The DS IS better than RNY
On June 10, 2009 at 9:54 PM Pacific Time, mystimel wrote:
The buchwald study? I agreed with that study. Did you even read my post? I said it was valid and thorough as any study making such claims should be.You just posted 2 different studies with huge differences in statistics.
Your OP study from the University of Chicago uses about 50 diabetic participants for each surgery and states the diabetes resolution statistics as: 60% RNY 100% DS
The Buchwald study uses over 300 diabetic participants from each surgery and states the resolution statistics as: 80% RNY 95% DS AND his study follows the patients a year longer then the University of Chigago study does.
The DS statistic is nearly the same in both studies, but the RNY statistic has a 20% difference Which one am I to believe? I choose to believe the Buchwald study because it uses a significant sample compared to the study originally posted allowing for much greater accuracy in percentages.
But yeah... keep posting the Chicago study, It'll probably convince most people DS is more reliable at curing diabetes, (TRUE) even with the lack of evidence it gives and it will also likely scare some prospective RNYers with diabetes with its inaccurate percentage (60%) for RNY diabetes resolution. I'm sure you'd prefer that to scientific accuracy and reliability. The shock value must be worth more than gold to the evangelical DSers like yourself.
Won against big bad (SoCal) Kaiser for a Duodenal Switch Haven't heard of DS? Kaiser wants it that way. Come on over & read the truth.
Hit goal (Normal BMI) on 2-10-11! I LOVE my DS!!
My approval process timeline:
02/12/09 - Dr. refused to refer me for WLS
03/03/09 - Vented/whined about it on another board, planned to just wait until next year & switch plans
Let's see what happens!
**updates in blog**
Hit goal (Normal BMI) on 2-10-11! I LOVE my DS!!
My approval process timeline:
02/12/09 - Dr. refused to refer me for WLS
03/03/09 - Vented/whined about it on another board, planned to just wait until next year & switch plans
Let's see what happens!
**updates in blog**
I'll be nice and assume "one of those" is a compliment, since I'm me and I rather like me. 
Thanks for the support. Trust me I've done waay too much research on every surgery and talked to people who were happy with each of their surgeries (DS included) and I'm smart enough to make my own decision on what's right for me.
I'm sorry if the fact that it's not DS disappoints you in any way, but there you have it, another adult making her own decision.
Thanks for the support. Trust me I've done waay too much research on every surgery and talked to people who were happy with each of their surgeries (DS included) and I'm smart enough to make my own decision on what's right for me.
I'm sorry if the fact that it's not DS disappoints you in any way, but there you have it, another adult making her own decision.
Yup, I earned my toaster today.
Here's another one for ya, which demonstrates that with the RNY, when the patients start to regain (which so many do), the improvement in their diabetes is also often lost. This does NOT happen with the DS, which probably accounts for the difference.
http://jcem.endojournals.org/cgi/content/full/91/11/4223
Conclusions: RYGB and GB surgeries lead to substantial weight loss in individuals with morbid obesity. However, significant weight regain occurs over the long term, and according to the only well-designed prospective controlled study, the improvement in comorbidities associated with weight loss mitigates in the long term on weight regain. There is some evidence from a retrospective study that RYGB surgery is associated with a modest decrease in long-term mortality. These results remain to be substantiated by well-designed, long-term, randomized and prospective controlled studies. The mechanisms that lead to weight regain need to be further examined and may include increase in energy intake due to enlargement of stoma and adaptive changes in the levels of gut and adipocyte hormones such as ghrelin and leptin, which regulate energy intake; decrease in physical activity; changes in energy expenditure; and other factors. In addition to weight regain, RYGB surgery is associated with frequent incidence of iron, vitamin B12, folate, calcium, and vitamin D deficiency, which requires regular supplementation and monitoring.
By the way, I don't believe the 100% statistic in the UoC study. It is more like 98-99%, because there are some unfortunate diabetics who, by the time they get the DS, are too far gone to help -- they have exhausted their insulin-producing islet cells, which, once dead, stay dead.
Here's another one for ya, which demonstrates that with the RNY, when the patients start to regain (which so many do), the improvement in their diabetes is also often lost. This does NOT happen with the DS, which probably accounts for the difference.
http://jcem.endojournals.org/cgi/content/full/91/11/4223
Conclusions: RYGB and GB surgeries lead to substantial weight loss in individuals with morbid obesity. However, significant weight regain occurs over the long term, and according to the only well-designed prospective controlled study, the improvement in comorbidities associated with weight loss mitigates in the long term on weight regain. There is some evidence from a retrospective study that RYGB surgery is associated with a modest decrease in long-term mortality. These results remain to be substantiated by well-designed, long-term, randomized and prospective controlled studies. The mechanisms that lead to weight regain need to be further examined and may include increase in energy intake due to enlargement of stoma and adaptive changes in the levels of gut and adipocyte hormones such as ghrelin and leptin, which regulate energy intake; decrease in physical activity; changes in energy expenditure; and other factors. In addition to weight regain, RYGB surgery is associated with frequent incidence of iron, vitamin B12, folate, calcium, and vitamin D deficiency, which requires regular supplementation and monitoring.
By the way, I don't believe the 100% statistic in the UoC study. It is more like 98-99%, because there are some unfortunate diabetics who, by the time they get the DS, are too far gone to help -- they have exhausted their insulin-producing islet cells, which, once dead, stay dead.
I don't care what type of surgery you have, as long as you do something, it will improve your health and diabetes. I for one, had horrible results trying to get my diabetes under control, two weeks after surgery, no more meds for it, and two years plus later, no sign of it. The whole point of any surgery is just get yourself healthy and happy!
Also did anyone hear yesterday on the news about post weightloss patients are showing up with fractures all over their bodies. Now the doctor community is looking at it closely to find out why! There is a risk no matter what you do to your body, anytime you change anything in it to undo what God put together will make it function differently. Hence there are risk and problems with all of them, you just have to decide which is more right for your own body
Also did anyone hear yesterday on the news about post weightloss patients are showing up with fractures all over their bodies. Now the doctor community is looking at it closely to find out why! There is a risk no matter what you do to your body, anytime you change anything in it to undo what God put together will make it function differently. Hence there are risk and problems with all of them, you just have to decide which is more right for your own body
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