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Ahh, I understand now. I can see that you have tried every option; usually teaching hospitals might be willing to try to figure it out but clearly not there. The only other thing I could think is see if you can find another bariatric surgeon who might be more familiar with types of complications and see if they can see anything and maybe share with one of the other medical teams? Good luck, I can't imagine the frustration.
HW: 306 SW: 282 GW: 145 (reached 2/6/19) CW:150
Jen
Youll gain weight. If you're 190 lbs whats your issue? Sounds like a very healthy normal weight.
Supposedly normal anatomy I am trying to get confirmation from the doctor exactly how this can take care of an esophageal stricture
- I had a Roux-en-y surgery about 13 years ago and had what I consider to be great success. I went from a high of 388 lbs to a consistent 200 in about a year and maintained it until I started losing again down to a low of 121 lbs. I was found to have a stricture in my Esophagus and could not get enough calories down. I finally was sent to a transplant team and they decided that a reversal of the Roux-en-y was the only fix either that or remain on TPN I am having trouble understanding how a reversal of a Roux-en-y could affect the esophagus stricture and honestly am nervous about weight gain I have struggled with my weight most of my life and hate to lose it since the Roux-en-y has been so successful on TPN I am back up to 190
what would they reverse it to?
I have the bad luck to have the Bariatric Surgeon retire, every GI doctor in Sioux Falls tell me I was too complicated for them, The GI doctors at Omaha VA say I was too complicated, and the GI doctors at university of Nebraska say I was Too complicated. I was referred to the transplant team not necessarily for a transplant but because they were supposed to be more experienced the surgeon had views of everything downstream of the RNY but was not interested in the esophagus feeling he could just reverse the procedure. Maybe that is what is bothering me but I don't know where to go next for an opinion what are peoples feelings I know I have to make the decision but throwing this out there helps me think through everything. I am still happy that I had the RNY procedure and I am not convinced that the stricture was caused by it.
If you are that uncomfortable with the recommendation, can you go for a second opinion? Maybe a different type of surgeon (I'm not sure what a transplant team would do with a stricture but I don't know anything about medicine or specialties). Could your bariatric practice provide any insight?
HW: 306 SW: 282 GW: 145 (reached 2/6/19) CW:150
Jen
- I had a Roux-en-y surgery about 13 years ago and had what I consider to be great success. I went from a high of 388 lbs to a consistent 200 in about a year and maintained it until I started losing again down to a low of 121 lbs. I was found to have a stricture in my Esophagus and could not get enough calories down. I finally was sent to a transplant team and they decided that a reversal of the Roux-en-y was the only fix either that or remain on TPN I am having trouble understanding how a reversal of a Roux-en-y could affect the esophagus stricture and honestly am nervous about weight gain I have struggled with my weight most of my life and hate to lose it since the Roux-en-y has been so successful on TPN I am back up to 190
The RNY is usually better for reflux, although that in part depends upon what is causing the reflux. If it's a hiatal hernia causing it, then that can usually be repaired surgically along with the revision, and a DS is a reasonable alternative, and will generally provide better results as it is stronger metabolically than the RNY, which is similar to the VSG in that respect (why regain revision results are often disappointing with that revision.****asionally we see someone come through here with fantastic results on their regain problem, and they seem mostly to be those who took the "I'm not gonna let that happen again" attitude towards it, really knuckled down and did everything right, and more. You almost have to consider that you are getting the RNY to treat your GERD, and you are on your own to fight the regain - don't consider it to be the magic bullet that will do it for you. The DS option will make that job easier, if it is still an option depending on the cause of the GERD, but it's doable with the bypass - just harder.
Good luck on this....
1st support group/seminar - 8/03 (has it been that long?)
Wife's DS - 5/05 w Dr. Robert Rabkin VSG on 5/9/11 by Dr. John Rabkin
on 1/24/23 8:36 am
Ah, that makes sense now! RNY, from what I hear, is much better for GERD, especially since a DS revision more often leaves your existing sleeve intact unless there are medical issues with it.
HW 282, LW 123.4 (8/29/23), CW 144.4
Pre-op-33, M1-12, M2-17, M3-14, M4-11, M5-14, M6-5, M7-6, M8-5, M9-22, M10-6, M11-5, M12-2, M13-2, M14-5
Thank you for that. Yeah I know what caused my weight gain. Complacency, not following the rules. My son got very sick and had to have open heart surgery. I quit my job and stayed at home with him 24/7. We had been working for some time on adopting as well and got the chance to adopt three children, a sibling group. We adopted them and I became a stay-at-home mom and it became easy to throw an Oreo in my mouth while I was packing lunches. That made it easier than to grab something quick and unhealthy for lunches for myself. It was all downhill from there. My can't wait game was my own fault and I see that clearly. I've decided this time that I'm going to take time to focus on myself and not JUST be a caregiver. I still don't eat much but what I was eating was non nutritional junk. All that equals my weight gain.
Tanya
