why should i go with the ds instead of the rny??

An excellent and honest non-biased reply from a DSer.

Thanks Val.

This is why I'm choosing the DS:

Impartial, peer reviewed studies show the DS as having the best long term results with excess weight loss and regain. 

I view Dumping as a horrible, and dangerous medical condition.  While understanding that many RnY'ers don't experience it, I understand there are many who do, and some who do frequently and severely with little predictability.  This is not an acceptable risk for me.

The idea of a blind stomach that is still pumping out Grehlin as in the RnY seems counter-intuitive to me.  A big part of my over-eating has to do with satiety.  Having a surgery to remove the portion of my stomach that produces the hunger causing hormone seems like a huge bonus.

Sphincter muscles are very special.  I don't think a man made pylorus measures up.  It has a much greater risk of food being stuck, stretching, and ulcerating- and may lead to dumping.  Stretching seems to really be a big issue requiring the innovation of different procedures to fix the issues (ROSE, Stomafix)  with little longterm success.

I have had issue in the past with an eating disorder (bulemia).  It took a lot of hard work and will power to get over this.  I feel that a highly restrictive diet and feelings of deprivation- longing for food that I can't have (ever)- will be strong triggers to revert to old behaviors.  I see less evidence of feelings of head hunger, deprivation, and transfer addiction with the DS.

I see supplementation and lab work being a requirement for all surgery types, so it does not serve as a deterrent against DS for me.  I've seen supporting documentation with malnutrition  with DS being equal if not lesser than that of RnY.  I think that there are two reasons: 1.  The RnY pouch is just more sensitive.  It is harder to get in the required nutrition.  2.  Many RnY'ers did not get the proper education of what they needed to maintain their health (supplementation and labs) and it is starting to show in the data collection.

In my opinion, the RnY was once the best that medical technology had to offer.  I believe that the DS is an improvement on that technology.  There more than likely will come a time when there is an improvement on the DS, but until that happens, I think the DS is the one for me.

Well said Ann!

You just said everything I've been thinking in a clear, concise, and informed way!  I touched on all these points with my PCP, husband, close friends and close immediate family members as to why I'm choosing the DS over the RNY.  I could pretty much cut and paste your words and put them on a laminated card for the days when others (including some doctors and maybe even my insurance company) will ask as well! 

Thanks for sharing!

But that was cut & pasted from a DS advocate website.  Hardly un biased.

I find independent reaserch to be the best as long as it includes all factors such as happiness long term.

>>>I have had issue in the past with an eating disorder (bulemia).  It took a lot of hard work and will power to get over this.  I feel that a highly restrictive diet and feelings of deprivation- longing for food that I can't have (ever)- will be strong triggers to revert to old behaviors.  I see less evidence of feelings of head hunger, deprivation, and transfer addiction with the DS.<<<

My point exactly.  If you used willpower..are you really over emotional eating?  Seems like a very exhausting life to me...kinda like when I was stuffing my face full time.

Maybe this link will help.

http://stopemotionaleating.org/


And this:

Stop Emotional Eating: What Are You Really Hungry For?

Physical and emotional hunger feel different. If you don't know the difference, let yourself get really hungry. When your stomach starts growling and you feel light-headed, then you're physically hungry. To stop emotional eating, you need to recognize when you're emotionally hungry versus physically hungry.

As an emotional eater you may not often allow yourself to get physically hungry. You eat to soothe yourself, celebrate, mourn, socialize or relieve boredom. Emotional eaters don't wait for bodies or stomachs to signal meal time. To stop emotional eating, you must eat to satisfy physical hunger -- and not slip into mindless eating.

Knowing the Difference Between Physical and Emotional Hunger

• Emotional hunger can develop suddenly, or it can be an accumulation of your day: snubbed by a colleague, betrayed by a friend, leaving your reluctant child at daycare, losing a business contract. At the end of the day all you want to do is mindlessly eat a bag of chips, tub of ice cream or crates of take-out Chinese food – and stare at the tv.
• Emotional eaters don't listen to their bodies. To stop emotional eating, you must tune in to the cues.
• Emotional hunger isn't related to time. That is, you can feel emotionally hungry in the middle of the night, at three in the afternoon, or during the Late Show. Emotional eaters may mindlessly eat more at non-mealtimes than at mealtimes.
• Emotional hunger – and emotional eating – often leads to feelings of guilt and shame. You could stop emotional eating if you deal with those feelings.
• Emotional eaters don't feel content or pleasantly satisfied after they eat. They feel sick.
• Emotional eaters still feel empty after they've eaten. To stop emotional eating, you must learn to satisfy your emotional hunger other ways.

