VSG to DS
Had Roux en y in 1998. Wanted a revision and physician suggested DS. Doesn't want to just do a revision of the Roux en y. Has anyone had this type of surgery
Who is your revision surgeon? Very few bariatric surgeons are skilled enough to do a revision from RNY to the standard of care DS (2 anastomoses) as it is a very complex operation. Or is your surgeon going to revise you to a modified DS with single anastomosis (SIPS/SADI)?
Revising from gastric bypass to DS is a very complex operation. It requires taking apart your old gastric bypass, restoring the normal anatomy, and then doing the DS. Whether with one anastamosis or 2, this is a lot of surgery and you are right to be concerned about complications as the rate of complications is significant. That's why it's so important to have a surgeon experienced not just with bariatric surgery, but specifically with the DS and with doing this specific revision.
I would strongly recommend that you consult with one of the DS surgeons with this background of experience. Given your location, the best choices would be Dr. John Rabkin in San Francisco, Dr. Ara Keshishian in Pasadena (near Los Angeles) or Dr. Simper in Utah. There is no one in your state that I would trust with this specific revision.
Larra
I think it is modified. My surgeon is in Phx. He has been doing bariatric surgery is for a very long time. I'm just nervous of complications.
I recommend you contact Dr. Ara Keshishian in So Cal (LA suburb) for a phone/video consultation.
I would also caution you about doing a "modified" DS (SIPS/SADI) procedure as research has shown its malabsorption doesn't last more than a year and then you'll be in the same boat you're in now with the RNY. Your best option for long term maintenance of weight loss is the standard of care DS.
As well, most insurance plans don't cover SIPS/SADI as they consider it experimental. So some surgeons fraudulently submit it as a DS but then perform a different surgery (i.e. SIPS/SADI) than what they bill for.
Again, very few surgeons are capable of doing a revision from RNY to DS so it is imperative you select the right surgeon.
