BigJohn58

Smoking hot what a transition congrats Sent from my Bat Phone using the BariatricPal App

Thank you very much I appreciate the input and best of luck to you and continued success. Sent from my Bat Phone using the BariatricPal App

Thanks MaryCatherine but I really don't have a situation the first day I went in for my consultation I was a bit confused because I thought he would recommend the Gastric Sleeve instead he recommended the DS. But after reading on this forum and talking to other people I decided I'm definitely going with the Gastric Sleeve for my own reasons. Thanks for your input. Sent from my Bat Phone using the BariatricPal App

In US vernacular, the biliopancreatic diversion with duodenal switch (BPD/DS) is the same thing as what is commonly called the DS. Back in the good ol' days there was a European procedure developed by Dr. Scopinaro that was called the BPD, which was a similar intestinal rerouting combined with a large pouch like stomach similar to the RNY gastric bypass, only larger. Typically the common channel was fairly short (50cm, IIRC) for a high degree of malabsorption, but low restriction, and typically the nutritional problems that went along with it. The BPD was never adopted in any numbers in the US, but was used as the basis of what is today the DS, which combines a sleeve gastrectomy with the switch type of intestinal bypass, typically with a common channel length of around 100cm, give or take, for a moderate level of malabsorption along with moderate restriction and milder nutritional impact (the DS typically uses a larger sleeve than the stand alone VSG.) When seeking approval from the industry (ASBS, precursor to today's ASMBS), Dr. Scopinaro insisted that the DS be referred to as the "BPD with DS" as a link to his BPD, hence maintaining credit for his contribution. The early DS docs generally agreed to keep him quiet, but this caused no end of problems with patients trying to get approval for the BPD/DS after most of the US insurance industry had soundly rejected the BPD due to its nutritional problems. In short, BPD/DS=DS, just two different names for the same thing, much like we have the VSG, sleeve, VS. and VG all referring the the stand alone sleeve gastrectomy. However, the BPD/DS or DS should not be confused with the new kid on the block, the SIPS/SADI/"loop DS" which has its own merits and de-merits and should be considered on its own as a distinct option to the VSG, DS and RNY. Hey Rick thanks for the edgeamaction lol All kidding aside thanks brother for the great information.. Sent from my Bat Phone using the BariatricPal App

I'm a newbie here so I won't offer any medical advice except call your doctor don't take any chances if your worried..I will pray for you Sent from my Bat Phone using the BariatricPal App

Well said brother I agree with you. Sent from my Bat Phone using the BariatricPal App

I have to check that out thanks. Sent from my Bat Phone using the BariatricPal App

I have no Gerd he just thought I would lose more weight with the DS I'm at 60bmi.. Tonight I read on the 400 plus forum plenty people lost 200 and 300lbs with the sleeve. I read with the bypass there is more maintenance and post op doctor visits than the sleeve.I'm petrified of having my stomach rerouted. Thank goddess for this forum and all you great people. Sent from my iPhone using the BariatricPal App I am glad I was sleeved! I went in June 15th 2015 for my consult and wanted bypass. But my surgeon said sleeve would be best for me. I'm glad because my mom had bypass when they first started doing them and she has had nothing but problems with needing more surgeries. Plus I didn't really want my intestines re routed. So, anyways I had tests to do and I got surgery set for June 14th 2016 almost one yr to the day I had my first consult. I better get off this is getting lengthy. Take care! Oh and definitely get a second opinion. Out of those weight loss surgeries I feel the sleeve is the best option. Sent from my Z959 using the BariatricPal App Thanks so much I appreciate your insight Sent from my Bat Phone using the BariatricPal App

