REVISION AFTER RNY

Hello everyone,

It's been ages since I've been on here approx 15 years ago I weighed 286 lbs and had gastric bypass I lost alot of weight of down to 150 lbs then with stupid decisions I got to 230 lbs the down too 185 lbs and here I am today 200 lbs and terrified. I'm looking into a revision after my 15 year old RNY. I've quit drinking smoking and edibles (I'm only human) just wondering if anyone else had had this done? What were there results also do u have to do the shakes that you had to before ur surgery?

Also looking for any and all info at this time!

Leeann

With RNY you get a greatly reduced stomach and a bypass of the intestines. It takes about 18 months for the body to start to recover from that surgery and heal enough to be able to eat enough and absorb enough to gain weight back. Most people lose approximately 100 pounds in the first year after surgery and begin gaining back the weight between 18 months and 30 months after surgery.

The intestines are lined with tiny fingerlike structures called cilia. Those little hairlike structures grab food as it goes through the intestines. They hold the food against the wall of the intestine and keep it there so that the calories can get absorbed by the body.

After RNY most of those cilia are gone. The food passes through without being absorbed because there are not enough cilia to hold it there. The body knows that foods is coming in and it still is being starved. The body is smart. It knows how to grow new cilia. That takes somewhere around 18-30 months. Then the intestines are able to absorb calories again and the weight starts to come back.

In addition, we learn how to eat more food as time goes on. Not so much bigger meals as more frequent and higher calorie eating. A revision will not make any change to the intestines. That is a once in a lifetime deal. It will make your stomach tighter. But we already know how to eat enough to gain weight with the reduced stomach. The sad truth about revision is that most people lose 20 pounds due to the pre and post diet and gain it back after they resume their normal eating.

I would advise you to forget about revision but to look into the "new" diabetes weight loss medicines. I believe those medicines for most people will replace weight loss surgery operations. You still need to eat a reduced number of calories to lose weight and keep it off, but the drugs restrict the appetite and makes it easier.

It will not be as quick as initial weight loss surgery, but if you take the drug and work on a very sensible calorie intake, you have a good chance of losing that weight. Whether you get a revision, take a weight loss drug, or just count calories you will only lose weight if you take in less calories than you are burning.

My rule for myself is 10 calories per day per pound of weight. I eat 1300 calories on average to maintain at 130 pounds. When I tried eating more calories I gained weight. If i eat fewer calories I lose. Exercise helps some but you cannot outrun a poor diet.

Best of luck with whatever you decide and I hope you come back and share your journey wih us.