DuoDenal Switch from Gastric Bypass- Regular menu??
I was wondering if someone could post what they eat on the Duodenal switch Post Op... I have a Gastric Bypass Scheduled for Feb 11th "If that date sticks" However at 6'3 459 pounds, Was told about this surgery that I knew nothing about.. Has anyone had Gastric bypass and went to this? If it's possible?
The Post op Diets- ANy info would be greatly appreciated
You've asked two very different questions. I'll try to hit both.
First, diet.
gastric bypass (per the surgeon who would have done mine if I had let him, not all surgeons give the same diet but this should give you a good idea):
3 meals/day, no snacks
each meal to consist of lean protein, some veggies if still have room
no liquids for 20 minutes before meals and 30 minutes after
DS: 3 meals/day, snacks ok
lots of protein, any kind, since the fat for the most part won't be absorbed
can use butter, mayo, etc etc
ok to drink liquids with meals
To simplify, we eat high protein, low carb, and as much or as little fat as desired.
You also asked has anyone had gastric bypass and went to this? The answer is yes, sort of...It is technically possible sometimes, not always, to convert a failed gastric bypass to a DS. HOWEVER, and this is a big however, it is a very complex, challenging and higher risk operation that only a few surgeons do, and not always possible. A lesser but still real consideration is that it can be difficult or impossible to get insurance coverage for this.
The bottom line is GET IT RIGHT THE FIRST TIME. 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, including type 2 diabetes, high blood pressure, and sleep apnea. Weight regain is the dirty little secret of gastric bypass. The DS also allows for a more normal eating pattern (see above), you can drink liquids with meals, and you can take NSAIDs. It works well for anyone who meets the standard criteria for bariatric surgery, but is esp useful for people who have the most weight to lose.
Now is the time for you to do your research and make your decision. Taking a little longer is well worth it to get it right and give yourself the best chance for success.
Larra
I have researched up and down left and right for Gastric Bypass.. Would;ve had it but surgery got delayed 2 times due to gaining weight.. My Surgeon has a no weight gain policy "Or Minimul" Problem is my body started doing strange things and gaining weight...No I have been eating very good... Though went from excercising Few times a week walking 2-3 miles to not being able to walk across the parking lot without getting winded.. In process of them trying to find the culpret... With that said I'm very confident in my Gastric bypass because as a Fat Man, You would think I like to eath ALOT... Most of the time I have a hard time eating 5 meals a day.. Well 3 small meals and 2 snacks.. I could go all day without eating... Then someone threw this Surgery into the mix.. Surgeon is 4 hours away, My insurance will have to re approve while taking out any progress made at Gastric Bypass, May be out of network " unless the insurance company makes a exception before the board and treats at in network if they feel DS is better in the long run for me vs GBP.....Honestly Being 4-5 hours away from the operating facility is pretty big and the possible tons more money...So If I want to see where DS will take me, Just to get info and costs, I will have to cancel at Maine Medical Center Casco Bay Surgery... Choices Choices
Hmmm
Convenience vs best long term success
That convenience becomes darned inconvenient when you find you need a revision later. For regular menu's look at the bites, vites and exercise threads on this page.
Valerie
DS 2005
There is room on this earth for all of God's creatures..
next to the mashed potatoes
A 57 BMI is actually NOT that bad around here. Many, many folks travel even overseas with BMI's of over 60 to get the DS.
While you will have to travel, you have several options reasonably close (compared to some people) in NY area. Yes, it is some hours away but I do know of one who traveled to California FROM South Africa to get this surgery. And others go to Spain or Brazil from here in the USA.
Liz
Duodenal Switch (Lap) 01-24-11 | Surgeon: Stephen Boyce | High weight: 250 in 2002 | Surgery weight: 203 | Lowest weight: 121 | Current weight: 135 | Goal weight: 135
If you've done your research for gastric bypass, you know by now that many (make that most) people do not reach anything near an ideal weight, esp if they start high, as you would. You should also know that the failure rate for gastric bypass is 30%. This isn't a random number, it's the statistic provided to me by the surgeon who was ready to schedule my gastric bypass with him. To this day I appreciate his honesty. Now, when you keep in mind that "success" is defined as losing just 50% of your excess weight, and there's STILL a 30% failure rate, gastric bypass doesn't look so good.
You raised some valid concerns about distance, costs, etc. Travel and distance are logistics. They pale in comparison to trying to live and succeed with the wrong operation for the rest of your life. Morbid obesity is a chronic, lifelong problem. We need to think longterm when it comes to solutions. As far as your pre-op testing and such goes, you can get all your medical records and provide them to the DS surgeon. You would of course need some pre-op labs and such, but that would be the case with any surgeon and any operation.
Cost - maybe it would be more out of pocket NOW. Again, short term thinking. If you spend less and have an operation that only works for a few years, or never does get you where you need to be, that isn't much of a savings.
Lastly, if you are already eating well and gaining weight, this should tell you that there is something seriously wrong with your metabolism. You need the metabolic benefits of the DS to correct this. Anything short of that isn't going to work.
Larra
I had RNY - I wish I had DS. I am at my own goal now and will not change - but feel the DS is better surgery as ong as aperson can follow vitamin and DS diet recommendation.
Hala. RNY 5/14/2008; Happy At Goal =HAG
"I can eat or do anything I want to - as long as I am willing to deal with the consequences"
"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."