revison from ds to medial rny

There are several folks I've heard of getting their sleeve redone. Their restriction came back very well. Have you consulted with Dr Marchesini?  

--gina 

No...

The surgeon here did offer that option though but was concerned it wouldn't be enough restriction.   oh man..this is tough.

No, you can't get an RNY pouch without removing the pylorus. Simply not possible. You can, however, get re-Sleeved (by an adequately skilled surgeon) and get LOTS of restriction.

re-sleeve it is!

 

This is the stupidest advice a surgeon could give give you. Is this a Seattle surgeon? Oy vey, please consult with another about just lengthening that short common channel.

Revising that sleeve to a pouch is such a step backward, and you have to live with that mistake, not the limited skill surgeon suggesting it. 

thanks.. No pouch~~~

Okay, if you are in Seattle...go SOUTH to one of the two vetted revision DS surgeons in CA (Dr. Keshishian or Dr. Rabkin)OR head back to Dr. Marchesini.

Resleeving makes far more sense than revising to a DISTAL RNY.

I have changed my mind..No RNY. Re sleeve and increased cc length ..Thanks for the feedback.

I vote for resleeve, you get your retention back, and get to live a normal life..... Getting a pouch is going backwards... who needs that???

thanks !! You are right.. no pouch.