Why DS over RNY?
Hi Katie,
I had gastric bypass / RNY done back in 1980, so I lived with the damn pouch for 28 years before getting a revision to DS. I know about both from a personal experience perspective as well as from the statistical perspective.
What part are you interested in? In short there is nothing about RNY that is as good as DS, nothing, there are lots of things about the DS that are superior to RNY. So the question is; are you looking for stats, weight loss experience, living with the surgery post op experience?
Like I said, there is nothing RNY will give you that the DS doesn't give you better, but I'm not sure what kind of information or comparison you're looking for. Let me know what you want to know about and I'll tell you the difference between the two.
Kerry
I had gastric bypass / RNY done back in 1980, so I lived with the damn pouch for 28 years before getting a revision to DS. I know about both from a personal experience perspective as well as from the statistical perspective.
What part are you interested in? In short there is nothing about RNY that is as good as DS, nothing, there are lots of things about the DS that are superior to RNY. So the question is; are you looking for stats, weight loss experience, living with the surgery post op experience?
Like I said, there is nothing RNY will give you that the DS doesn't give you better, but I'm not sure what kind of information or comparison you're looking for. Let me know what you want to know about and I'll tell you the difference between the two.
Kerry
Kerry, I guess I'm worried most about the diarhea, and curious about the diet differences. Most of the other questions have been answered above.
I am signed up for a seminar with a surgeon in Rochester NY on 4/29/10. He is big on RNY but does DS. From what I've read on this site, he pushes the RNY, doesn't like to do the DS. But it looks like they take my insurance and I do have a dr that does it so it will be an option for me if I want to do it.
I've always failed at diets. The idea of being on a VERY restrictive diet for the rest of my life, thats setting me up for failure, I know I can't do that. I couldn't do it before the surgury, why would I be able to do it after the surgury.
Any comments on the diet would be welcome.
I am signed up for a seminar with a surgeon in Rochester NY on 4/29/10. He is big on RNY but does DS. From what I've read on this site, he pushes the RNY, doesn't like to do the DS. But it looks like they take my insurance and I do have a dr that does it so it will be an option for me if I want to do it.
I've always failed at diets. The idea of being on a VERY restrictive diet for the rest of my life, thats setting me up for failure, I know I can't do that. I couldn't do it before the surgury, why would I be able to do it after the surgury.
Any comments on the diet would be welcome.
"Never, never, never give up" - Winston Churchill.
I would look for a surgeon on dsfacts.com - many surgeons SAY they do DS to get you in the door, then talk you into an RNY. No offense to your surgeon, but he sounds like one of them.
Duodenal Switch hybrid due to complications.
Click! > DS Documents ~ VitaLady.com ~ DSFacts.com ~ OH DS FB
Click! > DS Documents ~ VitaLady.com ~ DSFacts.com ~ OH DS FB
Diarrhea and smelly farts are a potential risk with the RNY as well.
Once I was able to eat solid foods and start taking all of my vites, I have had no diarrhea issues. I go once or twice, first thing in the morning and am done for the day. From reading on this board, that seems to be a pretty common thing.
If I eat a lot of simple carbs, then my farts are stinkier (and clingier) than normal, but this can obviously be controlled by what I eat or when I choose to eat carbs.
As for your comments about a restrictive diet, well, you're going to have to maintain a restrictive diet with the RNY....low carb, low fat, low sugar, low calorie. With the DS, you jus****ch your simple carbs (white flour, sugar) and eat high protein and high fat. For me, the DS "diet" is much easier to maintain than any other. I eat bacon and eggs for breakfast. I have steak, fish, chicken, porkchops, hotdots, cheeseburgers, ham, fajitas (minus the tortillas), etc., I get to use real butter, full fat dressings, full fat mayo, cream cheese, full fat sour cream, full fat cheeses, whole milk, etc. What's not to love?
For your original post, the main deciding factors for me were:
1 - DS gives me the best statistical odds of losing the most weight and keeping that weight off. (This is the whole point of WLS, no?)
2 - I can eat more like a normal person post DS than with any other WLS. I'm talking types of foods and portions.
3 - I have a fully functioning stomach...no pouch, no stoma, no blind stomach, etc.
4 - I can take NSAIDS. This might not be a big deal now, but what if I need them in the future for arthritis? I don't want to have to rely on narcotics.
