BariatricTV ForumGeneral WLS InformationDSwww.dsfacts.com
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Maria C
Fresh Freak
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Surgery Date: Still Waiting
Surgery Type: Duodenal Switch
From:: Queens, NY
Posts: 19


Baby Freak Since 03/14/11


« on: January 23, 2011, 10:37:04 AM »

Learn the facts of the switch, make an informed decision.  Grin
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Make an informed decision:   www.dsfacts.com      ~* Baby Freak Since 03/14/11*~
shepkatt
Honey Badger don't give a sh*t
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WLS ain't for wussies


« Reply #1 on: January 23, 2011, 04:45:20 PM »

Yep.. anyone who is post op looking into the different types of surgeries needs ALL the info in order to make an informed decision.

Thanks!
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McNee
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« Reply #2 on: January 25, 2011, 06:34:00 AM »

I spent some time checking out that site, as well as http://www.duodenalswitch.com

then I found http://www.yourbariatricsurgeryguide.com/duodenal-switch/

I think I prefer the third site. It seems to have some very non-biased information on all surgeries. Additionally, the first two sites seem to "gloss over" possible negatives - likely because they are sites by surgeons. Here's what I found on this site...

Quote
The long-term risks of duodenal switch include:
     Nutritional deficiencies
     The brittle bone disease osteoporosis, due to malabsorption of calcium and vitamin D, which are needed to maintain bone strength
     Night blindness due to malabsorption of Vitamin A
     Malabsorption of protein, leading to malnutrition. This may lead to a second operation.
     Carbs can be well absorbed, resulting in inadequate weight loss
     Chronic diarrhea. You may have many loose bowel movements in a day. In the duodenal switch, your surgeon shortens the amount of bowel that the food goes through and diverts the digestive juices. The food goes through half of the intestines and then does not meet the digestive juices until the tail end of the intestines. This cripples the digestive process, resulting in diarrhea.
     Foul-smelling stools and gas
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Rob... (formerfatdudes.com - positively-healthy.com)
Heaviest Weight: 380+ Day of Surgery (4/8/2009): 322 3-Mo Post-Op: 249
6-Mo Post-Op: 215 9-Mo Post-Op: 200 Lowest: 190 Now: 210
shepkatt
Honey Badger don't give a sh*t
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Surgery Date: 11/17/2003
Surgery Type: RNY
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WLS ain't for wussies


« Reply #3 on: January 25, 2011, 07:25:07 AM »

Yep.. each surgery has it's benefits and drawbacks..  Everyone has to figure out which one works best for them.. I am just glad we have some DSrs on the forum willing to speak about life after being switched.  There also a bunch of folks who have had the revision to a DS from another WLS..  Those folks would be good to talk to.  Lots of peeps out there with regain looking at other options..  The surgery to revise from a pouch to a switch is pretty complicated.. so having folks with that history/knowledge would be good :-)
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McNee
Formerfatdude and food porn perveyor
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« Reply #4 on: January 25, 2011, 08:05:31 AM »

I agree... should have been more clear... I wouldn't rely soley on any surgeon's site for all of my information on any surgery.

That's like going to coke.com and expecting a glowing review of the latest Pepsi products.

I've bowed out of the discussion on OH, as there were very few that seemed willing to actually have a discussion. I mentioned the support chat... maybe one of them will join us there at some point in the future.
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Rob... (formerfatdudes.com - positively-healthy.com)
Heaviest Weight: 380+ Day of Surgery (4/8/2009): 322 3-Mo Post-Op: 249
6-Mo Post-Op: 215 9-Mo Post-Op: 200 Lowest: 190 Now: 210
shepkatt
Honey Badger don't give a sh*t
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Surgery Date: 11/17/2003
Surgery Type: RNY
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WLS ain't for wussies


« Reply #5 on: January 25, 2011, 08:15:15 AM »

There were a couple of folks over there that just seemed to want to poke at us.. but the majority of peeps posting were just fine and really nice..  Those are the ones we want splaining the truth of the DS..  there are a lot of myths out there re: that surgery.. mostly hold overs from 10 years ago when the DS was a different surgery.  Not a lot of docs do it.. but for a lot of peeps it would be the best choice for them - if only they knew about it.   So it makes me happy that we have some people who have had the DS who get our forum format and want to help pay their success forward :-)
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girlygirl1313
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« Reply #6 on: January 25, 2011, 08:50:51 AM »

http://www.dsfacts.com/about-us.html
this is not a surgeon run site and it is very upfront about risks and complications associated with the DS.  This site also has a number of stats and studies for nerds like me that really want to know nitty gritty of this surgery.  DS vets are loud about the importance of compliance with vitamins and labs and often actually dissuade people who have a problem with or can not afford post op compliance.
If the rules are followed the tradeoff is wonderful.  ~GG
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McNee
Formerfatdude and food porn perveyor
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Surgery Date: 4/8/2009
Surgery Type: RNY
From:: Saint Paul, MN
Posts: 1718


Love the smell of paintball in the morning...


