Question:
What complications has anyone had from the BPD/DS?

I read so much about the complications of RNY: stoma's closing, nausea and vomiting, leakages, having to have dilations, etc. What, if any, complications has anyone had with the duodenal switch procedure, given the different type of stomach reduction that is performed? I am not asking for published listings, but rather people's actual experiences. Thanks!    — merri B. (posted on November 26, 2000)


November 25, 2000
Merri: I am 13 - 14 months post-op from Lap BPD/DS and can honestly say I have had NO PROBLEMS either in recovery or in my day to day life. I was out of the hospital 3 days after surgery, with no help home at all, and back to work at 3 weeks. No hernia, blockages or deficiencies. My blood work is perfect. I have no lactose or fat intolerances. In fact I eat a pound of bacon many mornings for breakfast. In early recovery I experienced no nausea, and only vomited infrequetly (actually like a baby spitting up) when eating out and overestimating how much my new stomach could take in. Now I have a handy-dandy full gauge that I've learned to listen to -- my nose starts to run when I've eaten too much. I can eat ANYTHING. This is what I ate yesterday: Coffee, lb bacon, cup of pistacchio nuts (maybe two), 1/2 corned beef sandwich on rye (left over from eating out the nite before), coffee and 2/3 chocolate creme donut (threw the rest out when full -- what a concept), dinner at Boulder Creek with another DS freind and we split ribs and friend shrimp with baked beans and garlic mashed potatoes. Midnite snack: 6-8 nutterbutter cookies with coffee. Also took my supplements (2 vits, tums & iron). I've lost almost 150 lbs, feel younger and better than I remember ever feeling, and will be beginning my reconstructive surgery on Wed -- bat wing removal and breast reduction. I am so happy and look so good that my co-workers, neighbors, etc., have or are also having the DS with my surgeon. Hope this helped. Jill Sokol, from BMI 51 to 30 this year.
   — Jill L.

November 26, 2000
I am a pre-op for laparoscopic BPD/DS, so I don't have any experience to relate. However, I just wanted to note that you can find a lot of personal experiences and hear about both success stories and potential complications at the following e-group lists: duodenalswitch and DS_Postop. I'm sure you'll get responses here as well! :) I just think maybe one of the reasons one doesn't hear much about BPD/DS (good or bad) is that the majority of people have an RNY (not only on this site but in the US as a whole). Also, there are only a handful of surgeons who peform this procedure in the US, although I think it is becoming more widespread.
   — Teresa N.

November 26, 2000
Boy, comments on this site keep getting uglier and uglier every time I check. How very sad. It's really hard sometimes, but I try not to question people's motivations for for asking certain questions. I assume that Merri asked because she actually wanted to know. If there was something else behind it, I don't want to know. Every procedure has complications. I didn't have DS, so I can't comment on what those would be. While the RNY complications are true, not everyone has them. There are many of us who are just fine. Hope this doesn't sound defensive. I don't want to get slammed. I don't advise people to have RNY or any weightloss surgery for that matter. Just point them to websites with lots of info. How could I possibly know what would be right for anyone but myself? I don't criticize the choices others made either. I always love reading your updates Merri, so I hope your motivations are genuine.
   — Maxine E.

November 27, 2000
Hi Merri--Well...after my one year anniversary, I was asked this question by so many people. I had to sit and really think back if I had any complications or not. There certainly were no obvious ones. The answer I came up with was no... I had absolutely no complication, major or minor. For me, this surgery, the Duodenal Switch, really is too good to be true!! I FEEL SO GREAT!! You can read the good, the bad & the ugly on my website at: <a href="http://www.mywls.com">http://www.myWLS.com</a>. <br>Maxine...I didn't see any ugly comments..I guess they were already deleted... I hope so.. I agree with you...I don't care to read those either!! Take care...
   — [Deactivated Member]

