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Post by swaglious on Dec 30, 2013 0:04:48 GMT -5
Okay I had a Question about differences in DS and weight lose results from revisions from RNY distal & RNY proximal? I am not sure which I have but what to prepare myself.
Also is anything that I need to be aware of as far as the procedure itself?
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Post by CVHarris on Dec 30, 2013 0:20:22 GMT -5
I had a distal rny in 2000. Had ds 10/30/13. Im loosing slowly but I was only 227 day of surgery. I had not gotten higher than 206 until the 1and 1/2 month before surgery. Dr. K did my revision.
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Deleted
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Post by Deleted on Dec 30, 2013 0:20:55 GMT -5
You're not sure which you have?  Look, the main thing to know is that revisions usually result in significant weight loss, but not always like virgin DS surgeries. You've already had your metabolism altered and that makes a difference. Diana posted somewhere (you may want to try searching the archives here) about how weight loss tends to be less in those who are older/fatter (higher BMI)/more sedentary. If I recall correctly there were correlations also to height, gender, and perhaps other stuff (shorter, female peeps may lose less). But that's all statistics and statistics are things we tend to process selectively. Look, if you need a revision, then you need a revision. You do the best you can to maximize your window and deal with the cards you're dealt. But fergawdsake, find out whether you are distal or proximal. You will need to be VASTLY more informed about your body than that going forward. If you can't commit to that, don't get reconfigured into a DS. It's a hands-on, advocate-for-yourself-in-the-face-of-clueless-medical-experts kind of life. And if you can commit to that, then don't mistake this for your first WLS. A revision is about much more than weight loss. It's about health gain.  |
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Post by CVHarris on Dec 30, 2013 0:27:49 GMT -5
Dang it MsCello us shorties may loose less? Im gonna have to find that link. at 4'11 it dont look good for me. Ive always been so happy about being special at 4'11. Lolol
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Deleted
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Post by Deleted on Dec 30, 2013 0:36:51 GMT -5
^^^ And you ARE special Harris. V-e-r-y special! Now go make the most of your window!!
Swag, also, in terms of the procedure itself, a big thing to grasp about an RNY to DS revision is that what you HAD (the rny pouch, regardless of proximal OR distal intestinal bypass) has to be undone and your stomach has to be reconnected to the food stream. That part is the same.
Talk to your doc (Dr. K, right?). He'll have more info for you based on who did your RNY and when. The man is an encyclopedia. Truly amazing. That said, don't have the revision based on anything other than whether you need it.
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Post by swaglious on Dec 30, 2013 1:50:32 GMT -5
You're not sure which you have? Look, the main thing to know is that revisions usually result in significant weight loss, but not always like virgin DS surgeries. You've already had your metabolism altered and that makes a difference. Diana posted somewhere (you may want to try searching the archives here) about how weight loss tends to be less in those who are older/fatter (higher BMI)/more sedentary. If I recall correctly there were correlations also to height, gender, and perhaps other stuff (shorter, female peeps may lose less). But that's all statistics and statistics are things we tend to process selectively. Look, if you need a revision, then you need a revision. You do the best you can to maximize your window and deal with the cards you're dealt. But fergawdsake, find out whether you are distal or proximal. You will need to be VASTLY more informed about your body than that going forward. If you can't commit to that, don't get reconfigured into a DS. It's a hands-on, advocate-for-yourself-in-the-face-of-clueless-medical-experts kind of life. And if you can commit to that, then don't mistake this for your first WLS. A revision is about much more than weight loss. It's about health gain. I agree with you