Surgery: I am going for the Duodenal Switch in 2 stages. My research has led me to the conclusion that the DS has a better outcome for the Super Obese* (me!), and is safer done in 2 stages. A sleeve first, then the intestinal bypass bit. I have been approved for funding on the NHS. I have been jumping through hoops for a little over a year now, and it is getting tiring.
*my resources for research are below.
Laproscopic Conversion of Failed Gastric Bypass to Duodenal Switch
Manish Parikh, MD and Michel Gagner MD, FRCSC, FACS Feburary 2008, Bariatric Times
Biliopancreatic Diversion with Duodenal Switch vs. Gastric Bypass for Severe Obesity
Daniel M Herron, MD, FACS
2004, The Society for Surgery of the Alimentary Tract, publish by Elsevier
Bowel Habits after Gastric Bypass Versus the Duodenal Switch Operation.
Wasserberg et al. Aug 2008
Duodenal Swith Provides Superior Weight Loss in the Super-Obese (BMI >50kg/m2) Compared with Gastric Bypass
Prachand et al. Oct 2006
(cannot get the above quoted link to work.)
(both of the above were obtained from http://dsfacts.com)
Biliopancreatice Diversion with a Duodenal Switch
Douglas S. Hess, MD FACS;Douglas W. Hess, MD
1998, entire research paper available on http://duodenalswitch.com
Also from http://www.duodenalswitch.com
Duodenal Switch Procedure (info page)
For Super Obese Patient, duodenal Switch beats gastric bypass
Sept, 22, 2006, The University of Chicago
Can be found on http://www-news.uchicago.edu or by googling the title
Now for the big one. This is where I got alot of my info as is was a huge study.
The Duodenal Switch Operation for the Treatment of Morbid Obeisty: A 10 Year Experience
Gary J. Anthone, Reginald V.N. Lord, Tom R. DeMeester, Peter F. Crookes
From the Department of Surgery, Unviersity of Southern California Keck School of Medicine, Los Angeles, CA., 90033
Study began in 1992