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Post by angelcake on Jan 1, 2012 10:17:06 GMT -5
Do they just wash it out and leave it floating around? TIA  |
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Deleted
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Post by Deleted on Jan 1, 2012 10:35:51 GMT -5
Do they just wash it out and leave it floating around? TIA Huh? Do you mean stomach left behind...the remnant stomach of the RnY? |
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Post by hoosiermama on Jan 1, 2012 10:39:11 GMT -5
It is all still connected and still in use. I'm sure some of the guys out here have pictures but imagine a garden hose as the small intestine. A cut is made in the hose and that goes the gall bladder, liver area and is attached to the large intestine. This carries the digestive juices. The rest of the hose goes from the stomach to a lower part of the hose that carries the food. The part of the hose that gets the food and the digestive juices is known as the common channel.
You really need a pic to understand....
me
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Post by angelcake on Jan 1, 2012 10:47:28 GMT -5
I was referring to the bypased part of the intestine. I was imagining it was left floating around in the abdominal cavity somewhere. My DH was concerned as the surgeon I'm likely to go to doesn't require any form of 'cleanse' the day before (and yes he's listed on dsfacts.com) Do they just wash it out and leave it floating around? TIA Huh? Do you mean stomach left behind...the remnant stomach of the RnY? |
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Post by angelcake on Jan 1, 2012 10:51:20 GMT -5
Thanks - that seems to have made sense to DH although I'm still a little confused.  It is all still connected and still in use. I'm sure some of the guys out here have pictures but imagine a garden hose as the small intestine. A cut is made in the hose and that goes the gall bladder, liver area and is attached to the large intestine. This carries the digestive juices. The rest of the hose goes from the stomach to a lower part of the hose that carries the food. The part of the hose that gets the food and the digestive juices is known as the common channel. You really need a pic to understand.... me |
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Post by Joanne on Jan 1, 2012 11:01:06 GMT -5
Thanks - that seems to have made sense to DH although I'm still a little confused. It is all still connected and still in use. I'm sure some of the guys out here have pictures but imagine a garden hose as the small intestine. A cut is made in the hose and that goes the gall bladder, liver area and is attached to the large intestine. This carries the digestive juices. The rest of the hose goes from the stomach to a lower part of the hose that carries the food. The part of the hose that gets the food and the digestive juices is known as the common channel. You really need a pic to understand.... me There's no part of your intestines left "floating around". Nothing is removed, just "re-routed". Think of it this way. Before surgery, your small intestine is one long tube, going from your stomach to your large intestine. The surgery takes that single long tube and cuts and reattaches it to make it into the shape of a "Y". Of the two top branches of the "Y", one is called the bilio-pancreatic limb and it carries the digestive enzymes from your liver and your pancreas. The other is called the alimentary limb and it carries food from your stomach. Those two branches meet at the base of the "Y" which is called the common channel. The purpose of this is as follows: Because food is not passing through your entire intestine, your body doesnt have the time to absorb all of the calories and nutrients in some of the things you eat. Food only goes through the branch of the "Y" called the alimentary limb. Food does not travel the bilio-pancreatic limb. Fat digestion requires those digestive enzymes from the bilio-pancreatic limb to mix with the food from the alimentary limb, and that only happens at the base of the Y (the common channel). That is why we only absorb an average of 20% of the fat we eat. There's also metabolic effects, and much more complex things going on with digestion in the terms of what part of your intestines absorb what type of nutrients and calories, but the above is the most simple way I can think to explain it. |
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allraindrops
Junior Member
Posts: 94
Surgery Type: DS
Surgery Date: Dec 19, 2011
Surgeon: Dr. Lakdawala
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Post by allraindrops on Jan 1, 2012 11:04:53 GMT -5
My surgeon didn't require a cleanse either....I almost wanted one just to make sure I was clean as a whistle up in there! Still kicking so far, about 2 weeks out....
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joanlaptods
Full Member
DS Mar 9,2011 Dr Gagner
Posts: 192
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Post by joanlaptods on Jan 1, 2012 11:05:44 GMT -5
The intestine is not really bypassed as it is still connected to the bile ducts and picks up the pancreatic enzymes for digestion. It joins at the common channel with the intestine which carries food from the stomach hence the common channel is where absorption of the calories takes place. There is no blind loop as it can be scoped through the connection. The movement of pancreatic juices/bile prevents atropy of the cells in the walls of that part of the intestine.
My surgeon did not require a bowel prep either probably because their surgical tools make it unnecessary.
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Deleted
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Post by Deleted on Jan 1, 2012 11:06:38 GMT -5
Thanks - that seems to have made sense to DH although I'm still a little confused. There's no part of your intestines left "floating around". Nothing is removed, just "re-routed". Think of it this way. Before surgery, your small intestine is one long tube, going from your stomach to your large intestine. The surgery takes that single long tube and cuts and reattaches it to make it into the shape of a "Y". Of the two top branches of the "Y", one is called the bilio-pancreatic limb and it carries the digestive enzymes from your liver and your pancreas. The other is called the alimentary limb and it carries food from your stomach. Those two branches meet at the base of the "Y" which is called the common channel. The purpose of this is as follows: Because food is not passing through your entire intestine, your body doesnt have the time to absorb all of the calories and nutrients in some of the things you eat. Food only goes through the branch of the "Y" called the alimentary limb. Food does not travel the bilio-pancreatic limb. Fat digestion requires those digestive enzymes from the bilio-pancreatic limb to mix with the food from the alimentary limb, and that only happens at the base of the Y (the common channel). That is why we only absorb an average of 20% of the fat we eat. There's also metabolic effects, and much more complex things going on with digestion in the terms of what part of your intestines absorb what type of nutrients and calories, but the above is the most simple way I can think to explain it. Joanne, this is quite possibly the best explanation I've ever read of what happens to the intestine when a DS is performed. Exaltation for you, baby!  |
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Post by Joanne on Jan 1, 2012 11:15:28 GMT -5
There's no part of your intestines left "floating around". Nothing is removed, just "re-routed". Think of it this way. Before surgery, your small intestine is one long tube, going from your stomach to your large intestine. The surgery takes that single long tube and cuts and reattaches it to make it into the shape of a "Y". Of the two top branches of the "Y", one is called the bilio-pancreatic limb and it carries the digestive enzymes from your liver and your pancreas. The other is called the alimentary limb and it carries food from your stomach. Those two branches meet at the base of the "Y" which is called the common channel. The purpose of this is as follows: Because food is not passing through your entire intestine, your body doesnt have the time to absorb all of the calories and nutrients in some of the things you eat. Food only goes through the branch of the "Y" called the alimentary limb. Food does not travel the bilio-pancreatic limb. Fat digestion requires those digestive enzymes from the bilio-pancreatic limb to mix with the food from the alimentary limb, and that only happens at the base of the Y (the common channel). That is why we only absorb an average of 20% of the fat we eat. There's also metabolic effects, and much more complex things going on with digestion in the terms of what part of your intestines absorb what type of nutrients and calories, but the above is the most simple way I can think to explain it. Joanne, this is quite possibly the best explanation I've ever read of what happens to the intestine when a DS is performed. Exaltation for you, baby!  |
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Post by hoosiermama on Jan 1, 2012 11:17:06 GMT -5
My surgeon didn't require a cleanse prior to surgery. I asked because i was concerned that I'd have a turd floating around in there and for some reason would find that horribly embarrassing. I was told that the clear liquid fast prior to surgery made the small intestine cleaned out and that turds form in the large intestine (it's been like 30 years since my last biology class). I'm still new out but I love my DS. It's so easy to recognize my head eating from hunger now because I have no hunger. My body is still adjusting and it's probably going to take a year for it to really adapt. I spent all that time being sick from being overweight, I can wait for my body to heal  No more diabetes and no more high blood pressure. I'm waiting to see what my cholesterol will be me |
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Post by angelcake on Jan 1, 2012 11:23:21 GMT -5
Hi Joanne, many thanks for that. Thanks - that seems to have made sense to DH although I'm still a little confused. There's no part of your intestines left "floating around". Nothing is removed, just "re-routed". Think of it this way. Before surgery, your small intestine is one long tube, going from your stomach to your large intestine. The surgery takes that single long tube and cuts and reattaches it to make it into the shape of a "Y". Of the two top branches of the "Y", one is called the bilio-pancreatic limb and it carries the digestive enzymes from your liver and your pancreas. The other is called the alimentary limb and it carries food from your stomach. Those two branches meet at the base of the "Y" which is called the common channel. The purpose of this is as follows: Because food is not passing through your entire intestine, your body doesnt have the time to absorb all of the calories and nutrients in some of the things you eat. Food only goes through the branch of the "Y" called the alimentary limb. Food does not travel the bilio-pancreatic limb. Fat digestion requires those digestive enzymes from the bilio-pancreatic limb to mix with the food from the alimentary limb, and that only happens at the base of the Y (the common channel). That is why we only absorb an average of 20% of the fat we eat. There's also metabolic effects, and much more complex things going on with digestion in the terms of what part of your intestines absorb what type of nutrients and calories, but the above is the most simple way I can think to explain it. |
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Post by angelcake on Jan 1, 2012 11:25:25 GMT -5
Having a blind loop that couldn't be scoped was a concern of mine as that's one that seems scary with the RNY stomach. Thanks for allaying that concern.  The intestine is not really bypassed as it is still connected to the bile ducts and picks up the pancreatic enzymes for digestion. It joins at the common channel with the intestine which carries food from the stomach hence the common channel is where absorption of the calories takes place. There is no blind loop as it can be scoped through the connection. The movement of pancreatic juices/bile prevents atropy of the cells in the walls of that part of the intestine. My surgeon did not require a bowel prep either probably because their surgical tools make it unnecessary. |
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Post by angelcake on Jan 1, 2012 11:30:12 GMT -5
I don't have to do clear liquids on anything like that though pre-op, so I don't know what'll happen with me. BTW the bit quoted made me laugh and that's worthy of an exalt in my book. My surgeon didn't require a cleanse prior to surgery. I asked because i was concerned that I'd have a turd floating around in there and for some reason would find that horribly embarrassing. I was told that the clear liquid fast prior to surgery made the small intestine cleaned out and that turds form in the large intestine (it's been like 30 years since my last biology class). me |
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Post by scoob on Jan 1, 2012 12:14:43 GMT -5
please go to dsfacts.com and read everything there BEFORE you have surgery. And stick around here. There is a wealth of info that every DSer should be required to learn on dsfacts.com. So glad you're here and asking questions. It is so important to have an understanding of what is going to be done to you. And the vets here play a vital role in my post op life. Things have been a lot easier with their guidance. Good luck to you and happy reading!!
Ruby
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Deleted
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Post by Deleted on Jan 1, 2012 12:20:03 GMT -5
I was referring to the bypased part of the intestine. I was imagining it was left floating around in the abdominal cavity somewhere. My DH was concerned as the surgeon I'm likely to go to doesn't require any form of 'cleanse' the day before (and yes he's listed on dsfacts.com) Huh? Do you mean stomach left behind...the remnant stomach of the RnY? Not to worry about no cleanse. Many surgeons don't require them. |
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Post by angelcake on Jan 1, 2012 12:52:27 GMT -5
Good to know, thanks. I was referring to the bypased part of the intestine. I was imagining it was left floating around in the abdominal cavity somewhere. My DH was concerned as the surgeon I'm likely to go to doesn't require any form of 'cleanse' the day before (and yes he's listed on dsfacts.com) Not to worry about no cleanse. Many surgeons don't require them. |
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Deleted
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Post by Deleted on Jan 1, 2012 13:09:04 GMT -5
Good to know, thanks. Not to worry about no cleanse. Many surgeons don't require them. You and your DH need to look at some good graphics to get an idea of what you're getting into. No offense, but it doesn't sound like you really understand what you are about to do. Start here. Use the slider to see before and after: www.dssurgery.com/procedures/compare-weight-loss-surgical-procedures.php |
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huskerchad
Full Member
Gentleman. Scholar. DS'er.
Posts: 194
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Post by huskerchad on Jan 1, 2012 15:01:45 GMT -5
I did not have to do a cleanse, though for I think 12 or so hours before surgery I was supposed to be on clear liquids. As Sue says, please research a little bit more about how your digestive system works and how it will be modified. You want to know these things in case you ever end up in an ER where they don't understand the configuration. Do you really want to be there with a possibly life-threatening condition and be unable to tell them what your insides look like?
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Post by sherbearmama on Jan 1, 2012 17:59:41 GMT -5
Definitely start reading up on the anatomy of this surgery. It helped me understand how long the doc wanted to make my common channel etc. It's important to know and understand. My surgeon said that all of his DS patients seemed to know all about the anatomy of a DS.
My husband too wanted to know more about the anatomy when I first started this process. I wish you luck!!!! And I wouldn't worry about the lack of bowel cleansing. I'd just go with the surgeons advice and let go--there'll be lots more to be embarrassed about than having poop in your intestines like being naked on the operating table, like waking up and farting uncontrollably or having stinky diarrhea. Really, you get over it all by the time you're out of the hospital--or at least I did.
:-)
Sheri
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Post by shann_ds on Jan 1, 2012 20:05:54 GMT -5
Joanne, I agree...exalt!!
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Post by angelcake on Jan 2, 2012 5:56:23 GMT -5
Many thanks for all the replies everyone. Sue, the picture was very helpful and flicking to and from the before and after on the link you supplied.
Thanks to the others who also said they didn't have a cleanse either (I'd read a bit about cleanses but nothing about people not having them).
I think a small printout for my purse with my anatomy would be a good idea. The only time I was admitted to the ER I was in a coma (serious car crash).
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Post by fullhousemom on Jan 2, 2012 12:07:52 GMT -5
My doctor gave me a card that sits in my wallet, that explains that I have had the DS, complete with a colorful picture of the DS, and his name, phone number, etc. I will carry it with me FOREVER!
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momx4
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Post by momx4 on Jan 2, 2012 13:47:28 GMT -5
Way to go Joanne, I have seen the pics, and had a basic understanding but yours made ALOT more since for some reason!!
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Post by switched4life on Jan 2, 2012 17:30:53 GMT -5
My surgeon did not require a cleanse or anything else special before surgery...just the usual no eating or drinking after midnight the night before. And everything worked out fine. And, yeah, you get used to the concept of being seen by strangers in the most unflattering situations real fast. I'm a guy, and not a young one, and it was...unusual...at first when nurses both female and male wanted to check on...and then remove...the catheter I initially had in the penis after surgery. Then you realize that they care about you, not those types of things. That's just a regular day at work for them.
Michael
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trxxyy
Full Member
Your Mom
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Post by trxxyy on Jan 2, 2012 18:11:27 GMT -5
My doctor gave me a card that sits in my wallet, that explains that I have had the DS, complete with a colorful picture of the DS, and his name, phone number, etc. I will carry it with me FOREVER! My doc gives those out too, in fact, his business card has the DS anatomy graphic along with the sleeve and normal anatomy. The other card he gave me is for medical care professionals and lists his contact info along with the technical breakdown of the surgery and that a CT scan with contrast is needed if a bowel obstruction is suspected. I went to urgent care this morning with kidney pain and handed them my card along with a flash drive (contains OR report, all labs and lab spreadsheet and my list of meds and supplements). I could not help but laugh when I first gave it to the nurse and he looked it over with a very perplexed look on his face. |
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No more diabetes and no more high blood pressure. I'm waiting to see what my cholesterol will be 
