BPS/DS (duodenal switch) vs. RNY (Roux-en-Y)
MODERATOR’S NOTE: Please let’s not start up with “My surgery is better than your
surgery” discussion because it won’t get posted to the list. As the poster
below asks, if you have some insight to offer as to why the type you had worked
FOR YOU, please do offer that. Remember to try to keep responses relevant to the
greater portion of our membership group.
Thanks
Lisa M
for the Moderators
April 1st, 2004 at 7:28 am
Dear Ted,
After researching all the wls options, I chose to have Lap BPD/DS for
the following reasons:
The BPD/DS statistically enables patients to lose the highest
percentage of excess weight with very little or no regain. I wanted
to have surgery and not only regain health but it was important to me
to also be slim.
I am not a good chewer (and find chewing my food to liquid repulsive)
and I need to drink with my meals. I also enjoy raw veggies and
steaks, chops and chicken. In my research I found that alot of RNY,
VGB and Band patients sometimes have a hard time with meats.
I do not have a stoma, therefore nothing will ever get stuck and I
won’t ever need a roto rooter job to open my stoma. I also will not
get marginal ulcers. My stomach and the connections are all the same
post-op which just seemed like a more natural thing to me. My food
comes into contact with my duodenal remant so I absorb more
nutrients. My stomach has instrinsic factor so B-12 deficiency is
not a concern.
A BPD/DS left my pylorus intact so my stomach operates just like it
did pre-op. It digests and churns and slowly empties just like
before. I did not want dumping syndrome. I like to enjoy a piece of
birthday cake and I like to indulge in treats and want to, just like
naturally thin folks. I no longer have good food or bad food
issues. Any food is okay. I like the fact that I have no food
restrictions. I eat what I want and the “glitter” is gone since I
can have it all.
The partial stomach removal still left me with a 12-14 oz. stomach.
If I ever needed the intestines reversed, I wouldn’t ever need my
stomach made larger since at 13 months post-op I eat very normal
sized portions and I certainly don’t need the extra 20-24 ozs.
of “extra stomach” that was removed. It was scarier for me to have
an RNY with a stapled off “blind” stomach that cannot be accessed.
I eat several servings of protein a day, take my vitamins and calcium
supplements and have my labs drawn regularly. I am very happy with
my choice for the above reasons and my health has never been better.
I never have to diet again. I am a compulsive eater and I don’t have
to worry about gaining. For me, I was looking for a cure not a tool
and to me that is what the DS is. Good luck with your research.
Jodi ~ Age 38 yrs.
230/118 (-112 lbs)
5′ 3.5″ ~ Size 2/4
Lap BPD/DS ~ 4/26/01
Dr. Christine Ren, NYU, NYC