"What exactly am I?" Went from DS in 2010 to RNY in 2014

Cross posted on Revision: I had a DS 08/2010: SW 266, lowest 170, regained back to 209 with lots of acid reflux.  I then had a revision of my tummy to a RNY pouch (one ounce tummy said the doc, it is the size of a thumb) on 03/2014: SW 209, CW 148 and I am 5'2".  On my first surgery my cc was left at 200 (I believe) but was taken down to 100 with the revision but they are still the "DS intestines".  I am just confused as to what classification I am: ERNY, RNY, DISTAL, something else?  I had done so much research for my first surgery and was anti-RNY for my revision but it has pretty much gotten me to goal and other than malabsorption issues that I am working on, I am okay. My doc is the wonderful Dr. Gary Anthone in Omaha, NE.

Perhaps a distal RNY like Vitalady and her hubby. You're welcome here as far as I'm concerned.

--gina

IDK but absolutely welcome here. Most of the DS issues revolve around the switch part anyway.
while in most cases keeping the pyloric valve is a big plus for the DS I don't consider it a defining issue.

I'm happy for you that the problems were worked out and you got to the point where you attained your goals. A good surgeon with an open mind is always a great thing.  

I have stayed on the DS Forum but I really do not know what I am???  I had vertical stapling in 1980.  Over the years the staple line broke down (I never lost any weight) and I had two stomachs....all kinds of problems.  Tried for years to get a revision.  I had never heard of DS until I saw the surgeon in February last year.  I thought this is what I had done.....nope not really.  Because of the stapling....they could not do the DS with the long pouch....I was told this week I had  Malabsorption surgery.....but aren't they all that?  I am older, no thyroid, bad knees and I had a lot of scar tissue.....so I have lost slow.....but at least I am losing.

Unlike the OP, you ARE a DSer. You need to get your operative report, but I'm betting dollars to donuts they did to you what they did to someone else I know---left your stomach completely alone, and gave you a duodenal switch WITHOUT a vertical sleeve gastrectomy.

The 'switch' really refers specifically of cutting the duodenum just above the common bile duct and attaching it to the lower 40% of so of the small intestine (called the alimentary, or food-carrying limb), then anastomosing the bilio-pancreatic limb---what's left of the duodenum below the cut, the ileum, and some of the jejunum---about 100 cms or so above where the small intestine meets the large intestine.

Your 'stomach stapling' was probably a Vertical Banded Gastroplasty, which has no malabsorptive component. Now you have a surgery that has no restrictive component but a large malabsorptive component.

You are probably  right....if I understood him...everything is the same as DS except the the shape of my stomach. He kept telling me I had Malabsorption surgery.  I ordered my operative  report back in October. ...when I first started questioning it.....but it is all Greek to me..

You never know what is actually going on inside. I am a long term RNYr who developed late term complications with a gastriogastric fistula then needing a full gastrectomy it was discovered that I was barely bypassed and what the origional surgeon did and put on the surgical notes were VERY different. 

Because of the years of damage because of the bile, I then needed to be revised to a true distal without a blind stomach. 

sounds like you are doing well with your conversion surgery.  It is important to get your operative report, since it should state what the surgeon actually did to  you in detail.  Knowing how much and where your intestinal track is bypassed and where your roux limb is brought to is important for vit/min absorption.  as different vit/mins are absorbed in different locations etc.   Anthone likes to convert the vsg to small gastric pouch and bring your roux limb up to your gastric pouch, but your operative report would tell you that for sure, so no you are not a DS due to this.  continued success to you.

You are a distal RNY. You have "DS intestines" only in that you have a very short common channel. By definition, a DS has a duodenal switch, and that's simply not possible when your pylorus is bypassed and a gastric pouch with stoma made.