I am going to get back on track again..
Yes, you have to read the entire study to see why the chart is bogus out of context. Here's the chart:
TABLE 5. Failure Rate Is Based on Final BMI ≥35 kg/m2 for Morbidly Obese and BMI ≥40 kg/m2 for Super Obese
yet you seem to forget to mention that in that SAME ARTICLE which can be found at
http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmc entrez&artid=1856611
that the study, first of all was not done with the controls known to be the same... the DS numbers on that chart were not done by the authors of this article, they were done by Marceau in 2004.
the size of the groups seems to be a bit odd... 376 DSers vs. only 161 RNYers... you mean they couldn't find 376 RNYers to match? in my opinion (and I've been involved with clinical research in the past) the percentage means nothing when the actual numbers are that off-balance. If I studied 2 lap-banders, and one lost weight and the other didn't, maybe I can add to that table saying that the band has a 50% failure rate... just doesn't cut it. plus, as I first said, the DS numbers were not gathered by the authors, yet borrowed from another study. How do we (or THE AUTHORS) know the methods and conditions to get the info were the same as the ones used by the authors?
finally, in the past paragraph in that article, it says (bold added by me to prove a point):
It is equally puzzling that a malabsorptive procedure, the biliopancreatic diversion with duodenal switch, should have a similar reported late failure rate as a restrictive operation, the Roux-en-Y gastric bypass. A prospective randomized trial comparing the 2 techniques with appropriate follow-up periods (>10 years) is needed to confirm the findings suggested by these retrospective studies.
In other words, even the authors aren't sure, and they admit they need to do it in a different way.
all studies I've seen where the same group of doctors evaluate procedures evenly, show exactly what we've been saying here all along... we've been saying it all along because that's where we're getting our info... by researching papers, often to fight "investigative/experimental/not proven" denials by our insurance companies.
Lastly, if you look at that table that you seem so fond of, you'll see a footnote that says "*Biron et al. 5"
if you go to the link for the whole article.... and scroll down to the reference footnotes, you will see that #5 has a link to the Biron article.... that article CLEARLY says BPD... NOT BPD/DS... the DS was a major improvement over the original BPD and has considerably better results. The old BPD is basically (with very minor differences) a very distal RNY (gastric remnant removed) with a much larger pouch
"If someone came over to this board and said "DS sucks, it failed me I only lost X weight and regained X weight" and THEN said something like "I eat much less than 100 grams of protein a day, mcuh less than 80 grams of fat a day and over 500 grams of carbs a day" you can bet everyone here would say HOLD on, you gotta eat right or suffer the concequences. "
I tell ya what fpk, You just hold your breath until that happens, OK? We will let you know, bawahahahaaaaaaaaaaaaaaaaa
SW / GW / CW 5'10"
306 / 165 / 140
With the DS: there is no stoma, so no stoma strictures; there are no limitations (other than volume) against drinking before, during or after meals; 80% of ingested fat is malabsorbed; 98.9% of type II diabetics are CURED of this devastating disease, with data showing stable cure over 10 years out; there is the best average weight loss and most durable (average 76% excess weight loss going out 10 years) of all of the bariatric surgeries. That's why I had a DS!