Distal? — Proximal?
I know there were several messages of late about the difference between distal
and proximal. But to my dismay I can not remember what the difference is and if
one is better than the other. — I have gone through the archives of both groups
and could not find info.
Would one of you have an answer for me or direct me to about where in the
archive to look again.
Thank you in advance
Marie — San Leandro, CA
May 28th, 2005 at 3:42 am
Would one of you have an answer for me or direct me to about where in the
archive to look again.
Thank you in advance
Marie — San Leandro, CA
May 29th, 2005 at 12:46 am
From what I understand, distal rny involves more of the small intestine to
be bypassed. (Over 120 cms) Proximal, not as much is bypassed. I’ve seen
this topic before, but I can’t remember the exact numbers.
-Michelle
May 29th, 2005 at 6:26 am
-Michelle
May 31st, 2005 at 4:30 am
Patricia, I’m going to paste Michelle Curran’s description of distal vs
proximal.
> Let’s assume that we all start with 300" of (small) intestine. We
don’t,
but we need to have a figure, so that’s it. From the pix you’ve seen of
RNY/gastric bypass, you know there is a left side, right side and tail
of
the Y. The "junction" of the sides is the determiner if a procedure is
proximal or distal.
>
> The original intestine comes out of the old stomach and carries the
digestive juices that are manufactured in the old stomach. This piece
is
called the bileo-pancreatic limb because it carries bile from the
gallbladder and pancreatic juice from the pancreas. There is no food
here.
This is the LEFT side of the Y. This is the portion that is bypassed.
>
> The alimentary limb connects to the pouch and only carries food, but
cannot digest or absorb. This is the RIGHT side of the Y.
>
> The tail of the Y is where both elements mix together and where
digestion
(if any) and whatever absorption will occur. This is the part that is
still
in use and is also referred to as the common channel.
>
> If the junction of the Y occurs in near proximity to the stomach, it
is
said to be proximal. If the junction occurs as a far distance from the
stomach, it is said to be distal. That said, neither word describes any
actual measurements of anything, so the meaning is in the mind of the
person
speaking of the procedure. What is proximal to my doctor is considered
distal by another.
>
> Generally speaking, ALL RNY people will have to supplement at least
the
basic 8 elements, though in varying doses. We are all missing the
stomach
and its normal digestive function.
>
> Truly distal (with a lot bypassed, and a short common channel) people
need
to supplement in larger volume, but will achieve and maintain the better
weight loss over time. Proximal (less bypassed, longer common channel)
people still need to supplement the basics and can reach a reasonable
weight, but after 2 years may have to work a little harder to maintain
their
goal weight.
>
> My doctor measures what is in use, not what is not. So, in my case, I
have a 40" common channel, then 60" was used to reach the pouch. The
bypassed portion is then ABOUT 200".
>
> Most procedures performed are measured backwards from that. The doctor
will bypass 12 to 72", use 60-80" for the right side of the Y, and the
common channel will be 100-200".
>
>Thanks
Michelle (vitalady)
Would one of you have an answer for me or direct me to about where in
the archive to look again.
Thank you in advance
Marie — San Leandro, CA
ADVERTISEMENT
May 31st, 2005 at 11:54 am
> Let’s assume that we all start with 300" of (small) intestine. We
don’t,
but we need to have a figure, so that’s it. From the pix you’ve seen of
RNY/gastric bypass, you know there is a left side, right side and tail
of
the Y. The "junction" of the sides is the determiner if a procedure is
proximal or distal.
>
> The original intestine comes out of the old stomach and carries the
digestive juices that are manufactured in the old stomach. This piece
is
called the bileo-pancreatic limb because it carries bile from the
gallbladder and pancreatic juice from the pancreas. There is no food
here.
This is the LEFT side of the Y. This is the portion that is bypassed.
>
> The alimentary limb connects to the pouch and only carries food, but
cannot digest or absorb. This is the RIGHT side of the Y.
>
> The tail of the Y is where both elements mix together and where
digestion
(if any) and whatever absorption will occur. This is the part that is
still
in use and is also referred to as the common channel.