5 - No blind stomach, so I can be scoped like a normal person for ulcers, cancer, etc. if needed.
6 - No dumping. I know in theory dumping can sound good, but I've learned from friends that you never know what you're going to dump on. It could be that healthy salad you're having and not those m&ms you need to avoid.
7 - The malabsorption of the DS will help me maintain my loss for life. With RNY it seems the malabsorption of calories goes away after 2-3 years, but you still have the malabsorption of vitamins. That seems crappy to me.
Once I was able to eat solid foods and start taking all of my vites, I have had no diarrhea issues. I go once or twice, first thing in the morning and am done for the day. From reading on this board, that seems to be a pretty common thing.
If I eat a lot of simple carbs, then my farts are stinkier (and clingier) than normal, but this can obviously be controlled by what I eat or when I choose to eat carbs.
As for your comments about a restrictive diet, well, you're going to have to maintain a restrictive diet with the RNY....low carb, low fat, low sugar, low calorie. With the DS, you jus****ch your simple carbs (white flour, sugar) and eat high protein and high fat. For me, the DS "diet" is much easier to maintain than any other. I eat bacon and eggs for breakfast. I have steak, fish, chicken, porkchops, hotdots, cheeseburgers, ham, fajitas (minus the tortillas), etc., I get to use real butter, full fat dressings, full fat mayo, cream cheese, full fat sour cream, full fat cheeses, whole milk, etc. What's not to love?
For your original post, the main deciding factors for me were:
1 - DS gives me the best statistical odds of losing the most weight and keeping that weight off. (This is the whole point of WLS, no?)
2 - I can eat more like a normal person post DS than with any other WLS. I'm talking types of foods and portions.
3 - I have a fully functioning stomach...no pouch, no stoma, no blind stomach, etc.
4 - I can take NSAIDS. This might not be a big deal now, but what if I need them in the future for arthritis? I don't want to have to rely on narcotics.
5 - No blind stomach, so I can be scoped like a normal person for ulcers, cancer, etc. if needed.
6 - No dumping. I know in theory dumping can sound good, but I've learned from friends that you never know what you're going to dump on. It could be that healthy salad you're having and not those m&ms you need to avoid.
7 - The malabsorption of the DS will help me maintain my loss for life. With RNY it seems the malabsorption of calories goes away after 2-3 years, but you still have the malabsorption of vitamins. That seems crappy to me.
Yeah, I got used to fat free stuff too, when I was an unhealthy fat ass. Now I go for taste and quality. In exchange for being fat-free, most of that stuff is jammed with tons of sugar and crap. Trust me, your taste buds will thank you for the DS. You'll be able to eat foods that are good-tasting again, instead of just fat free slop.
Nicolle
Nicolle
I had the kick-butt duodenal switch (DS)!
HW: 344 lbs CW: 150 lbs
Type 2 diabetes and sleep apnea GONE!
Ditto what Nicolle said. You don't HAVE to eat full fat, but it's really better for you (and it tastes better). Fat free usually means they've added sugar (for taste) and therefore simple carbs. Also, because DSers only absorb about 20% of the fat we eat, you do need to eat some good fats or you run the risk of getting constipated.
The diet does sound like Atkins, but it's not. With Atkins you do super low carb (like 20g or less) a day every day. With the DS, most people aim for 50-75 carbs a day while losing weight and then once at goal they increase that amount. I've done Atkins before and eating the DS way really is a lot easier to me than Atkins. Another thing about Atkins is that if you went over your 20g of carbs it took a whole week to get back into ketosis and start losing again. With the DS, if you have splurge day it's very forgiving.....the very next day you're losing again if you drop the carbs back down to less than 75 or less than 50 (your preference) a day again.
The diet does sound like Atkins, but it's not. With Atkins you do super low carb (like 20g or less) a day every day. With the DS, most people aim for 50-75 carbs a day while losing weight and then once at goal they increase that amount. I've done Atkins before and eating the DS way really is a lot easier to me than Atkins. Another thing about Atkins is that if you went over your 20g of carbs it took a whole week to get back into ketosis and start losing again. With the DS, if you have splurge day it's very forgiving.....the very next day you're losing again if you drop the carbs back down to less than 75 or less than 50 (your preference) a day again.
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