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My revision is not going to reduce the size of my pouch. If that was what I was having done, then yes, I know that there are ways to eat more.
Not all revisions are the same so I was just inquiring as to where the 20 lbs of weight loss post revision was coming from.
Thanks for the clarification of what type of revision you were commenting about!
Your old stomach before surgery held about 32 to 48 ounces. Think of a 2-liter soda bottle. You could hold one or two of those full of food.
After surgery you get a pouch that is about two ounces. Maybe the size of a walnut. You eat a tiny amount of food and you are stuffed. The pouch grows to about the size of a large egg. As it grows we learn how to eat more.
We get good at eating many times during the day and gaining weight even with a tiny stomach.
A revision might cut the pouch down from eight to four ounces, but that is not a big shock because it is almost the same as before. And we know how to put enough food into our pouch to maintain and gain weight.
Almost everyone goes back to drinking with their meals instead of waiting 30 minutes. Drinking with meals really helps to eat a lot more.
Most revision patients lose 20 pounds because they are on a restrictive diet preparing for and after surgery. But once they are able to eat normally again, they go back to the same amount of food as before the surgery.
The only way to lose weight is by eating less calories and burning more calories. Just waiting for the magic that happened after the first weight loss surgery does not work.
Real life begins where your comfort zone ends
Just wondering where the 20 weight loss post revision is the norm. I have not heard that anywhere before. What kind of revision did they have and what was their original surgery procedure?
thanks in advance
I primary Dr suggested to me that a revision would be beneficial to me. I reached out to the Bariatric Surgery Team and spoke to a surgeon. My original surgeon has retired but amazingly the surgeon that I was assigned actually worked with my original surgeon. He is familiar with how my surgery was performed and has recommended a Distalization to be done. I am just learning about this process as I type this but my estimated surgery will be in November 2021. The tests they are running are a ton of blood work looking at levels of "everything" seriously. I had to have an EGD to check the "plumbing" and just working on getting my vitamin D, Iron, Zinc etc levels up.
I know that gastric bypass surgery is just a tool and I have a lot of hard work ahead of me. I'm here to share and look for support. Lot's of life changes have happened in the past 6 years and I am looking forward to this door opening up for me in the near future.
Hi! I am new to this forum. I had a Roux-en-Y gastric bypass in 2011. I lost 150 pounds....However the death of my spouse and a foreclosure on my home, I turned back to food and have regained approx. 65 pounds. I found a place to live and have tried to lose weight with no success. So I visited another bariatric surgeon and I thought he would revise my gastric bypass. But he had a different idea. He has me set up for a " COMMON CHANNEL SHORTENING" in Nov. 2021. He said weight loss would be very slow, not like the bypass. Also said to expect a lot of diarrhea, bloating and gas. I am very concerned as I cannot get a straight answer from this doctor. I am wondering if I have this done and lose nothing. Like I said, the doctor stated this was somewhat of a new procedure. The main reason I want to have this is that my diabetes has come back and so has my hypertension. And you are correct, this is not a DS as I also thought. Only a commons channel shortening.
Revisions are basically across the board failures. I have been following this board since 2003. I have seen no revisions where people lost more than 20 pounds and kept it off after one year.
Regain has happened to me several times. It is always because I am taking in more calories than I am burning. My metabolism is slower every year and that means I get to eat less every year.
For me to lose one pound, I have to cut 500 calories a day for one week. My normal consumption is about 1400 calories, and I have to go down to 800 or 900 to see a one pound loss.
For a normal person, a male needs twelve calories a day to maintain one pound. A female can only eat ten calories a day to maintain one pound. A 200 pound male can maintain at 2400 calories a day. A 200 pound female maintains on 2000 calories a day. Exercise helps, but much less than you would think.
My goal weight is 136, but I am fine at 140, a bit unhappy at 150, and miserable at 165. But it is easy to take in 1650 calories and feel like I am not eating that much.
To lose the weight and keep it all for life, you much learn to honestly and accurately track what you are putting into your body. My Fitness Pal is excellent and free. Weigh****chers is excellent and expensive. You need a digital food scale to track everything accurately.
A Weigh****cher point is roughly 50 calories. They do a l0t of other calculations, but the end result is the same. I maintain 140 at 28 Weigh****cher points. I lose at 16 Weigh****cher points. I lose at 800 calories on My Fitness Pal.
I first joined Weigh****chers in 1973. I had RNY in 2007. My highest regain was 165 pounds a few years ago. It took months of 16 point days at Weigh****chers to get back to 136.
RNY was a quick and easy weight loss but I still stayed at approximately 800 calories per day. By 18 months out, I could eat close to 2000 calories a day and still was 125 pounds. But the malabsorption went away and I realized that the only way to not gain weight was to be on a diet for life.
People always remark that I don't eat much food. And it is not a lot for them, but for me it is very easy to not eat that much but still gain weight from too many calories.
Real life begins where your comfort zone ends
Is this such a thing nowadays? My doctor said that when I had mine done (may 2005) they had been doing the RNY in a portion of the stomach that was stronger and less likely to stretch out so he wouldn't even consider doing a revision for folks that regained. He's pretty strict. I had hernia and hernia revision surgery last year and I lost a lot of weight only to gain it back. How do they even determine whether you get a revision or not. Honestly, when I brought it up to my doctor, he didn't look at anything (I don't know what they are looking for or at). Any suggestions on this? I am trying to get my insurance to cover a diet medication to attempt to lose the regain - Saxenda; because I have worked out and I don't eat that much anymore, but I don't budge. Interested in hearing some feedback on whether anyone else has a doctor like mine. By the way, he isn't my original surgeon so it's not like he's protecting his own work by not even considering looking at everything. Thanks a lot!
Hi! Wondering how you're doing now? I would love to hear an update! I'm having my revision on Tuesday.
Hope you were able to get the vomiting under control and that you're doing well!
Melanie
Hi Donna!
I'm having the Overstitch on Tuesday!
My original GB was in 2003 and I lost 115 lbs. My lowest weight was 150. I settled in around 170, which was a comfortable weight for me and I maintained it for 13+ years. After having my daughter, then 2 failed pregnancies, the weight started to creep up. Currently, I'm at 230 and am hoping the revision will give me the tool I need to get back on track and get to a healthier weight. Being this weight at age 48 is a whole different ballgame than it was in my 20s. The aches and pains are impacting my quality of life.
Would love to hear more about how you're doing! Maybe we could keep in touch since we're going through this around the same time!
Hope you're doing great!
Melanie
I had RNY 17 years ago and even though I have not gained all my weight back, I have gained! I am looking for recommendations for a surgeon in TN that performs revisions. I have called Knoxville, Vanderbilt, and Memphis and they say they don't perform them. My surgeon has retired. Thanks for any help!