>
> If the junction of the Y occurs in near proximity to the stomach, it
is
said to be proximal. If the junction occurs as a far distance from the
stomach, it is said to be distal. That said, neither word describes any
actual measurements of anything, so the meaning is in the mind of the
person
speaking of the procedure. What is proximal to my doctor is considered
distal by another.
>
> Generally speaking, ALL RNY people will have to supplement at least
the
basic 8 elements, though in varying doses. We are all missing the
stomach
and its normal digestive function.
>
> Truly distal (with a lot bypassed, and a short common channel) people
need
to supplement in larger volume, but will achieve and maintain the better
weight loss over time. Proximal (less bypassed, longer common channel)
people still need to supplement the basics and can reach a reasonable
weight, but after 2 years may have to work a little harder to maintain
their
goal weight.
>
> My doctor measures what is in use, not what is not. So, in my case, I
have a 40" common channel, then 60" was used to reach the pouch. The
bypassed portion is then ABOUT 200".
>
> Most procedures performed are measured backwards from that. The doctor
will bypass 12 to 72", use 60-80" for the right side of the Y, and the
common channel will be 100-200".
>
>Thanks
Michelle (vitalady)
Would one of you have an answer for me or direct me to about where in
the archive to look again.
Thank you in advance
Marie — San Leandro, CA
ADVERTISEMENT
May 31st, 2005 at 3:11 pm
> Let’s assume that we all start with 300" of (small) intestine. We
don’t,
but we need to have a figure, so that’s it. From the pix you’ve seen of
RNY/gastric bypass, you know there is a left side, right side and tail
of
the Y. The "junction" of the sides is the determiner if a procedure is
proximal or distal.
>
> The original intestine comes out of the old stomach and carries the
digestive juices that are manufactured in the old stomach. This piece
is
called the bileo-pancreatic limb because it carries bile from the
gallbladder and pancreatic juice from the pancreas. There is no food
here.
This is the LEFT side of the Y. This is the portion that is bypassed.
>
> The alimentary limb connects to the pouch and only carries food, but
cannot digest or absorb. This is the RIGHT side of the Y.
>
> The tail of the Y is where both elements mix together and where
digestion
(if any) and whatever absorption will occur. This is the part that is
still
in use and is also referred to as the common channel.
>
> If the junction of the Y occurs in near proximity to the stomach, it
is
said to be proximal. If the junction occurs as a far distance from the
stomach, it is said to be distal. That said, neither word describes any
actual measurements of anything, so the meaning is in the mind of the
person
speaking of the procedure. What is proximal to my doctor is considered
distal by another.
>
> Generally speaking, ALL RNY people will have to supplement at least
the
basic 8 elements, though in varying doses. We are all missing the
stomach
and its normal digestive function.
>
> Truly distal (with a lot bypassed, and a short common channel) people
need
to supplement in larger volume, but will achieve and maintain the better
weight loss over time. Proximal (less bypassed, longer common channel)
people still need to supplement the basics and can reach a reasonable
weight, but after 2 years may have to work a little harder to maintain
their
goal weight.
>
> My doctor measures what is in use, not what is not. So, in my case, I
have a 40" common channel, then 60" was used to reach the pouch. The
bypassed portion is then ABOUT 200".
>
> Most procedures performed are measured backwards from that. The doctor
will bypass 12 to 72", use 60-80" for the right side of the Y, and the
common channel will be 100-200".
>
>Thanks
Michelle (vitalady)
Would one of you have an answer for me or direct me to about where in
the archive to look again.
Thank you in advance
Marie — San Leandro, CA
ADVERTISEMENT
ADVERTISEMENT
June 1st, 2005 at 3:56 am
> Let’s assume that we all start with 300" of (small) intestine. We
don’t,
but we need to have a figure, so that’s it. From the pix you’ve seen of
RNY/gastric bypass, you know there is a left side, right side and tail
of
the Y. The "junction" of the sides is the determiner if a procedure is
proximal or distal.
