Long limb RNY

Hi there! So I had fully intended to have the loop-DS this month. Unfortunately, my insurance threw me a curve ball and decided to deny my surgery. They will approve a traditional DS or my surgeon is recommending a long limb RNY. Has anyone had the long limb RNY and would be willing to share their story?

Why do you not want a traditional DS or RNY? Will your insurance cover a long limb RNY? Most times insurances will not cover a surgery that is considered experimental.

A long limb RNY is not considered experimental, it's still RNY, just a bit longer roux limb. I don't think there are any doctors in my area (Colorado) that do the traditional DS. I see a number of RNY revising to DS due to regain so I was curious if the longer roux limb really makes a difference.

I think long limb RNY is also known as Distal RNY. From what I researched in the past, distal RNY can be possibly the second worse WLS (first is a lap band). It can cause the same issue as standard DS but with worse that DS for vitamin - minerals absorption. And since the pyloric valve is by-passed, and it can cause severe RH, dumping, etc. etc etc.

I had RNY (normal -proximal) and I think DS would be too drastic for me, but i would rather have that than distal RNY.

Why do they think you need distal RNY?

It's not distal RNY, still proximal, just with a longer roux limb, 150 cm instead of 100 cm. He is offering this because it may increase the malabsorption a bit.

I think standard is 150. But every doc is different.

Maybe it's not a good idea to increase desorption. You can lose weight with conventional RNY.