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.

1. 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

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.

Hello, yes I was supposed to have the duodenal switch but I found out today that my surgeon put in for the ruin why because of my gastric reflex. When I talk to the nurse she said that this particular surgery was better for the gastric reflux. I was disappointed because I knew that the duodenal switch would help me lose weight.

Hello there,

Are you having your sleeve revised to RNY, with the DS component to it? I replied to your post in the DS forum but it sounds like your revision might be more than a second half DS. You've also mentioned regain here.

I know your surgery was years ago but there is a huge malabsorptive component to the second half of a DS surgery, so there should be some loss associated with it if this is the route you go, though revisions go slower from everything I've seen. You'll have to put in a lot of work with your diet and exercise to see the results you want.

That said, surgery is definitely a tool. If I hadn't been working on myself and with a therapist for the last year and change, it would be much harder to keep on with the practices I've instituted. You can absolutely eat around any of these surgeries, and most of us have food issues tied to the weight issues or we wouldn't be here. Reducing carbs should help to kick-start your loss after surgery, and your nutritionist should be able to help with that diet plan.

You've done this once and you can do it again with the work! Talk to your team and ask for what you need. Best of luck, and hope you get your date soon!