>
> The original intestine comes out of the old stomach and carries the
digestive juices that are manufactured in the old stomach. This piece
is
called the bileo-pancreatic limb because it carries bile from the
gallbladder and pancreatic juice from the pancreas. There is no food
here.
This is the LEFT side of the Y. This is the portion that is bypassed.
>
> The alimentary limb connects to the pouch and only carries food, but
cannot digest or absorb. This is the RIGHT side of the Y.
>
> The tail of the Y is where both elements mix together and where
digestion
(if any) and whatever absorption will occur. This is the part that is
still
in use and is also referred to as the common channel.
>
> If the junction of the Y occurs in near proximity to the stomach, it
is
said to be proximal. If the junction occurs as a far distance from the
stomach, it is said to be distal. That said, neither word describes any
actual measurements of anything, so the meaning is in the mind of the
person
speaking of the procedure. What is proximal to my doctor is considered
distal by another.
>
> Generally speaking, ALL RNY people will have to supplement at least
the
basic 8 elements, though in varying doses. We are all missing the
stomach
and its normal digestive function.
>
> Truly distal (with a lot bypassed, and a short common channel) people
need
to supplement in larger volume, but will achieve and maintain the better
weight loss over time. Proximal (less bypassed, longer common channel)
people still need to supplement the basics and can reach a reasonable
weight, but after 2 years may have to work a little harder to maintain
their
goal weight.
>
> My doctor measures what is in use, not what is not. So, in my case, I
have a 40" common channel, then 60" was used to reach the pouch. The
bypassed portion is then ABOUT 200".
>
> Most procedures performed are measured backwards from that. The doctor
will bypass 12 to 72", use 60-80" for the right side of the Y, and the
common channel will be 100-200".
>
>Thanks
Michelle (vitalady)
Would one of you have an answer for me or direct me to about where in
the archive to look again.
Thank you in advance
Marie — San Leandro, CA
ADVERTISEMENT
ADVERTISEMENT
June 1st, 2005 at 7:13 am
> Let’s assume that we all start with 300" of (small) intestine. We
don’t,
but we need to have a figure, so that’s it. From the pix you’ve seen of
RNY/gastric bypass, you know there is a left side, right side and tail
of
the Y. The "junction" of the sides is the determiner if a procedure is
proximal or distal.
>
> The original intestine comes out of the old stomach and carries the
digestive juices that are manufactured in the old stomach. This piece
is
called the bileo-pancreatic limb because it carries bile from the
gallbladder and pancreatic juice from the pancreas. There is no food
here.
This is the LEFT side of the Y. This is the portion that is bypassed.
>
> The alimentary limb connects to the pouch and only carries food, but
cannot digest or absorb. This is the RIGHT side of the Y.
>
> The tail of the Y is where both elements mix together and where
digestion
(if any) and whatever absorption will occur. This is the part that is
still
in use and is also referred to as the common channel.
>
> If the junction of the Y occurs in near proximity to the stomach, it
is
said to be proximal. If the junction occurs as a far distance from the
stomach, it is said to be distal. That said, neither word describes any
actual measurements of anything, so the meaning is in the mind of the
person
speaking of the procedure. What is proximal to my doctor is considered
distal by another.
>
> Generally speaking, ALL RNY people will have to supplement at least
the
basic 8 elements, though in varying doses. We are all missing the
stomach
and its normal digestive function.
>
> Truly distal (with a lot bypassed, and a short common channel) people
need
to supplement in larger volume, but will achieve and maintain the better
weight loss over time. Proximal (less bypassed, longer common channel)
people still need to supplement the basics and can reach a reasonable
weight, but after 2 years may have to work a little harder to maintain
their
goal weight.
>
> My doctor measures what is in use, not what is not. So, in my case, I
have a 40" common channel, then 60" was used to reach the pouch. The
bypassed portion is then ABOUT 200".
>
> Most procedures performed are measured backwards from that. The doctor
will bypass 12 to 72", use 60-80" for the right side of the Y, and the
common channel will be 100-200".
>
>Thanks
Michelle (vitalady)
Would one of you have an answer for me or direct me to about where in
the archive to look again.
Thank you in advance
Marie — San Leandro, CA
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT