ds in layman's terms please
Can someone explain the ds in layman's terms for me? I've read the opening page like three times and I still can't understand the difference between rny and ds. Why are you able to eat so much more than an rny? Thanks for taking a minute for the newbie! Thanks, Emily pre op
by the way I'm self pay from Florida Anybody knows the price difference?
by the way I'm self pay from Florida Anybody knows the price difference?
Hi Emily,
I tried very hard to write a comparison between RNY and DS in terms we could all understand, I hope it helps.
http://www.dsfacts.com/Comparison-of-DS-and-RNY.html
There is also a more detailed explaination here:
http://www.dsfacts.com/duodenal-switch-procedure.html
If you have any specific questions feel free to PM me, I'd be happy to help.
I tried very hard to write a comparison between RNY and DS in terms we could all understand, I hope it helps.
http://www.dsfacts.com/Comparison-of-DS-and-RNY.html
There is also a more detailed explaination here:
http://www.dsfacts.com/duodenal-switch-procedure.html
If you have any specific questions feel free to PM me, I'd be happy to help.
The DS takes out roughly 80% of your stomach, but keeps it a natural shape. It also has much more malabsorbtion that RNY. With RNY you lose your malabsorbtion after 1 to 2 years. With DS you keep it, helping maintain your loss.
You can eat more variety with DS because you keep your pyloric valve at the bottom of your stomach & that prevents dumping. Your stomach is also a bit bigger to start with.
Another big difference is with DS, you have higher excess weight loss & better long-term weight loss.
You can eat more variety with DS because you keep your pyloric valve at the bottom of your stomach & that prevents dumping. Your stomach is also a bit bigger to start with.
Another big difference is with DS, you have higher excess weight loss & better long-term weight loss.
Won against big bad (SoCal) Kaiser for a Duodenal Switch Haven't heard of DS? Kaiser wants it that way. Come on over & read the truth.
Hit goal (Normal BMI) on 2-10-11! I LOVE my DS!!
My approval process timeline:
02/12/09 - Dr. refused to refer me for WLS
03/03/09 - Vented/whined about it on another board, planned to just wait until next year & switch plans
Let's see what happens!
**updates in blog**
Hit goal (Normal BMI) on 2-10-11! I LOVE my DS!!
My approval process timeline:
02/12/09 - Dr. refused to refer me for WLS
03/03/09 - Vented/whined about it on another board, planned to just wait until next year & switch plans
Let's see what happens!
**updates in blog**
Actually, by about the 5th year of an RNY most absorption is relearned by your body, however, not all. I had a distal RNY for 10 years and know that I still had fat malaborption because I still would have oil slicks in the toilet. I also didn't absorb iron, and of course b-12, even 10 years out. You don't lose malabsorption 1 to 2 years out, but your body does begin to relearn how to absorb.
HW (pre RNY) 430 / HW (pre DS) 302 / SW 288 /
Lowest weight 157 / CW 161 / GW 150
"I'm just one stomach flu away from my goal weight"
I'll break it up like this:
Stomach:
RNY-Your stomach is cut into a man made "pouch" about the size of your thumb. And it generally holds 1 to two ounces. So in a sense you have "Two Stomachs" one that you will use on a daily basis (your pouch) and your stomach that you used to use (which sits behind your rib cage, and is now coined as your "blind stomach")
DS-Your Stomach pretty much stays the same, however, it is cut into the shape of a banana thus reducing it in size about 75%. to 2-4 ounces (Usually). Your stomach is still functioning as it's supposed to, and you still only have one of them.
You can eat more, because you need to eat more. DSers have more "MALABSORBTION" than the RNY, thus we need to compensate a little. What this means is that your intestines (with both surgeries) will be re-routed so you will not absorb all of the calories, and fat and whatnot that you eat. HOWEVER!!!! The RNY malabsorbtion is very very minimal, only because there stomach are so tiny, and they are already consuming a low amount of calories anyway.