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« Reply #7 on: January 25, 2011, 09:08:56 AM »

http://www.dsfacts.com/about-us.html
this is not a surgeon run site and it is very upfront about risks and complications associated with the DS.  This site also has a number of stats and studies for nerds like me that really want to know nitty gritty of this surgery.  DS vets are loud about the importance of compliance with vitamins and labs and often actually dissuade people who have a problem with or can not afford post op compliance.
If the rules are followed the tradeoff is wonderful.  ~GG

K, maybe I got that confused... I was up late browsing and reading about half-dozen different sites last night. my mistake.
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Rob... (formerfatdudes.com - positively-healthy.com)
Heaviest Weight: 380+ Day of Surgery (4/8/2009): 322 3-Mo Post-Op: 249
6-Mo Post-Op: 215 9-Mo Post-Op: 200 Lowest: 190 Now: 210
Jenna Lynn
Fresh Freak
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Surgery Date: 10/19/2009
Surgery Type: Duodenal Switch
From:: Philadelphia Region, Pennsylvania
Posts: 13



« Reply #8 on: January 25, 2011, 10:15:07 AM »

Hi,  McNee. Actually, neither DSFacts nor Duodenalswitch.com are affiliated with surgeons. Both are run by post-op DSers. I actually think they do a pretty good job at providing balanced information, particularly DSfacts. Duodenalswitch.com suffers from no longer being updated as frequently.

The third site you linked to has some great information, well-presented, but unfortunately it also contains some pretty significant misinformation. That is why I don't link folks there. Just a few examples:
  • The description of the intestinal re-routing and how food passes through the digestive system is inaccurate.
  • Eating fatty foods does not tend to cause gas or diarrhea for the majority of DSers, eating simple carbs does.
  • I feel the discussion of the risk of nutritional deficiencies isn't terribly balanced (doesn't mention that there are certain nutrients better absorbed by the DS than the RNY). Overall, I felt the risk was over-emphasized without a link to relevant studies
  • It is no longer true that insurance is unlikely to foot the bill. Most insurances do now cover DS
  • ETA: The most perplexing is their assertion that those with sleep apnea would not be candidates for the DS, since the DS has the statistically the best rate of resolution for apnea.



« Last Edit: January 25, 2011, 10:18:24 AM by autumnyte » Logged
Big Mickey
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« Reply #9 on: January 25, 2011, 01:32:19 PM »

Can I just pop in and say how cool it is that we FINALLY!! have some DS conversation going on in here? Thank you DS vets who have dropped in. This has been much needed for some time now.

Mike
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Who is just as observant, and dashingly good looking, as his wife is.
trimoon
Don't S#@!$ The Bed, Tim!
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Surgery Date: 5/31/2010
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From:: Charlotte
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« Reply #10 on: January 25, 2011, 04:29:39 PM »

WOOHOO!!!  Welcome to the forum. 
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Beth


patti55444
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Surgery Date: 12/09/08
Surgery Type: Lap RNY
From:: Andover, MN
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« Reply #11 on: January 25, 2011, 05:04:20 PM »

I'm really glad you are here too! I'm learning a lot about the DS and I never knew anything before, very interesting!

Patti
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Worry doesn't solve tomorrow's problems, but it does ruin today's happiness
winelover215
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Surgery Date: 7/2/2008
Surgery Type: Duodenal Switch
From:: Philadelphia Burbs
Posts: 21


Switched and at Goal!


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« Reply #12 on: January 26, 2011, 07:06:10 AM »

Yep ... DSFACTS was patient created because so many surgeon site who DO NOT PERFORM THE DS ... Because they are not trained to do so ... would bash the DS and state OLD facts from the OLD OUTDATED BPD procedure.   Many of the side effects and potential "negatives" were not accurate.

Sadly the medical community does not do it's due diligence in making sure patients are aware of all surgical options.  People who say... it wasn't offered by my insurance SHOULD STILL FIGHT FOR THE DS if that is the surgery they think will be the most effective for them.    Insurance appeals are won every day!     But doctors who want your $ and don't perform the DS are not going to steer you to it.   

Research all surgical options... Make your choice... Then find a surgeon who performs it!     THAT is the correct work flow IMHO.

Tom
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HW 341/SW 309/CW 169/GW 190   172 lb. loss with my DS -  Subscribe to me on YouTube!
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shepkatt
Honey Badger don't give a sh*t
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Surgery Date: 11/17/2003
Surgery Type: RNY
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WLS ain't for wussies


« Reply #13 on: January 26, 2011, 07:56:32 AM »

Yeah Yeah Yeah.. the BPD was the one that was talked about when I had my surgery in '03 and it scarit the sh$t outta me.  The surgery done today is not that surgery.. 

