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Hello out there To anywho who's a lurker or ones active! :)
From reading this board and others, I see most get it all wrong on what the BPD is or getting revised from one bariatric procedure to BPD. To help clear up some confusion, please see post on clarification by a well known PHYSICIAN:
http://www.obesityhelp.com/forums/revision/4098880/BPD-DS-ERNY-Confusion/
I sometimes enjoy reading others experience & input however at times we must remember there are still a lot of negative Nellies and Nelsons out there that still have a lot of Stinking Thinking and reasoning imbedded in both their subconscious and conscious mind that often slips out their mouth. Experience is a great teacher to learn from as far as good and bad, what to possibly do and what not to possibly do. Perhaps we should keep in mind that a lot of responses you may get on a topic is from Non-certified Bariatric or Gastoinstestinal Physcians, ones who have not had or know of anyone personally & close to ones who have had the procedure, so with that, may need to take some things with a grain of salt. As the PHYSICIAN Dr. Husted explains in his post: A lot of post comparing and confusing ERNY revision procedures with BPD revision procedures, a COMPONENT of the DS. Some people are under the impression that the Biliopancreatic Diverson is the same as ERNY. A BPD procedure - with or without a DS - is absolutely NOT the same thing as am ERNY.
I am not Doctor, I have worked in the medical field almost all my entire adult life and current working in the Pharmaceutical Clinical Research industry. With that, I try my best to do, due diligence in researching on things that will particularly have an impact on my life. I encourage all to do the same or continue to do if you already are. Data, Stats, Publications, Field experts, human experiences, published journals, give the outcomes.
I get a bit confused when I see ones have had a full blown DS with BPD be so negative to ones asking about or considering revising to BPD when DS actually has the BPD included, is part of their procedure.
I myself after being extended the opportunity to have a revision from RNY to DS done in US ( wonderful Dr. in Indiana, where I live) and having a revision from RNY to Hybrid BPD, I chose the later. There were multiple things I personally had to consider that led me to the decision. I absolutely LOVE my Doctor who did my revision and Loved! the hospital and staff. PLUS living in Brazil for a couple of weeks is a great plus! ?
Spiral Up!!??
http://www.obesityhelp.com/forums/revision/4098880/BPD-DS-ERNY-Confusion/
Hello, not sure if you are still on OH but I am scheduled for BPD on November and just wanted to know what you experience has been like after the surgery? Thanks
Regaining half your weight after a RNY is normal but doesn't happen with the BPD. The BPD carries more risks of anemia, vitamin a a,d,e and K deficiencies as well. Do not have this surgery unless you are willing to eat lots of protein and take vitamins. I can't tolerate oral iron so I have to get IV iron infusions but I don't think most people have that problem. Also, be aware of the diarrhea and smell from fat malabsorption. It is difficult to deal with in my opinion. BPD does offer excellent long term weight loss and maintenance but there are trade offs. Plan on getting your gallbladder removed at some point. Be willing to give up sugar if necessary because some people can't tolerate it without a hypoglycemic reaction. But the positives of sustained weight loss generally outweigh the negatives if you are committed to your long-term health.
I just bought my plane tickets for Brazil. If all goes well I will have surgery on November 22. Hope all goes well
I am considering bpd after weight gain I had rny in 2004 but have regained about half my weight. Dr marchisni in Brazil seems to be the expert on this and he recommends the bpd instead of bpd/ds. Still doing my research and feeling a bit confused.
I have lost weight by eating fewer calories and basically not worrying about fat calories. I usually only eat twice per day. If I eat three meals daily, my weight will creep upwards. If I eat twice daily, I will slowly drop weight. I can eat all the meat (protein) I want and unlimited amounts of fatty foods at meals but have to limit sweets and carbs. Otherwise I stick with two meals a day and the weight falls off. My meals consist of meats, vegies, just regular food but no large quantities, lots of sugar or pasta. I've never been one to eat second portions but I am a grazer of sweets so I can't do that at all. I am female, about 5 foot 6 inches fall and maintain about a size 10/12 if I eat this way. I could use some plastic surgery on my thighs and upper arms so I won't quote my weight. I'd say if I didn't need surgery my BMI would be WNL. Looking at me, people would not say that I need to lose weight. I will say that I keep between 6 and 25 pounds above my ideal body weight without plastic surgery, usually closer to the 6 and rarely 25 pounds above. Hope this helps.
