The Lap-BAnd is contraindicated for people with autoimmune disorders, such as SLE and Fibro.
My lifelong battle with obesity, and more recently, malignant morbid obesity (aka super-super morbid obesity) due to treatment with prednisone, led me to choose the Duodenal Switch.
The RNY numbers on weight regain were not good enough fo me (plus, everyone that I knew who had a RNY gained all their weight back), and I didn't like the anatomical changes the surgery caused, specifically creating a "food pouch" instead of simply reducing the stomach. That's what the Vertical Sleeve Gastrectomy(VSG) does, and the VSG is also the "top half" of the duodenal switch (DS). I knew right out of the gate that I wanted a duodenal switch. You are left with a smaller, fuly functioning stomach, which gives you a wider variety of diet than the RNY, plus, the malabsorptive "switch" portion, keeps the weight off. However, you have to be absolutely
about getting in your required hydration, protein, vitamins and supplements. I have not had to adjust my SLE/Fibro medications up because of my surgery. The recommended doses work fine.
As for nutrition, here's the breakdown of absorption: Fats: 18-20% (high cholesterol goes away or never develops, bye-bye fatty liver, etc..all while eating full fat, full flavor foods!) Protein 40-50% ( this is why you MUST be complaiant and get 90-100 g of protein EVERY day!) Complex carbs (fruits and veggies) 40-50% Simple carbs (sugar and white flour) 100% During the losing phase (first year to 18 months) you MUST limit ALL carbs to no more than 50 g daily.
Weigh (no pun intended!) your options carefully...think twice, cut once.
Hang out ("lurk") on OH's Duodenal Switch forum, and for more in-depth knowledge, www.dsfacts.com
, and www.duodenalswitch.com
. Also, just do an Internet search of "duodenal switch" and see what else you come up with.
Good luck to you as you make your WLS decision.