ObesityHelp UK and Ireland

Recent Posts

(deactivated member)
on 7/19/09 1:00 am - UK
Topic: RE: Hi im new
On July 19, 2009 at 7:46 AM Pacific Time, tash01 wrote:
Hi the milk and water was told to do by the hospital, did you not have this type of diet?
you look amazing i know with hard work i can be looking great to. tasha
Thanks, Its been hard work and there is still much more to do yet too.

I didnt have surgery, if you have time feel free to read about it on my own website

gazzasblogs.blogspot.com/


tash01
on 7/19/09 12:46 am - United Kingdom
Topic: RE: Hi im new
Hi the milk and water was told to do by the hospital, did you not have this type of diet?
you look amazing i know with hard work i can be looking great to. tasha
kirmy
on 7/18/09 11:32 pm - BF-Nowhere, United Kingdom
Topic: any DS'ERS here?
Are there any DS folk on here?  I'm going for this in Jan 2010 and was wondering if there were any folks about in the UK forum? 

For those not in the know:

The Duodenal Switch (DS) procedure, also known as Biliopancreatic Diversion with Duodenal Switch (BPD-DS) or Gastric Reduction Duodenal Switch (GRDS), is a weight loss surgery procedure that is composed of a restrictive and a malabsorptive aspect.

The restrictive portion of the surgery involves removing approximately 70% of the stomach along the greater curvature.

The malabsorptive portion of the surgery reroutes a lengthy portion of the small intestine, creating two separate pathways and one common channel. The shorter of the two pathways, the digestive loop, takes food from the stomach to the common channel. The much longer pathway, the biliopancreatic loop, carries bile from the liver to the common channel. The common channel is the portion of small intestine, usually 75-150 centimeters long, in which the contents of the digestive path mix with the bile from the biliopancreatic loop before emptying into the large intestine. The objective of this arrangement is to reduce the amount of time the body has to capture calories from food in the small intestine and to selectively limit the absorption of fat. As a result, following surgery, these patients only absorb approximately 20% of the fat they intake.

Advantages

The primary advantage of Duodenal Switch (DS) surgery is that its combination of moderate intake restriction with substantial calorie malabsorption results in a very high percentage of excess weight loss for obese individuals, with a very low risk of significant weight regain.[2]

Type 2 diabetics have had a 98% "cure" [3] (i.e. became euglycemic) almost immediately following surgery which is due to the metabolic effect from the intestine switch. The results are so favorable that some surgeons in Europe are performing the "switch" or intestinal surgery on non-obese patients for the benefits of curing the diabetes.[citation needed]

The following observations were reported on the resolution of obesity related comorbidities following the Duodenal Switch: type 2 diabetes 99%, hyperlipidemia 99%, sleep apnea 92%, and hypertension 83%. [4]

Because the pyloric valve between the stomach and small intestine is preserved, people who have undergone the DS do not experience the dumping syndrome common with people who've undergone the Roux-en-Y gastric bypass surgery (RNY). Much of the production of the hunger hormone, ghrelin, is removed with the greater curvature of the stomach.

Diet following the DS is more normal and better tolerated than with other surgeries. [5]

The malabsorptive component of the DS is fully reversible as no small intestine is actually removed, only re-routed.

[edit] Disadvantages

The malabsorptive element of the DS requires that those who undergo the procedure take vitamin and mineral supplements above and beyond that of the normal population, as do patients having the RNY surgery. Commonly prescribed supplements include a daily multivitamin, calcium citrate, and the fat-soluble vitamins A, D, E and K.

Because gallstones are a common complication of rapid weight loss following any type of weight loss surgery, some surgeons may remove the gall bladder as a preventative measure during the DS or the RNY. Others prefer to prescribe medication to reduce the risk of post-operative gallstones.

Like RNY patients, DS patients require lifelong and extensive blood tests to check for deficiencies in life critical vitamins and minerals. Without proper follow up tests and lifetime supplementation RNY and DS patients can become ill. This follow-up care is non-optional and must continue for as long as the patient lives.

The restrictive portion of the DS is not reversible, since part of the stomach is removed. However, the stomach in all DS patients does expand over time and while it will never reach the same size as the natural stomach, some reversal by stretching always occurs.

Risks

All surgical procedures involve a degree of risk however this must be balanced against the significant risks associated with severe obesity.

Some of the surgical risks or complications for this procedure are: perforation involving small bowel, duodenum, or stomach causing a leak, infection, abscess, deep vein thrombosis (blood clot), and pulmonary emboli (blood clot traveling to the lungs).

Longer term risks include hernia and bowel obstruction.

Malnutrition is an uncommon and preventable risk after Duodenal Switch

Thanks guys have a rocking Sunday!

xx Kirmy


kirmy
on 7/18/09 11:18 pm - BF-Nowhere, United Kingdom
Topic: helloooooo! any of you had surgery abroad?
Hello folks,
                    I'm like everyone else these days and totally broke! I'm going to get a duodenal switch in January 2010 and was wondering if anyone has had surgery abroad....the costs and would they do it again?

I am looking into Turkey at the moment or Brazil....any info on either one????

Cheers
Kirstin xx
(deactivated member)
on 7/18/09 7:11 pm - UK
Topic: RE: Hi im new
On July 17, 2009 at 2:09 PM Pacific Time, tash01 wrote:
Hi there i have just found this group please i need some advice im on the 2week milk and water diet, im on day 4 can anybody help??
First off welcome, Second: Is it a per surgery diet ? or something you have just decided to do yourself ?
(deactivated member)
on 7/18/09 7:09 pm - UK
Topic: RE: Never Mind
On July 18, 2009 at 3:48 PM Pacific Time, Miss Redd wrote:
Gosh! What did I miss? LOL!

Gaz-as always you were very kind to jump in and try to help!
LOL, No idea where she went, I guess she took me saying dump the HTML as people care about what your blog says more than how it looks the wrong way, ahh well, you can win em all, hope she comes back though
Miss Redd
on 7/18/09 8:51 am - Lancashire, United Kingdom
Topic: RE: OT- I'm getting married on Saturday!!
OMG!! You are married by now! I am SOOO Very happy for you. I want you to tell us ALL the details and PICS???

Hope your day was beautiful!!

Peace,
T

Pre Surgery 383 Surgery 359 Current 180

NEW YOUTUBE Channel!


 

Miss Redd
on 7/18/09 8:49 am - Lancashire, United Kingdom
Topic: RE: Hi im new
HI Tash and WELCOME!!

Ouch-the milk and water diet? I am not familiar with it-can you tell me exactly how it works?

I will be happy to lend you support. I know the presurgery diets can be REALLY stressful and trying to be sure!!

Are you hanging in there ok??

Hugs,
Therese

Pre Surgery 383 Surgery 359 Current 180

NEW YOUTUBE Channel!


 

Miss Redd
on 7/18/09 8:48 am - Lancashire, United Kingdom
Topic: RE: Never Mind
Gosh! What did I miss? LOL!

Gaz-as always you were very kind to jump in and try to help!

Pre Surgery 383 Surgery 359 Current 180

NEW YOUTUBE Channel!


 

tash01
on 7/17/09 7:09 am - United Kingdom
Topic: Hi im new
Hi there i have just found this group please i need some advice im on the 2week milk and water diet, im on day 4 can anybody help??

Miss Redd
Group Leader

Kate -TrueBrit
Group Leader
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