Dr Ara Keshishian is in Pasadena, CA which is a suburb of Los Angeles. He did surgery on me last summer to address GERD issues post-gastric bypass. I flew in from out-of-state for surgery and am so glad I did. He's amazing!

Initially after gastric bypass my GERD resolved but then it came back even though I was at a normal BMI; I also developed Barrett's Esophagus. So last summer (July 2018) I had hiatal hernia repair and Nissen Fundoplication surgery and I am doing great - no PPIs required anymore.

Hi...

I'm just going to lay it all out there because I don't know what else to do....

My husband and I both had VSG on 1/30/2012, I was at 549.8lbs. I lost down to right about 390 and hit a plateau, I got frustrated and started making poor food choices (mistake #1)and even gained up to 425 at one point. My husband had similar results. I had lost back down to about 380 but never got lower. we did not continue to see our surgeon. Mistake #2. I always said I wish I had done the full RNY, not the VSG and would have it revised if I could, but had been told it's not something that most do, unless it's needed.

Until about July of this year I stayed about 380 I started throwing up completely randomly. It started with what the MD treated at strep throat, I had a cold and my lymph nodes were swollen as well. Two weeks later I went back, still throwing up. But this time the scale said I was 16# lighter. This goes on for 2 months, and 60#s. My PCP suggest going back to my surgeon because I was throwing up daily and ended up in the ER. After an EGD and lower GI series (barium is awful!) it was determined I have a "twist" in my sleeve and a hiatal hernia. My surgeon said that a RNY revision is more than likely what he would need to do to fix it.

Surgery is Friday I go to the pre surgery class again Wednesday.

im terrified for and excited We are living with my parents while we build, and I'm worried about doing it while living here My husband says he is going to eat just like I do, full liquids and all, in hopes he can "reprogram". With the vsg we cleaned our entire house out, there was nothing but what we could have in the house We didn't cook unless it was on our post op list, etc. I am 325# now, and really, at 5'10", I will be good at 200lbs. But, this is my last chance This is something I didn't think would happen and now it's here. I don't have as much time to prepare and I don't have control over the whole situation and it scares me . I've known people who har RNY and have done fabulous and some who had nothing but problems. Am I trading one problem for another??
a few questions:

How long were you off work? I have a desk job, so it's not strenuous and I can get up and walk often

what do you wish someone had told you?

whats your must haves post op?

any other advice/tips?

thanks

You should ask that question on DS forum.

Revision surgery from RNY to DS is very complicated and there are only a few doctors that can fo that properly without patient getting terrible complication.

DS forum have people who know very well about that.

And as far as I know, BPD is not the same as DS. And the average results are different.

I've found that the more you weigh, the more you need to lose to go down a clothing size.