So true! Sent from my Bat Phone using the BariatricPal App

Wow that's awesome thanks Sent from my Bat Phone using the BariatricPal App

Congrats Sent from my Bat Phone using the BariatricPal App

Doxaholic I can't thank you enough for for all the good information. I can relate to a few things you said and I hope and pray things work out for you. I have never heard of the biliopancreatic diversion. I feel in my case I have to also get my mind right because all the surgeries in the world and I will eventually gain weight if I don't retrain my mind.. I'm going to keep going to a therapist to help with the brain lol I seen people that lost 300lbs with the band and keep it off. I guess it's what you put into it. I never had surgery and it bothers me that I couldn't do it myself. I need this tool so I can get a jump start.. Thanks again brother stay in touch. Where do you live? I'm in New Joisey Take care Sent from my Bat Phone using the BariatricPal App

Very inspiring thanks for sharing I'm just getting started in my journey Sent from my Bat Phone using the BariatricPal App

Very powerful post Cathy thanks so much for sharing that it's truly inspiring. I'm in the preop test mode and there are days my mind is doing tricks on me trying to discourage me but it's not going to happen especially when I read post like your. God Bless Sent from my Bat Phone using the BariatricPal App

Thanks so much Genn right back.. Sent from my Bat Phone using the BariatricPal App

Point well taken but I been reading so many success stories of people with as much or more weight to lose with similar things wrong with them and they are all successful with the Gastric sleeve. If for some reason things don't work out I can always do the switch at a later time. I'm going to do this. Thanks for your comments Sent from my Bat Phone using the BariatricPal App

Rosey after that surgery your going to become a cougar lol What state do you live in. Sent from my Bat Phone using the BariatricPal App

I'm just starting out with my journey I don't even have a surgery date I have so many pre op appointments. Listen I'm 58 I should of done this 15 years ago before my sleep apnea and my diabetes. You were smart to do it now while your young. My brain needs a gastric sleeve as well as my stomach. So that's why I will continue going to a therapist and meetings to keep your brain in step with our stomach lol I'm learning here everyday and the wealth of knowledge on this forum is awesome. I think women get more emotional than men with that said I'm the last person that would ever go for weight loss surgery but it took me this long to realize this is a disease and has to be treated as such. I try to envision myself thin and healthy again and buy clothes from a regular store and not the Big and tall shop. Keep your eye on the prize kiddo good look Sent from my iPhone using the BariatricPal App

Yes that helps tremendously thanksWhat a bunch of awesome people this forum is great. Sent from my iPhone using the BariatricPal App

Great comments thanks so much.. Sent from my iPhone using the BariatricPal App

Well said Lisa congrats I'm just starting my journey and have to get through all the preop testing but after reading your post I know it's all going to be worth it. Sent from my iPhone using the BariatricPal App

Everyone on this forum has failed at losing weight that's why we're here trying again. You fell off the wagon it's not the end of the world you can do it. You had the guts to write this post and that took a lot of guts. I'm going to pray for you. Sent from my iPhone using the BariatricPal App

Great topic this definitely pertains to me especially late night watching a good show on tv and the one of many fast food commercials come on. I would pay extra per month not to get the food commercials lol. And Alex I gotten so ravenous late a night after watching a fast food commercials I would drive to White Castle for some White Casket burgers at midnight lol Sent from my iPhone using the BariatricPal App

Alex I can't thank you enough for the great comments and the great people on the forum that are so willing to help.Thanks for all you do to make this website possible. I read today on one of the forums that I think it was a Dr Nausbaum I believe in NJ has a App that you can send him messages along the way during your journey to WLS.. if you have questions or concerns to stay in touch with your surgeon I thought that was a great idea. I don't take surgery lightly call me a chicken but I do have questions that I think of I would like to ask and I will next week. I'm in Central Jersey and had many choices either NYC Philadelphia or NJ.. I not only wanted the experience of a great doc but the Hospital that can accommodate a 6ft2 450 man in every way including radiology and big beds things like that. Alex its a real honor that you took the time out of your busy day to comment on my weight loss journey. Best regards John Sent from my iPhone using the BariatricPal App

I'm glad you chimed in so I can thank you I sent a message to all you recommended to contact. Thanks again Sent from my iPhone using the BariatricPal App