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Thanks for the info.
I'm with you on the opiate pain meds. I don't see how anyone could become addicted to them. They just kind of numb me, but make me nauseated for hours. I did extra strength Tylenol when I had my hernia, esophagus and my diaphragm repair. I would rather feel a bit of pain than feel nauseated.
Thanks again!
I wouldn't say that I get "deathly sick," but definitely queasy. Without thinking, I tried a bite of my son's chocolate-chip pancake when he offered to share a couple of weeks back, and I had serious stomach cramps after. Not the awful dumping that some folks have-- that doesn't happen to everybody-- but definitely enough that I'll be staying away from sweets.
My portion sizes are definitely smaller than they were right before surgery. My sleeve actually stretched out to close to its original size (I apparently have a connective tissue disorder), so the portions are very similar to what I had soon after VSG.
My surgery was laproscopic, five incisions, no problems with that.
I do think I had more pain with the RNY than the VSG, but take that with a grain of salt; opiate pain meds don't do a damn thing for me. After the first five days or so, I switched to taking tylenol and actually got a lot more relief that way. I had a hernia repair with mesh so that was really sore as well. It sucked, but I made it through, and I think it was worth it to be feeling so much better.
Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!
I'm assuming you haven't tried anything sweet. I've been told it usually makes you deathly ill. I'm dreading the protein shakes myself. I'm also not a milk person either. Are your portion sizes smaller than what you ate with the sleeve? I haven't eaten normal in several years and therefore I'm malnourished and underweight at this point. Practically, everything I eat comes back up.
Were they able to do your RNY laparoscopic? Last question, how was the pain? I really had very little pain with the sleeve and with the hernia repair recently. I don't know why, but for some reason I'm scared to death of having the RNY.
I'm glad you are doing well and not having many problems. I hope that I do as well as you.
Here's what my diet progression was:
- Clear liquids (2 days)
- Protein-based liquids (4 days)
- Full liquids (1 week)
- Puree (1 week)
- Soft (1 week)
- Regular foods
I wasn't ready to progress nearly that fast, though. I ate a lot of Greek yogurt and ricotta bake during the puree and soft stages! Also lots of Fairlife milk to hit my protein goals, since I can't stand milky shakes.
There are a few things that don't really agree with me at 3 months out. Jerky gets stuck so I have to steer clear completely. I also have some trouble with beef if it's not very moist or have some sort of sauce; ground beef gives me trouble in particular. But for the most part, I don't have too many problems.
Good luck on your revision!
Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!
I had my sleeve almost 13 years ago. I lost over 100 pounds. I have kept the weight off, but I too have had a hernia and GERD. I didn't want to do the revision to RNY so my doctor repaired my hernia in hopes that it would eliminate the GERD. Needless to say, I'm still having GERD and I have no choice, but to have the RNY. I'm scheduled for surgery on 12/17/19.
Since it's been so many years since I had the sleeve I can't remember how long I was on clear, soft, etc. I do meet with the nutrition in a couple of weeks, but was wondering if you could give me some idea what your eating habits were the first few weeks post surgery. Are there any food that totally disagree with you now?
I'm glad to hear that you have done well. I'm hoping for the same results.
Thanks in advance!
on 11/13/19 3:26 pm, edited 11/13/19 7:27 am - WI
There is no way to actually redo your original RNY surgery because there is only so much stomach that can be used to create a pouch, and the stomach has already been resected. They can convert to a distal RNY (longer channel) from proximal RNY which is a terrrible option because of the side effects of severe vitamin malabsorption, chronic diarrhea, and foul smelling stool and gas. You can revise to DS, but it is a very complicated surgery with very few qualified surgeons that can perform it in the U.S.
Pouches do not stretch out. They are created from a section of stomach that has very little pliability. Stomas are what stretch, usually from overeating and drinking with meals. What happens is the stoma stretches to about the same size as the pouch and food flows freely into the intestines, which means you feel no restriction and you never feel satisfied. They can try to stitch the stoma to make it smaller, but those procedures usually fail.
HW 270 SW 236 GW 160 CW 145 (15 pounds below goal!)
VBG Aug. 7, 1986, Revised to RNY Nov. 18, 2010
The previous comment is not true. I just had a consult and they can do a formal surgical revision. Risks are anywhere from 18-40% for a complication, so it is risky, but can be done if anatomy is favorable. They can do a Tore surgery, which is a tissue stitch surgery which narrows the stoma if that is what is stretched. This may only last a few years, as it is not standardized yet and has room for improvement. There is also the option to do a band over bypass which narrows the stoma and pouch size. This is a pushed a lot because it is a familiar procedure to many in the bariatric community and is lower risk. You can also look into pouch reset diets, seek counseling or other dietary aids. Whatever you do, make sure you are dealing with certainty of your options as discussed with your surgeon, before weighing things too much.
"Band over bypass" is a terrible option. Bands have a miserable track record in terms of scarring, adhesions, and other complications. Many surgeons will not place lap-bands at all because of the risks.
The "pouch reset" is complete bunk. Going back to liquids will not shrink a pouch that has stretched; it's just another fad diet. You're much better off going back to basics and eating a limited amount of lean, dense protein.
Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!
Carla B. Do you have any narrative on how things went in September and beyond? Researching similar option. Thanks.
Start Wt: 347 -- Lowest: 191 -- Current: 216.2 -- Goal: 197
2 MINUTE VIDEO JOURNEY ENJOY HERE ----> http://tinyurl.com/Jonoba07
New in 2010
Regain of 20 pounds has thrown me for a loop - will not let this get the best of me - what am I doing about it?
www.obesityhelp.com/group/Drop10410
The previous comment is not true. I just had a consult and they can do a formal surgical revision. Risks are anywhere from 18-40% for a complication, so it is risky, but can be done if anatomy is favorable. They can do a Tore surgery, which is a tissue stitch surgery which narrows the stoma if that is what is stretched. This may only last a few years, as it is not standardized yet and has room for improvement. There is also the option to do a band over bypass which narrows the stoma and pouch size. This is a pushed a lot because it is a familiar procedure to many in the bariatric community and is lower risk. You can also look into pouch reset diets, seek counseling or other dietary aids. Whatever you do, make sure you are dealing with certainty of your options as discussed with your surgeon, before weighing things too much.
