Question:
Successful for over 300 pounds?

Im scheduled for the RNY(lap) proximal in a few weeks. I have recently become concerned that 1) because of the large amount of weight i have to lose it will not be effective as distal or brd/ds and/or 2) i may have to have a revision in 10 years or so. Any comments or thoughts would be greatly appreciated.    — [Anonymous] (posted on January 5, 2001)

January 5, 2001
Although it is true that a distal procedure (either a distal RNY or DS) has a high risk of developing nutritional deficiencies (osterporosis is another risk b/c of lower absorption of calcium) -- these deficiences can and are avoided with the daily intake of supplements and careful medical aftercare! :) Also, the DS leaves a portion of the duodenum, where major calcium absorption occurs. The RNY (BOTH proximal and distal) bypass this area. So, even if you get a proximal RNY, you are at risk for osteoporosis and should be careful with calcium supplements! :) When it comes to osteoporosis, all WLS patients have to take extra care. All the best,
   — Teresa N.