Intesting conversation with surgeon - Revision surgeries

I went in for my 3 yr visit with my surgeon today and had a very interesting conversation about how he is doing his RNY surgeries now.  Or to be more specific, how he's doing his RNY revision surgeries.  He creates the traditional RNY pouch and intestinal re-routing, sometimes puts a fobi band around the pouch, and also removes the fundus portion of the remnant stomach.  So basically the 'working' part of the stomach is the traditional RNY pouch/intestines.  The remaining stomach is created into something very similar to the sleeve, leaving the pylorus intact in the blind 'sleeve' stomach.

He said he's doing this now primarily because, especially on his revision patients, they need help with hunger and removing the fundus portion of the stomach removes the majority of the area that creates grehlin.  He also leaves the sleeve portion in, in case they need/want to revise again to a sleeve at a later date.

I hadn't heard of this type of combination surgery before and think it's a very interesting plan.  He's been doing it for about 2 1/2 years now (started after I had my revision), and so far says he's seen very good results with many patients reporting that their hunger has gone away completely.

Debbi

Lucky *******s.

Dang, where was he when I needed him?  Hunger is still such an issue for me.

I;m with you STeph.  I miss those days right after surgery when I wasn't hungry.  Now if I can just stop letting the head hunger control me.  Is there a surgery for that?????LOL

can I get a revision of a revision.. of a ..  or just have that dern hunger organ taken out??

I feel so lucky that, even after nearly 6 years, I still don't feel physical hunger.  Now, if only I could get rid of the head hunger.

I'm not sure why he doesn't just do the sleeve altogether and restore the pyloric valve...

He actually does do the sleeve as well.  This is just the option he does for his patients that want the RNY as a revision.  He's a sleeve patient himself and is extremely pleased with both his own and his sleeve patient's successes.

Debbi