Why sleeve with DS?

[Christina.Rose 287]

Im supposed to be sleeved, and just recently noticed some people are getting a sleeve with the DS. What is the benefit of this? How does it work? I thought the whole reason to "sleeve" was to keep the digestive flow the same. Im just curious as to what other sleeve options there are that I don't know about.

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[Bufflehead 6,358]

The DS (of which the sleeve is a component) is the most powerful and successful weight loss surgery available, due to the combination of restriction (sleeve) and malabsorption of calories (intestinal re-routing). I think the question that more people should ask is why NOT get the DS, if they want the best odds possible for weight loss?

[heidikat72 935]

the sleeve was first done as one stage of a two stage process for DS. usually in very high BMI patients for whom undergoing everything in surgery was too risky because of the amount of time under anesthesia. it's actually fairly recent that doing sleeve as a stand alone has become common.

for many high bmi patients they may never get to a "healthy" BMI with just the sleeve restriction alone so they may end up getting the DS later on. although many high BMI patients do reach their goal without needing to add the DS. In my specific case, my surgeon wanted to start with just the sleeve and see what happens - he said I may need DS later on but that the majority of his patients were happy where they ended up with just the sleeve and since I really didn't want the malabsortion issues, I agreed with him.

Ultimately, what surgery to get is a very personal decision between a patient and their surgeon.

[Christina.Rose 287]

What are the intestines re routing to without a little pouch getting made?

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[Kaylamh 144]

Here is a link to a video of the operation (animation) http://www.rexbariatrics.com/about-weight-loss-surgery/weight-loss-surgery/bilio-pancreatic-diversion-with-duodenal-switch/

I had a DS. I'm so incredibly happy I did. The long term success rate is so high, and that seemed much more worth it to me.

[Kaylamh 144]

With the DS there are fewer complications with dumping than with the RNY. I honestly haven't had a single issue at a month out. At least not anything out of the ordinary. I've seen people get the sleeve and gain a lot of their weight back, and that terrified me. I'm only 20, and I wanted something that would work long term.

[Christina.Rose 287]

Oooohhhh......I see. Its like a sleeve with the re routing. The bypass is a pouch with different re routing. I have researched the hell out of the sleeve but none of the others. I think I rather stick with the sleeve and have an opportunity for revisions in the future. Thanks for the video it was helpful! Thanks for the responses. Im just now trying to get in some last minute option information since my sleeve was postponed until February now.

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[Kaylamh 144]

No problem! I opted for the DS because if I was going to pay for surgery, I only wanted to do it once haha

[New&Improved 1,780]

So the BILIO PANCREATIC DIVERSION is just like DS

[chrissymcm08 10]

Oooohhhh......I see. Its like a sleeve with the re routing. The bypass is a pouch with different re routing. I have researched the hell out of the sleeve but none of the others. I think I rather stick with the sleeve and have an opportunity for revisions in the future. Thanks for the video it was helpful! Thanks for the responses. Im just now trying to get in some last minute option information since my sleeve was postponed until February now.
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Any one else having issues with acid reflux?

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[chrissymcm08 10]

The DS (of which the sleeve is a component) is the most powerful and successful weight loss surgery available, due to the combination of restriction (sleeve) and malabsorption of calories (intestinal re-routing). I think the question that more people should ask is why NOT get the DS, if they want the best odds possible for weight loss?

If you can avoid the acid reflux issues then I would do it.

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