Fat malabsorption over time DS vs. SADI-S

DonRobbie

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https://obesityweek.com/abstract/ph...ngle-anastomosis-duodeno-ileal-bypass-sadi-s/
Link no longer works
100 cm Common channel on the DS patients, 300 CM on the SADI-S
Money quote:
"Breath test for fat malabsorption showed pathological results in 77.78% of patients of DS and 60% of SADI-S after 3 months. At 12 months, these pathological results were found in 85.7% of DS patients, but no SADI-S patients had fat malabsorption. "

Admin note: http://www.soard.org/article/S1550-7289(17)30428-8/pdf#/article/S1550-7289(17)30428-8/fulltext This article is only available as paid. Way too pricey for my budget. There is another article that breaks down things

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174167/
 
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So basically, SADI/SIPS/LoopDS patients are being sold a LIE. The basic purpose of the DS is selective fat malabsorption, and the SADI provides ZERO FAT MALABSORPTION after 12 months.

So it is NOTHING like a DS, and the surgeons who advertise it as such are LYING!
What do you know about this breath test for fat malabsorbtion? Is this it??? https://www.ncbi.nlm.nih.gov/pubmed/758149
 
What I wondered about is the implications for vitamins and diet for SIPS patients, because their bodies are changing what and how much they absorb over a fairly brief period of time. For researchers it seems like potentially a confounding factor in studies and for patients it is perhaps another factor to consider in interpreting labs and adjusting supplements. I might be reading to much into it and it'd be nice to have a bigger and more granular dataset.
 
What I wondered about is the implications for vitamins and diet for SIPS patients, because their bodies are changing what and how much they absorb over a fairly brief period of time. For researchers it seems like potentially a confounding factor in studies and for patients it is perhaps another factor to consider in interpreting labs and adjusting supplements. I might be reading to much into it and it'd be nice to have a bigger and more granular dataset.
That would be interesting. I know that we (as DSer's) tell the others to start with the DS Vitalady list for vitamins like all DSer's should and then adjust as you get post op labs. There isn't a SADI et al list and probably never will be.
 
What I wondered about is the implications for vitamins and diet for SIPS patients, because their bodies are changing what and how much they absorb over a fairly brief period of time. For researchers it seems like potentially a confounding factor in studies and for patients it is perhaps another factor to consider in interpreting labs and adjusting supplements. I might be reading to much into it and it'd be nice to have a bigger and more granular dataset.
That's the thing. No one knows. If I was male and a SIPS patient, I doubt I would do the whole vitalady DS package. Just because I was male and men have fewer problems, and because I knew most of my malabsorbtion was going away over time. I would probably start with 2 good multis, D, and a dose of calcium then adjust per my labs.

If they are proving you lose your malabsorbtion after a year..... WHY would anyone choose this surgery?????
 
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Well, I think most people who chose that surgery were sold the surgery and would not have picked it if they understood the choice.
You're absolutely right. Those who choose it are sold on it and don't know differently. It's not unless they stumble upon this board that they learn differently
 

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