for those who are pre-op or revision researching DS
this study was performed with the contributions of 5 bariatric surgeons. the reason for this particular research was to analyze, whether the RnY and DS had any difference in regards to weight loss and body composition. it was concluded that the DS procedure is MORE EFFECTIVE in reducing the BMI and promoting fat loss than is GB after 1-2 years post-op. this is not the word of 1 surgeon. it is the conclusive findings in agreement with 5 bariatric surgeons.
just wanted to share with those interested in researching the DS as a surgical option.
just wanted to share with those interested in researching the DS as a surgical option.
| Title | Comparison of effects of gastric bypass and biliopancreatic diversion with duodenal switch on weight loss and body composition 1-2 years after surgery. |
| Author(s) | Strain GW, Gagner M, Inabnet WB, Dakin G, Pomp A |
| Institution | Weill College of Medicine of Cornell University, New York, New York. |
| Source | Surg Obes Relat Dis 2006 Nov 17. |
| Abstract | BACKGROUND: Gastric bypass (GB) is the most common surgical procedure for weight loss in the United States. Biliopancreatic diversion with duodenal switch (BPD/DS) is less routinely performed, perhaps because of its technical difficulty and metabolic concerns. The objective of this study was to determine whether these procedures had differential effects on weight loss and body composition. METHODS: Body composition was measured by bioimpedance (Tanita 310) at the initial consultation, and follow-up measurements were completed 1-2 years after surgery. RESULTS: Of the 72 patients in the study, 50, aged 46.2 +/- 8.5 years, had undergone GB and were measured 15.5 +/- 5.2 months after surgery and 22, aged 40.6 +/- 7.9 years, had undergone BPD/DS and were measured 19.5 +/- 7.5 months after surgery. Patient age and time after surgery were significantly different between the 2 groups. The body mass index (BMI) for the BPD/DS group was 53.6 +/- 11.9 kg/m(2), significantly greater than the BMI of the GB group (48.0 +/- 6.3 kg/m(2); P = .009). However, the percentage of body fat did not differ between the 2 groups (P = .515). Postoperatively, the BMIs for the GB group (31.5 +/- 5.0 kg/m(2)) and BPD/DS group (30.3 +/- 6.1 kg/m(2)) were not significantly different (P = .384). The percentage of body fat for the GB and BPD/DS groups had changed from 49.2% +/- 8.3% to 32.1% +/- 10.6% and 47.9% +/- 5.9% to 23.8% +/- 10.4%, respectively (P = .002). The BMI had decreased by 16.5 +/- 4.8 kg/m(2) after GB and 23.3 +/- 6.8 kg/m(2) after BPD/DS (P <.001). The decrease in fat was 17.1% +/- 8.2% after GB and 24.2% +/- 7.2% after BPD/DS (P <.001). CONCLUSION: The BPD/DS procedure is more effective in reducing the BMI and promoting fat loss than is GB. The assessment of the impact of these two operations on an individualized basis offers additional information to assist in the evaluation of these procedures. |
| Language | ENG |
| Pub Type(s) | JOURNAL ARTICLE |
| PubMed ID | 17116424 |
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HIJACK!
Hey dove, I hope all is well with you.... I've been crazy busy at work, and with the nurses association, but all is well... Is Evelyn out of the hospital yet? Do you hear from her? Mary C
DS Part 1 (VSG) 11/14/06 DS Part 2 12/18/07
HW 430 SW 400 CW 210 GW 170 Blog: lifeisgood-mc.blogspot.com
Thank you so much! I think I have pretty much decided on the DS, as long as my insurance will cover me, and believe me, I will not let them off without a fight if they refuse!! I just got a call from my Dr that my cholestrol is going up and my kidneys are showing early signs of disease due to high blood pressure, so I have to get this weight off ASAP!
Nice Score!
Thanx for this article.
KAREN W.
I LOVE MY DS!!!!!
STRIVE TO BE THE BEST YOU CAN BE AND DO THE BEST THAT YOU CAN.
Check out www.dsfacts.com and www.duodenalswitch.com for all the accurate information on the great DS, and find surgeons in your area or around the country or out of the country.
I couldn't have done without all the great peeps on this board. 
SW: 234.5 CW: 157 GW: 140 - ish
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