BMI 55 and over

Those horrible side effects are usually experienced (in every surgery) by people who aren't educated, which is why I'm very happy that Louise will not be getting the DS. 

She sounds like OHIP's biggest cheerleader.

Sis boom blah.

Sorry to have ruffled your feathers. I have a great deal of respect for those who were able to get the DS and chose to do so- I presume after doing extensive research. From what I have read- it is a WLS procedure for higher BMI's, that has a lot more malapsorbtion than the RNY. I don't qualify- ie have indications for such a procedure- so when two relatively well informed people from OH, who met me in person, suggested that I look into the DS, I did. My BMI is low, so it does not appear appropriate.

What I was surprised to read was the  severe malnutrition, 'bathroom issues' as long term effects- I am citing from an article on Bariatric Times- http://bariatrictimes.com/2009/06/18/the-duodenal-switch-revisited/
 
"For those with intractable diarrhea necessitating revision, Hamoui was able to decrease the number of daily bowel movements from 5 to 1."

The introduction makes it clear that the long-term effects- not tiny clothes or eating without restraint- but serious medical problems can occur and not in just a small percentage.

"Despite being extraordinarily effective in terms of weight loss and comorbidity resolution, the DS still accounts for only a small minority of the primary bariatric operations performed in America.[5] There are numerous and complex reasons for this. The extensive malabsorptive component certainly deters many surgeons. Past experiences with the jejunoileal bypass (JIB) resulted in patients with severe malnutrition who were rendered more medically compromised by the operation than by their morbidly obese state. In the standard DS, only the distal 15 percent of the small bowel is exposed to both nutrients and the biliopancreatic secretions required for digestion and absorption of fats and proteins.[9] The DS, whether attempted open or laparoscopic, is certainly a more technically challenging procedure, and accordingly carries greater morbidity and mortality than the gastric bypass or adjustable band. The greater risk of complications evidently serves as a dissuading factor."

http://www.asbs.org/html/patients/bpds.html
DUODENAL SWITCH

Advantages of BPD and DS:

Increased amount of food intake compared to the bypass and band
Less food intolerance
Possibly greater long-term weight loss
More rapid weight loss compared with gastric banding procedures

Complications of BPD and DS:

Diarrhea and foul smelling gas, with an average of 3-4 loose bowel movements a day
Malabsorption of fat soluble vitamins (Vitamins A, D, E, and K)
Vitamin A deficiency, which causes night blindness
Vitamin D deficiency, which causes osteoporosis
Iron deficiency –a similar incidence with the RYGBP
Protein-calorie malnutrition, which might require a second operation to lengthen the common channel
Ulcers (less frequent with DS)
Dumping syndrome (less frequent with DS)

These procedures have some of the highest reported weight loss in long-term studies, but also have the highest rate of nutritional complications compared to the RYGBP and the purely restrictive procedures.


Unless someone is ready to self-pay - the DS is not available in Ontario-so why promote something that the very few can afford? Why make them dissatisified before they get started? Why not share some of the 'challenges' of living with a DS? 

Oh. Holy. ****  Can nobody come up with a new friggin argument against the DS?!  Let me explain something to you...**** stinks, everyone's ****  I'm sorry I had to be the one to tell you all that, but it's true.  **** stinks.  Does my **** stink more than others?  Yeah, some days it does, especially if I've overdone it on the white flour.  But let me tell you something, so does an RNY patient if they do the same thing with carbs...ok, at least the RNYers that I know do anyway.  It's **** people!  It's comes out of your ass!  What the hell is it supposed to smell like??  Oh, and I don't have '3-4 loose bowel movements a day'.  I generally go in the morning and at night and they're not loose...man, this is really more than anyone needs to know about me!

Like I said, come up with a new argument or shut up because I'm tired of people that have no clue telling me what my life is like.

So let me get this clear Lisa.  Your **** stinks?

Yeah, I'm sorry I had to shatter all of your illusions about me Kel.

My name is Lisa and my **** stinks.

I'm so glad you finally told me.  I have a confession, my **** stinks too!!

Well not really, most times I eat oranges and well with all the malabsorbing and **** hahahaha it's smells like a citrus blend.

LOL....you kill me Lisa....maybe I have to rethink this whole "sharing a room" thing in June....LOL....my **** stinks too in case anyone was curious.

Well, other than my **** stinking, I'm really pretty awesome

*laughs her flat ass off*

Ummm... my **** stinks too.

Not Mine!!!  I take a probiotic....