He has a great RNY program. But he pulls bait and switch sales tactics, and that is abhorrent for a medical professional.
Jill23
on 1/12/08 7:24 am, edited 1/13/08 11:38 am - Kendall Park, NJ

...

Elizabeth N.
on 1/12/08 7:27 am - Burlington County, NJ
You weren't there, so you have no way of knowing who was rude and who was not. The surgeon was VERY rude to me. It's also the SURGEON who has ignored my correspondence as well as my attorney's correspondence, not any office manager.
LeaAnn
on 1/12/08 7:57 am - Huntsville, AL
But, but, Elizabeth...you're a self-assured, assertive woman!  That makes you a BE-YATCH!  It had to have been YOU that was RUDE, NOT Dr. So-n-So!
Elizabeth N.
on 1/12/08 8:06 am - Burlington County, NJ
But of course! And because I don't have a pages-long C.V. available for all my many admirers to post as "proof" that I couldn't possibly act like an ass, well, my comprehension of the English language and human interaction must just be skewed or limited. I need someone who wasn't present for ANY of the exchange to tell me what REALLY happened. 
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