- HEALTH TRACKER
Dayton, OH. I have an appointment scheduled with him, but what is the difference. The research I have seen indicates the DS has the gastrocectomy vs the distal which has the pouch. The malabsorption is still obtained along with 86 percent of excessive weight loss in 5 years.
It's not quite as simple as vertical sleeve gastrectomy vs pouch. The intestinal configuration is very different between a DS and the ERnY. You get malabsorption with both but you don't get equal malabsorption. Plus you still have all the problems of a pouch which might include stretched stoma, rapid exit of food into the intestines without sufficient digestion, dumping syndrome. With a true revision from RnY to DS you regain normal stomach function because your current hidden stomach gets reassembled and then converted to a sleeve gastrectomy thereby preserving your pyloric function and normal gastric digestion of food.
This is a big deal surgery which is not performed by a large number of surgeons because of the difficulty involved in reconstructing the stomach and then creating a sleeve. It's complex. It's time consuming. It's more difficult which is why many revision doctors will do the ERnY instead and tell the patient that it is just as good as a DS. Please be sure of what you are going after.