X-Post: RNY to Distal RNY revision....

So I am talking to a surgeon that is now suggesting I do a distal RNY instead of my original plan to revise to DS. I am wondering if anyone has some information that I can use in my decision making. Immediately I am against it but am willing to hear stories. I am also doing some research on the web.

Thanks

Personally, I would not do it.  I've seen too many distal RNY revisions with eating issues, nutritional deficiencies and other side effects that I would not wish to have.

Here is a piece Dr. Keshishian wrote comparing the two: www.dssurgery.com/newsletters/duodenal-switch-and-distal-gas tric-bypass.php.

Distal RNY or ERNY (same thing) is the worst of both worlds.  I think I would try to move heaven and earth before I would have one. We also have a few that are revised from that to a DS due to the nutritional issues and more.

JHNSHO,
Michele

Well, distal RNY and ERNY aren't exactly the same. The ERNY is MORE distal than distal RNY.
    The bariatric surgeons that I know well and who I believe are very much on the up and up have told me that people who go from proximal RNY to distal RNY lose very little more weight. This makes sense, as most of the weight loss from RNY is due to the restriction, and that doesn't change by going to distal RNY.
    With ERNY, you could get more weight loss because the amount of malabsorption would now be significant, BUT you do get, as someone else already pointed out, the worst of both worlds: you keep all the pouch issues of dumping, food getting stuck, intolerance of many good protein choices, can't take NSAIDs, etc, and the vitamin issues of the RNY, and then add to that the vitamin issues of the DS and the partial malabsorption of protein. I'm sure there is someone out there who has done ok with this hybrid, but others have needed further surgery, not for weight loss, but to reclaim their failing health.
      So IMHO both of these operations are poor choices.

Larra

Oops!  Soryy, I thought they were the same.  I really haven't studied either very well as I wouldn't even consider an RNY, proximal, medial or distal.... I will remember for future use.

Michele

The absolute worst of both worlds. I would NEVER do that.

Ya know, you've been told here umteen times what to do and how to do it and you refuse to listen. IMO you would have to be a complete idiot to get the RNY, but  you seem bound and determined to do something other that what you have been told over and over and over again.

You continue to talk to a surgeon who can't revise you to DS and as long you're doing stupid stuff like that, I don't know what you expect anyone here to tell you.

Kerry

Kerry,

I appreciate your comments however I feel they were pretty harsh. I am in talks with one of the doctors that everyone suggests (Dr. G). This was in an email I received directly from him, I simply did not recognize the name Distal RNY as being the same as ERNY otherwise I would have known to immediately nix the idea.

He is my last resort as far as a trusted surgeon that is within my network for the surgery and if this fails then I don't know what to do.

I am looking for words of wisdom and advice. I apologize if I have pissed you off (which must be why you reacted the way you did) but I am trying to avoid the mistakes I made the first time. I don't expect anyone here to give me the answer, I am just trying to get all the information possible. If you don't agree with my posting you don't have to comment. I appreciate your feedback because you really do know your stuff and I love your story and that you have so much experience.

Look, I'm not angry or pissed off. But I am direct and pretty blunt about things and I really don't know what you want people here to tell you.

You may think what I said was harsh, but from my experience what really is harsh is letting some surgeon RNY you. Whether it be Proximal, Distal or ERNY; IMO any RNY surgery is harsh butchery and that comes from living with it for 28 years. I would not wish that on anyone.

I know you say you can't afford Dr. Rabkin, but what does "afford" mean? Are you saying that if you had a cancer that was killing you and you needed to come up with $30,000.00 to have the surgery that would save your life, you couldn't do it and would have to just die? What if it were $20,000.00? Could you find a way come up with that much to save your life?

I'm glad to help you any way I can, but lets get realistic about what you're doing, what you want out of life, what you really can and can't do and how you plan to do what you can do.

Kerry

I'd written a long post in response, but i deleted it after considering  advice "if you don't have something nice to say, don't say anything."

I do, however, agree whole heartedly with the poster's view that she doesn't have the 'mental capacity' for the DS at this time.