revision ??

Does anyone know the requirements for a revision/reduction of the stomach 4 years post RNY? I have gained 25 lbs this past year - and I was still 25 lbs away from goal. I have new ins that is supposedly good to cover weight loss surgery and want to take advantage while I can. Any ideas will be appreciated. Thanks!

That would be a question for your surgeon.

I am sorry to hear that you have regained. I would suggest that you first try to lose the weight by "working your tool". It is a tool and it is still there. Cut out all white carbs, go back to making sure you follow the rules -- no drinking while eating, drinking a minimum of 64oz of water (water being defined as non-caloric, non-caffienated, non-carbonated drinks), exercising a minimum of 45 minutes every other day and eating protein first, making sure that you get a minimum of 50 grams of protein in per day. Eat 3 meals measuring your portions and eating no more than 1/2 - 1 cup of food per meal and having 2 snacks during the day that consist of no more than 1 oz of dense protein (such as an ounce of beef jerky, nuts, or a small protein bar). If you follow the rules (and I suggest using fitday.com to track your food intake and exercise output) for 3 weeks and do not see a loss at all, then I would suggest speaking with your PCP. Revisions do happen, but really should only be done in the case of a mechanical failure -- in other words, something is *wrong* with the surgery that caused the patient to regain -- not just non-compliance (***I am not saying that this is the case with you -- just saying that if you do follow the rules, and track it and show this to your doctor, you can rule out this issue). The reason for this is that revisions carry a significantly higher mortality/complications rate than the original WLS. I bet that you can lose those 25 lbs yourself and even the other 25 if you commit to it. I believe that anything is possible if we just aim high and work towards the goal. Good luck in your journey! --joanna 325/126/140 surgeryday/current/goal

I have met a number of revision patients on the duodenal switch forums and on the forums at at www.duodenalswitch.com Many of them gained a significant amount of weight back after the RNY and have been very successful with the revision to the DS. There are only a handful of surgeons whose expertise lies in revisions, so you need to do good research and be confident in the surgeon you choose. I am not a revision patient, but I know you could find a number of them on one of those two forums and learn about their experiences. Best to you!