Recent Posts
Joanna
My daughter is now 19, soon to be 20. She had initial weight loss, but not nearly as much as
she had hoped. Insulin seems to have slowed things, in addition to causing hunger. Correcting
lows causes hunger. A difficult complication. She is still way ahead of the game, and we are very glad she had the WLS. Complications cleared up, but really slowed things down. She didn't get the honeymoon period most people get, where there is a huge loss the first 6 months. All in all she has lost about 65 lbs, gone from a size 18 to a 14. She looks like a million bucks. Still wants to lose another 40, someday. She got poor medical treatment post-op, followed by complications, and poor advice. Don't make those mistakes. Read this site, learn. Be careful.
Yes, she would do it again - tho she hearly died. But pre-surgery she felt like she was dying too, with little hope. Now she is feeling better (not great; low energy), working, going out, shopping for clothes. Could be better, but was a lot worse beforehand. We wish you all the best. It is hard
as hell, work-work-work, not an easy ride at all. But worth it. Just a tool - how you use it is up to you.
I was Type II with insulin resistence syndrome and I had the RNY. There are a number of articles relating to Type 1 and gastric bypass. The general concensus is that the weight loss HELPS but cannot cure Type 1:
In conclusion, gastric bypass surgery not only leads to a significant and maintained weight loss in type 1 diabetic patients, but also results in remarkable improvement in metabolic control (absolute reduction in HbA1c of 3–4%) and concomitant disorders. Interestingly, the need for constant intensive insulin therapy in these patients had no detrimental influence on weight loss as an effect of obesity surgery. Both patients lost 50–60% of their excessive body weight during the follow-up period, which is also the rate reported in nondiabetic subjects (4,5,7).
http://care.diabetesjournals.org/content/27/10/2561.full
on 6/12/09 10:14 pm - Woodbridge, VA
The DS has the highest resolution rates for high blood pressure, high cholesterol, and type 2 diabetes (among other major comorbidities).
It requires eating more protein, but that is because some of the protein you eat is not absorbed, which means not all the protein you eat ever reches your kidneys.
It might be worth a conversation (via emai or phone) with Dr. Husted in KY, Dr. Rabkin in CA, or Dr. Elariny in VA (these are NOT the only DS surgeons in the US, but they are among the most experienced, so I would think they would know more about the procedure in relation to kidneys).
m1=23, M2=11, M3=4(had stall for 3wks), M4=6 M5=6 M6=6 M7=4 M8=3
I am a VSG to DS revison!
on 6/9/09 11:12 pm - Woodbridge, VA
Duodenal Switch Surgery Better Against Type 2 Diabetes Than ...
Diabetes Health (press release) - Fairfax,CA,USA
But now University of Chicago researchers have concluded that another type of surgery, called a duodenal switch, is even more effective at controlling such ...Duodenal Switch Surgery Better Against Type 2 Diabetes Than Gastric Bypass
Jun 10, 2009
Over the years, gastric bypass surgery has proven an effective means of controlling-and even reversing-type 2 diabetes in
"super-obese" patients (those with a body mass index of 50 or above; usually more than 200 pounds above ideal body weight).
But now University of Chicago researchers have concluded that another type of surgery, called a duodenal switch, is even more effective at controlling such obesity-related conditions as diabetes, high cholesterol, and high blood pressure.
In gastric bypass surgery, surgeons create a small pouch that is separated from the rest of the stomach. Food bypasses the stomach, instead going through the pouch. The smaller size and capacity of the pouch lessens appetite and reduces the amount of food that the body can digest at any one time.
In contrast, duodenal switch surgery modifies the stomach itself, reshaping it into a long, narrow tube. At the same time, the small intestine is changed to reduce the amount of calories it can absorb.
Following either surgery, many obese patients are able to cease taking the medications used to treat their conditions. After tracking the results of the two types of surgery on 350 super-obese patients, however, the researchers noted that the duodenal switch had decisively better postoperative outcomes than the gastric bypass.
- One hundred percent of duodenal switch patients completely stopped taking their diabetes medications, versus 60 percent of gastric bypass patients.
- Sixty-eight percent of duodenal switch patients completely stopped taking their hypertension medications, versus 38.6 percent of gastric bypass patient
- Seventy-two percent of duodenal switch patients completely stopped taking their medications for high cholesterol, versus 26 percent of gastric bypass patients
However, one area in which the gastric bypass outperformed the duodenal switch was in the resolution of acid reflux disease. Almost 77 percent of gastric bypass patients enjoyed a cessation of the disease, versus 48.5 percent of patients undergoing duodenal switch.
One drawback to the duodenal switch is potential vitamin deficiencies or even malnutrition brought on by the modification of the small intestine's ability to absorb nutrients. Because obese people often already have pre-operative nutritional deficiencies, the University of Chicago researchers say that duodenal switch patients may routinely require vitamin supplementation.
Results of the study were presented recently at Digestive Disease Week® 2009 in Chicago.
