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Gotta Get Off the RNY vs. Sleeve Seesaw: Heads or Tails, help me out!



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Why does no one ever add the duodenal switch into the mix? Has anyone considered this as an option? If not, why not?

I am curious about this question as well, ridgerunner...

What's the tipping point between choosing RNY or DS?

Personally, I have pretty much nixed the RNY idea. I have got to be able to take NSAIDS.

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Ugh.....that's a seriously good point.... I get chronic sinus infections and nothing but ibuprofen breaks the pain....

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@@Daisee68

You can live entirely without a stomach in the worse case scenario. If something goes wrong with your intestines it is basically a death sentence, either short or long, but no matter what it is horrific.

Even Drs say the worse thing about RNY is touching the intestines, that basically you should never touch healthy intestines. The Dr on Fat Doctor talked about it several times.

It is also "cleaner" because the intestines aren't cut, with the sleeve the stomach is cut and sealed at that same time. RNY involves more cuts and more stitches, creating a greater margin of error, and again, cutting into the intestines.

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Why does no one ever add the duodenal switch into the mix? Has anyone considered this as an option? If not, why not?

My surgeon told me if I wanted DS, then he would have to refer me to an outside program. DS is known as the most effective wls but it also has the highest rate of complications. I think DS is reserved as the last, last, last, last resort because of the complexity & severity of the surgery. Patients are much more likely to lose and keep their weight off but they are more likely to experience malnutrition, Vitamin deficiencies, etc.

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Why does no one ever add the duodenal switch into the mix? Has anyone considered this as an option? If not, why not?

I am curious about this question as well, ridgerunner...

What's the tipping point between choosing RNY or DS?

I don't know if you have ever seen the show "My 600lb Life" but even they don't get DS when they have hundreds and hundreds of pounds to lose.

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I was high BMI, had the sleeve. i had an irrational fear of the gastric bypass at the time.

My band to sleeve was Dec 2011, I lost over 150# and am maintaining reasonably well. My perspective now is that they are BOTH good procedures, the RNY has way more data/history and for that reason alone is a good, rational choice. I think you have to pick what you believe in. 80% of this battle is a mental one, and believing in it is a great start! Good luck - just do it!

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Why does no one ever add the duodenal switch into the mix? Has anyone considered this as an option? If not, why not?

I am curious about this question as well, ridgerunner...

What's the tipping point between choosing RNY or DS?

I don't know if you have ever seen the show "My 600lb Life" but even they don't get DS when they have hundreds and hundreds of pounds to lose.

Sent from my SM-G925T using the BariatricPal App

Well Dr Now can't bother to learn the DS since he does 50 other surgeries that he shouldn't be doing, including plastics.

He really isn't the best doctor, don't get me started, oh wait I already started...

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Why does no one ever add the duodenal switch into the mix? Has anyone considered this as an option? If not, why not?

I am curious about this question as well, ridgerunner...

What's the tipping point between choosing RNY or DS?

I don't know if you have ever seen the show "My 600lb Life" but even they don't get DS when they have hundreds and hundreds of pounds to lose.

Sent from my SM-G925T using the BariatricPal App

Well Dr Now can't bother to learn the DS since he does 50 other surgeries that he shouldn't be doing, including plastics.

He really isn't the best doctor, don't get me started, oh wait I already started...

Despite that fact that viewers have yet to see a surgery he can't perform (I'm not too sure how to feel about that lol????????)...you cannot deny the fact that this man is changing the lives of the people who the rest of the world has pretty much given up on. And he really does have the patience of a monk.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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