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Post by jillybean720 on Dec 20, 2011 9:06:41 GMT -5
I have, by technical definition, a DS. However, my common channel is so long (likely in the neighborhood of 350cm) that I really only have about the amount of malabsorption of a proximal RNY. Yet, I have a VSG stomach, not a pouch, so I also maintain a short bit of duodenum in the alimentary tract.
I usually refer to myself as a DS with super long common channel or a VSG plus a little bit of intestinal malabsorption. By now, at more than 2 years out, I assume I am not malabsorbing ANY calories (a la proximal RNY), so I view myself as essentially a VSGer who takes a few extra supplements.
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Post by wanttolose on Dec 22, 2011 7:01:44 GMT -5
Why such a long common channel? Was it a surgery a la carte just for you or is it available to all?
I discussed the DS possibility with Dr Gagner and he said he thought it would make me too thin. But maybe with a longer common channel that would not be the case?
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Post by jillybean720 on Dec 23, 2011 7:08:17 GMT -5
It was a surgical issue (sort of) - the surgeon's reason/excuse was that I had too many dense adhesions from a prior open abdominal surgery (emegency ovarian cyst removal when I was 16). There's more to the story than that, but the rest is basically just drama and hospital politics that led many of us (as his patients) to believe he was more concerned about finishing a surgery quickly than correctly. Of the last 3 full DSes he performed, there was my "modified" one, one who woke up with only a VSG, and one that was done as expected. After that, he stopped performing the DS completely and even called a friend of mine to cancel her procedure that was scheduled for just a few weeks later. So, there was more to it than just some adhesions, obviously, but that was the story he fed me, even though he also told me he took DOWN the adhesions, so...
I personally wouldn't recommend the super long common channel. At that point, just get a VSG since the caloric malabsorption will only be temporary. I know one DS surgeon routinely does a 200cm common channel, and I wouldn't voluntarily opt for much longer than that. The general line of thought for most DSers is that it's the VSG that primarily helps us LOSE the weight and the intestinal switch that helps keep it off.
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Post by Michelle J on Dec 27, 2011 13:22:12 GMT -5
I have, by technical definition, a DS. However, my common channel is so long (likely in the neighborhood of 350cm) that I really only have about the amount of malabsorption of a proximal RNY. Yet, I have a VSG stomach, not a pouch, so I also maintain a short bit of duodenum in the alimentary tract. I usually refer to myself as a DS with super long common channel or a VSG plus a little bit of intestinal malabsorption. By now, at more than 2 years out, I assume I am not malabsorbing ANY calories (a la proximal RNY), so I view myself as essentially a VSGer who takes a few extra supplements. So Jillybean, with the longer common channel, how has your maintenance been? Have you had a larger than your average DSer bounceback?
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ava
New Member
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Post by ava on Dec 27, 2011 19:53:14 GMT -5
i'm very curious aboutthat too..
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Post by jillybean720 on Jan 4, 2012 11:50:13 GMT -5
Sorry about the delay in responding...
I never reached "goal" (which was a number I picked randomly since my docs never set one for me, and I've not been under 200 pounds since 8th grade, so I have no reference for what a "good" weight would be for my body), but I also never had any bounceback. I got down into the 180s (from a weight of 308.5 on the morning of surgery) and stayed there.
Now I'm 28 weeks pregnant, so all bets are off - I'm up to about 197, but that's obviously not "bounceback" weight regain. I've only gained about 11 pounds since pre-pregnancy, which my doc says is awesome. About 12 more weeks to go...
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Post by Michelle J on Jan 4, 2012 12:11:33 GMT -5
Sorry about the delay in responding... I never reached "goal" (which was a number I picked randomly since my docs never set one for me, and I've not been under 200 pounds since 8th grade, so I have no reference for what a "good" weight would be for my body), but I also never had any bounceback. I got down into the 180s (from a weight of 308.5 on the morning of surgery) and stayed there. Now I'm 28 weeks pregnant, so all bets are off - I'm up to about 197, but that's obviously not "bounceback" weight regain. I've only gained about 11 pounds since pre-pregnancy, which my doc says is awesome. About 12 more weeks to go... Congratulations on your pregnancy. I wouldn't have any idea what a healthy weight for me would be. I've been over 200 lbs since starting highschool, and over 300 lbs since college.
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Post by jillybean720 on Jan 4, 2012 21:19:08 GMT -5
I wouldn't have any idea what a healthy weight for me would be. I've been over 200 lbs since starting highschool, and over 300 lbs since college. Yup, that's me exactly! I remember being so ashamed of seeing my weight break 200 pounds before I even started high school. The first time I recall seeing 300+ in a scale was about a year after finishing college, but it could very well have been sooner - I didn't always own a scale!
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