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What does your daily menu look like? Are you weighing/measuring/tracking your food intake?
How is your fluid intake?
The surgeon is wanting those tests done to see if there is anything wrong with your pouch/stoma/etc. If everything comes back as OK then 10 to 1 he would not consider a revision.
Unfortunately it usually comes down to what we are eating and how much of it.
Take a look at https://fivedaymeattest.com/ go to the sample menus and check out the losing regain. This would be a great way to reset yourself.
I know for me personally I can eat a ton of popcorn, but 4oz of steak fills me up for hours.
Dr. Sanchez Lapband 9/12/2003
hw305/revision w280/cw197/gw150
Revision from Lap Band to Bypass on 2/4/2015 by Dr. Pohl
I have a normal bypass. I don't think I would get distant RNY just for a weight loss.
RNY can cause a lot of issues. Now if you doubled that with severe malabsorption - I personally would not get the ERNY. It may be that the doc you see is not a great, fully experienced with DS, and that he/she want to go with ERNY.
There is a very surgeons to make great RNY into the DS. As far I know, the RNY to DS is a very complicated surgery. I think there is a very difficult set of skills is needed and to to be able to do DS revision.
FYI: at 10 +years post op, I would not consider another WLS. I know my pouch is still working as long as I eat dense proteins.
Hala. RNY 5/14/2008; Happy At Goal =HAG
"I can eat or do anything I want to - as long as I am willing to deal with the consequences"
"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."
So I met with the surgeon. I had options I was seriously gearing towards DS but he suggested the Distal for me. Still invasive but shorter surgery time with way less complications. My CW: 242
He basically told me that most patients start at a BMI of 42 usually by 1-2 yrs get down to 30 thats like at 5 lbs excess to lose. Im happy with his reassuring me he said he goes a very short length for greater weightloss. He said he did have instances where he had to lengthen it in patients that had lost too much. Im happy but honedtly have not researched distal bypass?
I still have to do 6 months of dieting and just need to maintain my weight not gain any but Im going to try my absolute hardest to lose as much as I can.
Distal 30 min to 1hr surgery time compared to
DS 4.5 hours with way more risk for complications
Please share any links or information
Thank You!
Had my GBS (R N Y) June 2005. Lost 104 pounds. Started regaining minimally in 2011. Overstitch 11-2012. I am still gaining (regain of 60 lbs.) and have contacted my surgeon about a revision.
After speaking with the office staff they suggested a soft reset prior to revision work up. What is a soft reset, exactly, anyone know from experience?
Also, I have been told if I want to be considered for revision; that I would need to have an upper GI and EGD to see the pouch size etc. before my doctor can even decide if revision is a possible plan of care...which makes since. It seems weird to be 13+ years post op and now talk of testing....I am disappointed.
Anyone have some information for me?...It will be appreciated.
Hi! I'm new here. Here is my story...12/31/08, I had lapband surgery. I lost about 70 pounds total. I had a lot of problems with the band with restrictions; it was either too tight, or not tight enough. I went through that for about 2 years. In 2010, I moved away from the city I had surgery in to attend college. Because I didn't have insurance anymore, in order to keep getting fills, I would have to pay $100 OOP at a surgeon's office in the city I had move to, or travel about 2 hours back home for adjustments. So, i have my surgeon's office take out some of the fluid because I know I wouldn't be able to travel back often. I got a personal trainer, went to the gym and nothing! The only time I lost more weight, is when I took HCG. Now, let's fast forward to 2018. I am currently trying to get revision surgery; lapband to RNY. My insurance (BCBS) covers the surgery. I found a surgeon from their blue distinction list, did all of the requirements they asked for, and they denied me. I received my denial letter last week, and they denied me because they are claiming that I did not follow a nutrition and exercise program following the surgery. How can they prove that I did or didn't? I have gained over 100 pounds since surgery, and I have a "floating" port. No one can access the port. I have even stood in front of a x-Ray machine for a doctor to try and access back in 2015, and he couldn't, it kept moving. Last week, my doctor requested my follow-up visit records from my first surgeon and submitted for reconsideration. What are the chances of getting this approved? Has anyone gone through the denial process, and had it overturned?
Sounds like you are taking the right steps to get your mind in the right frame. I am a revision from band to bypass. I don't consider myself to be a slow loser. I have lost 89 pounds so far. The rny board is super supportive, I don't think it is overwhelming at all. I participate in the menu thread just about every day. I find reading what everyone else is doing is helpful in my journey. Good luck with yours!
You can't measure your achievements with someone else's yardstick!
Revision from lapband to RNY 12/26/17 with Dr. Caitlin Halbert
HW 260 SW 248 CW 154 GW 145
Gallbladder removed 9/18
Beth
Fire the judgey therapist. We aren't all judgey I promise.
Eating at night is a big sign of emotion regulation or what we call low distress tolerance. That isn't necessarily your fault, actually, but, well, goodness look at what's been going on. That is awful...I am so sorry for your loss.
My rule is we don't take things away without replacing them. Instead of eating, could you do something else? Don't laugh, but there are weighted blankets great for anxiety and PTSD that are very comforting. some people will hug them or wrap themselves in them. Have hobbies or things to keep your hands busy...things you enjoy which are not eating. I have had PTSD and nightmares so I get it...they suck, and they don't really care that I don't want to scarf donuts. If you absolutely have to eat, and yeah I feel you on the protein, have alternatives and ditch the rest. I had to be ruthless because I literally would eat anything when I had similar issues. Now I don't keep any at home because I can't. I have to get a hysterectomy within the next year or so myself.
There is nothing I can say to make things better, because they are awful, but I can say that you have made it through a lot. It may not seem like you can ever have relief from anxiety, however that doesn't mean tomorrow you won't.
The one thing I will say: be kind to yourself above all else. you deserve kindness and compassion, esp. from yourself.
You are not a bad person who is choosing to shoot themselves in the butt. You are not an eff-up. You are not terrible. You are suffering, and frankly anyone who doesn't get the power of comfort when we are suffering, especially a therapist, should hush up.
What a great post Donna!!! I have a sister that really struggles with nighttime eating and wI'm going to share what you've written to see if it helps her. Big hug.
That aligns with what I've heard about the overstich procedure, that people only lose 10-20 lbs max, if at all.
Thank you for the response. I was scoped so I know my stoma and pouch are enlarged. How does one lose weight when my pouch seems to always be empty? I don't get full. It's horrible, I blame myself some but I also blame my medicine abilify. It caused me to eat compulsively for over a year until I figured out what was happening. I need to research the best procedure for revision, I don't want to be doing this again which is why I feel the switch is forever unless I screw it up. I'm very compliant with my vitamins so I'm not too concerned about post op.
Aimee
RNY 3-1-12
RNY Revision 10-4-18
