Question:
Duadinal Switch or R & Y? Anyone had the DS?
I am considering surgery, and am reseaching both procedures. I am morbidly obese with a BMI of about 57. Has anyone had the DS? Can you tell me about the pros and cons vs. R & Y? How is it to live with? Is anyone more than 5 years out? More than 10 years out with good results? — emroseb (posted on October 1, 2008)
October 1, 2008
Haven't had surgery yet but am having RNY on Nov 5 have a bmi of 59
RNY because I don't want to be ABLE to eat all the foods that made me fat
in the first place. Also want lapriscopic so this is it for me. I have
enough big scars now.
— sheri139
October 1, 2008
I had the RNY. I was told the RNy is safer , but you losse weight slower.
the rny is sapose to be for people who are atleast close to 100lb over
weight. and if your more then that some dr, prefer the DS
— yvettetas
October 1, 2008
It's good U R researching and asking questions. As to your question...the
RNY is a bit safer...however the DS is USUALLY done in 2 steps...here is
the thing...the DS is the most malabsorbing (sp?) of all the WLS. BUT if
you get JUST the 1st step done...the gastric sleeve..its is VERY safe..all
your insides stay where God and nature placed them, there is little PBing
if any. Even through your BMI is higher...if you lose enough weight with
just the 1st half of the surgery U will not need the rest of it and will be
much healthier for it. No cutting of pills with the Gastric Sleeve like
there is with the Lap Band. Good luck
— chell1957
October 2, 2008
DSers all seem to love their surgery...and think it to be the superior of
all WLS. It's not as common as RNY or Lapband...but I have heard many
wonderful first hand stories about their happiness and success. The
malabsorption is far greater with DS than RNY because they take more of the
small intestines. Some surgeons do take more of the small intestines when
they do RNY and that can sometimes make them similar to a DSer. There is a
Proximinal RNY and a Distal RNY...Distal means the surgeon takes more than
the normal amount of intestines than with Proximinal and there is more
malabsorption of nutrients...Then they make the "Y" section and
attach the shortened intestines to an altered stomach or
"pouch"...DSer, don't have a pouch...They have even less small
intestines and all of their stomach...They can and MUST eat more...take
more vitamins daily and protein and stay on top of nutrition. RNYer grads
(after a year or so) eat about 1000-1800 calories on average...(Some eat
less and some can handle more and maintain their weight) But DSers eat
about 3500-5000 calories daily...This will give you a mild idea of how much
they malabsorb! That means vitamins and fats and all! If you have DS...you
must eat a lot of food. Sounds almost like a dream...That is a lifestyle
that is a very personal choice. I chose RNY because i want to eat like a
normal small sized person who eats healthy and wise choices! I wanted to
give up junk and show my kids and future grandkids a good example of how to
eat right! Not live to eat but eat to live....DSers give new meaning to
eating to live...They must have food and lots of it! I can't imagine being
stuck in a long meeting or having a job where a meal might need to be
skipped...DSers cannot afford to not eat. Being sick will be near
impossible to recover from if you have nausea or just can't eat.... It was
a little too scary for me...There are days I wish I could eat like a
DSer...but I didn't want to eat like there was no tomorrow EVERY single
day! Their food and vitamin bills must be enormous! But they sware by it
and love it! So whatever works for you! I cannot imagine an 70-80 year old
trying to eat 5000 calories a day and going shopping/preparing food so
often for all those calories...It's just mind boggling to me. Being thin
was not nearly as important to me as getting healthy...and I've had
malnutrition issues with my RNY. I can't imagine the trouble I might be in
with DS! I do believe there is a DS board...They will try to convert you
into a believer! LOL Just be sure you pick one that is right for YOU and
your eating habits and life style...Just because the doctor does not touch
your stomach, does not make it less drastic...Taking most of your nutrient
gathering/absorbing intestines is far more drastic, while it may SEEM less
invasive...Just research in every nook and cranny of these surgeries and
learn learn learn!
— .Anita R.
October 3, 2008
With that high of a BMI, the DS would provide you the best shot as losing
all your weight. There are DSers out there over 15 years and in good
health. Contrary to what others have said - I haven't eaten 5000 calories
one day since my DS. Most are done in ONE part. Please, research,
research, research. I love my DS. Come to the DS forum here on OH and
please check out www.duodenalswitch.com for a vetted list of DS surgeons.
— [Deactivated Member]
October 3, 2008
I am very happy with my DS and I would have it done again in a heartbeat.As
far as eating goes,I do not believe that we eat 5,000 calories a day(I know
I don't)nor do we need to.I love the fact that I can eat a little food and
be quite content with it,I never crave anything and for me that is
good.Please just do your research,come to duodenalswitch.com to learn from
other DS'ers.
Good luck in whatever choice you make.
Debbie
— Marleymeluv
October 3, 2008
I think Anita needs to do more research on the DS before she talks about
it.
— Marleymeluv
October 16, 2008
Deborah Allen is right...I think the DS does have pouch after all and got a
that little confused with another surgery! This is why we need to fully
research the surgeries we want to have and be certain of what we are
getting into. I usually don't answer these kinda questions for fear of
mistakes...I should be more careful when talking about surgeries I did not
have! I have no trouble admitting I make mistakes ocassionally... Please be
fully aware of malabsorption issues which was mainly what I wanted to
relay! Be safe and happy with your choices! Know all about the surgery
you are having...I'll try to be more careful when comparing other surgeries
to the one I had...
— .Anita R.
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