Confussed about RNY vs. DS

Wrong again. The DS can be revised to give you more or less malabsorption or reversed for no malabsorption so that you would have a VSG. 

While it true that the greater curvature of the stomach is removed, the remaining sleeve with stretch out to the point that you can eat normal sized meals. Unlike RNY, the DS sleeve retains your pyloric valve and some of the duodenum so there can be no dumping with the DS and you can absorb Iron and B12.

You should talk about things you have no clue about; it makes you look stupid.

Kerry

 
~~While it true that the greater curvature of the stomach is removed, the remaining sleeve with stretch out to the point that you can eat normal sized meals.~~

I call bull****!

When you have 85% of your stomach removed you can't eat to the point of normal sized meals.  i'm over 2 years post op and almost 3 years at goal.  I can't eat a normal sized meal, I usually have to add a 4th meal just to get calories in.

You have a sleeve with DS, you lose your IF and you may not absorb B12 properly and you might need to supplement with SL or IM B12.

You need to add a bit of integrity in your posts instead of BS like this and pushing fast food on people.  I would have expected more from you, Kerry but again you prove me wrong.

~~You should talk about things you have no clue about; it makes you look stupid.~~

Hello?????  Pot, meet kettle.

A normal size meal is simply a matter of perception . . . within reason.  There are a number of women who are thin and have been there entire lives who eat meals in the volume that people with a sleeve do.  They then eat 4 perhaps even 5 times/day.  It's actually the way that many health experts no advocate . . . small, frequent meals.  That's not to say they are abnormally sized.  I think it's just a matter of perception.  Someone in a restaurant will look at the volume of food I'm eating & think, yeah, she's small because she doesn't eat a lot . . . they won't think I'm eating  a FREAKISHLY small amount while considering that a meal, they will just think I'm eating a small meal.

In addition, some people are given bigger sleeves than others.  Some surgeons believe that males should be given bigger sleeves.  Given you don't know what bougie size was used with Kerry, you truly are making assumptions by stating that 85% of his stomach was removed.  I've compared what I eat with Kerry many times.  He's not that much further out than me, but he can definitely eat more than I.  You cannot make the assumption that your sleeve experience is the same as everyones.  It's not.

Pffft, what's the story; I thought you blocked me! And I was so enjoying not having to see your drivel.

I don't have a clue what you think a "normal" sized meal is, but when I look at how much I eat compared to the people I'm eating with, there's no question, I eat a normal sized meal. For example; I had dinner last night with DW and another couple at Texas Roadhouse; here's what I had:

1. Couple a handfuls of peanuts in the shell while waiting for the waitress to take our order.
2. A fresh hot roll with lots of cinnamon butter.
3. Salad with eggs, cheese, tomatoes, croutons etc. and lots of  full fat 1000 Island dressing.
4. 3/4 of the 11oz. Sirloin steak.
5. 3/4 of the baked potato with extra butter & sour cream.

45 minutes later I had a bowl of apple crisp with some vanilla ice cream.

For breakfast this morning, I made myself a breakfast sandwich which was made with the following:

1. 4-6 oz breakfast sausage.
2. 2 medium eggs.
3. 2 slices American cheese.
4. 1 slice pepper jack cheese.
5. 2 slices toasted whole wheat bread.

I ate the whole thing and is was yummy!

When I compare what or how much I eat compared to the other people I'm around, my quantities are similar, a little more than some a little less than some, but in no way would anyone get the idea that I couldn't eat a normal sized meal.

As to being able to absorb Iron and B12, most DSers and VSG patients can absorb them; they may need to supplement; I do, but most usually can absorb it. This is not so with RNYers, they have no way of absorbing those because they have so little stomach and no duodenum. Also, the fact is that even some unaltered people don't absorb those well, so having the DS or VSG may not even matter.

If you want to talk about specific people, that's a different story; everyone is different and can eat more or less; absorb better or worse. When we or at least when I post, I'm talking in general terms as there is no way to address individual results with accuracy in a post on a message board. If you want more specifics; I suggest to leave the boards and start reading all the data published on Pub-Med.

Kerry

 
That is not a normal sleeve.  In no way could I eat that much, nor could 99% of the sleeved folks I talk to daily.

To imply that a sleeve will stretch to that capacity is misleading.  Qualify it with something... DSers get bigger sleeves, you got a bigger sleeve, etc.  But to make flat out comments as you did is incorrect.

Just as you did here:

~~Unlike RNY, the DS sleeve retains your pyloric valve and some of the duodenum so there can be no dumping with the DS and you can absorb Iron and B12.~~

I responded that you might absorb B12 or you might have to supplement.  Now you back peddle and agree with what i wrote.

Bleh....

What I wrote is all true and just to make sure and make my point I started this thread on the DS forum:

http://www.obesityhelp.com/forums/ds/4244943/How-much-do-you -eat-Am-I-a-freak/

If you take the time to read the thread you will see that almost all the DSers who are anywhere close to 2 years out eat as much or more than I do. And in case you forgot, my post was in response to one that said you can't revise from the DS. You're the one who decided to add your VSG experience to the mix.

And I never said you wouldn't need to supplement with the DS, just that you can absorb B12 and Iron with it and you can't with RNY.

Wise up ~ I know it's asking a lot, but really; give it a try.

Kerry

Normal-sized meals? You tell me.

I can go to a steak house and eat most of a salad---and I pile on the cheese, ham, onions, peppers, and lots and LOTS of tomatoes---an 8-ounce ribeye accompanied by more onions and peppers, a yeast roll, part of a baked potato, and dessert. All washed down that a couple glasses of iced tea.

I can eat an entire KFC DoubleDown.

I can eat 1/2 a pound of bacon, with a couple of scrambled eggs and a sliced tomato.

I can eat a 6" Subway with double meat and lots of veggies.

But some days, all I CARE to eat is a hamburger patty with onions and peppers, or an omlette, or a couple slices of bologna on four crackers.

 
After reading through kerry's thread on the DS forum i can see that not everyone can eat the way you do.  About half can eat a kerry portion and about half can eat a WASa portion.

I sorta skimmed that thread, but I *think* that if you compare surgery dates with portion sizes, you'll see that those farther post-op are the ones who can eat more. This is probably due to a combination of stretching and a change in how small surgeons tended to make the stomach. I'm pretty well satisfied with how things stand for me right now.

I feel the need to point out that the remaining 15% of Kerry's stomach might be equal to 30% of your original stomach. Everyone's stomach isn't the same size to start out with, and the 85% is just an approximation.

But it's true that most DSers will never suffer from their remaining stomach being too small for normal use. (*grin*)