How many with PCOS have been sucessful with WLS other that RNY?
here is a post i'd made on the duodenal switch board : )
http://www.obesityhelp.com/forums/ds/a,messageboard/action,r eplies/board_id,5357/cat_id,4957/topic_id,3612877/
the DS is another option for you. After weighing the pros and cons, and looking at statistics for long term, i thought it was the best option. Good luck in your research!
Surgery June 3rd, 2008
My Specs: Height 5' 5.75" | Highest weight 265+?lbs | Surgery weight 241.9 | Now 154 lbs | CC length 150cm, stomach 3oz
Added: Neck/Chin/Lower face lift Nov 23,2010- Skin only
Thank you so much for that! I have read the with PCOS [curse] that the only one that is successful is the RNY, the one I really DID NOT WANT!! I have been on the verge of tears since I read about the RNY thing. But this gives me hope! I desperately want kids, and this weight off! I truly hope this works for you!
hey no problem! i don't think i would have ever known about the DS if my mom hadn't spent so much time researching it for herself! soon it'll be mother like daughter *lol*
i'll update on my PCOS symptoms if i see any improvement! (i really hope so!!)
Surgery June 3rd, 2008
My Specs: Height 5' 5.75" | Highest weight 265+?lbs | Surgery weight 241.9 | Now 154 lbs | CC length 150cm, stomach 3oz
Added: Neck/Chin/Lower face lift Nov 23,2010- Skin only
I am not really against it. It has been a blessing for my friends that have had it. For me, I just think it is too drastic. I really don't want to have any of them, but I have to do something! If it comes down to it, I might just have to get it done. I really want to leave as much intact as possible. I have concidered lap band, but this sounds like a better choice. But after more research, who knows, I might change my mind!
Personally if you want to leave it all intact then the lapband is the way to go. Followed by the RNY and then lastly the DS as with the DS they actually remove about 80% of the stomach and bypass more of the small intestine. The internal "open wound" area is much larger with the DS than with the RNY if that's something that you're worried about. Regardless the choice of which surgery to have is up to you. Good luck in your research & decision.
Kristy
Actually the "open wound" area for the DS might be true, but the part of your stomach that is removed is just the outter curvature that holds the hormone Ghrelin,which tells your mind "hey, i'm hungry down here!" so the more you remove, the easier it is to keep your mind thinking it's full...when it is! with the RNY they actually remove the lower portion of your stomach, whi*****ludes the pyloric valuve, the exit of your stomach. That's why some people have issues with dumping, and with ulcers. The pyloric valuve is a midway piont from your stomach to your intestine, and some of the harsh stomach juices can cause sores on the newly attached intestine. Both the RNY and the DS have similar intestinal rearranging...usually the RNY has a longer "common channel" (about 250 centimeters or more) so you still absorb fats, and protein pretty much normally. With the DS they make the channel shorter (from 50-150cms...usually 10% of your intestinal length) so that you malabsorb fats, and most everything else. For both surgeries this part is reversable. People with the DS usually get their stomach size from 1.5 ounces to 8...and then their stomach stretches from there. The channel length is what they belive helps them maintain the weight loss, after their stomach stretches out from the 1.5-8 ounces. Usually people who've had more of the ghrelin holding portion of their stomach feel fuller longer, and attribute that to their weight loss (this is also true for the VGS), whereas others think it is their channel length...the shorter channel length, the more carbs they seem to be able to eat without gaining weight...the longer the channel, the less the have problems with vitatim absorbtion.
Usually people give their specs, expectations, and eating habits to their doc and they decide what lengths and ounces and stuff would be best for the patient. Some people think that doctors push the RNY more than the other surgeries, because they may get paid more from insurance for that procedure. This is actually true that they get paid more, but if you are informed about what procedure you want your surgeon should have no problem doing it for you, or reffering you to someone who can.
Lastly, and what helped me decide, was the Long Term Statistics on all the surgeries. RNY and LAP have the highest percentage of revisions...failures or issues with the stomach. RNY and DS have the highest percentage of people who have seen a lot of weight loss, and improvement in co-morbidities...but the DS has the best results for super long term maintanance of that weight loss. But of course it all depends on you, youre wants, and your eating habits. There are people who have had the RNY for years and kept the wait off, and there are people who've had the DS and only lost 80% of their expected weight! Just keep researching, you'll find your way!!
Surgery June 3rd, 2008
My Specs: Height 5' 5.75" | Highest weight 265+?lbs | Surgery weight 241.9 | Now 154 lbs | CC length 150cm, stomach 3oz
Added: Neck/Chin/Lower face lift Nov 23,2010- Skin only
Bravo Melissa,
Very well written,
I decided on DS because I am doing this once, I will not be a revision and I want to lose the weight and keep it off, DS in my mind is the best surgery for me (and many others)
The thing about DS is that because you are rerouting the small intestine you are eliminating the insulin resistance problem which is what causes most of the PCOS systoms.
The band is only going to help you lose weight but not deal with any of the underlying problems that have caused the weight problems,
Good luck in your search,
catnip