readerroz

Well, it looks like I'm going to be the first to post to this forum, so I thought I'd introduce the DS to anyone who might be interested in a powerful, effective, and a most succesful alternative to the gastric bypass surgery in terms of total weight loss and effective long term maintenance.

This is from the wonderful duodenalswitch.com website that is chockablock full of thorough information that includes a number of peer reviewed articles on the DS. Following the explanation is a comparison of the DS and the RnY written by ordinary people in layman's terms.

So get yourself something to drink, sit back and enjoy the ride :


>>The BPD/DS combines restrictive and malabsorptive elements to achieve and maintain the best reported long-term percentage of excess weight loss among modern weight-loss surgery procedures.

The Restrictive Component
The BPD/DS procedure includes a partial gastrectomy, which reduces the stomach along the greater curvature, effectively restricting its capacity while maintaining its normal functionality.

Unlike the unmodified BPD and RNY, which both employ a gastric “pouch” and bypass the pyloric valve, the DS procedure keeps the pyloric valve intact. This eliminates the possibility of dumping syndrome, marginal ulcers, stoma closures and blockages, all of which can occur after other gastric bypass procedures.

In addition, unlike the unmodified BPD and RNY procedures, the DS procedure keeps a portion of the duodenum in the food stream. The preservation of the pylorus/duodenum pathway means that food is digested normally (to an optimally absorbable consistency) in the stomach before being excreted by the pylorus into the small intestine. As a result, the DS procedure enables more-normal absorption of many nutrients (including protein, calcium, iron and vitamin B12) than is seen after other gastric bypass procedures.

The Malabsorptive Component
The malabsorptive component of the BPD/DS procedure rearranges the small intestine to separate the flow of food from the flow of bile and pancreatic juices. This inhibits the absorption of calories and some nutrients. Further down the digestive tract, these divided intestinal paths are rejoined; food and digestive juices begin to mix, and limited fat absorption occurs in the common tract as the food continues on its path toward the large intestine.

For more detailed procedure information, see Dr. Hess’ patient brochure. For other detailed descriptions and illustrations, see the More Information page for links to surgeon’s websites and more.

History
The standalone Duodenal Switch procedure (without the accompanying gastric bypass as used in weight-loss surgery) was originally devised by Tom R. DeMeester, M.D. to treat bile gastritis, a condition in which the stomach and esophagus are burned by bile. In 1988, Dr. Douglas Hess of Bowling Green, Ohio, was the first surgeon to combine the DS with the Biliopancreatic Diversion (BPD) form of obesity surgery. This hybrid procedure, known as the Biliopancreatic Diversion with Duodenal Switch (or the Distal Gastric Bypass with Duodenal Switch), solves many nutritional problems associated with other forms of WLS, and allows a magnificent eating quality when compared to other WLS procedures. <<

Comparison:

RebeccaNV

I have been to that website and have enjoyed reading about people's experience with the D/S procedure.

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weza215

Thank you for all the great info. Lisa

readerroz

Lisa, keep me posted. I love reading about people's journeys.

I'd just like to add one little thing that wasn't addressed in my original post, and that's if your surgeon doesn't do the DS you will definitely not get a balanced explanation of it. Furthermore, there are many WLS surgeons who actually "bait and switch" with info about the DS.

However, the duodenalswitch.com site has a great list of DS surgeons. Maybe there's one in your area with whom you can consult.

readerroz

I got your PM, but couldn't reply for some reason.

So, here's what I wrote:

Hi, I'm new here, too. Did you read my post on the DS? Are you interested in weight loss surgery? Roz

10thMountainDiv.

Pacific Laparoscopy - Weight Loss Surgery in San Francisco, California Bariatric Surgery Center for Morbid Obesity
I'm not pushing this site but these people where doing it from the start. There Site was plenty of information. Diagrams of the different surgeries.

I had them do mine. The Dr. Robert Rabkin perfected the laproscope procedure. This is from their site:
We began in 1979 with gastroplasty, a purely restrictive procedure. In 1984 we introduced a “hybrid” procedure combining moderate restriction of food with moderate malabsorption. A refinement, the Duodenal Switch (DS), has been our primary procedure since 1993. Our Laparoscopic techniques evolved directly from 10 years pioneering work in Laparoscopy and more than 26 years in bariatric surgery, including twelve years with the DS as our primary procedure.

Take a look.

189.3 today
184.5 lightest two years ago
Started at 350