Hello ,
Im scheduled to have RNY nov 21st, ive been super exited about my choice but lately ive been looking some post that say the DS is better than the RNY long term.  Has anyone else gone through this?? and how did you make your choice?

PS i have read information on both

Hi Vanessa! I am a self pay RNYer and have been successful to date. When I was researching WLS I was only aware of the lapband and RNY, knew the band would not be a good option for me. The more I read and know about the DS, if I were choosing today I'm pretty confident I would choose the DS.

The studies support the long term success of the DS over all other surgeries currently available.

Do your research even if it means delaying your surgery as couple of months YOU want to be sure you can live the best life you can with one surgery.

 Hi I had the RNY surgery I am very happy with it. If i had to do it again I would still pick the RNY.
I read with the DS you can cheat. Why not find out about the sleeve it maybe better for you.

They don't "cheat" with the DS, they have major malabsorption of fats so their diet MUST be a high fat diet. Some people think that is cheating, I disagree.

I do think the sleeve is a good surgery however some people NEED malabsorption. My guess is with Vanessa's high BMI a malabsorption surgery would provide her with the best long-term results as long as she is willing to be diligent and aggressive in supplementing and proactive and demanding with her medical team on what test are necessary along with getting copies and tracking for changes before becoming deficient if possible.

How can you cheat with the DS?  And why do you think you cannot cheat with the RNY?

RNY is commonly a procedure that most insurance companies will pay for.  Your insurance company may not approve of DS for a wt loss surgery option. It your self pay, then that offers you that alternative.  You'll likely need labs more often, more supplements than other surgery, and may have other daily issues you may find inconvenient with the DS.  With any wt loss surgeries, some lifestyle changes are needed.  My surgeon would not do this surgery, as he feels there are too many post op issues.  I had the RNY and I'm glad I did.  DAVE

 I know some about DS and what I do know is that it isn;t for me. I like my RNY and it is working for me as I am working it. 

The only person that can make this decision is you. I think the best thing you can do for you is to research unbiased info on both surgeries and go from there. Asking someone who has had a certain surgery most likely will get them to say the one they had. that make any sense?

I have had both surgeries and there are good and bad about both of them.
I had the DS in 2002 and at that time, especially with my surgeon, the need to supplement wasn't as emphasized.  A lot has changed since then, which is very good.  I choose the DS because it had the best stats for keeping the weight off and yet I regained almost all of the weight I lost.  My fault for not changing my eating habits although my surgeon wasn't very good at doing the DS and that is a surgery that requires a great deal of expertise to do correctly.  In 2002 there weren't a heck of a lot of surgeons who were that experienced in it.
The hospital I had it in won't do the DS any more because they have had so many complications.  They have terrible education and follow up and it's not surprising there were so many problems.  The DS is not a surgery you can set and forget.  You have to stay on top of things all the time.  You have to be very good at educating yourself about what the surgery entails because you will probably be explaining it to many health care professionals since not a lot know about it.
Also, they talk about the liberal eating plan and it is true you can eat more calories with the DS but just like any WLS you still have to make changes.  If you are a refined carb addict like me you will have problems, from regain to horrible smelling gas to diarrhea and bloating.  Simple carbs are absorbed 100% in any WLS and if they are an issue for you it needs to be addressed before any WLS can be successful.
I wasn't diligent about my labs and supplements and I got very sick.  I didn't give the malabsorption the proper respect it needs.  I just thought it was great because it meant I could eat more.  I never thought about what it would mean to my health.  I heard someone explain it better then I can.  They said you were trading one deadly condition (obesity) for another (malabsorption).  And it can be deadly even in the best of cir****tances.  People have died from malabsorption.  It can happen with the RNY but there is a little more leeway because there is much less malabsorption.  The truth is the majority of WLS patients aren't as diligent about supplementing as they need to be.  After a few years they go about their lives and WLS becomes less significant in their lives.  The vitamin routine and protein intake may become lax.
Having lived with a RNY pouch for over a year of course there are issues there, too.  Dumping, reactive hypoglycemia, vitamin deficiencies can and do happen.  You have fewer choices in eating and many have food intolerance's.  Some can have problems with gas and diarrhea, too.  There are also strictures and getting stuck, which thankfully hasn't happened to me but can happen.
I guess it's a question of choosing your own poison.  What can you live with?  Always consider the worse case scenario and go from there.  You may get lucky no matter which surgery you choose and have few or no issues but you have to be prepared for anything.
If I were choosing today I would probably still choose the DS but I would have my eyes open much better.  In hindsight I needed more restriction and less malabsorption.  With my first WLS my sleeve was left too large and I was always hungry and could eat as much as I could before surgery.  That contributed to my intestinal issues a lot.
I also would have dealt with my food issues better instead of eating things like sugar and bread because I could.  And most important I would have picked a very experienced surgeon with a history of successful patients but truthfully I did the best I could at that time given what was known.  There was no such thing as a vetted DS surgeon and the DS hadn't been performed commonly for that long so I had no idea how important experience was for a DS surgeon.  Even one of the best surgeons you hear about, Dr, K in California, wasn't even doing the DS as far as I know, or if he was he had just started.
Am I afraid of regain with a RNY pouch?  Of course I am, although I wouldn't say I am afraid.  I am just aware.  But since I already had the surgery with the best stats and I managed to out eat that one I realize that anyone can regain weight with any WLS if they don't make changes.  The surgery doesn't do the work for us, it just helps us. If we don't make good choices we can suffer the consequences, whether it is regain, dumping, intestinal problems or vitamin issues.  No matter which surgery you choose you need to be ready to make the changes necessary to be successful.

You have to look at your eating habits, the way each surgery will affect those eating habits and which eating habits you are willing to change.  I read postings from post op DSers and since I did not eat as much food as a pre-op as they were able to eat as a post op so I decided it was not the surgery for me. Also, some of the same foods that can cause weight gain with the RNY can cause weight gain with the DS.  Both surgeries work but they work differently and you have to decide which is best for you. 

Thank you guys,  I would think that to have the ds would be a good option for me, and if there was a surgeon in my area, i would deff choose that no questions asked after all the research, however 1. I'm scared that if something goes wrong i wont have the proper surgeon to rely on, 2. the fact that you have to take your vitamins or you can make yourself really sick(i read the info and it seems as if with the rny you have time correct the issue vs the DS you can end up with irreversible damage)scares me , because of my line of study i may forget.(just being honest) 3. I kind of want something to help me change my eating habits, it seems bc the Ds needs so many calories, i would end up eating junk, just because i can. So i think I'm going to stay with the RNY.

Ps if i misunderstood any of the info i read pls correct me :)