With the DS our malabsrobtion is much much greater thus we have to eat more, and get a higher amount of calories in. Does this makes sense? If so, I can continue on to how the Intestines are actually configured..lol.
Stomach:
RNY-Your stomach is cut into a man made "pouch" about the size of your thumb. And it generally holds 1 to two ounces. So in a sense you have "Two Stomachs" one that you will use on a daily basis (your pouch) and your stomach that you used to use (which sits behind your rib cage, and is now coined as your "blind stomach")
DS-Your Stomach pretty much stays the same, however, it is cut into the shape of a banana thus reducing it in size about 75%. to 2-4 ounces (Usually). Your stomach is still functioning as it's supposed to, and you still only have one of them.
You can eat more, because you need to eat more. DSers have more "MALABSORBTION" than the RNY, thus we need to compensate a little. What this means is that your intestines (with both surgeries) will be re-routed so you will not absorb all of the calories, and fat and whatnot that you eat. HOWEVER!!!! The RNY malabsorbtion is very very minimal, only because there stomach are so tiny, and they are already consuming a low amount of calories anyway.
With the DS our malabsrobtion is much much greater thus we have to eat more, and get a higher amount of calories in. Does this makes sense? If so, I can continue on to how the Intestines are actually configured..lol.
If you are a visual person like me, I think these You Tube animations will help you understand.
Here's the DS: www.youtube.com/watch.
Here's the RNY: www.youtube.com/watch
Jenna
Here's the DS: www.youtube.com/watch.
Here's the RNY: www.youtube.com/watch
Jenna
Stomach:
With RNY you have a "pouch" that dumps directly into your intestines via a stoma (I believe). Your remaining stomach is left just hanging out in your body. It cannot be scoped or checked for ulcers, cancer, etc. It's called a "blind stomach." I suppose it continues to produce the hunger hormone, grehlin.
With the DS you have a normal, fully functioning stomach. It is made smaller by removing most of it. There is no blind stomach. You can have normal testing done. You have a big reduction in the production of grehlin. There is no dumping. You can take NSAIDS.
Intestines:
With the RNY a portion of your intestines are bypassed to create malabsorption. The amount of malabsorption is fairly minimal as compared to the DS and many bypass patients lose the malabsorption after a few years. (Which is probably why the regain rate is higher.)
With the DS a larger portion of your intestines are bypassed to create malabsorption. It will not go away. This is what helps DSers maintain their weightloss and avoid regain.
Post-op Life:
With the RNY you will need to eat low fat, low cal and low carb.
With the DS you will need to eat high protein, HIGH fat and low carb. To me, this diet is much more do-able.
With RNY you cannot take NSAIDS, eat popcorn, drink carbonated beverages etc. You can with the DS.
With RNY you may dump. You may dump on sugar or veggies or fruit...who knows? There is no dumping with the DS.
With RNY you cannot drink with your meals or with a straw. You can with the DS, though in the beginning you will want to keep it minimal so you can fit more protein in.
With both you will need to take vitamins daily, for life. You may need to take more with the DS than with RNY.
Statistically your odds are better with the DS to lose more weight and to keep it off.
Those were the main points when I was trying decide on my surgery type. The DS also has a higher cure rate for diabetes, but this didn't apply to me.
Keep on researching. Good luck in making your decision!
Oh, one other thing. Do not ask a doc that does not do the DS about a DS. You may not get accurate information.
With RNY you have a "pouch" that dumps directly into your intestines via a stoma (I believe). Your remaining stomach is left just hanging out in your body. It cannot be scoped or checked for ulcers, cancer, etc. It's called a "blind stomach." I suppose it continues to produce the hunger hormone, grehlin.
With the DS you have a normal, fully functioning stomach. It is made smaller by removing most of it. There is no blind stomach. You can have normal testing done. You have a big reduction in the production of grehlin. There is no dumping. You can take NSAIDS.
Intestines:
With the RNY a portion of your intestines are bypassed to create malabsorption. The amount of malabsorption is fairly minimal as compared to the DS and many bypass patients lose the malabsorption after a few years. (Which is probably why the regain rate is higher.)
