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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.

LADodger22
on 5/11/18 8:02 pm
Topic: Question regarding sleeve revision

Has anyone had a sleeve Gasterectomy converted to a Gastric Bypass. Any luck with Medicare approving a revision?

Thanks

AnaliaM
on 5/11/18 3:48 pm - Miami, FL
Topic: RE: Time off work and recovery

Hi Cheryl!

I removed ny Lap Band and they did the Sleeve at the same time.

No soreness at all, just a little discomfort when I woke up, the first day you will be fully on medication so don't be scared.

I stayed 2 nights at the hospital because I wanted to feel more secure, I felt better taken care of at the hospital than I would have been at my house. The next day I left without nausea, vomiting, or pain.

Everything is going to be alright, good luck!

Lap-Band 2009 -Revision to Sleeve 2018

MarinaGirl
on 5/10/18 4:00 pm
Topic: RE: Surgeon wanted in Europe please

I don't have personal experience with this surgeon but I've heard he's one of the best in Europe:

Dr. Anticeto Baltasar in Alcoy, Spain

KayLavonne
on 5/10/18 12:46 pm
Topic: RE: My revision denied due to an exclusion... any experience with this?

Hello All,

Thanks for your comments and support. I decided to just talk to the CEO about the exclusion. He was VERY understanding! He asked for documentation that the revision surgery will help alleviate the GERD, can fix the hiatal hernia, and will help with the esophageal spasms that I am having. He will then consult with his insurance broker and come to a resolution. He seems pretty supportive.

Takeaction.wls
on 5/10/18 11:48 am
Topic: RE: Will a re-sleeve stretch out again?

How are you doing now, I want to get the resleeve but idk if it is worth it I would be self,pay 5k

animallover1247
on 5/10/18 9:09 am
Topic: RE: My revision denied due to an exclusion... any experience with this?
On May 9, 2018 at 6:37 PM Pacific Time, KayLavonne wrote:

Thanks for the feedback guys. My benefits package states that bariatric surgery is not approved "for the purposes of weight loss". However, I do have GERD, and it worsened after the sleeve. In addition, there is something wrong with my esophagus, and I have a hiatial hernia. I know with gastric bypass, it can alleviate these symptoms. Often people get revisions for GERD. Maybe this is a loophole, maybe not. But I haven't submitted it. There has been a death in the family, issues in my personal life, and health issues. But I promise I will keep you posted. Maybe my journey can help someone else. Even if it is a denial, there is no harm in trying. Keep me in your prayers.

Thanks,

Kay

Everyone has a different policy but my experience is the opposite. I had the sleeve a little over 2 years ago and now need a revision due to severe GERD. I have received two different denials from the insurance company because bypass is covered for weight loss but not GERD. The insurance company told me this morning complications from sleeve are not addressed in my policy. I suppose they would rather pay for the chemo if I get cancer and the expensive PPI and Carafate ($over 700 a month they are paying) I'm on which do not work to control my reflux. I hate insurance companies.

KayLavonne
on 5/10/18 9:03 am
Topic: RE: My revision denied due to an exclusion... any experience with this?

Can you explain further? Like you mean to use dates as the symptoms existed?

(deactivated member)
on 5/10/18 2:37 am
Topic: Surgeon wanted in Europe please

Can anyone let me know if they have experience of a good revision surgeon in Europe please. I've had the band removed 6 months ago and I'd like a bypass. Thanks

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