canadadser
Member
- Joined
- Mar 6, 2017
- Messages
- 5
Hello,
I'm five years out and I've been struggling for about a year and a half now with severe protein malnutrition and multiple nutritional deficiencies. This came on rather suddenly, after over three years of no nutritional deficiencies and good weight loss, followed by a couple of years of weight stability. I've been hospitalized twice for TPN during this time and recovered significantly, only to slowly over months fall back into severe protein malnutrition and deficiency, despite consuming 150g protein daily and following the Vitalady DS schedule. My medical team is investigating exocrine pancreatic insufficiency and does not see long-term enzyme supplementation as an adequate fix, and I agree.
I'm looking for opinions and research on the difference between common channel lengthening vs. kissing-x revisions. My Canadian surgeon performs both and I'm trying to understand which is more likely to address my specific problems. I currently have a 100cm common channel, 150cm alimentary limb, and the length of my biliopancreatic limb is unknown as I had a 'standard' rather than Hess style DS, but given my height, it could be estimated to be 500cm. My most severe deficiencies are albumin, serum protein, hypoglycaemic A1C levels, calcium, and copper, which has led to a number of hemo problems and weird forms of non-iron deficient anemia.
Any help or advice greatly appreciated!
I'm five years out and I've been struggling for about a year and a half now with severe protein malnutrition and multiple nutritional deficiencies. This came on rather suddenly, after over three years of no nutritional deficiencies and good weight loss, followed by a couple of years of weight stability. I've been hospitalized twice for TPN during this time and recovered significantly, only to slowly over months fall back into severe protein malnutrition and deficiency, despite consuming 150g protein daily and following the Vitalady DS schedule. My medical team is investigating exocrine pancreatic insufficiency and does not see long-term enzyme supplementation as an adequate fix, and I agree.
I'm looking for opinions and research on the difference between common channel lengthening vs. kissing-x revisions. My Canadian surgeon performs both and I'm trying to understand which is more likely to address my specific problems. I currently have a 100cm common channel, 150cm alimentary limb, and the length of my biliopancreatic limb is unknown as I had a 'standard' rather than Hess style DS, but given my height, it could be estimated to be 500cm. My most severe deficiencies are albumin, serum protein, hypoglycaemic A1C levels, calcium, and copper, which has led to a number of hemo problems and weird forms of non-iron deficient anemia.
Any help or advice greatly appreciated!