I also had the same dr and now 12 to 13 years later have gained some weight. I would like to know wait foods are being ate to lose some of this weight off.
Hi there! I too had a BPD! Dr Sifers 8/31/01. I have lots of information to share but would like to know if anybody is following this??? Long story short - lots of complications, follow-up surgeries, and considering reversal of BPD. I suffer from chronic bowel related issues including severe nausea that requires three different prescription medications to manage. I have osteomalacia and bone pain. I really wish I'd never had this surgery but that is easy to say when you're not dealing with being severely overweight.
What about if you are of normal weight, and just need the bottom, intestial portion for insulin/diabetes. Would this be the surgery to have? I only ask because I have a co-worker who has insulin diabetes, and I e-mailed Dr. K and got not a good answer. My co-worker was diagnosed 5 years ago. But is in good health, and not overweight/obese.
Here is an e-mail to Dr. K about this:
I have a co-worker, with no obesity problems, but he has diabetes (Insulin Resistant) what is the name of that procedure, where Dr. K does not touch the stomach, but just does the intestional portion of the surgery? I have looked and looked for it, but since I do not have the actual name, all I have come up with is the procedure where the stomach is also operated on as well. Any information and/or research, and even internet links that you may have and can pass along to me for him would be GREAT as well!!!!!!
And here is his reply back to me:
(Nice to have a reply from the doc himself, I find myself fortunate for that)
Hello, It is the duodenal switch without the sleeve gastrectomy part of the operation. Thank you.
Ara
-Jamie in Alaska
Hello, everyone! After years of lurking, I feel like the time is right to start participating in these conversations/encouragements/affirmations.
I guess you could sort of call this a BUMP after years of inactivity... I am confused as to the reason why so many people on the forum... heck, just on this thread alone, are acting as if the BPD alone is such a barbaric procedure. Believe it or not, it is indicated at times... and from the way the guru himself, Dr. Keshishian explains it, the BPD is "the duodenal switch with out the sleeve gastrectomy part of the operation."
MY STORY: First of all, let me just say that I am a medical professional that has done extensive research on all of the available revision procedures, and felt like the duodenal switch would be the best option for me, both given my health history, relatively young age, and active lifestyle. The success rates, both in terms of weight loss, and its permanence, have been better for duodenal switch patients... not to mention their improved overall quality of life. I have had both RNY gastric bypass surgery in 2000, and lap band placement done in 2008. I stand 5'2", and at my heaviest in 2000, I weighed as much as 250 lbs. Afrer having RNY gastric bypass surgery, my lowest weight was 145 lbs, in 2005. My concern is that I am have been actively exercising with a trainer twice a week, and I limit my carbohydrate intake; yet, I have managed to creep up back up over 200 lbs again. I have also developed an increase in my blood pressure, along with the weight gain. It is for these reasons, and a few others, that I am seeking a revision to the duodenal switch surgery. I am aware that the DS is a complicated procedure, especially after having had other abdominal surgeries in the past. I have been communicating with a number of surgeons regarding my revision surgery, MANY of them being the forum favorite "vetted experts" at handling complex cases, like mine. All of the physicians that I contacted regarding revising my Band over Bypass to a DS had numerous issues with what could result in terms of complications in performing a DS on me, mainly much higher probability of leakage. I think it best to be mindful of the experts that I contacted when deciding what is right for myself, both in terms of practicality, probability, and finances. I raise the finance issue up, because as a "lightweight with great potential to become a heavyweight", insurance does not cover this sort of surgery for me, which makes me a self-pay patient. This, however, did not stop me from doing my due diligence in fully researching revision surgeries and surgeons, both in and out of the United States. I contacted a very well regarded/experienced/published/proven surgeon in Brazil, and explained my situation to him, hoping that he would be able to help me. Given the risk/benefit ratio of doing yet ANOTHER surgery to my already modified stomach anatomy, he offered the BPD as a valid alternative that presents the possibility of an identical outcome to a DS revision (remember that this would be FAR from a virgin DS) without nearly as many risks of complications. I was really excited about the possibility of this, until I got on this board, then BAM! All I've seen is extremely negative comments regarding this procedure, and usually by the same people that are are so "pro-DS"... when, as I said from the beginning of this novel, Dr. Keshishian himself even described this as he did. I would love to hear more from people about the reason why BPD has such a bad rap... please! I am in the Chicago area, so needless to say, it is COLD here... I would like to look forward to having a summer where I don't feel so blimpy, for lack of better words.