Are there people who would do better with the RNY or DS or the Sleeve Gastrectomy?
No. The primary method of weight reduction is restriction. The RNY, Sleeve gastrectomy, and DS start you out with maximum restriction, and as time goes on the patients stomach, or pouch enlarges. In fact, we have placed bands on top of patients who have had the RNY (gastric bypass) and patients with the Sleeve Gastrectomy, and patients who had the DS (duodenal switch). If a patient’s pouch enlarges with a LAP-BAND we simply remove the fluid, and allow the pouch to return to its normal size. The effect of malabsorption with the DS or RNY is lost after several years.
