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BeautyO
on 5/16/18 5:53 am
Topic: RE: Has anyone had their Duodenal Switch revised because they weren?t losing enough?

Hi, I had gastric bypass surgery in 2006. I lost close to 100 lbs. Within the last 2 years i have regained 50 lbs. My Dr said my connection from my pouch to my intestine has stretched. I have a revision scheduled for July 31 but I am a little nervous. I had complications with the first surgery. I also had a perforated ulcer repair 2 years ago. Any suggestions. I am very unhappy with my current weight of 242

aquesta
on 5/15/18 3:55 pm
Topic: RE: Anyone know if Kaiser in Northern California approve the revisions??

Hi, looking for help and suggestions. I had a vsg in 2013 didnt lose the amount of weight I wanted, never got under 200!! I believe that i am experiencing some GERD symptoms and have had about 40lbs of regain. I am seeing my PCP next monday and plan to ask for a referral to bariatrics. Any thoughts on which site would give me the best/fastest route to revision to RNY? I was thinking Richmond because it's the closest.

Any help would be appreciated.

  • original surgery was not done at kaiser
  • do not have a formal Dx of GERD
Mary F.
on 5/14/18 9:04 pm - East Windsor, NJ
Topic: RE: Stuck

I found a surgeon that takes my insurance, will talk with my current surgeon as they operate in the same hospital and he is submitting my paperwork for revision to the insurance.
Fingers crossed for me please... I need this for my sanity. Gained 30 pounds in 3 months since band removal.

Mary F.
on 5/14/18 8:56 pm, edited 5/14/18 1:57 pm - East Windsor, NJ
Topic: RE: Time off work and recovery

My surgeon told me 2 nights in hospital as long as all goes well. However, they wouldn't do it in one surgery.... my stomach was too damaged from the lap band. They required 2 to 3 months of healing first after removing the band. More doctors are starting to follow this protocol as the stitches in your stomach heal better. (However, some doctors won't decide until they see how your stomach is after they remove the band).

Mary

KayLavonne
on 5/14/18 12:42 pm
Topic: RE: My revision denied due to an exclusion... any experience with this?

Yes that is awesome! I prayed before I went to him. Honestly, I was prepared to defend my position of the surgery and prepared for him to be defensive. However, when I did approach him, not only was he eager to listen, but he knew of the complications GERD can bring and he was telling me how I need to get it fixed! I did not have to prove or debate anything. I am grateful for his compassionate heart. Hopefully, there will be a resolution for me. And if not, then at least I know that I did all that I could to get a revision.

HealthyVee
on 5/14/18 4:41 am
Topic: RE: My revision denied due to an exclusion... any experience with this?

That is wonderful that he willing to go that extra mile to help.

HealthyVee
on 5/14/18 4:39 am
Topic: RE: My revision denied due to an exclusion... any experience with this?

Do you mind if I ask a couple of questions about the Nicholson Clinic? Is the $18K for the bypass? Do you know what all that entails, ie hospital costs, anesthesia, surgeon fees? does that also include the band removal? After two years of fighting with my insurance company they have finally agreed to pay to remove my band but not another wls procedure. They are saying that I have not had a BMI of over 40 for the past five years; no kidding, I had a lapband...... So tired of the insurance merry go round and am looking to self pay for the bypass. Thanks for any information you can provide.

KBarb
on 5/12/18 9:37 pm
Revision on 05/07/18
Topic: RE: I am so ashamed of myself but you have to start somewhere

I don't want to discourage you from getting a revision, however if the weight can be lost using a support group, high protein, low carb and sugar, I think you'll get their. I just had a revision because of a non healing ulcer that perforated and two internal hernias 2+ years post op from the original surgery. I am one week post op and I am having a terrible time. Can't keep fluids down. Swollen stoma that won't even allow fluids to pass, vomiting with blood in it. Can't even swallow the tiny oxycodone pills or Tylenol I was sent home with. Now today, on Mother's Day I am heading to the ER an hour away and will probably be readmited to the hospital and my husband will have to miss work to take care of the kids. This is much worse than the first time around. Best wishes on your journey.

Ladytazz
on 5/12/18 11:50 am
Topic: RE: Has anyone had their Duodenal Switch revised because they weren?t losing enough?

Hi Sunshine! Like Amy said, I am a revision from a DS to a sort of hybrid surgery. My sleeve was revised to a RNY pouch and my common channel was lengthened from 100cc to 200cc.

I had regained 100lbs in the 8 years after my DS. Because I ate crap day in and day out. The main thing to remember is that no surgery can help you if you eat simple carbs. Even with the DS simple carbs are absorbed 100%.

The first thing you need to do is see you doctor to determine if you surgery is intact. If everything is how it is supposed to be than your best course is to use it to the best of your ability.

