Why DS over RNY?
Hi Katie,
Welcome to the DS forum. You are wise to be doing your research!
If you will go to www.dsfacts.com there is a section there that clearly explains the DS and also the differences between the DS and the RNY. There are also plenty of links to the actual science that shows the DS as the superior surgery and why.
For me, once I learned that the DS has the best outcomes for keeping the weight off I was sold. Learning that the DS diet was SO much closer to a 'normal' diet was just icing on the cake. I surely did not want to live a lifetime of calorie restriction which is what the RNY requires. I also knew that this was my ONE and ONLY chance and I wasn't about to get it wrong.
Some things about the DS seemed too good to be true and made me quite wary. But I just continued to read the science and found out that even though it sounded too good to be true it really WAS true!
Head over the dsfacts.com and then shoot me a PM if you have more questions or just ask here.
Becky
Welcome to the DS forum. You are wise to be doing your research!
If you will go to www.dsfacts.com there is a section there that clearly explains the DS and also the differences between the DS and the RNY. There are also plenty of links to the actual science that shows the DS as the superior surgery and why.
For me, once I learned that the DS has the best outcomes for keeping the weight off I was sold. Learning that the DS diet was SO much closer to a 'normal' diet was just icing on the cake. I surely did not want to live a lifetime of calorie restriction which is what the RNY requires. I also knew that this was my ONE and ONLY chance and I wasn't about to get it wrong.
Some things about the DS seemed too good to be true and made me quite wary. But I just continued to read the science and found out that even though it sounded too good to be true it really WAS true!
Head over the dsfacts.com and then shoot me a PM if you have more questions or just ask here.
Becky
When the lapband fails, they look to revise to VSG, RNY or DS.
When RNY fails, they look to revise to DS.
When VSG fails, they look to revise to DS.
When...well, DS doesn't fail....so ... well, NO ONE has ever looked to be revised from DS to anything else. The DS is the ultimate weight loss surgery.
Visit the revision board, it's an eye-opener. Why have multiple surgeries when you can have the best right from the beginning?
When RNY fails, they look to revise to DS.
When VSG fails, they look to revise to DS.
When...well, DS doesn't fail....so ... well, NO ONE has ever looked to be revised from DS to anything else. The DS is the ultimate weight loss surgery.
Visit the revision board, it's an eye-opener. Why have multiple surgeries when you can have the best right from the beginning?
Duodenal Switch hybrid due to complications.
Click! > DS Documents ~ VitaLady.com ~ DSFacts.com ~ OH DS FB
Click! > DS Documents ~ VitaLady.com ~ DSFacts.com ~ OH DS FB
I started out going for the rny and decided on the ds instead.
1. Greater chance of keeping the weight off.
2. More overall weight loss possible (I started at 445)
3. Food choices were more in line with how I wanted to eat. I dont' want to 'diet' the rest of my life.
4. Being able to eat like a normie in the future
5. It's rate of cure for diabetes. I never had diabetes, but my mother developed it in her 40's. I'm in my 30's and knew I was headed for it. So in my head, curing someone who already has it meant that it would stop someone who didn't have it from getting it. My mom is now on dialysis as a direct result of her diabetes, and I've seen all the crap she's gone through in the past year. NO thank you.
1. Greater chance of keeping the weight off.
2. More overall weight loss possible (I started at 445)
3. Food choices were more in line with how I wanted to eat. I dont' want to 'diet' the rest of my life.
4. Being able to eat like a normie in the future
5. It's rate of cure for diabetes. I never had diabetes, but my mother developed it in her 40's. I'm in my 30's and knew I was headed for it. So in my head, curing someone who already has it meant that it would stop someone who didn't have it from getting it. My mom is now on dialysis as a direct result of her diabetes, and I've seen all the crap she's gone through in the past year. NO thank you.
