has anyone rny n then revision if so which revision and why?
on 6/2/13 7:33 am, edited 6/2/13 7:34 am
I know a man who had an RNY years ago. Then about 7 or 8 yrs ago, after he had regained about 80lbs, his surgeon gave him a new RNY or at least that's what he told him. Who knows what the surgeon really did. That's what he told him. He lost about 50lbs and has had a regain of 35lbs. Reality is that he is not any better off than before. He's in his 70's now, and said no more WLS for him.
Your question was I'm trying to decide on ANOTHER Ryn or DS any suggestions?
Hands down for me... Only a DS, especially since you already had an RNY. I have no clue how they perform these revisions, just make sure you go to a surgeon who knows what he is doing revision wise. There are plenty of people out there who have gone from an RNY to DS. Hopefully one of them will pipe in to help you.
That is all I know regarding the RNY to RNY.
You might want to ask on the revision board.
Usually, when they do an RNY revision, they'll either put a band over the pouch, or bypass more intestine (or both)...so basically turning it to an extended RNY.
Although a more difficult operation, revising to a DS usually leads to a better quality of life and weight loss. BUT, it is not an operation for a novice to attempt. You want somebody who has done many RNY to DS revisions to do this.
Lap-Band June 14, 2001. Dr. Rumbaut, Monterrey, Mexico.
Lap-Band removed after 7 years and converted to Sleeve Gastrectomy on July 7, 2008 by Dr. Roslin. I've had three happy healthy Lap-Band babies.... and one VSG baby. 5 years out from revision to VSG. Gained 55 pounds in past 5 months, now considering DS. :(
Revising RNY usually means making the common channel shorter to give you more malabsorption. Problem is, if they only go from proximal RNY (what you almost certainly have now) to distal RNY, it doesn't help. So your surgeon might mean ERNY, with the E meaning extended. This would give you a much shorter common channel, much like the DS, but you would still be stuck with the pouch and all its problems. Sort of the worst of both worlds - you still can't use NSAIDs, you still might dump (if you do now), you still have the B12 and iron and calcium malabsorption of RNY, and now you add to that the malabsorption of certain vitamins we have with the DS.
The only advantage I can see of ERNY is that the surgery is safer than revising to the DS, and certainly easier for the surgeon. The disadvantages are potentially substanstial. I have no idea who your potential surgeon is, but there are very few surgeons who do a true RNY to DS revision, and I would advise you to consult with at least one of them, via email if needed, to get their opinion. If you need to travel, it's worth it. This is a difficult and higher risk operation and you want someone with as much experience as possible.
Larra