WHAT IS THE BEST REVISION SURGERY AFTER (ORIGINAL SURGERY GASTRIC BYPASS)

  H i FORUM 

i HAVE AN APPOINTMENT  WITH ANOTHER DR ABOUT A REVISION . The first Dr. want to perform a gastroplasty (stapling) the pouch. The second Dr. recommend D.S. I have been researching a lot and I think D.S. would be my best way. 

I have learned this over the past years from anything.  Whatever somebody has or does and has success with then they will tell you that is the best way.  You need to do your research and see what surgery seems to fit you best.  I am looking at a revision to a DS from an RNY.  My RNY helped me lose weight for the first 14 months (with a lot of work).  I found the DS after I had my RNY or that is what I would have gotten the first time.  This surgery fits me better then the others do.  Good luck in your revision journey.

First, I recommend you visit dsfacts.com and poke around some older posts. There is a lot of information out there.

I am not a DS veteran (yet) but I did revise from the sleeve to the DS. Mine was a true revision, in that they had to redo my sleeve and reroute my intestines. It sounds like your options are to redo your pouch, leaving you a RNY or completely revise you to a DS.

Here's why I chose the DS (remember, everyone has different reasons):
1. Best long term success (least regain)
2. No real dumping because you keep your politic value (located in the bottom of your stomach)
3. Will lose the most weight with DS, giving me a chance to get to a normal BMI
4. Malabsorption lasts longest, allowing for better maintenance
5. Less restriction on foods

BUT here is what I had to come to terms with as far as potential negatives:
1. Poop, lots of it, soft-serve ice cream style, more potent smell (I'm 7 days post-op, just now starting soft foods, and the poo hasn't been awful at all)
2. My opinion only (no proof) - the faster the loss the more skin will sag, DS typically has fastest results
3. Very limited carbs - I love carbs but decided I would continue down the path of carb-overload if I didn't have consequences (aka smelly, soft poop)

I know I'm forgetting several reasons but this is a good start. I have also heard that revision from RNY to DS is the most complicated surgery. You MUST find a vetted surgeon for that and you might have to travel. After you decide which surgery you want, selecting the surgeon is the your #1 priority

Hope this helps a little. Good luck and please listen to the vets here. They are great and kind enough to stay in touch on this board to help us newbies along.

yup go read DS facts and here is a recent post I made that might help , Only a few docs are truly qualified with revisions.

 

http://www.obesityhelp.com/forums/DS/4634286/an-update-good- for-all-to-know-be-proactive-for-YOUR-needs/

Gastroplasty?? that could mean just about anything. Did he describe what he planned on doing with your pouch and/or stoma and WHY?? what he thought it would or would not achieve for you?

My guess is that this is someone who doesn't do the DS, let alone revisions to the DS, and is offering the operation he knows how to do. Whether or not it's the best option for you is another subject.

The only advantage I can see with a RNY to RNY revision is less risk than a RNY to DS revision. You don't tell us what issues you are having with your RNY, so it's impossible to say what some kind of gastroplasty would accomplish. I hope the second surgeon is someone who is experienced specifically with RNY to DS revisions, as this is the most complex bariatric operation being done.

Larra