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07-30-2007, 01:20 PM
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#1 (permalink)
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Senior Member
Join Date: May 2005 |
Location: Rancho Cucamonga, Ca |
Surgeon: Dr. Suh |
Age: 50 |
Posts: 1,762 |
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Distal vs Proximal
I emailed my doctor's office manager some questions, and one was regarding which part of the stomach was used for the pouch, as I understood the distal is stronger, and does not stretch as easily.
Here's the response:
The Dr. performs proximal - malabsorption is not as much as distal and you do not have to protein supplement the rest of your life. The distal patients I have met so far have malabsorptive issues and continue to lose weight to the point where they require intervention.
My question to everyone is: If you had Distal RNY, have you had any problems?
Thanks!
__________________
Baron Patrick
It Ain't Over Till I Say It's Over-And I Won!
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Top / Pre / Current / My Goal
280 / 263 / 190 / 180
LAP RNY 5/29/07
TT Gym Rat Club Member #19
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07-30-2007, 02:49 PM
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#2 (permalink)
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Senior Member
Join Date: Apr 2007 |
Location: Sacramento, CA |
Surgeon: Dr. Laura Machado |
Posts: 1,017 |
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I thought distal/ proximal had ot do with how long the bypass was..... I have the shorter one and it's still too long!
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213/110/130 Preop/Current/Goal
Open RNY 9/26/06 Height 5' 4"
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07-30-2007, 02:56 PM
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#3 (permalink)
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Senior Member
Join Date: Sep 2005 |
Location: BC, Canada |
Surgeon: Dr. Nohr |
Age: 40 |
Posts: 4,577 |
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I had proximal which was 100cm, which I understand to be quite common.
No gastric bypass issues for me.
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Lisa
aka....Canadian Bear and her Canadian Bear Cubs!
Open RNY - Jan 30, 2006
Tummy Tuck - June 4, 2007
314/ 152-157/180
start/ now/goal
BMI 45.7/22.1-24/26.2
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Century Club - Sept 12, 2006
Overweight Club - Oct 19, 2006
One-der-land - Nov 8, 2006
Below Goal - Jan 30, 2007 - Anniversary Date!
Holding Below Goal - 2 year surgery anniversary!
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07-30-2007, 03:46 PM
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#4 (permalink)
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Senior Member
Join Date: Jan 2007 |
Location: New York |
Surgeon: Dr. Daniel Davis |
Age: 44 |
Posts: 991 |
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Distal or proximal refers to how much of the small intestine was bypassed. Proximal bypasses about 100 cm...and distal can bypass as much as 250 cm. The distal bypass causes more malabsorption issues and blood work must be monitored more closely. In addition, it causes more frequent stools and powerfully smelly gas.
Now, as far as your pouch goes, could you be referring to the greater and lesser curvature of the stomach? For RNY, the lesser curvature is used to form the pouch, as it's musculature allows less stretch...
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Debbie
Lap RNY 8/6/07
Highest/Day of surgery/current/goal
251/237/132/130
Goal! I did it!
105 pounds gone since my RNY
119 total pounds gone forever!
I finally have a "normal" BMI
Reached my first goal of 145...and setting a new one of 135.
Reached 135 and have decided to lose another five if I can.
I'm in the 130's for the first time since puberty!
TT Gym Rat #95
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07-30-2007, 03:48 PM
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#5 (permalink)
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Senior Member
Join Date: May 2005 |
Location: Rancho Cucamonga, Ca |
Surgeon: Dr. Suh |
Age: 50 |
Posts: 1,762 |
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Debbie -
Thanks for clearing that up for me.
Hey, ignorance is bliss, right?
It goes to show, there are no "dumb" questions! 
__________________
Baron Patrick
It Ain't Over Till I Say It's Over-And I Won!
___________________________
Top / Pre / Current / My Goal
280 / 263 / 190 / 180
LAP RNY 5/29/07
TT Gym Rat Club Member #19
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07-30-2007, 03:50 PM
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#6 (permalink)
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Senior Member
Join Date: Mar 2005 |
Location: FLA |
Surgeon: Dr.Mark Liberman |
Age: 37 |
Posts: 3,306 |
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Prox here...
I too was told that it was only the amount of instestines bypassed...Prox being less and distal being more.
Maybe your Dr.s office misunderstood you Patrick?Hmmm
Anyway,no real issues here just a funky stoma.
Good seeing you posting there Thinman! 
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 Van
Lap RNY March,21 2005
280/130
VPA BEAR
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07-30-2007, 04:57 PM
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#7 (permalink)
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Senior Member
Join Date: Jan 2007 |
Location: Upstate NY |
Surgeon: Taewan Kim, Syracuse NY |
Age: 37 |
Posts: 3,044 |
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I had "between 150 and 170" Cm according to the dreamy surgeons assistant..
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Jen
367/325/227/180
Start/Day of Surgery/Current/Goal
July 9, 2007.. my re-birthday!
Century Club: November 17, 2007
140 Pounds Lost... I'm not Going to Miss them or even TRY to find them.. they can stay lost!! (And if you see them... RUN.. you dont want them either!)
"Life is 10% what happens to you, and 90% how you respond to it" ~~ Lou Holtz
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