Duadenal Switch

[macdiva524 4]

Have any of you had the sleeve with the Duadenal switch? What can you tell me??

[katwooten 3]

Are you talking about the SIPS procedure? I am having it done Thursday.

[macdiva524 4]

From what I can tell the sips is a variation of the Duadenal switch which seems to maybe have less complications?? My surgeon wants me to have the DS. Don't know if he's certified for the sips. Not sure I want the DS due to the rate of postoperative complications. Idk.

[macdiva524 4]

@@kat

How did your surgery go??

[katwooten 3]

I ended up having to have gastric bypass. My surgeon called the day before my surgery and even though insurance had approved my surgery, the surgeon said he was afraid I would be stuck with the bill. He had been talking to other surgeon doing SIPS and the insurance had started having problems with it because of coding. So my doctor was putting the procedure on hold for a while till it was resolved. I did not want to wait after my ten day prepping and me mentally getting ready. I was very disappointed. What is the latest with you?

[macdiva524 4]

I still have one more diet documentation to go. Then it goes to insurance. So hopefully surgery will be in about two months or so. The procedure my dr does turns out is the SIPS after all. But not sure I want to do a new technique. Ya know. Maybe do the RNY since it has a better track record.

[macdiva524 4]

So how are you doing post op??

[MarkieZ 11]

I just found the forum. I started my "liver shrinking" diet for my modified duodenal switch, surgery date Nov. 11th. Is there a forum for us?

In Song, MarkieZ

[pixiechick 4]

Hi I had my DS on Nov 29th I would love to talk to others going through similar stages

Sent from my iPhone using the BariatricPal App

[DuodenalSwitchMan 12]

sipps or a modified DS has only asstinissis (sp?) and 3 meters of the ileum intestines left. My insurance wouldn't pay for it but would pay fior the standard DS, which has two asstunissis and only leave 1 meter of intestines, which causes much more malabsorption and dihirea. My doc did the standard but consulted some fellow surgeons at a conference the week before and just left 3 meters rather than the one, meter of the standard, which made me extremely happy, since with SIPS there can be "backwash" issues or the bile/chum moving back behind the stomach's asstinissis. (So sorry about my spelling of the sewing of the intestines to itself). I vlog, too, so feel free to learn more. http://www.youtube.com/playlist?list=PLNUyvSuQuzZETcJLYdyPrhqvF5XvuJHHv 4 weeks post op. H265 s219 c189 g150. 56 male 5'6"

Edited December 8, 2016 by DuodenalSwitchMan

[MarkieZ 11]

Folks that had the sleeve done and put weight back on can do a "revision" which adds the Duodenal Switch portion. I figured with the SIPS/Modified, there CAN be complications, but it was only one surgery, it is 99% effective to getting rid of diabetes, it is the one bariatric surgery that brags about less than 80% of any weight regain after 10 years. The 1 meter common channel in the regular DS takes the weight off fast and you have to be hyper careful never to stop taking your Vitamins, since there is such a small area for absorption, saved for the 50% BMI folks. With a 36% BMI, my insurance approved it for me...(but I have a clever doctor) The SIPS, Modified or a Standard with the 3 meter common channel reduces a lot of the malabsorption, but it still keeps 9 feet of your 28 ft of small intestines,(which is what my dr. did but with a standard DS) making keeping the weight off so much easier. I would much rather take Vitamins the rest of my life than insulin, metformin, glipizide, lose my sight, my feet, my kidneys, etc.

Edited December 8, 2016 by MarkieZ