Question - ThinnerTimes

Gina · 06-26-2006, 12:46 PM

What did you all have a proximal or a distal? Are you more likely to dump on a distal than a proximal? I have really started to dump on a lot of things... more so than I used to, which I think is odd.

The distal I know is for people who need to lose more, and so they take out more of the intestine. The proximal leaves more intestine, and you lose less over all and usually a bit slower, as you do absorb more since you have more intestine.

Gladitsme · 06-26-2006, 12:54 PM

Dr. Callery does proximal. I don't know about differences in dumping, sorry.

Mavisavis · 06-26-2006, 04:36 PM

Quote:

Originally Posted by Gina

What did you all have a proximal or a distal? Are you more likely to dump on a distal than a proximal? I have really started to dump on a lot of things... more so than I used to, which I think is odd.

The distal I know is for people who need to lose more, and so they take out more of the intestine. The proximal leaves more intestine, and you lose less over all and usually a bit slower, as you do absorb more since you have more intestine.

Hmmmmm, now there's something I never heard about.

I think I remember seeing or hearing the word proximal though, just didn't know others weren't.

VanessaSFL · 06-26-2006, 06:04 PM

I know I had some plumbing bypassed but nothing was removed....Who had plumbing removed?

Not sure about your dumping question...sorry...someone will know.

V

Dyann · 06-26-2006, 08:21 PM

The guide, but not a hard and fast rule is BMI of 35-about 45 they bypass...not remove 75 cm (proximal) of small intestine, 45-50 about 100, and BMI greater than 50 they bypass about 125-150 cm (distal).

The malabsorption is greater the more distal you are. The dumping has to do with how rapidly sugar enters your bowel and in what form. I don't think it is related to bypassed segment length as some dump at 75 cm and some don't at 125. I am not totally sure and will reasearch it.

Mavisavis · 06-26-2006, 08:45 PM

Quote:

Originally Posted by Dyann

The guide, but not a hard and fast rule is BMI of 35-about 45 they bypass...not remove 75 cm (proximal) of small intestine, 45-50 about 100, and BMI greater than 50 they bypass about 125-150 cm (distal).

The malabsorption is greater the more distal you are. The dumping has to do with how rapidly sugar enters your bowel and in what form. I don't think it is related to bypassed segment length as some dump at 75 cm and some don't at 125. I am not totally sure and will reasearch it.

Why would it be different and how would we know how much was bypassed? I'm curious now.

Gina · 06-26-2006, 09:47 PM

Marty I called and asked my surgeon today and I had a distal as my BMI was 60. The shorter the small intestine the less time to absorb, I just wondered if there was a realtionship between the amount removed and dumping. Dyann says that she doesnt think so.

Mavisavis · 06-26-2006, 10:05 PM

Quote:

Originally Posted by Gina

Marty I called and asked my surgeon today and I had a distal as my BMI was 60. The shorter the small intestine the less time to absorb, I just wondered if there was a realtionship between the amount removed and dumping. Dyann says that she doesnt think so.

Do you know why they do distal with a higher BMI? I'm just curious. It's a part of the surgery I didn't really hear about. Does it make you absorb fewer calories, but also fewer of the nutrients? Very interesting. Thanks for answering.

I don't know that I fully get what is "dumping" and what is not. I do get sick when I overeat or do not chew well. I also have gotten sick on fried foods and basically don't eat them. However, sugar seems to be tolerated, although I do not make it a habit.