however when I had the surgery 13 years ago there wasn't a lot of information out there and I was young 568 lbs and was just trying to be normal by any means. I was not paying attention to many details I was in bad situation. Now there's a lot more to it...there's a lot more knowledge and there is a lot more awareness. The doctor who did my surgery 13 years ago, just told my that he was going to do a RNY 13. Who would have know 13 years later I find out there was really was no standard of doing the surgery and that each surgery just did it they way they thought best for the patients. Until I started consulting with Dr. Higa I did not realize that there was actually a couple versions of the surgery and found out that the doctor did my surgery was a doctor that did his surgeries proximal (generally) nobody knows for sure until they redo my surgery. Dr. Higa seems to think that according to some of my symptoms that I am having the surgery that I have I am more likely to be distal. I am not even sure about that because he was basing that off of my gas symptoms and like the DS surgery if you eat a lot of carbs with the RNY surgery then you will have very bad gas. I believe I need to surgery... I just want to know what type of results I can afterwards as I follow the rules of the DS. I know that there are other factors of course but giving the same variables what is the expected weight loss for each of those surgeries? Perhaps this is a question that I should reserve for Dr. K? You can believe that I will be paying attention to to what happens to me from here on out out. I will be that activist for myself I just wish I could turn back the hands of time but the doctor who did my original surgery has been retired for about 10 years. he retired shortly after he did my surgery. |
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Post by CVHarris on Dec 30, 2013 2:18:16 GMT -5
Swag I never heard, of, the carb thing and gas. Like I said I'm distal and didn't have gas. What I did have was sever severe dumping. I dumped if I ate fat, sugars, carbs, anything greasy, milk products. I think, you get, the point.
I understand what you are saying about being young and fat. I sent a packet in the mail and got a surgery date. I called and reschedule the date I didn't think I would get approved. I met the surgeon in the OR. I HAD NO CLUE WHAT WAS BEING DONE. He could have sewed my anus to my nose for all I, knew. I just knew he was going to do something that would make me loose weight. But I found out when crap started going bad.
good luck
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Deleted
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Post by Deleted on Dec 30, 2013 3:05:23 GMT -5
Swag, Hariis -- we all had our RNYs the same year. LOL about not knowing what was gonna be sewn where, Harris. Niiiice visual there....
Talk to Dr. K, Swag. He'll be best able to tell you what you can expect in either scenario. That man has seen so many variations on the RNY, he's your best source of info now.
Beyond that, what I said about maximizing your window (and hoping for the best) holds.
Wishing you every kind of success with this revision!
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Post by swaglious on Dec 30, 2013 4:11:39 GMT -5
Swag I never heard, of, the carb thing and gas. Like I said I'm distal and didn't were have gas. What I did have was sever severe dumping. I dumped if I ate fat, sugars, carbs, anything greasy, milk products. I think, you get, the point. I understand what you are saying about being young and fat. I sent a packet in the mail and got a surgery date. I called and reschedule the date I didn't think I would get approved. I met the surgeon in the OR. I HAD NO CLUE WHAT WAS BEING DONE. He could have sewed my anus to my nose for all I, knew. I just knew he was going to do something that would make me loose weight. But I found out when crap started going bad. good luck Dumping signs apparently vary from person to person my gas and loose stools. |
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Post by CVHarris on Dec 30, 2013 10:56:24 GMT -5
Swag I had a mess inside of me when Dr. K went in. I was unrealistically distal dr. K said my pouch was 1.5cm and my intestines were so distal I only had 20 cm left left in play. You know when you have less than a ds in play with rny you're f...ed up.
