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All may depends how long your current malabsorbtion limb is, and much he would want to shorten the common path.
There are proximal and distal RNY. The first - the doc creates a limb of 50-150 cm (or even 200 cm)., and the rest is all connected with juices from remnant stomach and the bile.
The distal - they measure the length of the common path, where we digest and absorb food. That can be shorter or longer.
If you current limb is only 50-75 cm, and the doctor wants to make it even up to 200 cm, I probably would do what he suggested. But unless you really change your diet and avoid sugars, carbs (even natural like in fruits, vegetables or complex carbohydrates), and be mindful about the sizes and frequency of the meals- no WLS surgery may work for you.
As fr distal RNY -That they bypassed majority of the small intestine, leaving only 100-200 common channel - the opinion of bariatric community is that this, after the Band, is the worst one. A person with distal RNY nmay have all the problems RNY can have (dumping, cramps, RH, etc) plus the issues from DS - as severe vitamins - minerals malabsorption.
I personally would chose DS over a distal RNY. Revision from RNY to DS is very very complicated surgery, and carry very high risks. There are only handful of surgeons in US and the world that can properly do the conversion surgery.
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...."
You have reached the point where you eat enough calories to maintain your weight. The only way to lose now is to eat less calories than you burn. It takes 10 calories a day to maintain 1 pound. I bet if you track your calories for a few weeks, you will be at about 1400 or 1500 a day.
To get rid of a pound a week, drop 500 calories a day. That is 3500 in a week or one pound.
Stick to 1000 per day for a week and I guarantee you will be one pound lighter To maintain 125 you will need to stay at 1250 per day. After weight loss surgery, our metabolism slows down and we need less calories than before.
Real life begins where your comfort zone ends
Hi,
im having the same thing done Monday. I regained about 45lb after a RNY. I was diagnosed with Multiple Sclerosis since my original RNY and the fatigue and inactivity has decreased my metabolism significantly. We reviewed my diet and everything g and the doctor thinks this is best for me. Hope it works. Main reason I'm doing it is because as my mobility decreases, I don't want to have the excess weight to move around. I wish you well with everything!
I agree with LadyG... so it won't just be malabsorption of food, but all around in every aspect. So, yeah it will work, but You still can do amazing and use this as a stepping stool since you know what can happen. Have you considered a mental health pro to talk to about what could be keeping you from reaching your goals? Tracking food (weighing and food prepping), going back to basics, journaling? Do you have someone in your close circle who you can allow be your accountability supporter (who you don't take personally if they police or check-in)? When was the last support group that you attended?
You've got this and YOU know you can do this! put notes up that you will see on a consistent basis (kind of like a vision board) that encourages you to do your best and stay on track!
Honestly if your surgeon says your stomach is still small I would go back to basics with dense protein being the first thing you eat. Make sure your getting well over 80oz of fluid in and start tracking/measuring/weighing what you eat. It is so easy for us to fall back into old habits and let carbs and things creep back.
He could shorten the connection, but that could cause not very good side effects especially with vitamin absorption. Also remember you may not lose as well as when you first had surgery. You could only lose 25-50lbs then what would you do? Just stuff to think about.
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 had RNY in May of 2007. I did amazing. I've since gained back nearly 100 lbs and can't seem to get it off. Doc talked about shortening my connection for more malabsorption. He said my stomach is still small. Anyone have just a shortening of the intestine and have any success losing again?
Thanks!
I am big on "dinner salads" (with chicken, steak, bacon etc) I do snack some but nothing outrageous (handful of chips, taken OUT of the bag so I don't eat more than I should) I have the occasional no-no foods too (pasta or cake) but never more than a serving and it's maybe 1-2x a week. I feel happy with what I eat and don't feel like I over-eat or junk out/cheat very often. I was just wondering if the slow loss was normal since I only have about 15 left. My goal weight is 125 but I'd be happy with 135 and I currently weigh 145, started out at 160.
the items you mentioned,chips,pasta,cake are carbs and carbs are absorbed 100%, there is no malabsorption with them.
Salads are useless fillers when trying to lose weight after WLS.
without all the junk food and eating high protein and high fat and low carb you should be able to reach goal quickly.
Weight loss after a revision is almost always slower than after an original surgery.
Cheating on your post-op diet, even a "normal serving" once a week, will absolutely slow you down. If you want to maintain a decent rate of loss, you need work hard and follow your surgeon's guidelines closely.
Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!
I am big on "dinner salads" (with chicken, steak, bacon etc) I do snack some but nothing outrageous (handful of chips, taken OUT of the bag so I don't eat more than I should) I have the occasional no-no foods too (pasta or cake) but never more than a serving and it's maybe 1-2x a week. I feel happy with what I eat and don't feel like I over-eat or junk out/cheat very often. I was just wondering if the slow loss was normal since I only have about 15 left. My goal weight is 125 but I'd be happy with 135 and I currently weigh 145, started out at 160.
Hi all!
i got a revision 5 months ago (VSG to DS with a 26 BMI) after a 30lb regain. My post-op loss has been suuuuper slowwww.
I know what to do diet wise and I have done everything right (for the most part lol) but I was wondering since I only had 30 lbs to lose is that why it's so slow?
Ive only lost about 13-15 lbs depending on the day. I do retain lots of water so that part isn't as concerning. Before the holidays I'd gotten down to almost 20 lbs but it has crept back up and seems stuck.
I guess my question is, is this normal with being on the lower end weight loss goal wise?
thanks, y'all!