I was told that after my revision I would probably not lose any weight. The reason for my revision had nothing to do with weight gain. I was so sick I couldn't function. I had chronic intestinal bacterial overgrowth (CIBO) due to the fact that I had a blind limb. All the bacteria was trapped and released toxins to my body. That isn't a common situation but it happens. I needed a revision to get rid of the blind limb.

By the time I had my revision I honestly did not care if I lost weight or not. There are worse things in the world than being overweight and I was living it. I had no quality of life. I had constant diarrhea and very odorous gas. Flagyl helped but my doctor didn't want to prescribe it any more for fear of developing a resistance to antibiotics. I used probiotics but it didn't help.

Even though my doctor told me not to expect weight loss after the surgery, probably because I had failed so miserably to comply with a healthy eating plan, I decided that if I was going to go to all that trouble to have a revision I might as well make the best of it.

I followed the post op diet to a T. I avoided all sugar and gluten. One thing that did help was finally having good restriction. My sleeve was made very large. They didn't use bougies at that time, at least my surgeon didn't, and when I asked about it's size I would told he removed about half of my stomach. I honestly didn't feel like I had any restriction at all. I was able to eat pretty much the same amount as before surgery and I was hungry all the time.

After my revision I did have good restriction and that helped a great deal in sticking with a healthy eating plan. In spite of my doctor's prediction that I wouldn't lose weight I lost even more weight then I did the first time. I reached a normal BMI in about 6 months and continued to lose weight. In fact my weight became too low. At one point I was under 100 lbs. Then I had the tricky part of learning how to gain weight without overeating or eating junk.

I followed the post op plan for about 5 years before I allowed myself to experiment with my eating. I was careful about what I ate and the amounts I ate it.

My weight has stayed very stable for many years. I weigh myself daily, which I think is one of the reasons I have managed to keep the weight off. I haven't had any big gains but if I see things trending upwards for more than a few days I cut bac****il I am back to my normal weight.

I stay right around 110 lbs on my home scale. I have never gone over 115 except one brief period when I was eating popcorn every day and I was getting up to about 120 lbs so I cut out the popcorn and went back to my normal weight.

I am glad I had the revision, not only because it took care of the CIBO but because I finally had a tool I could work with. I take advantage of the restriction by always eating protein first. By the time I have a few ounces of meat I am satisfied and able to eat less of the carbs like fruits and vegetables. I completely avoid sugar, which I also credit with helping me. I was a big time sugar addict and since my revision I found I dump and dump badly when I eat sugar so that is enough for me to strictly stay away from it.

I am also lucky in that I haven't really had issues with low blood sugar. I had a period with I did have some episodes but learned how to best eat to avoid them.

I would do anything to avoid a revision if I were you. It was a very hard surgery on my. My surgery was open and I was cut from the bottom of my breasts to the bottom of my pelvic bones. It was a tough surgery to recover from. You also would probably have a hard time finding a surgeon to operate on you if you don't have any complications just to lose more weight. Really the only things that you could have done would be to have your sleeve made smaller or your common channel made shorter, but like I said if you don't avoid the simple carbs than that won't help you much in losing more weight.

You do already have the most powerful surgery available so that is an advantage. Maybe you can find a nutritionist who can work with your eating, or a counselor or both. I worked with a nutritionist for the first year because I needed help in learning the best way to eat. As far as counseling goes that has helped a great deal, too.

Good luck to you. Another big help for me is finding support from other WLS patients. That is something I did not do the first time around. It really does help to have accountability and guidance. I have learned that I don't have to be perfect. I just do the best I can do everyday and learn from my mistakes.

In the past if I ate something I shouldn't that would be an excuse to go on and eat more and more. Now I just look at how I am eating and see if there is a way to make better choices. If I find myself having a problem with a certain food I can recognize it early on and change before the habit becomes too ingrained to change.

Hang in there. You can do it. If I can turn around a failed WLS and figure out a way to make it work than anyone can. Stick around and see what you can do to make things better.

WLS 10/28/2002 Revision 7/23/2010

High Weight  (2002) 240 Revision Weight (2010) 220 Current Weight 115.

Amy R.
on 5/12/18 8:52 am
Topic: RE: Has anyone had their Duodenal Switch revised because they weren?t losing enough?

I know of one person here on OH that revised from a DS to an RnY and has great success losing weight and keeping it off since her second surgery.

Let me see if I can round her up. She'll probably have some good input for you.

In the meantime you probably want to work really, really hard with what you have. With the goal of avoiding any other surgeries ever. It's serious business to get through a revision from a DS to anything else and the only surgeon I'd trust for that is the one Laura mentioned.

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