Fat malabsorption over time DS vs. SADI-S

[DonRobbie]

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/

 

[southernlady]

Excellent find. They need to make the study larger because such a small group does not necessarily transmit to a larger group.

 

[Munchkin]

Makes sense to me!!!

 

[DianaCox]

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!

 

[Munchkin]

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

 

[Duckman]

https://www.ncbi.nlm.nih.gov/pubmed/758149
https://www.ncbi.nlm.nih.gov/pubmed/6675178
Takes 7 hours to test https://www.gpnotebook.co.uk/simplepage.cfm?ID=-1013317580&linkID=18&cook=no
Explains how it works https://worldwidescience.org/topicpages/b/breath+tests+principles.html

Neat stuff

 

[Munchkin]

https://www.ncbi.nlm.nih.gov/pubmed/758149
https://www.ncbi.nlm.nih.gov/pubmed/6675178
Takes 7 hours to test https://www.gpnotebook.co.uk/simplepage.cfm?ID=-1013317580&linkID=18&cook=no
Explains how it works https://worldwidescience.org/topicpages/b/breath+tests+principles.html

Neat stuff

I agree but did you read the percentages of false positives??? I wonder if there is something else out there I missed!

 

[DonRobbie]

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.

 

[southernlady]

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.

 

[Munchkin]

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?????

 

[Munchkin]

This is not good news. If you malabsorbtion is gone or on the way out at 1 year, think VERY hard before you settle for this!

https://obesityweek.com/abstract/ph...ngle-anastomosis-duodeno-ileal-bypass-sadi-s/

Posted it again so you will read it twice!

 

[galaxygrrl]

Well, I think most people who chose that surgery were sold the surgery and would not have picked it if they understood the choice.

 

[LindaDarnell]

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

 

[southernlady]

Well, I think most people who chose that surgery were sold the surgery and would not have picked it if they understood the choice.

Many have their ears closed and refuse to believe that their surgeon is out to make money.

 

[Liz]

This is not good news. If you malabsorbtion is gone or on the way out at 1 year, think VERY hard before you settle for this!

https://obesityweek.com/abstract/ph...ngle-anastomosis-duodeno-ileal-bypass-sadi-s/

Posted it again so you will read it twice!

I have been trying to open this link and it tells me, and when it opens I get a message, saying, page not found. Is there another website address for this link please? Thanks Liz O