And yep, Tom..  Research everything .. talk to people who are living with the surgery(s) that interests you..  - especially people who are further out to see what your future might hold.. then decide.

yep yep.. :-)
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I enjoy fine chocolate.. cheese and being on time.  I am Switzerland!
MacMadame
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From:: Northern CA
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« Reply #14 on: January 27, 2011, 10:43:36 PM »

Research all surgical options... Make your choice... Then find a surgeon who performs it!     THAT is the correct work flow IMHO.
I agree. I know once I realized the lapband was too risky for me (and my insurance wasn't going to cover any WLS so I was darned if I was going to pay for one that I didn't want), I decided on the sleeve. At that point, I started my search for a surgeon completely over and came up with a completely different pick. (My original choice hadn't done more than 5 sleeves total and didn't seem to know much about the sleeve.)
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Jay Park
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Surgery Date: 08/19/2008
Surgery Type: Laparoscopic Sleeve Gastrectomy
From:: Dr Michel Gagner in Miami, FL
Posts: 89



« Reply #15 on: January 28, 2011, 06:22:32 AM »

This is one of the most honest videos I've seen by a post DS patient.
http://www.youtube.com/watch?v=Vh1mGpr0alU

One of the DS sites I found helpful and objective was http://health.groups.yahoo.com/group/RevisedDS/

This site doesn't sugar coat the problems with the DS, and some post point out how the procedure is evolving.  

As an example, they used to create a Sleeve about twice the size of the one they do today, and the length of the CC is now 2 to 3 times longer than 50 to 75cm used in the early days of the procedure.  

I believe many of the health problems associated with the early DS procedure have been corrected for the most part with these newer techniques.

Regardless of what WLS procedure anyone selects,  BariaticTV.com is an excellent resource for non judgmental post surgery support.  

~~~~~~~~~~~~

You might also want to read her blog on the DS Life if you're considering the DS procedure..
She is 3.5 years post op, not 35 years as the link indicates.

http://myswitchedlife.typepad.com/my-switched-life/2011/03/life-at-35-years-out-from-my-duodenal-switch-weight-loss-surgery.html

« Last Edit: March 18, 2011, 05:28:03 AM by Jay Park » Logged

~ Jay Park

VSG - 8/19/2008 - Dr Michel Gagner
Highest 451 / Current 239 / Goal is to be Healthy
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"May the best day of your past be the worst day of your future."
GloryG
Fresh Freak
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Surgery Date: April 5, 2011
Surgery Type: DS
From:: North Carolina
Posts: 2


« Reply #16 on: March 15, 2011, 07:14:19 PM »

Hi Jay,

Can I ask a question? And, please I am just asking to discuss. I am a pre-op DS and don't have any experience to speak one way or the other, but the video and blog are both by the same person who clearly has had her share of issues. What leads you to think that these are the most realistic evaluations of the DS? I am not trying to put words in your mouth but you say that you think the video is one of the best and most honest and that the blog is excellent. I don't have any fantasy that the DS is perfect by any means so I am just seeking the basis of your opinions and really, really, really, not trying to start anything.

Thanks,
Glory
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Jay Park
Jr. Freak
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Surgery Date: 08/19/2008
Surgery Type: Laparoscopic Sleeve Gastrectomy
From:: Dr Michel Gagner in Miami, FL
Posts: 89



« Reply #17 on: March 16, 2011, 07:23:25 AM »

Hi Jay,
Can I ask a question? And, please I am just asking to discuss. I am a pre-op DS and don't have any experience to speak one way or the other, but the video and blog are both by the same person who clearly has had her share of issues. What leads you to think that these are the most realistic evaluations of the DS? I am not trying to put words in your mouth but you say that you think the video is one of the best and most honest and that the blog is excellent. I don't have any fantasy that the DS is perfect by any means so I am just seeking the basis of your opinions and really, really, really, not trying to start anything.
Thanks,  Glory

Hi Glory,

I like her honesty.  She is open about her good and bad experiences post OP, which I find very refreshing.

The DS is an excellent WLS option for many people in my opinion, but it, like all WLS procedures, isn't perfect.

I traveled from my home in St Louis to Miami, FL. for a DS because the procedure isn't available here, only to be told by my surgeon I wasn't in good enough health to have the procedure in one stage.

He performed the first (Sleeve) stage on me and I was to return in 9 to 12 months for the second stage after my health improved.  During those 12 months most of my co-morbidities cleared up, and he and I decided to hold off on the 2nd (Switch) stage procedure.  If my pre-diabetic condition hadn't completely cleared up I would have had the 2nd stage.

My surgeon (Dr Michel Gagner) gave me a VSG size stomach, and was going to give me a 150 to 200 CM common channel.  He felt this would be best for me based on my age and over all health condition.

Good luck to you on your wellness journey.
« Last Edit: March 18, 2011, 05:29:06 AM by Jay Park » Logged

~ Jay Park

VSG - 8/19/2008 - Dr Michel Gagner
Highest 451 / Current 239 / Goal is to be Healthy
http://tinyurl.com/y9ywvoo
"May the best day of your past be the worst day of your future."
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