DS failure and

Sounds like you could use a revision, and reflux is a valid comorbidity. Definitely consult with Dr. (David) Greenbaum. He helped me tremendously, and my common channel is 75cm.  I'm 5' 2.5", weighed 221 when I went to him for my revision from RNY to DS.

Adele

 Adele,
How did Dr. Greenbaum come up with a 75 cc common channel?  What does he say he bases that calculation on?  I was reading on his website that he does a 100cc common channel.  Just curious, because I am a shorty too!
Diane

Diane,

I honestly don't know. He had finished up with me yesterday, asked if I had any questions, and I couldn't think. My husband asked "how long is her common channel" and he looked at the surgical records and said 75cm. I am wondering if he did that because of my insulin resistance and resistance to losing weight.

 Thanks Adele....

Diane, I have always heard that Dr. Greenbaum uses a "modified version of the Hess method" to calculate the CC.

Not sure what exactly that means, but I know several of his patients and none of them got a 100 cm CC. I do believe, however, that is is very flexible and willing to discuss concerns about making it longer/shorter.

Jenna

 Thanks Jenna.  One of my concerns is that I am short.  I have read that there is a correlation between height and intestinal length.  My concern is the "one size fits all" approach.  What if I get all the standard measurements, and don't achieve my goals.  I have read that a 100cc cm, is found to be the best for avoiding malnutrition down the road, and less bowel issues.  Right now, I am torn between minimally invasive with the Divinci,  and open procedures.  Both have great advantages!  By the way, I met with Dr. G at Abington yesterday.  He really took the time to explain everything.  He definitely likes the DS for me!

I think his "modification" of the Hess method is the same as Dr. Peters' "modification, which is that they measure the limbs to the nearest cm, not to the nearest 25 cm. I don't know that for sure, though.

He uses the Hess method which basically means he takes the length of your whole intestine and cuts a certain percentage of it down...I believe he told me yesterday 40%...and that's how long your cc wil be.

Hess method is: Divide small intestine into gastric limb and biliopancreatic limb. Gastric limb is 40% of total intestinal length, BP limb is 60%. Common channel is 10% or so of total intestinal length and is taken from the gastric limb side of the Y configuration.