It was the long-term results that led me to choose the DS. I did not want to go through all that surgery entails, experience the exhiliration of losing weight, then suffering the humiliation of gaining it back one more time. I also knew that the only diet I was successful on in my life was a low-carb, high protein diet, and this is how I eat 75% of the time as a long-term post-op. Don't get me wrong - I still have my enjoyable foods - potato chips, dark chocolate, etc., but I find that if most of the time I stay lower carb (not Atkins low, jus****ching the simple carbs and sugar a bit) my weight maintains itself. I've been wearing the same pants for almost three years now, and eat a wonderfully rich, diverse, interesting range of foods.
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125
Hi Katie,
Hi and way to go on researching all the options! I was originally set for RNY, but ultimately changed my mind and had the DS. I'm very glad I did.
Due to insulin resistance and a screwed up metabolism, I knew a restriction-only procedure like VSG or Lap Band would probably not work for me. So it came down to DS or RNY for me.
These are the main reasons why I ultimately chose DS over RNY.
1. Best percentage of excess-weight loss, and best chance of maintaining that loss. If you check out the chart here: www.aace.com/pub/pdf/guidelines/Bariatric.pdf, on page 10, these are the reported percentages of excess weight loss with RNY and DS:
--1-2 years: RNY 48-85%, DS 65-83%
--3-6 years: RNY 53-77%, DS 62-81%
--7-10 years: RNY 25-68%, DS 60-80%
The regain or insufficient loss down the road was really troubling. Additionally, here is a study from 2006, showing that the RNY had about a 35% failure rate for those with a starting BMI over 50 (meaning did not maintain even 50% excess weight loss):
journals.lww.com/annalsofsurgery/Abstract/2006/11000/Weight_ Gain_After_Short__and_Long_Limb_Gastric.18.aspx
I know the bad luck I've had with diets, etc in the past. I wanted the odds of success in my favor as much as possible where surgery was concerned.
2. Best rate of resolution for most of my co-morbid conditions. Before surgery, I had PCOS (with insulin resistance), Sleep Apnea, Hypertension and GERD. The most troubling to me were the PCOS and Sleep Apnea. After researching, I found that the DS had a better chance of improving everything but the GERD. (RNY has statistically a better resolution for that.) I was willing to take a chance on the GERD, and lucky for me, it has already resolved. My sleep apnea is now gone, as is my hypertension, and all signs point to major improvement with my PCOS too.
3. Can take NSAIDS (Advil, Aleve, Aspirin). Tylenol has never done much for my pain, and I hated the idea of not being able to take NSAIDS for life with RNY. My mom has osteoarthritis and can't take NSAIDS for another reason - she recently had a bought of severe pain and had to take morphine and dilaudid, although NSAIDS would have worked better and had much fewer side effects. I wanted to avoid that fate.
4. No dumping syndrome. Dumping sounds horrible to me, and I didn't want to chance that experience. I've also known post-RNY folks who dump on unexpected foods (not just sugar but fat). I wanted to be able to enjoy a variety of food post-op, including sweets.
5. Fully functional, though smaller stomach, no blind stomach, no pouch/stoma. I really didn't like the idea of a blind, unscopeable stomach that could develop ulcers, etc. I also like the function of the pyloric valve vs. the man-made stoma (i.e. being able to drink with meals, no worries about stoma stretching).
There were other factors, like the increased flexibility of the diet, but those are the biggies.
Hope that helps, and good luck whatever you decide!
Jenna
Hi and way to go on researching all the options! I was originally set for RNY, but ultimately changed my mind and had the DS. I'm very glad I did.
Due to insulin resistance and a screwed up metabolism, I knew a restriction-only procedure like VSG or Lap Band would probably not work for me. So it came down to DS or RNY for me.
These are the main reasons why I ultimately chose DS over RNY.
