R N Y to DS (Including Distal)
Has anyone had the revision from RNY to DS? I am hoping to get some feedback -hospital stay, recover, vitamian deficiency and weight loss results. I am in the midst of starting the process and trying to get all the info I can get. :)
I went from 400 to 200 now I am 270. Had RNY in 2008 with Duke.
I am an RNY to DS revision. I was in the hospital 5 days. My vitamin deficiency is low D & K, I am working on getting that corrected.
Who is your revision doc?
Good Luck!!!!
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
Yes, nearly 3 years battling with insurance. But I WON!!!!!!!!!!! I did have help, from people on this board, and proboards as well.
I do consider the revision a success. I AM NOT DONE YET!!!!!!!!!!!!
Less than 50 pounds to a normal BMI. I have lost over 50% EWL, and I am HAPPIER!!!!!!!!
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
Here's a pic of the DS:
(This isn't really to scale either, but it's a lot closer.)
As you can see, the stomach portion of the two surgeries is VERY different. This requires stitching the pouch and the remnant stomach back together, then performing a sleeve gastrectomy. The small bowel is also sewn back into its original shape, then the actual 'Switch' is done.
When revising a proximal (the 'average' version) RNY to a diatal, all that's done is to move the 'Y' connection farther down, making the 'common limb' shorter. This means you have more malabsorption, but you still have the pouch/stoma combo. Basically, the distal, or ERNY, gives you the worst parts of both procedures.
Make SURE whoever does your revision intends to restore your pylorus---only then will you have a 'real' DS.
ALSO, here is more food for thought with the DS and distal/ERNY comparison. Please check out the link....... VERY informative!!!!!
http://www.dssurgery.com/newsletters/duodenal-switch-and-distal-gastric-bypass.php
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
Revision from proximal RNY to distal RNY is not the samt thing as a revision from an RNY to a DS. An Rny (whether proximal or distal) always involves a stomach pouch with an intestinal bypass. The DS always involves a sleeved stomach with an intestinal bypass.
Does Sudan even do the RNY to DS revision?
