RNY to DS is possible, but it is a very complicated surgery. If you go this route then make sure you find a surgeon that can actually perform this difficult revision. There are very few in the country that can. Do a lot of research.

There are very few revisions of RNY that are successful. The reason most RNY surgeries fail is user error....not following the WLS rules... like not drinking with meals, or for 30 minutes after, and over eating, causing the stoma to stretch. Once the stoma has stretched there is very little you can do. There are procedures that try to tighten the stoma, but they are not very successful.

If you get a revision you have to commit to becoming a very strict rule follower. No drinking with meals, Measuring and recording every bite so you don't over eat and stretch the stoma, taking your vitamins, avoiding starchy foods and eating protein first....and many of us work with a therapist that specializes in eating disorders to figure out why we choose to over eat and how to stop that cycle.

When Sparklekitty says that any surgery can fail, it's usually because we are not being compliant. The surgery was never meant to do all the work in your weight loss. You have to take it seriously and do your part by choosing to eat right and exercise. You need to figure out why you are regaining with a second WLS before you go forward with a third. Get some testing done to see if you have any mechanical failures of your surgery. If everything is working properly, then your pouch still works and behavioral changes can be made to lose weight. There are many people on this site who have lost significant regain without revisions.

Hi Daisy,

Thanks for your feedback. I cannot agree more with you. I will begin researching the DS I am familiar with the procedure but I think I need a refresher course and a visit to see a surgeon as well. Thank you for this information, it's very helpful.

I would say that the sleeve would not be an option because you have already had RNY. I would look into the duodenal switch this is the most durable weight loss of all revision procedures however, also the most drastic as well.

Sparkle kitty, could you be more specific are you certain that a revision is not possible? This are you saying that everyone who has revised will ultimately regain weight at some point? I think I'm confused.

What does your daily eating and activity look like?

Unless there is a mechanical issue with your surgery, a revision won't do anything. Bluntly, if you can gain weight (presumably due to eating habits?) after two surgeries, there's nothing preventing you from doing so after a third surgery.