Duodenol switch or gastric bypass?

[jcurti02 0]

What are your thoughts? My bmi is 63, so seriously thinking about the DS.

[dylanmiles23 2,198]

What are your thoughts? My bmi is 63, so seriously thinking about the DS.

Don't mean to be rude but what us DS? I have the band and love it. Some people with high BMI do get the band also. Good luck with whatever WLS you decide on

[lsereno 2,525]

I suggest looking around in the DS and RNY forums here and on Obesity Help. Look for people with a starting BMI similar to yours.

Although you didn't mention it, I think some VSG people had a similar starting BMI. Find them here:

http://www.bariatricpal.com/forum/420-200-pounds/

Best wishes on your journey,

Lynda

[Mississippi Girl 124]

i have done a lot of research on that procedure. I think I would go with a sleeve if I were you! Good Luck!

Happy Losing,

Mississippi Girl

[RNBSN786 206]

It depends on your situation l. I have heard of DS and it's recommended for a BMI that's hight. Also gastric bypass is also recommended for your BMI. I am not too sure how DS works but heard the results are phenomenal. Also gastric bypass will give you the results you want. Have you spoken with your surgeon? What kind of health issues do you have? You should speak to your surgeon and see what he recommends. It's case by case...my surgeon said to me the lapband will take time to see the results and he said sleeve is good or gastric bypass. It was upto me and I decided to get the most out of my insurance so I got the gastric bypass. Ultimately you have to decide what works best for you!

[Postop 412]

That's a tough one. With a high BMI a DS is quite effective. You have 75% of the stomach removed & then the innards are rearranged so you malabsorb. This helps to keep the weight off.

However, there's also a ton of vits/minerals required (I take 40+ pills per day); 100-125 grams of protein/day; blood tests every 6 or 12 months (depending on your bariatric team); probably a yearly Dexa bone scan, etc. So you need to factor in the costs (esp. the vits/minerals as you'll be doing them for life) and whether you're compulsive enough to stay on top of it. To be honest, though, after about 6 mos. it becomes rote. If I didn't take my vits/minerals I'd feel weird. As a matter of fact, in 2008 when I was in the hospital for gb surgery they wouldn't let me take them and I felt as if I was in withdrawal.

There are great things about the DS, but also some difficult things. You need to definitely do the research to see what you can live with and what is a deal-breaker.

I wasn't the person who had WLS and said, "Greatest thing I ever did." I'd say it took 2.5 years postop till I realized this had been the right choice for me. I needed to figure out my stomach, bathroom, etc. It's a very personal decision to have WLS and then to decide which one. All have positive points and negative points.

Start here: DS Facts. I can also give you some forums where you'll find us DSers hanging out.

Edited May 9, 2014 by Postop

[Sharpie 3,306]

yes research all surgeries. There are some veteran band patients on here who had very high bmi's . There are good and bad in each surgery. I had lapband and have no problems. I only take a B12, vit d and Multivitamin daily. I have never had dumping or anything like that. the band does take some work and you have to learn to recognize the signal to stop eating. But you will not lose quickly. My surgeon does not recommend quick weight loss due to the side affects such as hair loss, loss of muscle and nutritional needs.

[erp 2,016]

Have you considered starting with just a sleeve and then revising to DS if your results aren't satisfactory? DS is sometimes done as a two stage procedure- sleeve only first and then rerouting later. You may find that you get where you need to be with a sleeve only. Good luck on your journey.

[dylanmiles23 2,198]

Hello,

I saw my doctor today for a fill, I have the band. I asked him what DS is and asked questions. He does not recommend it at all. He thinks people become malnourished from it. My doctor is from a very large Boston hospital. Good luck with whatever you decide. Just be careful.

[ssimmons1124 12]

I just had the ds done 5 days ago..it was recommended by my surgeon when i went for my first consultation..my bmi was 68...she said they recommended the ds for bmis of 50 or higher...after doing research on it, i decided that would be best for me.