Newbie question:

[Mojave blue]

Hello again everybody, pre-op newbie here with a question: I'm a 43.6 BMI and was wondering if done of you had wanted VSH and were steered towards the RNY, DS or another procedure? Also if there is an area of the forum where I should be directed, I thank you, as navigation on my phone is a bit spotty. Thanks again...

 

[DSRIGGS]

VSH?

There is only one bariatric procedurebthatbworks long term and that is the DS.

 

[Clematis]

I think you mean VSG? (Just the sleeve?) ^^^ as Scott says, get the DS. That's the only one where there is data to support success.

We usually find it the other way around. The patient wants DS (with two anastomoses) but the surgeon doesn;t do it and tries to foist off inferior surgeries, such as the VSG, the butchery that is RNY, or lies and says the surgery known alternatively as the SADI, SIPS, Loop DS is a true DS.

 

[southernlady]

Virgin DS'er here...back when I had mine, Medicare only had three options...the lap band (not no but HELL NO), the RNY (I'd rather stay fat) and the DS.

IF the VSG had been an option, I might have considered it but I was 56 and had been dieting since I was 12. JUST restriction wasn't a good option for me. Losing weight was fairly easy but keeping it off was my issue. It always came back home to roost and brought friends. In fact, I had actually stopped dieting and just ate to my glucose meter (I was a type 2 insulin pump dependent diabetic) and managed to hold my weight steady (within a 10 lb range) for over 7 years without dieting. I would go up and down that 10 lbs but it was reasonable. Why I decided on surgery was my insulin requirements were climbing to maintain steady.

Bottom line, the VSG would have failed me long term.

 

[hilary1617]

Hi and welcome @Mojave blue !

I had the Duodenal Switch in 2012 and consider it one of the best decisions of my life. I have successfully maintained a desirable weight for four years.

I recommend Full, two anastomoses Duodenal Switch (DS) to friends and family members who:

• Commit to the nutritional supplementation (maintaining high protein diet and taking multiple special vitamins daily for life) and routine (at least semiannual) blood testing to confirm nutritional status, AND

• • Are chronically overweight / obese and:
    • Are diabetic, prediabetic, or insulin-resistant, and/or
    • Do not do well on restrictive diets. OR

• • Are morbidly obese / supermorbidly obese.

I recommend Vertical Sleeve Gastrectomy (VSG) to friends and family members who:

• Are chronically overweight / obese and:
  • Don't have a lot of weight to lose (say, under 50 lbs),
  • Are not diabetic, prediabetic, or insulin-resistant and
  • Have a history of doing well on restrictive diets. OR

• Are morbidly obese / supermorbidly obese, but are not qualified to have the Duodenal Switch because they:
  • Cannot commit to the nutritional supplementation (maintaining high protein diet and taking multiple special vitamins daily for life) and routine (at least semiannual) blood testing to confirm nutritional status, and/or
  • Are physically unable to tolerate the Duodenal Switch procedure for medical reasons.

I recommend SADI, SIPS / Loop DS to persons who:

• Fully understand the risks of being a pioneer patient undergoing an experimental procedure for which long term weight loss maintenance results and complications rates are not yet known AND

• Are chronically overweight / obese, but who:

• • Don't have a lot of weight to lose (say, under 50 lbs),
    • Are not diabetic, prediabetic, or insulin-resistant and
    • Have a history of doing well on restrictive diets. OR

• • Are morbidly obese, but are interested in a procedure with less fat malabsorption than the traditional DS

I do not recommend Roux-N-Y or Lapband for anyone.

Wishing you the best on your journey!
Hilary