1. Best percentage of excess-weight loss, and best chance of maintaining that loss. If you check out the chart here: www.aace.com/pub/pdf/guidelines/Bariatric.pdf, on page 10, these are the reported percentages of excess weight loss with RNY and DS:
--1-2 years: RNY 48-85%, DS 65-83%
--3-6 years: RNY 53-77%, DS 62-81%
--7-10 years: RNY 25-68%, DS 60-80%
The regain or insufficient loss down the road was really troubling. Additionally, here is a study from 2006, showing that the RNY had about a 35% failure rate for those with a starting BMI over 50 (meaning did not maintain even 50% excess weight loss):
journals.lww.com/annalsofsurgery/Abstract/2006/11000/Weight_ Gain_After_Short__and_Long_Limb_Gastric.18.aspx
I know the bad luck I've had with diets, etc in the past. I wanted the odds of success in my favor as much as possible where surgery was concerned.
2. Best rate of resolution for most of my co-morbid conditions. Before surgery, I had PCOS (with insulin resistance), Sleep Apnea, Hypertension and GERD. The most troubling to me were the PCOS and Sleep Apnea. After researching, I found that the DS had a better chance of improving everything but the GERD. (RNY has statistically a better resolution for that.) I was willing to take a chance on the GERD, and lucky for me, it has already resolved. My sleep apnea is now gone, as is my hypertension, and all signs point to major improvement with my PCOS too.
3. Can take NSAIDS (Advil, Aleve, Aspirin). Tylenol has never done much for my pain, and I hated the idea of not being able to take NSAIDS for life with RNY. My mom has osteoarthritis and can't take NSAIDS for another reason - she recently had a bought of severe pain and had to take morphine and dilaudid, although NSAIDS would have worked better and had much fewer side effects. I wanted to avoid that fate.
4. No dumping syndrome. Dumping sounds horrible to me, and I didn't want to chance that experience. I've also known post-RNY folks who dump on unexpected foods (not just sugar but fat). I wanted to be able to enjoy a variety of food post-op, including sweets.
5. Fully functional, though smaller stomach, no blind stomach, no pouch/stoma. I really didn't like the idea of a blind, unscopeable stomach that could develop ulcers, etc. I also like the function of the pyloric valve vs. the man-made stoma (i.e. being able to drink with meals, no worries about stoma stretching).
There were other factors, like the increased flexibility of the diet, but those are the biggies.
Hope that helps, and good luck whatever you decide!
Jenna
I'm pre-op but...
1) Diarrhea can happen with RNY, too. And hardly anyone gets it.
2) I'd rather have an occasional smelly fart then be fat.
3) Both can be controlled with correct diet adjustments.
1) Diarrhea can happen with RNY, too. And hardly anyone gets it.
2) I'd rather have an occasional smelly fart then be fat.
3) Both can be controlled with correct diet adjustments.
Duodenal Switch hybrid due to complications.
Click! > DS Documents ~ VitaLady.com ~ DSFacts.com ~ OH DS FB
Click! > DS Documents ~ VitaLady.com ~ DSFacts.com ~ OH DS FB
(deactivated member)
on 3/8/10 2:30 am
on 3/8/10 2:30 am
Usually only early out are diarrhea and smelly farts an issue, after that those are controlled by diet.
RNY has the same issues:
http://www.obesityhelp.com/forums/amos/4041816/When-a-Fart-i s-not-a-Fart/
http://www.obesityhelp.com/forums/amos/3483375/Please-Help-I -have-gas-farting-since-Gastric-By-pass/
Also you may find this interesting reading:
http://www.obesityhelp.com/forums/DS/4059577/Comparison-of-D S-and-rny-good-info-if-youre-trying-to-decide/
Good luck,
Michele
RNY has the same issues:
http://www.obesityhelp.com/forums/amos/4041816/When-a-Fart-i s-not-a-Fart/
http://www.obesityhelp.com/forums/amos/3483375/Please-Help-I -have-gas-farting-since-Gastric-By-pass/
Also you may find this interesting reading:
http://www.obesityhelp.com/forums/DS/4059577/Comparison-of-D S-and-rny-good-info-if-youre-trying-to-decide/
Good luck,
Michele
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