Whats the difference

[doxaholic 252]

Okay so i had a biliopancreatic diversion with a duodenal switch so for short some say a ds but what i get confused on is some people say its the traditional ds some people say its a modified ds my doctor tells me its not the traditional ds but still calls it a ds i am so confused at this point dont know anymore what i got lol. I get on here and the foods dsers eat are different they eat full fat meals i eat low fat low carb meals. Sometimes o read something on here thinking i can have it but then i find out nope cant have it. Can someone please help explain?

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[janedoe92 260]

Okay so i had a biliopancreatic diversion with a duodenal switch so for short some say a ds but what i get confused on is some people say its the traditional ds some people say its a modified ds my doctor tells me its not the traditional ds but still calls it a ds i am so confused at this point dont know anymore what i got lol. I get on here and the foods dsers eat are different they eat full fat meals i eat low fat low carb meals. Sometimes o read something on here thinking i can have it but then i find out nope cant have it. Can someone please help explain?
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I also had this, the difference is the length of your common channel, it's usually longer 250+ whereas traditional DS is between 100-150. I still say DS but we just absorb more than traditional. The modified is also known as SIPS, so you'll see people refer to that as well. However, my center wants me on low fat too this is due to the malabsorption, you absorb more than traditional DS so full fat doesn't really matter for them. Hope this helps!

[doxaholic 252]

Thank you janedoe92

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[RickM 1,752]

It is hard to tell from the vernacular - traditional/modified/etc. - what exactly you had as surgeons can use such general terms rather loosely. If indeed you had a BPD/DS, that is quite distinct from the SIPS/SADI/"loop DS" which is a very different procedure where some use a DS label for marketing purposes. The "traditional" BPD/DS can be "modified" in different ways - primarily in varying limb lengths and proportions, and the common channel length, but still be a BPD/DS as defined by the CPT codes that insurance companies and Medicare use for billing purposes. The SIPS/SADI is a different structure that resembles a DS in that it uses a sleeve gastrectomy and alters the intestinal tract, but to a different fundamental configuration. It is neither better nor worse than the traditional DS (time will tell on that, given its' newness) but it will have different characteristics in its nutritional absorption and potential side effects. Calling it a DS is somewhat deceptive (that's marketing for you!) and is akin to calling a RNY gastric bypass a "DS with a pouch instead of a sleeve."

My suggestion would be to have the surgeon explain exactly what he did and how it differs from a "traditional" DS, and to get a copy of the surgical report from him or the hospital. This last point is very important for all with these intestine altering procedures (or any bariatric, for that matter) so that if any problems crop up later in life - including an accident putting you in the ER for emergency surgery - the responsible surgeon at that time can have some idea of what your altered anatomy looks like. Some patients I know keep a reduced and laminated copy in their purse for just such an eventuality.

[doxaholic 252]

Rick i thought it was different from the sadis but soany people say its not and it gets confusing.

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