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Post by swaglious on Dec 30, 2013 13:59:22 GMT -5
Swag I had a mess inside of me when Dr. K went in. I was unrealistically distal dr. K said my pouch was 1.5cm and my intestines were so distal I only had 20 cm left left in play. You know when you have less than a ds in play with rny you're f...ed up. Wow you have been through a lot!!! I guess I willl not complain about hoe my ineffective my surgery was! |
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Post by CVHarris on Dec 30, 2013 16:40:49 GMT -5
Swag I had a mess inside of me when Dr. K went in. I was unrealistically distal dr. K said my pouch was 1.5cm and my intestines were so distal I only had 20 cm left left in play. You know when you have less than a ds in play with rny you're f...ed up. Wow you have been through a lot!!! I guess I willl not complain about hoe my ineffective my surgery was! My surgery was effective. I lost all my excess weight but started to put it back on once I had a car accident in 2007 and couldn't exercise due to 13 back surgeries and procedures. Then my knees went bad had to have arthritis scraped out of them and wore a knee brace for about 3 years straight. I finally decided to look intp a revision when I could not eat solids. I used to be able to eat some meat drowned in sauce but couldn't eat none at all by 2012. So not realizing I just gave up trying. Junk food went down easily so that's what I lived off of. Id eat it then want to kill myself from the horrific dumping. lol I didn't mind the extra weight till my A1C became 6.5 meaning I was diabetic again. I had my rny to not be diabetic I was taking 8 insulin shots a day. My kidneys shut down and I went in kedoasidosis. No matter how much I ate exactly what I was supposed to or exercised I couldn't get my A1C under 9. The dr. Said if I lost 100 pounds it would go away. The day of surgery it was gone. Im thankful that The rny gave me 13 years of no insulin shots but I wish I had known what I was doing back then. You live and you learn. No sense in crying over spiklled milk just be thankful it didn't cost you your life and do the best you can. Feeling sorry for yourself, what's that going to change? |
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Post by swaglious on Dec 30, 2013 16:59:48 GMT -5
Wow you have been through a lot!!! I guess I willl not complain about hoe my ineffective my surgery was! My surgery was effective. I lost all my excess weight but started to put it back on once I had a car accident in 2007 and couldn't exercise due to 13 back surgeries and procedures. Then my knees went bad had to have arthritis scraped out of them and wore a knee brace for about 3 years straight. I finally decided to look intp a revision when I could not eat solids. I used to be able to eat some meat drowned in sauce but couldn't eat none at all by 2012. So not realizing I just gave up trying. Junk food went down easily so that's what I lived off of. Id eat it then want to kill myself from the horrific dumping. lol I didn't mind the extra weight till my A1C became 6.5 meaning I was diabetic again. I had my rny to not be diabetic I was taking 8 insulin shots a day. My kidneys shut down and I went in kedoasidosis. No matter how much I ate exactly what I was supposed to or exercised I couldn't get my A1C under 9. The dr. Said if I lost 100 pounds it would go away. The day of surgery it was gone. Im thankful that The rny gave me 13 years of no insulin shots but I wish I had known what I was doing back then. You live and you learn. No sense in crying over spiklled milk just be thankful it didn't cost you your life and do the best you can. Feeling sorry for yourself, what's that going to change? Bless you girl!!! Thank you for sharing your story! You are a strong women and person much stronger than a lot of people can say! |
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robin1222
New Member
In process of Revision from RNY to DS in spring
Posts: 5
Surgery Type: Revision
Surgeon: Dr. Roslin
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Post by robin1222 on Dec 31, 2013 14:29:51 GMT -5
Better late than never, but i had RNY in 99and I have no idea what it is still, they didnt take time to explain much about the details really i swear. I was 35 and 413 i would have let them cut off my foot,,,, that sounds extreme but then we had an option do this or not! I did very well lost 235 and kept it off for 8 yrs by extreme exercising and restrcition of food. Then i started to gain and nothing was helping. Then life, depression, divorce after 25 yrs and kids leaving nest, now i'm back on my feet, i know more and did research, (again there wasnt thw internet like now and not much to find out then) so I have my first visit for DS with Dr. roslin in NY and after all therapy, eating disorder work and research I feel totally prepared. I say all this only so the " newbies" laproscopics and ayone under 6 yrs understands where we came from. Revisions are scary when our last surgery was 10+ yrs and OPEN 52 copper staples down your front. ( on my way to surgery masked surgeon says, " oh and we are taking out ur gallbladder too its deceased,, maybe they might have said when i wasnt all drugged up) old days lol
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Post by CVHarris on Dec 31, 2013 14:43:13 GMT -5
Hello Robin seems like there was a lot of the not knowing going on back in 99/00. You may want to start a new thread with your story so you can get some support. Welcome
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