VSG to ??? HELP!!!

[jenndee]

So I had vsg in May 2011, still following eating plan rules, exercising 6 times a week (i love me some zumba!!!) and am as disciplined as I know how to be. I've lose about 85 pounds but I have began to gain. To slow down the gain I've even got more strict with my diet which has resulted in hunger and major frustration. So I went to see surgeon yesterday as my BMI is slowly but surely rising (around 33 right now). He says "watch calories and exercise more." WHAT?? then tells me that perhaps I'm exercising wrong. Look heres the thing I am still 70 plus pounds from my "ideal weight" which I don't need to reach but I don't want to be obese category for the rest of my life. I am struggling with just restriction but he said 33 bmi is not bad. No, it is NOT compared to my high 40's BMI preop and I am very grateful for that but am I really going to have to continue to barely eat, work out like a crazy person, be hungry and frustrated to maintain an obese weight and continue to gain??? What is the answer?? I didn't start this journey to be half way to goal or to remain an obese woman. I am praying I find some answers........

[Deleted]

The only revision I'd consider in your shoes would be to the DS.

[Deleted]

Jenndee, I agree with EN...revising to the DS is your only real option. You are halfway to the DS already...all they need to do is the lower part.

[larra]

We are starting to see more and more people with VSG who did well initially but the weight loss stops and the regain begins, in spite of their best efforts. It is not your fault. It is the nature of the operation, which provides restriction (which lessens as time goes on) but fails to address the metabolic causes of MO. The only metabolic benefit of the VSG is lowering of ghrelin. There has never been a purely restrictive operation in the history of bariatric surgery that worked longterm for most of its recipients.
It's easy for your surgeon to consider you a success. In the world of bariatric surgery, success is defined as losing 50% of your excess weight. You've done that, yet you don't consider this adequate success, and neither would I. It's also easy for him to say you aren't exercising enough, or properly, instead of acknowledging the inadequacies of the operation he did.
It's time for you to ditch this guy and see a DS surgeon.

Larra

[Undoing]

I have only the VSG so I will watch and learn from you.

If I had chosen another surgery, DS would have been it for me too.

I hope my decision works for me.

[smileyjamie]

You have Dr. Gintaras Antanavicius, correct? Have you spoken with his partner in the practice, Fernando Bonnani?

[Paula]

Another vote for a DS revision if you are looking at revision at all.

[kyal]

Thumbs up for DS too. I had the VSG in 2006, put all the weight back on and have revised to the DS.

It's actually an easier ride if you already have the VSG. Especially if they don't cut your stomach again as it leaves you able to get your protein requirements in. I had a plication with my revision and it's worked better than I expected

Find a very reputable DS surgeon and go from there.

[bboop]

Explain a picalation to me again.

[clpeltz]

The only logical revision from VSG is the DS.