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DS Surgeons in the USA

There are many bariatric surgeons who claim they do the duodenal switch and don't. They want you to come to their office, only to downplay and LIE about the DS surgery and influence your decision why you should NOT have it. The main reason for this tactic is, the surgeon is not trained and/or even qualify to perform the DS surgical procedure, which is the most complex bariatric surgery that needs a lot of advanced training and to be proctor for a very lengthy amount of time.

Some bariatric surgeons will claim they do the DS and will convince you to having the VSG or say they will perform the DS procedure and without your knowledge or awareness, you wake up with just the VSG. The insurance company did accept assignment for payment for the DS, but the surgeon only know and has skill to perform the VSG. Yes, it has happened and the excuses the surgeons give to the postop as to why they only have the VSG and not the DS are ridiculous. The VSG (vertical sleeve gastrectomy) is only the first part of the DS and not considered a true or complete DS. This practice scheme is known as Bait and Don't Switch. There are dishonest and misinformed bariatric surgeons out there who do such thing on a regular basis. The Bait and Don't Switch is also a scam in which a bariatric surgeon tells the patient, he performs the DS and when you are at the office for consultation, will convince you to have either the RNY, Lapband or VSG, since those are the only 3 s/he has the ability to perform and deter you from having the DS. Another Bait and Don't Switch maneuver is to provide misinformation, fallcies and daunting views regarding the DS for you not have or consider it as an option. 

The list above are bariatric surgeons who actually perform the true DS and will give you a DS when you wake up from surgery. They will also be UNBIAS to provide information about other bariatric surgical procedures. It is important to interview the surgeon, to make sure you are comfortable with his overall practice and especially his approach to you. In addition, the names of actual DS surgeons on the list, their location, phone number and if they perform revision (whether RNY to DS, Lapband to DS, or other type of revision to DS) is provided to assist you. Revision to DS is a more complex surgical procedure with only a few elite and skillful DS surgeons qualified to perform. 

50 questions to ask a DS Surgeon you are considering

1. What is the length of common channel you provide for a DS and how does it differ?
2. What is the size of stomach you provide and does making the stomach more narrow or larger has any risk or benefits?
3. Do you modify the length of the common channel to be longer or shorter and under what conditions?
4. What are some of the malabsorption issues that occurs with the DS?
5. What are some of the common side effects that occurs with the DS?
6. What are some of the complications that may occur after having the DS?
7. What vitamins and supplements must be taken daily after the DS?
8. What happens if I forget or miss a taking my required vitamins/supplements?
9. How does the DS affect vitamin/mineral deficencies and is it preventable not to occur?
10. What is the percentage of excess weight that will be lost and what is the percentage that is kept off?

11. What condition will a pre-op not be consider or to qualify for having a DS?
12. What causes weight stalls and weight gain and how can it be prevented?
13. Have you ever lost a patient during or after surgery and what causes it to happen?
14. How many years experience do you have performing the DS surgeries and DS revision?
15. How many first time DS surgeries and/or revision to DS have you performed?
16. If a postop DS needs a revision, how is it determined, what test need to be done and will shortening or lengthening the common channel be considered as the only solution?
17. Do you perform the DS laparoscopic or open and what is the differnce and benefits to each?
18. Will the gallbladder and/or appendix be removed during surgery and why?
19. What reason will you not be able to do a complete DS once in surgery?
20. Have you ever started a DS and were unable complete it?

21. How long does the surgery takes to perform?
22.  How long is the hospital stay? 
23. How long before I feel normal and active again?
24. How long before I am able to return to work, drive a car or strenous activities?
25. What is the schedule for post-op follow-up visits?
26. How many times do I need to have my bloodwork done?
27. Is the leak test performed during or after surgery and what causes leaks to occur post-op?
28. What are some complications that may arise during surgery and once post-op?
29. Once postop, if constant diarrhea or other intestinal serious issues develops, is it treatble, what test can be done and what would need to be ruled out?
30. How will medications affect me, once I am postop?

31. How are the incision closed and when/how will it be removed?
32. Will Heparin be given to prevent blood clots?
33. What meds or pain killer will be given to me after surgery?
34.What are some complications that may arise during surgery and after surgery?
35. Will I be in an ICU and what would the reasons to be in one?
36. Do I need a binder after surgery, is it necessary and will one be provided after discharge?
37. What are some of the symptom I might have after surgery and when discharged?
38. What does the DS post-op diet phase consist of?
39. What vitamins and supplements do I need to be on once I am discharged and how much?
40. What are the possibility that hair loss will happen and what can I take to help prevent or lessen it?

41. How soon can I begin an exercise regimen after surgery?
42.  Are there any medications I cannot take after surgery?
43. What are the chances of developing a hernia and what causes it after surgery?
44. What are some negative symptoms I may have when postop?
45. Will I develop or experience food intolerances, dumping syndrome, etc. and for how long?
46. What causes food intolerance or negative side effects to occur, aftr having the DS?
47. Is it a permanent condition or a temporary one and how long does it last?
48. What are the possibilties to developing adhesions, what are the symptoms I should be aware of?
49. Will I develop loose or saggy skin and is there a way to prevent it?
50. How long before considering plastic surgery?

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