could I be a DSer in RNY clothing???

Nope, not so much.   Let me see if I understand you correctly, because I'm not processing the whole "removal" part of your surgery. The sigmoid colon is part of the Large Intestine, which is not primarily responsible for nutrient absorption, but can absorb protein when necessary.  So 40 cm removed.  Got that.  Check Now, if I've read your post correctly, you've had the first 100 cm of your intestines removed, so they removed your duodenum?  I was just rechecking my intestinal knowledge - that's the first section of your intestines, or what the stomach empties into.  Or did they remove part of the jejeunum - the section that the pouch empties into?  And this part is completely removed from your body (I assume it was necrotic because of the twist?) now? Now, the section that they bypassed - they didn't remove that from your body, they just bypassed it, right?  That section would be connected to your remnant stomach and be responsible for carrying the digestive enzymes - the biliopancreatic limb of the Roux-en-Y anastomosis.  That would be the duodenum that was bypassed, I think.  As to where that's connecting?  Is it connected to the jejeunum (middle intestine) or the ileum (end of small intestine)?  The part of the intestine that was removed above would determine this, I think. I wouldn't call you a DSer breed of Duck, especially since you have the pouch.  I think you'd qualify for a very special hybrid breed of duckie, indeed.  With any of your intestine REMOVED, I'd think you automatically have more malabsorption than even a DSer.  Let me be the first to urge you strenuously to stay on top of your labs and supplement like crazy.  I'd also recommend, if you don't already have one, to get a copy of your surgical report and keep it close by in case of emergency.

You know what...now that you break it all down like that.  I'm gonna have to get a copy of my surgery report.  Because to tell you the truth, I've only been worried about the amount of cms taken out/bypassed.  Never has even my military docs ever asked for me to break it down for them.  My RNY surgeon is different from my regular military docs...I guess you would call them PCMs or PCPs My surgeon has told me that I would malabsorb more than an average RNY patient and he has always stressed my suppliments & vitamins because of the additional stuff bypassed. Well, I see him this Friday...gonna be a little longer of a visit then I think he is planning on but I gotta get this stuff right!! Thanks for making me say...hmmmm Dawn

I wouldn't say you were a DSer...but a hybrid type surgery....more like the BPD without the switch....and a tighter pouch?  I dont' know.... the most important thing is to make sure you are having all the nutritional tests necessary to make sure you remain healthy.   What kind of blood work does your surgeon do?  How often does he do it/  Perhaps you should PM michelle (vitalady) she is a hybrid herself (100 cm common channel)...or you could lurk /post on the DS forum.  You're nutritonal needs while not that much different then a "proximal" RNY will be slightly different and closer to a DSers...which means probably more ADEK supplimentation....because so much small intestines is bypassed.  Defintely talk to your surgeon and don't be afraid to ask questions, and find out what blood work is being run.  Your health is your responsibility. Congratulations on getting to goal and keeping it off. Scott