Why I Chose My Weight Loss Surgery

20120730-141743.jpgThree months AFTER surgery

This is not why I chose to have weight loss surgery (I was a giant fatass) but why I chose a Biliopancreatic Diversion with a Duodenal Switch.

You see, most people who have weight loss surgery have a lap-band or get a Roux-En-Y Gastric Bypass. But I chose a DS.

And even though I’m about to start another round of iron infusions because my intestines do not absorb iron, even though I’ve had enough ass-related issues for a lifetime thanks to those same intestines, I know that a Biliopancreatic Diversion with a Duodenal Switch is the most effective weight loss surgery of all. Here’s why:

1. No “dumping” syndrome
Unlike those who have a RNY Gastric Bypass, I have my original stomach, my original intestines (although they do less) — my anatomy is the same as before. My plumbing is a little more effective. At any rate, there’s no concern about “pissing off the pouch” (or the band) which leads to indigestion and vomiting.

2. I can take NSAID medication, and get scoped if I need to
If you have RNY surgery, you get a pouch, rather than a stomach. One concern is that you can’t take NSAIDs with a pouch. Nor can you have an endoscopy if you’re having problems that could be diagnosed using that test.

3. Long-term, it’s a more effective wls
When “long-term” means “Statistically, how much excess weight is still off at 10 years post-op,” the Duodenal Switch wins.

Also, you can eat more normally with a BPD-DS since you still have a stomach — although my lactose intolerance has increased exponentially since surgery. And obviously my body doesn’t digest gluten like it once did, since I feel way better physically when I’m gluten-free.

This is not to say that the BPD-DS is without problems; obviously vitamin deficiencies are a huge concern. Taking lots of supplements every day to compensate for malabsorption is a necessary by-product of the surgery, and good vitamins aren’t cheap. I admit, I haven’t been as committed to my vitamins as I had been previously, and now I’m paying the price. My iron is a mess and I’m starting infusions on Wednesday. But I’m recommitted!

Even with the complications — and the fact that the first few weeks post-op were horrendously painful — I don’t regret my decision to have weight-loss surgery. And I’m really glad I had a Biliopancreatic Diversion with a Duodenal Switch instead of any other surgery.

I can eat cake!

****Note: the Bpd-DS isn’t available everywhere; it’s a more complex surgery and fewer surgeons perform it than rny or lap-band. Also not all insurances cover it.****


6 Responses

  1. I had a BPD/DS about 5 years ago, and am grateful every day for the increased mobility and high quality of living. Thank goodness. And may our butts see less pain every day. 🙂

  2. Your increasing intolerance for lactose may also to age related–the older some people get, they less they can tolerate lactose.

  3. Catching up on your blog… You’re every flavour of awesome! I kinda agree with you 100% on the CPM thing. And your kids are so cute. =)

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