DS, RNY and GERD

Something needs to be clarified here.  The RNYers seem to have glommed on to the ONE thing that the RNY is somewhat better for, and are trying to ride that horse to the finish line.  But let's take a look at some statistics to put them in context.

First, let's get to the bottom line:
* While the RNY is marginally better at treating/preventing GERD, the DS works in nearly 50% of the cases.
* Thus, BOTH surgeries are pretty good at treating GERD
* Most DS surgeons these days will repair any hiatal hernia they find at the time of surgery, improving the outcomes
* Contributing to possible negative outcomes with DS and GERD are those surgeons who are making the sleeve too tight - and IMO, increased risk of GERD and strictures, as well as discomfort in the ability to eat, are not worth the possible extra year or so of restriction these too-tight sleeves are causing (and the stomach WILL restretch anyway - and be thinner and more fragile as a result).  This applies especially to VSGers, *****ly solely on restriction, and who I don't think are being well-served by the too-tight sleeves.

Nevertheless, based on the superiority of the DS for all the other comorbidities, including the ability to attain and maintain the highest pecentage of excess weight loss over 10+ years, a slightly decreased resolution of GERD, which in most cases can be successfully treated with medications, is a trade-off that didn't phase me for an instant.  In fact, I had GERD before my DS, and I have it now.  I take my PPI along with my supplements (one of two medications that I still take post-DS that are related to my DS/metabolism, the other being thyroxine), and don't have any symptoms.  I'd much rather be taking a daily PPI than dealing with all the other side effects of an RNY, including regain, RH, dumping, and life-long dieting.

http://www.ncbi.nlm.nih.gov/pubmed/19937190
(To fix the glitchy text issues, * below means "less than" - the deleted posts below were attempts to fix this problem.)

RESULTS:

Three hundred fifty super-obese patients [DS (n=198), RYGB (n=152)] were identified. Incidence and severity of hypertension, dyslipidemia, and GERD was comparable in both groups while diabetes was less common but more severe in the DS group (24.2% vs. 35.5%, Ali-Wolfe 3.27 vs. 2.94, p*0.05). Diabetes, hypertension, and dyslipidemia resolution was greater at 36 months for DS (diabetes, 100% vs. 60%; hypertension, 68.0% vs. 38.6%; dyslipidemia, 72% vs. 26.3%), while GERD resolution was greater for RYGB (76.9% vs. 48.57%; p*0.05). There were no differences in weight loss between comorbidity "resolvers" and "persisters".

CONCLUSIONS:

In comparison to RYGB, DS provides superior resolution of diabetes, hypertension, and dyslipidemia in the super-obese independent of weight loss.

Gosh i love my GERD ,acid reflux and 100 % medication free post RNY life now though ... I WILL say that geting tested for and rid of the H pylori bacteria before my surgery was a very essential part of this equation though ...

I DEMANDED this ..not every surgeon does it routinely by any means though i think they ALL should.

i love eating bacon to my hearts content and not worrying about regain!

.....

 Then U DEFINITELY had the right surgery !!      

I was actually somewhat joking... I haven't eaten bacon for probably 4 months... I'm on a strict budget to eliminate debt and I can't squeeze bacon in my weekly grocery allowance.

I do, however, like that I feel completely liberated from food... I am no longer keeping food diaries (like I had to keep since I learned how to read and write)... no longer counting calories and eating like a rabbit...

I enjoy eating satisfying food and not having to count fat grams or calories

I'm trying to trim my budget too, but I consider bacon a splurge. Isn't it riduculous the prices today? You're very lucky if you can find a pound under 4 bucks. I also noticed that eggs have jumped up significantly in the last few weeks. As well as cheese. UGH, it's making it hard on us DSers..........