Duodenal Switch is a Safe Operation for Patient who have Failed Other Bariatric Operations

www.dssurgery.com/about/publications/duodenal-switch-safe-op eration.pdf

Anyone that is even considering the Duodenal Switch (DS), please go to Google and type in:  Problems with the Duodenal Switch

You will discover that this is FAR from the perfectly safe operation that the true converts would have you believe.  Read some of the many THOUSANDS of articles written by surgeons that have done the DS, and about the massive complications that frequently accompany this surgery.

If you choose to have a DS, fine.  Just don't do it because of an article, or a message, that some "true believer" points you to.  Do your own research, and make a decision based on real facts, not the opinions of someone that does not know you, your body or your needs.

I thought that was what research was all about...reading articles posted by others and googling for info.  I'm pretty sure you'll find interesting info if you Google "Problems with the (insert WLS here)". 

I hope a presentation by a respected doctor giving a presentation at a known medical event is good enough to post here.  The link is in my signature. 

In the end, however, the decision to revise is up to the person doing the research and I can respect that.  I think the VSG is a very viable choice and if I am unable to have the DS it will be the route I will take.

 Oldmedic is right. DS is a highly risky proceedure of last resort. At some point your body will adapt so that you don't die right away from malnutrition, but it will be a lifelong battle, particularlly as you get older. Not only that it can also fail , in which case you end up fat and suffering from malnutrition.

And where are you getting your information? Name the source and post links so that others may guage the worthiness and credibility of it.

Oldmedic: do everyone a favor and tell us what "MASSIVELY COMPLICATED" means to YOU so we're not speaking in relative terms.

I consider "MASSIVELY COMPLICATED" to be a multitude of crippling medicial problems of such severity that one's life is in immediate danger and requires emergency medical treatment to remedy it. The more common post-op complaints with the DS are stinky poos, vitamin deficiencies if you don't take your vitamins over the long-term, and acid reflux. This does not sound massively complicated to me.

Please forward links to the alleged articles you've read where surgeons who are qualified to perform the DS go on about the "massive complications" that plague the surgery and make it SO HORRIBLE that they cannot recommend it in good concsience over other surgeries and wouldn't perform it on their worst enemies dog. Futhermore there aren't enough DS surgeons in the world to create "thousands of articles" describing harrowing "massive complications", even if they wanted to there's not enough of them in existance to create all that bad press.

In fact I'm including the first page of google search of " Problems with the Duodenal Switch" results here, none of which support oldmedics claims:

The very first search result was an article by Dr. Rabkin:
http://www.bariatric-surgery-source.com/duodenal-switch.html

Note that he cites scientific studies so you can look them up and verify the facts.

Here's more from the first page of google results
Dr Terry Simpson also had good things to say about it

http://drsimpson.net/07_surgery_stories%20%28ss%29/7_ss_02/d uodenal%20switch/duodenal_switch.htm

More info on the DS in an article interviewing Dr. Greenbaum about why he PREFERS to do the DS as opposed to the RNY, also from the first page of search results:
http://www.lourdesmed.org/services/duodenal.php

The other results from the first page are general information articles, all of which provide objective info:
http://www.wlshelp.com/duodenal-switch.html
http://www.advancedobesitysurgery.com/duodenal_switch.htm
http://www.annecollins.com/lose_weight/duodenal-switch-bpd-d s.htm
http://www.crediblereviews.com/health/2080/duodenal-switch-r ecovery-period

except for the webMS result which describes the BPD but does not include info on the DS beyond a brief mention (they are very different surgeries, I'm not sure why the BPD came up when searching for the DS but I guess google isn't perfect), sadly web MD does not have a designated page for the DS proceedure but only describes the BPD.
http://www.webmd.com/diet/weight-loss-surgery/biliopancreati c-diversion-1920

I, too, think people should do their own homework. You'll find out that there's a lot of people who don't tell you the truth and LOVE to spread the seed of bad information and scare tactics. I'm looking at YOU, oldmedic...

Here's some scientific reasearch on the DS,:
Duodenal Switch Provides Superior Weight Loss in the Super-Obese (BMI ≥50kg/m²) Compared With Gastric Bypass Vivek N. Prachand, MD, Roy T. DaVee, BS, and John C. Alverdy, MD http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856567/

Bariatric Surgery
A Systematic Review and Meta-analysis
http://jama.ama-assn.org/content/292/14/1724.abstract

Laparoscopic Technique for Performing Duodenal Switch with Gastric Reduction
http://www.springerlink.com/content/x3570740321103n0/

The Duodenal Switch Operation for the Treatment of Morbid Obesity
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360120/

Improvement of Type 2 Diabetes Mellitus in Obese and Non-Obese Patients after the Duodenal Switch Operation
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3065014/?tool=pmcentrez

Of course there's more research out there than this. DS patients, feel free to add links to whatever studies you found helpful in your decision...

edits: typos

 Stop it!  We are talking about serious surgery here. All of the people supporting this procedure are making money off it. There are real studies that show that merely taking more vitimines does not always overcome the issues. Taking a perfectly healthy organ and cutting it up is not an optiminal solution. In the old days cutting off someone's leg was the only option to prevent infection. It might have saved lives, but antibiotics are a better solution now. When it comes to wls, the least drastic solution is the better one. And that is not DS.

Stop what exactly? Calling someone else out for giving false information and proving it by posting actual medical research? Shame on you for attempting to censure anyone around here.  So no, I won't stop. Don't like it? Then you can block me.

I'm not making any money off the DS, however my health is benefiting nicely! No problems so far, no vitamin deficiencies, no complications, no dumping, just a few lbs from my goal weight, etc, etc, etc.

As far as the less "drastic" surgies being better, tell that to all the 50% of the bandsters who took part in this study who had to have their band removed due to complications (http://archsurg.ama-assn.org/cgi/content/short/146/7/802) and not to mention the high rate of failure- the rate far outpaces the DS and RNY. So much for less invasive being "safer" or "better", what a load of crap.

I'm not making any money off the DS, however my health is benefiting nicely! No problems so far, no vitamin deficiencies, no complications, no dumping, just a few lbs from my goal weight, etc, etc, etc.


ME TOO! The DS has been a godsend.