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I'm still struggling between having a ds, and a bypass. I'm terrified of surgery, and want to only have to do it once. My doctor has assured me that I have narrowed it down to the correct two surgeries for me, but says it's a personal choice. I have done tons of research, and am leaning more towards the ds, but am scared of the extra risks. Any advice would be great! My insurance mandated diet is over next month. I'll be having surgery hopefully in November.

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Can I ask what are the extra risks? I have the SIPS DS, not the traditional but am curious as to what extra risks are on your list? All surgeries come with risk, the choice is yours as to which you're willing to take.


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I have four family members who had Bypass and have all gained back a good amount of their weight. I had the DS three years ago and have had no regain at all. Also I only watch my diet, I do not exercise.

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Can I ask what are the extra risks? I have the SIPS DS, not the traditional but am curious as to what extra risks are on your list? All surgeries come with risk, the choice is yours as to which you're willing to take.




The extra risk of malnutrition, the longer procedure, and the increased percentage of complications during and after surgery. What is the difference between sips ds and regular? I've never heard of that.


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I have four family members who had Bypass and have all gained back a good amount of their weight. I had the DS three years ago and have had no regain at all. Also I only watch my diet, I do not exercise.

Really....that's very interesting. I know ds is better for long term, and that's why I'm leaning more towards it. Also, my BMI is around 53 so I would need to loose a substantial amount of weight. I knew someone who was around 400lbs and lost about 100 just to gain it all back plus some. She had the sleeve though. My doctor says he's very confident in both procedures. But, he also says the bypass is the "work horse" of weight loss surgery and he's done loads more of those. I guess that doesn't mean anything....I dno. Just scared to be honest


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The extra risk of malnutrition, the longer procedure, and the increased percentage of complications during and after surgery. What is the difference between sips ds and regular? I've never heard of that.



But the bypass also runs the risk of malnutrition. I'm not certain that the there is an increased percentage of complications of the DS vs the bypass. I think they're pretty comparable. DS has a better long term outcome when it comes to regain.

The SIPS is a modified DS having a single anastomoses vs the two anastomoses of the traditional. The SIPS also has a longer common channel that also helps reduce the risk of malnutrition and eases the whole gas/diarrhea issue. SIPS is also known as SADI or LOOP.

Again this being a personal decision, you have to go with your gut [emoji173]️ good luck with your decision [emoji4]


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But the bypass also runs the risk of malnutrition. I'm not certain that the there is an increased percentage of complications of the DS vs the bypass. I think they're pretty comparable. DS has a better long term outcome when it comes to regain.

The SIPS is a modified DS having a single anastomoses vs the two anastomoses of the traditional. The SIPS also has a longer common channel that also helps reduce the risk of malnutrition and eases the whole gas/diarrhea issue. SIPS is also known as SADI or LOOP.

Again this being a personal decision, you have to go with your gut [emoji173]️ good luck with your decision [emoji4]



Thank you [emoji173]️ I'll have to ask my doctor about this at my next appointment.


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The gas/diarrhea issue with the traditional DS is a myth. As long as I stick to the plan I have no issues at all. Too many carbs will cause issues for all WLS.

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1 hour ago, sunflower71609 said:


Really....that's very interesting. I know ds is better for long term, and that's why I'm leaning more towards it. Also, my BMI is around 53 so I would need to loose a substantial amount of weight. I knew someone who was around 400lbs and lost about 100 just to gain it all back plus some. She had the sleeve though. My doctor says he's very confident in both procedures. But, he also says the bypass is the "work horse" of weight loss surgery and he's done loads more of those. I guess that doesn't mean anything....I dno. Just scared to be honest

1 hour ago, sunflower71609 said:


Really....that's very interesting. I know ds is better for long term, and that's why I'm leaning more towards it. Also, my BMI is around 53 so I would need to loose a substantial amount of weight. I knew someone who was around 400lbs and lost about 100 just to gain it all back plus some. She had the sleeve though. My doctor says he's very confident in both procedures. But, he also says the bypass is the "work horse" of weight loss surgery and he's done loads more of those. I guess that doesn't mean anything....I dno. Just scared to be honest

The big difference is dumping syndrome. With Bypass the pyloric valve is not usable. So whatever food you eat drains straight into the small intestine through a created connection to the stomach. The small intestine cannot handle sugars. And reacts badly to exposure.

With th the DS the pyloric valve is left intact and functions normally. This prevents dumping syndrome and produces a much more pleasant experience with sugar, for sugar addiction this can be bad but the Malabsorption caused by the DS mitigates. Keep in mind refined sugar causes the infamous gas and loose stool. I consider that motivation enough to stay away.

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The big difference is dumping syndrome. With Bypass the pyloric valve is not usable. So whatever food you eat drains straight into the small intestine through a created connection to the stomach. The small intestine cannot handle sugars. And reacts badly to exposure.

With th the DS the pyloric valve is left intact and functions normally. This prevents dumping syndrome and produces a much more pleasant experience with sugar, for sugar addiction this can be bad but the Malabsorption caused by the DS mitigates. Keep in mind refined sugar causes the infamous gas and loose stool. I consider that motivation enough to stay away.

Thank you. That's great information.


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I'm also going back and forth between the two surgeries. I'm leaning towards the one and done. I'm reading that a lot of surgeons will lean you in the direction of their expertise which is Sleeve or Bypass my thought is to go with their recommendation since they are not confident in performing the DS. Being self pay I'll choose the DR that is confident in doing the DS and has performed enough with great reviews. I'm leaning towards Dr A Lopez but am going back and forth on Facility.


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I'm also going back and forth between the two surgeries. I'm leaning towards the one and done. I'm reading that a lot of surgeons will lean you in the direction of their expertise which is Sleeve or Bypass my thought is to go with their recommendation since they are not confident in performing the DS. Being self pay I'll choose the DR that is confident in doing the DS and has performed enough with great reviews. I'm leaning towards Dr A Lopez but am going back and forth on Facility.




My doctor is very confident in both. He told me my best options were ds or bypass and the choice was up to me. The fact that not many doctors offer it kind of concerns me. I've heard so many stories about gastric bypass not working. People gain all their weight back. Can't imagine going through all this and having that be the outcome.


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My doctor is very confident in both. He told me my best options were ds or bypass and the choice was up to me. The fact that not many doctors offer it kind of concerns me. I've heard so many stories about gastric bypass not working. People gain all their weight back. Can't imagine going through all this and having that be the outcome.



Not every surgeon does the DS because of its complexity. Bypass has been around for a long time so they consider it the "gold standard" but I wouldn't necessarily say that makes it better. As mentioned another commenter, DS doesn't have dumping which is a plus in my book [emoji4]


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Not every surgeon does the DS because of its complexity. Bypass has been around for a long time so they consider it the "gold standard" but I wouldn't necessarily say that makes it better. As mentioned another commenter, DS doesn't have dumping which is a plus in my book [emoji4]



Very true! I was told there was equal risk of dumping with either surgery. (Not by my surgeon).


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38 minutes ago, SIPS in Seattle said:


Not every surgeon does the DS because of its complexity. Bypass has been around for a long time so they consider it the "gold standard" but I wouldn't necessarily say that makes it better. As mentioned another commenter, DS doesn't have dumping which is a plus in my book

Actually the DS is the same in complexity as Bypass, it's just different. DS is actually older than Bypass but the current iteration of the DS is different. The surgeons have learned from past mistakes and made adjustments. The complications from surgery are minimal. Statistics show the number one cause of post WLS complications is patients non compliance with dietary restrictions.

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