Stop Emotional Eating: Do You Want Ice Cream or Someone to Talk To?

When you're struggling with a craving or feel driven to eat mindlessly, stop for a moment. How are you feeling? Sad, overwhelmed, angry, hurt, rejected, hopeless, scared? To stop emotional eating, find ways to express your feelings instead of eating. Call a friend, go for a walk, write, talk to a therapist, do Yoga, weed the garden, or clean the bathroom. Turn away from mindlessly eating food to feeling your true feelings.

Stop emotional eating with these tips:

1. Learn the difference between physical and emotional hunger, which is the difference between eating to fill a physical need and eating emotionally.
2. Eat slowly and listen to your body for clues that you're physically satisfied.
3. Don't eat mindlessly in front of the tv.
4. Don't deprive yourself of foods you love – just don't overdo it.
5. Don't eat in bed or on the sofa. Eat at the kitchen table. Stop emotional eating by eating in the same place all the time.
6. Treat your body with respect: nouri**** move it around, listen to it, and pamper it. Tune in to your body to stop emotional eating.
7. Look for connections between the events in your day and your cravings for food. Identify the triggers that push you over the line and make you want to eat mindlessly (eg, fights with your partner or child).
8. Deal with your triggers. If you can't cut them from your life entirely, find better ways to cope with your feelings. Eating mindlessly makes things worse.

Though these tips to stop emotional eating may seem difficult, they will become habit after a few weeks.

Check out www.dsfacts.com

Neither of those two things are common place with the DS, they were very common with earlier varieties of WLS, but not the DS.

Scott

Daria:

Along with all the great posts here -

If you like to eat and not gain weight or like to eat goodies and not feel guilty,  DS is the way to go.

If you want to just have one surgery - the DS is the way to go (speaking from experience, I was a revision from gastroplasty and gained all the weight + some back).

However, do you research and choose which procedure you feel is BEST for you because surgery is surgery and you put your life on the line every time you have anesthesia.  Nothing is without some sort of risk.  And YES, even with all the complications I had, I would do it all over in a heartbeat!

Good Luck.

Lori D

Daria,

Please don't listen to me or let my posts persuade you regarding your surgery options.  I'm mostly havin' fun hear and there is no need to be afraid.

The surgery is a good tool.  In my opinion, it is 25% of the overall effort.  Nutrition Education, Getting Excercise...slowly at first...[my Hospital has a work out area with real live excercise science folks so you can learn to do it right] and most important of all....therapy to delve into why we use food to excess to stuff our emotions in the first place.  This I think is the key but is the hardest of all until you get into it and really face down fears or past trauma and only then do you realize that we can have a realy calm and peaceful life regardless of weight and better yet...not want to eat.  I'm not saying this is a quick thing...some some therapy methods are faster and more successful than others.

With regard to the surgery....A lot of it is marketing and advertising so I would find a surgeon that does all of them and ask him / her everything in the book you want to know and express all your concerns.  Be prepared to fully understand how life changes with each surgery.  [ to me, it is no big deal compared to the advantage of the weight loss tool of surgery to give me time to change my head, get excercise and learn to eat right and understand why I eat when I'm not hungry.

In my opinion, which many will say is hogwash, The surgery or a surgery option with out the other three areas will only allow you to lose weight.....but not necessarily be happy and maintain healthy weight lose through a healthy lifestyle and the ability to cope with emotions as the present themselves to us in life.

Good luck ! 

My apologies to everyone on the DS Board.

I was just responding to an email alert that I Thought was from a post I had made regarding some dude on the Recipe forum that was a fat pusher.

I had no intention to post on the DS forum or trash DS in and of itself.

So please disregard my posts here or take what you need. 

They are out of context with the thread that I thought I was rsponding to.

Sorry.

 prettydove has a GREAT explanation of malabsorption with the DS and comparison with the RNY...she's probably going to post it here anyway, but just in case...

www.obesityhelp.com/member/pretty_dove/