With the DS a larger portion of your intestines are bypassed to create malabsorption. It will not go away. This is what helps DSers maintain their weightloss and avoid regain.
Post-op Life:
With the RNY you will need to eat low fat, low cal and low carb.
With the DS you will need to eat high protein, HIGH fat and low carb. To me, this diet is much more do-able.
With RNY you cannot take NSAIDS, eat popcorn, drink carbonated beverages etc. You can with the DS.
With RNY you may dump. You may dump on sugar or veggies or fruit...who knows? There is no dumping with the DS.
With RNY you cannot drink with your meals or with a straw. You can with the DS, though in the beginning you will want to keep it minimal so you can fit more protein in.
With both you will need to take vitamins daily, for life. You may need to take more with the DS than with RNY.
Statistically your odds are better with the DS to lose more weight and to keep it off.
Those were the main points when I was trying decide on my surgery type. The DS also has a higher cure rate for diabetes, but this didn't apply to me.
Keep on researching. Good luck in making your decision!
Oh, one other thing. Do not ask a doc that does not do the DS about a DS. You may not get accurate information.
My surgeon has his self pay prices posted on his website. ( i just cut and pasted the ones you are interested in)
http://www.weightlosssurgeon.com/surgical-weight-loss-dallas -fort-worth/self-pay-pricing-weight-loss-surgery
I promise you that the minimal difference in price between the RNY and DS should NOT be a factor in choosing between the 2. You should choose the surgery based on your own needs, the long term resolution of comorbids, the long term EWL% and the long term lifestyle. In addition I reccomend reading the revision forums and the failed WLS forum. YOu will see many people that need to be revised from the RNY or they regained ect.. Not very many people get revised from the DS because it has the superior results hands down.
The DS is WORTH traveling for and worth the Extra cost! I travelled 400 miles for my DS! No regrets! I LOVE my DS!
Ami
http://www.weightlosssurgeon.com/surgical-weight-loss-dallas -fort-worth/self-pay-pricing-weight-loss-surgery
| Laparoscopic Roux-en-Y | $18,836.00 |
| Open Duodenal Switch | $19,836.00 |
| Laparoscopic Duodenal Switch | $22,750.00 |
I promise you that the minimal difference in price between the RNY and DS should NOT be a factor in choosing between the 2. You should choose the surgery based on your own needs, the long term resolution of comorbids, the long term EWL% and the long term lifestyle. In addition I reccomend reading the revision forums and the failed WLS forum. YOu will see many people that need to be revised from the RNY or they regained ect.. Not very many people get revised from the DS because it has the superior results hands down.
The DS is WORTH traveling for and worth the Extra cost! I travelled 400 miles for my DS! No regrets! I LOVE my DS!
Ami
Adoptive mom to 3 children with Fetal Alcohol Spectrum Disorders 
The staff who presented the required seminar at my surgeons office gave the following cash prices for a laparoscopic procedure:
RNY - $25,000
DS - $35,000
Supposedly this includes all fees: hospital stay, anesthesiologist, surgeons fee, etc.
RNY - $25,000
DS - $35,000
Supposedly this includes all fees: hospital stay, anesthesiologist, surgeons fee, etc.
.
START 318 | CW 179 | GW 165 | --- Updated Feb 3, 2012 (-139)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Have you researched all of your options?
Duodenal Switch--Check it out at DSFacts.com and www.duodenalswitch.com/
START 318 | CW 179 | GW 165 | --- Updated Feb 3, 2012 (-139)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Have you researched all of your options?
Duodenal Switch--Check it out at DSFacts.com and www.duodenalswitch.com/
There are no trustworthy DS surgeons in FL. You will have to travel for your DS. Every surgeon has a different price. My surgeon, Dr. William Peters in Scranton, PA, has just about the best self pay prices in the country for both RNY and DS. Call him at 570-969-2527. You will get either him or his wife when you call, regardless of when you call.
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