Roux-en-Y Surgery **Then Also** Having Duodenal Switch

Anyone had this done before?

I am lined up to have this surgery in October. I lost 95 lbs and have kept it off with the Roux-en-Y.

There are a few RNY to DS revision folks some of them are on the Facebook group and at least one or more are here. Teachmid posts on the daily Bites & Vites thread had RNY to DS with Dr Kesheshian. Are you a Dr Sudan patient?

--gina

Thanks for your reply. I am not a patient of Dr Sudan though. It was done by Dr Torquati  and he will also be performing my DS. Thanks for the info, I will look around for Facebook Groups, I never thought to look there actually. 

Cindy-

I've been on this website and others dedicated to the DS for over 7 years and have never heard of the surgeon you have named as doing the DS at all, let alone a revision of RNY to DS.  RNY to DS revision is the most complex and high risk bariatric surgery presently being done. It should only be done by a surgeon with extensive DS experience, and there are only a few DS surgeons in the country doing it at all. Even Dr. Sudan, at Duke, who is highly regarded as a DS surgeon, does not do RNY to DS revisions.

While I applaud your plan to pursue the DS to improve your health, I would be very concerned about having a surgeon who may be an excellent surgeon, and who may be highly experienced with other bariatric procedures, take on this challenging revision. I would strongly advise you to ask him how many of this operation he has done, NOT just how many bariatric operations. Otherwise, you are at risk for ending up with serious complications, or not ending up with a DS but rather some kind of RNY to RNY revision.

To answer your question, yes, there are people who have revised from RNY to DS, but as mentioned above, it's high risk and requires the right surgeon. Most people have to travel to have it done by a surgeon with the necessary experience.

Larra

I know Dr Sudan, but never worked with him in any way. At my next appointment I will speak with Dr Torquati and the option of Dr Sudan. Dr. Torquati is the Director of the Duke Metabolic and WLS. We understand each other very well and I think if it is the safer thing to do, is to pass me on that he would do so. I have met with several surgeons and after having my upper GI done and going over my current issues it was pretty unanimous decision on the DS to be the best and safest thing for me.

My stomach hadn't grown from my surgery in 2008 and they were very happy with that. I am pretty much stuck around 300lbs right now and we went over a lot of options and talked about my diet/exercise routines and again have come to the conclusion that to loose the weight to come close or at my BMI, DS would be the next step.

All of this pretty much started in like 2003 and I had serious issues with my thyroid; I gained 112 lbs in 13 months in 2005.  

I have a very physical job and I can't afford to overwork myself. I feel I have done everything I can after my first surgery ( The staff agrees. They call me their poster child lol) but it's just nothing any of us wants to ever hear or begin to think about... *ANOTHER* surgery, ugh.

Thanks for your reply, I will make sure to touch on that next visit!

The question is -- are you really getting your working stomach back in order for a true DS, or are you getting a Distal RNY (aka ERNY).  Many surgeons try to sell this surgery as being 'just like the DS', and it is still very different.  If you want a DS, then definitely push for a real DS.

Yes, the real DS is what I am going for, no short cuts for me at this point.

Thanks

I think what Valerie was saying (and i have seen it over and over on this forum) is patients have gone in for a DS, but an uknown surgeon actually performed a distal rny on them, knowing they wanted the ds....the other thing we have seen on this forum is a patient being butchered when attempting to do a rny to ds by an unskilled surgeon...be careful...

Just to be absolutely clear, he's going to put your pouch and your remnant stomach back together, then do a Sleeve?

Oh! also it was suggested to take "Alli" for a month to get you/your body a feeling for how it will kinda feel after surgery.