November 27, 2000
Dear Merri, I know that I am probably gonna get slammed for answering this because I seem to be the only person in here who has had trouble with the BPD/DS. You asked for honest answers and so, that is what I shall give you. I have had numerous problems from the BPD/DS, all related to malabsorption actually. I am 18 months postop and being honest here, there was a 3 month period around the 6th month where I didn't take my vitamins and minerals like I should have. Barring that, I have been religious about it. Even taking all the extra iron and minerals and vitamins that I am supposed to, my iron count as of last week read at 4.8. That is in the critical stage. I went to the emergency room (as you can imagine I felt awful) and was admitted immediately for blood transfusions. I had been getting regular bloodwork and it was slowly going down no matter what I did but the surgeons all said to just increase my iron. THAT WAS NOT THE ANSWER. Increasing it did nothing for me and the numbers just kept going down. Weird, and I know people will probably think I am dumb, but it never occured to me to see an interist for this. I just thought that the surgeons who did this surgery would know better that anyone what i needed. Wrong! They are great at the surgery and all but, postop, I have learned that I needed to see specialists who dealt with these problems every day. I would urge everyone to talk to their surgeon and then find an interist too. I would have had this problem solved faster had I been smarter than I was. My numbers are still low but much better now and I am seeing the doctor 3x a month now until they get better. As for any other problems, well, they are associated with WLS not with the BPD/DS such as loose skin, hernia etc. I hope that my honest answer doesn't cause problems but I wanted you to know that yes, there are some of us who are not doing quite as well as most everyone on here but everytime I write about it, I seem to get slammed. Good luck to you and write to me if you want to and I will elaborate alittle more. Barbara
   — Barbara H.

November 28, 2000
Barbara....I Applaud you....I am a pre-op about to be a postop..I have gone on this site everynight for the last 9 months and the information you are providing is vital in preop's making educated decisions....don't hold back in the future..(pre ops won't slam you)
   — Debora H.

April 30, 2001
I have to say I appreciate Merri asking the question she asked because I have had the same question. I have been reading and reading and reading about RNY and just recently heard of the DS procedure and am curious about it as well. I must say I am rather discouraged by the amount of defensive attitudes people have when someone asks questions about any of the different procedures. Those of us just starting out on our journey to a new life are only asking these questions out of a true desire to learn about all of our options. The questions are not to hurt or slam anyone else's decision for a particular procedure. We are desperately searching for that tool to a healthier lifestyle and truly only want to learn about peoples personal experiences and opinions of said procedures. I hope that my response doesn't offend anyone. I have learned so much and received so much support from members of the group. I would never want to hurt anyone's feelings or make them feel like they need to defend their decisions. We all make them based on what we feel is best for us but some of us need to hear peoples experiences of the procedures before we know what is going to be best for us.
   — Nicole R.

April 30, 2001
Barbara....I Applaud you also..And no you're NOT alone in problems with BPD/DS.. I correspond with several ladies besides yourself with similar serious problems as yours. If you would like their email address to write and maybe share insight, knowledge, and maybe just a comforting ear.. Let me know.. I'll send them to you.. Never applogize for posting the truth, that's how we all learn.. We all read posts good & bad everyday about VBG, RNY, and other surgery types so feel free to post without fear of being slammed..
   — Victoria B.

April 30, 2001
There are people who have suffered greatly from their procedures. Every procedure, the VBG, the RNY the DS the BPD/DS. There are people whose lives have been transformed beyond belief in a positve way. Lives rescued and renewed with no second thoughts. I have heard from people whose side effects were terrible AND from people whose side effects are FABULOUS. It is hard as a pre-op to get a clear picture of what any one procedure will do for US. There is NO WAY to know how it will be. Will we be trading one problem for new ones? Will we wish we had done it sooner? Will we die? Will we be reborn? Will we go in for surgery after surgery? Will we finally conquer the flab? Only you will be able to decide if you have no other choice but to have surgery. Only you will know what you can tolerate after surgery and if one of the procedures fits what you need the best. I would like to think that on this site every surgical experience, positive or negative could be shared without cruelty by others. I always wonder why people don't come back to their profiles, are they dead? Did they have complications? Did they decide to try something else? Were they so successful that they left the computer chair and were out hiking and traveling? All we can do as pre-ops is read and weigh, read and weigh, and think some more. Good luck with your journey.
   — Danine N.




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