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Post by miasmommy81 on Jul 10, 2012 7:49:18 GMT -5
Hi! I am looking for some suggestions on where to go, what to do, has anybody had this situation?
I had Gastric Bypass in July 2003, and I believe it was Rouen-X or Rouen-Y (not sure on the spelling). I have been slowly gaining back the weight, and especially not losing anything after I had my 2 kids. I want to look into having it redone, seeing as I am actually able to eat a McDouble, and sometimes a Big Mac! I should not be able to do that AT ALL!
I have been following MyFitness Pal, running ,doing Zumba, Herbalife shakes, and it seems like it starts out well, and then goes downhill again. I'm getting to the point that I get mad/depressed about it.
I know this is the same old story, but just looking for insight on something here! I have HealthPartners insurance, and I am going to be calling them today to see what the criteria is for re-surgeries.
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Post by So Blessed on Jul 10, 2012 8:23:18 GMT -5
Roux-en-Y is the correct spelling, misamommy81. It's common for your pouch to be able to hold more food the farther out you get. I'm concerned more about the types of food you're eating. It sounds like you're leaning toward refined carbs and fast food. I don't know of any surgery type where those would be good choices for you. How is your physical hunger? Have you been checked out to make sure your pouch is functioning the way it should? What is a typical day of eating like for you?
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Post by Deleted on Jul 10, 2012 10:44:15 GMT -5
Hi Miasmommy81,
I know the pain of having a gastric bypass fail. I had a revision of my Roux-en-Y almost 4 months ago. I also started out looking at having that surgery redone however soon learned that I wasn't alone and that the RNY was really the wrong surgery for me. I had my RNY revised to a Duodenal Switch. There are many people here who have had the same revision but it's not for everyone.
Before you make any decision, educate yourself about the various revision options by reading through these boards and check out a site called dsfacts.com. There's a lot of good info both here and there.
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Post by angelcake on Jul 10, 2012 11:35:13 GMT -5
I'd give the ROSE/POSE technique a miss too. I've read about people losing ~20lbs the first few months before it all relaxes and then they regain.
This is where they trans-orally staple your stomach from the inside. If that surgery doesn't work out then it must be near enough to revise from it.
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Post by alaja957 on Jul 10, 2012 13:42:08 GMT -5
I had RNY surgery in 2008 and gained most of my weight back. I had an upper endoscopy which found I had a tiny pouch but a stretched out lower stoma which made the food not stay in my pouch and I was hungry all the time. I say get to a doctor and ask for some diagnostic testing.
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Post by MsVee on Jul 10, 2012 21:05:23 GMT -5
Revisions are hard on the body and the mind. You need to research to determine what the best revision would be for you. I chose to revise my RNY to a DS.
This is a complicated procedure with limited doctors who are qualified to perform it. The DS has very good long-term statistics. If you choose to revise to a DS you MUST find an experienced surgeon who is qualified to do the revision. It is not the only effective surgery, but it is the surgery that offered me the best long-term results.
DS Facts has so much useful information. Please research and learn as much as possible before you are operated on again whatever procedure you choose.
MsVee
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Post by Girlrocker on Jul 11, 2012 8:07:21 GMT -5
Hi and welcome, I too am a RNY revision to DS, and there are several of us here, and also lapband to DS. The RNY revision is the most complicated surgery of them all and there is a lot to consider before moving forward. There is a very short list of vetted surgeons who perform the RNY to DS revision. Dr. Rabkin, northern California Dr. Keshishian, southern California Dr. Elariny, Virginia Dr. Roslin, New York Dr. Buchwald, Minnesota Dr. Greenbaum, New Jersey Dr. Stewart, Texas Dr. Simper, Utah Personally, in terms of a revision, I wouldn't recommend anything else but revising an RNY to a DS; I strongly believe the DS is the far more efficient sleeve/malabsorption combo, as Dr. Roslin describes in his excellent keynote here. I had a total of three consults/opinions to further educate myself, in addition to finding this group, DSfacts.com, reading, researching. I personally ruled out the band over bypass or revising the RNY to a distal (I had a proximal). I also want to note that I turned to a revision after exhausting every channel imaginable - I could not get/stay below 200 lbs no matter what I did, and I was very disciplined about diet, eating, and regular exercise. It was brutal and I realized that I was in the same yo-yo life I was before surgery. How much we can eat is not an exclusive determining factor as to whether or not the surgery is functioning correctly, in any of the surgeries, generally, that ability does increase (there are exceptions, you will read people here with very 'tight' DS sleeves). And while we are not meant to diet forever, never have favorite things (I love cheeseburgers, pizza), using the choices you mention as a measurment barometer, probably not such a good idea It's easy anyway to consume far more volume of any fast food because the grades of meat are so much lower, the deli meat processed, so you're not getting the full nutrient benefit as you would eating real hamburger or turkey breast, ham, roast beef etc on a sandwich. Here is a link to my 6 month update (which was June), and it has links to my early post-op updates too: weightlosssurgery.proboards.com/index.cgi?action=display&board=talk&thread=4273&page=1#59855Other screennames of revisions you can research posts: smileyjamie, msvee, chicarita, cathy811, mlleelise, peggy, mscello, and there are other veterans too. I have been fortunate to have a very smooth experience, but many others are having complications in their healing process (I did with my RNY). Dr. Roslin's excellent keynote on Revisions: Does the procedure fail the patient or does the patient fail the procedure is super informative: weightlosssurgery.proboards.com/index.cgi?action=display&board=speaker&thread=3804&page=2#57006This is a great place for straightforward, no-nonsense information and advice, a lot of experience here. I hope you will come back and let us know how you're doing.
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Post by Paula on Jul 18, 2012 14:51:39 GMT -5
I am a RNY to DS revision also. I ended up gaining back half of what I lost with my original RNY. Once the pulmonary embolism I had in 2010 nearly killed me, I decided that was a huge message that I needed to do something to get my health back on track again. Though I didnt want to, I knew I had to consider revisional bariatric surgery because I just could not do it on my own.
I looked at all options as far as revisions go before deciding ultimately on the DS. What it boiled down to for me was that if the RNY didnt work for me the first time around, why revise and stay in the same vein as what didnt work the first time around? Might as well give myself at least a fighting chance at success if I was going to go on the OR table again.
The RNY may be a good surgical option for some people, but it definitely doesnt work for all people. My surgeon said to me that it might not have been the right kind of tool for the job I needed it to do. So if the revision path is the path you choose to go down too, think long and hard about who you are as a person and what you need. And then get a vetted and knowledgeable revision surgeon on your team. Good luck to you
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