[Kenyar]

oooh the switch? but i thought that was for revision purpose. man am i confused....DOC????

[Corrine]

Originally Posted by Kenyar

oooh the switch? but i thought that was for revision purpose. man am i confused....DOC????

You and me both!

I need the DOC to explain this one to me.

[MsVickie]

You have brought up somthing I never even referenced before acutally. I know that some Drs make a practice of this and most of them do it outside of the United States. However things are changing alot of ways now that were not done 5 years ago. So DOC is your best bet on this one. I think we discussed this in a earlier post and the surgery had a different name? Im not totally sure now if it was the same procedure. I have a distant cousin that I think has had every surgery known to lose weight. This started at least 20 years ago if not more. Stapling.....the old way, banding.... there was another one shes done. Then open then the sleeve. As you can tell they all failed her in the long run. That is why I think the Bypass is the way to go acutally. She has acutally done a couple of these like for research. AKA guienna Pig.

Now as for your Dr. Talk to him. Ask him why. He might just suprise you with the answer. And you know what... you always have the right to change surgeons even if you have been through all the testing.

[Corrine]

Vickie - there may be a perfectly valid reason as to why they remove the remaining stomach but I won't go down that path.

As already mentioned, I spoke with a member of the surgical team today to ask if it was standard practice to always remove the rest of the stomach. He said that only one of the team does that now, the rest leave it. I'll be seeing one of those next week.

[DocSanae]

Welcome to the board, Corrine.

The explanation for the surgery that removes part of the stomach is in the following post.
http://www.renewedreflections.com/fo...html#post28256
The illustration of the procedure is in the thread Kenayr has linked.

Now, to clarify the confusion.

1) The stomach does produce SOME enzymes necessary for digestion, but NOT the most necessary ones. The major ingredient of stomach juice is acids to break down the outer surface of the food, so the other enzymes can get to work faster.

2) The specific enzymes needed for breakdown and absorbtion of protein and fat are produced by the pancreas and the liver, and excreted through the bile duct into the duodenum, the portion of the small intestines closest to the stomach, so, as long as the liver, the pancreas, their respective ducts (the pancreatic duct opens into the bile duct) and the duodenum are intact, you will be fine.

3) is the reason for the Y bypass--to ensure that the enzymes from the PANCREAS and the LIVER, not the stomach, gets mixed with the food that comes through the pouch.

4) While DS/BPD are usually performed with revision cases, in Europe, that is the most popular type of weight loss surgery, not the Roux-en-Y. So, DS/BPD isn't always for revision, and more surgoens are doing them, and the sleeve gastrectomy without the switch, as the original surgery for weight loss.

5) The number of sleeve gastrectomy is increasing rapidly in the US, and there is an ongoing study sponsored by NIH (in other words, financed by grants from NIH) nationwide (US) to assess and compare the results of this surgery with others.

I hope this helps you understand and get a clearer picture, so you can decide what is best for you.

((((((HUGS)))))) May your journey go well.

[Corrine]

Thank you Doc.

I'm just having a little problem getting my head around exactly what the type of surgery I'm supposed to be having.

I was told it was a RNY with ????? -- it's the ???? I can't remember.

So - is a RNY with BPD?

Sorry to be so dense but I've looked at the pics on the MAMC website that I listed, together with the pic that Kenya gave the link to and the only difference I can see is that the remaining stomach is missing. Both images show no pyloric valve and isn't that part of the DS anyway?

Can anyone else give an idiots version!

[DocSanae]

They are similar, but different.
Check out the following link, the article is from NIH. It's a bit old, so it doesn't have the explanation of sleeve gastrectomy there.
WIN - Publication - Gastrointestinal Surgery for Severe Obesity

The following link is for Cornell Weiss Medical School's bariatric surgery site. Sleeve gastrectomy is explained here. Sleeve gastrectomy leaves the pyloric valve in.
The director, Prof. Michel Gagner is an expert of sleeve gasterctomy.
Weill Cornell Weight Loss Surgery: Healthcare Services

These links might help you understand better.

[beckamarie]

Holy smokes my head hurts after trying to figure that one out. I hope you get the answers you need and are looking for

[Corrine]

You're not alone Becka - I didn't realise there were so many variations of this!

I'm seeing my surgeon next Tuesday - he'd better be good at breaking this down. My head is swimming right now.