RNY vs DS

kiki2012
on 8/30/12 10:12 am - Canada
Am rethinking of having DS surgery instead of the RNY as my understanding that your can still absorb nutrients from food, however was told that OHIP will not cover it and that RNY more body weight will be lost.  Starting to think it's Dr.'s choice. Ok, so now I am confused again. Anyone have WLS surgery asides from RNY that was covered by OHIP? Any regrets of not doing the RNY? Thanks.
Herman
on 8/30/12 11:56 am
 I'm not from Canada so I don't know what OHIP would cover for you and not.

But if you ever regret a WLS it would be the RNY and not the DS. 

Better long term weightloss with DS.

Check out dsfacts.com 
 Lap-band 2007
 DS 2009
Nicolle
on 8/30/12 12:55 pm
Not Canadian--sorry can't help you on that.

The DS has the best long-term results for the losing the most weight and -- pay attention now--KEEPING IT OFF THE LONGEST. I wanted a long-term solution for my weight problem. How about you?

Chances are, your doc is incapable of performing the DS. he will not sell you what he cannot do.

Please look at www.dsfacts.com for info on the DS.

Best of luck.

Nicolle

I had the kick-butt duodenal switch (DS)!

HW: 344 lbs      CW: 150 lbs

Type 2 diabetes and sleep apnea GONE!

kiki2012
on 9/4/12 6:50 am - Canada
Hi Nicolle, Thank you for information.
larra
on 8/30/12 1:16 pm - bay area, CA
Someone is misinforming you.

First, and most importantly, the DS has the best statistics of any wls for percentage excess weight loss, for maintaining that weight loss, and for resolution of almost all comorbidities. Weight regain is a major problem with RNY, as is a substantial failure rate of 30%. When you consider that "success" means losing just 50% of your excess weight, a failure rate of 30% is very high.

Why would your wls be the doctor's choice? Who is going to live with the results, the doc, or you? This sounds like a very passive approach that does not bode well for you.

Next, regarding OHIP, I'm certainly no expert here, but lately we've seen several people in Ontario having their DS covered by OHIP. The surgeon doing the DS in Ontario is Dr. Hong in Hamilton. Get yourself referred to him rather than to someone who doesn't do the DS and take it from there.

Larra

PS we do still absorb nutrients from food. We malabsorb about 80% of the fat we consume, as well as 40 - 60% of the protein we consume, which means we need to eat lots of protein (not a bad thing) and can eat fat without worry. We absorb carbs very well, and must limit those. If we didn't absorb nutrients from food, we would all be dead and not writing to you on this forum. One of the drawbacks of RNY is that it causes malabsorption of vitamins and calcium and iron but almost no malabsorption of calories, which is one of the reasons for the high failure rate.
kiki2012
on 8/30/12 1:51 pm - Canada
Hi Larra,

Your PS note is  exactly why I am thinking the DS route, the WLS was originaly my family doctor's suggestion - she and the network of hospital that I am dealing with only performs the RNY procedure as they state it has the highest success rate. Researching as much as I can as I need/want this surgery, I just have to select one that will work for me long term. Waitiing for return call from hospital to see what can be done. Thank you for taking the time to reply, very helpful. .
larra
on 8/30/12 1:57 pm - bay area, CA
Maybe they mean it has the highest success rate out of the operations they offer. Since it does have a better success rate than lap band, and at least as good as VSG, that could be true. Either that, or they just don't know about the DS, or they are deliberately misleading you. I prefer to think the explanation is innocent, but either way, the longterm result of the DS are well documented and are definitely superior to those of RNY, or any other wls presently available.

Keep on researching, and yes, select what is going to work for you longterm. I don't know how people in Ontario go about getting referred to Dr. Hong, but I'm sure there are people from Ontario who can help you. I hope they come along.

Larra
kiki2012
on 9/4/12 6:52 am - Canada

Thank you for information -  still waiting for rep from hospital to call back! 
 

mrsannie
on 8/31/12 5:33 am
 The reason I chose the DS was simple, I know myself!  I know if I went with the RNY I would have gone through all the pain and effort of the surgery only to be one of those poor people who have gained all their weight back!

I was lucky that my insurance paid for my surgery, but the DS is so superior in long-term weight loss it would have been worth every penny if I had to pay.  I am 21/2 years out and have gained back 5 pounds from my lowest weight, and have maintained it.  And I am not a strict rule follower when it comes to my diet.  That's the good thing about the DS it gives you more flexibility.

Have you gone to the RNY pages and asked the same question?  You might get a different point of view.

Good luck!

730590 

Nothing will change if you don't have the courage to change it!
      And stop calling me "Shirley!"    
Jaiart
on 8/31/12 5:52 pm - MI
 If your from Canada I the southern Ontario area check our Dr. Mareck Lutryzkowski im Bloomfield Hills Michigan
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