looking for revison surgeon!!!!

Hello my name is Doreen I had my gastric bypass surgey March.18.2003. three years ago I lost 112 pd's. I got pregant three month after. With a heathly baby boy named David, he was born April.5.2004 from then to now I gained back 30 I'm looking a surgeon that dose revison in New York metro area that takes health Plus medacid. looking for any I can get contact me at 347-934-3278 [email protected] thanyou

r u sure you need a revison? Maybe you can just go back to the pouch basic rules. I'm sure one of the RNyers will post it for you, go back to the basics as in starting eating high protein, low carb, drinking lots of water, and exercising. If you've only gained 30 lbs they usually won't do a revision for that amount of weight (in most cases). There are tons of support groups in manhttan perhaps you could go to one of those? Scott

Hiya, I am a Pre-Opper who will be having Dr. Shawn Garber as my sugeon. My Mom went with me for the consults. She herself is seeking revision surgery for reasons similar to yourself. Dr. Garber (In New Hyde Park) is in the process of setting up a new program for revisions. What he told my Mom was that it will be done via Endoscopy!!! That is FAR better than a re-surg. Anyway...you might want to meet with Dr. Garber. He has excellent credentials. His phone number is: 516-616-5500. My Mom is already on his waiting list for the revision procedure !!! Keep me posted please...and lots of luck to you. -Karen, Coram NY Pre-Op

If you've only gained 30 lbs. and basically from your pregnancy, you probably don't need a revision. You've just gotten off track and need to get back. Sometimes we just need to give ourselves a good kick in the butt. Go back to basics. Protein, make sure you get your water in, and much as I hate to say it, exercise. Give it a try. No need to put yourself through more surgery if you don't have to. Good luck! Joanne

Doreen: You do not give much info but I bet you do not need a revision, I bet you just need to get back to basics of the healthy lifestyle prior to pregnancy. The answer usually is NEVER a redo or another surgery...Wt regain is easy and common after the first year even w/o a pregnancy. It takes strict monitoring for life for your food/exercise/fluid to maintain. I run an ossg off track group, come listen and learn and find support you ar not alone! BUT this is info I do send to people re: revisions! http://health.groups.yahoo.com/group/OSSG-pregnant/ a good group for post wls/preg as well! http://health.groups.yahoo.com/group/OSSG_Off_track/ ********************************** DO I NEED A REVISION? What are your issues/ideas/thoughts on why insufficient wt loss or regain? Solution/recommendations may be different depending on answers.... Three things may be happening independent or together: ~Broken Surgery (tool) ~Behavioral issues (not using tool ~Wrong tool/surgery 1. BROKEN SURGERY: a. WERE YOU Open or Lap? b. Were you transected (pouch and distal unused stomach severed by staples and cut by space?) IF not maybe the issue is a staple line disruption/failure (AKA SLD)...food is going into the old tummy and no malabsorption is happening. Or a fistula ("A gastro-gastric fistula is simply a communication between the new "pouch" and the "old" stomach.)*Same as SLD your getting food into distal stomach and it avoids the bypass. c. Have you had an upper GI endoscopy? (Scope down throat) to see if pouch is intact and how large your stoma is (connection of pouch and intestines). Many have an enlarged stoma allowing them to eat larger quantities w/o feeling full, kind of like a chute. This is usually not patients or surgeons fault but many patients stomas relax on them...Some possible fixes:A lap band may help,or a surgical revision of stoma or a fixed silastic ring, but it isn't always possible. Also many are using sclerotherapy http://www.ingentaconnect.com/content/fd/os/2003/00000013/00000002/art00006 or http://www.drsimpson.com/chattranscript-08-13-2004.php for info. They say for this (inject substance thru upper GI scope into tissue to produce scarring) and there is a new procedure in Boston being done called: Endoscopic pouch repair. http://community.nursingspectrum.com/MagazineArticles/article.cfm?AID=14602 d. Do you get full? How much food? Have you done the cottage cheese test? http://www.digitalhorsewoman.com/pouchrules.htm 2. BEHAVIORAL (not using tool to potential):I am not saying it is behavioral just asking a few questions: a. What do you eat in a given day? Calories track on www.fitday.com % fat/protein/carbs. b. Do you drink with meals? c. Drink calories? d. Soda? e. Do you do protein shakes? (type/number) f. Do you do vitamins? Which ones? Types/amounts/when do you take them? g. When were your last full set of labs/Dexascan? h. Do you exercise? How often? Amount? Type? i. What other meds are you on? Medcial conditions? j. Age, Height? Starting BMI Current BMI. (Basically looking for % of excess you lost) k. Do you follow pouch rules? http://www.digitalhorsewoman.com/pouchrules.htm We can eat more at ~6 months out (quantity/variety), it is also time malabsorbtion of calories decreases for many as body adapts. (intestines can elongate/grow more villi/folds to increase absorbtion) OKAY the above questions are just to help us figure out some potential behavioral issues. Again I am NOT saying the failure of you or anyone is strictly behavioral. It is just one thing. Any surgery can be defeated if the tool isn't used, BUT if the tool is used reasonably it may be broke or may of been the wrong tool (surgery) for you! IF YOU DID NOT CHANGE YOUR LIFESTYLE THER IS NO TOOL THAT WILL WORK! 3 WRONG SURGERY: We do not always know this until after. Some surgeons realize the higher the BMI of the patient the more distal bypassed they should be. Or the type of eater someone is may lend itself to one surgery over another. Some fail to lose wt with a VBG or lap band only to lose well with a RNY or many with a proximal RNY fail to lose wt and do great with a distal RNY or others don't do well with RNY and do fantastic with a BPD/DS...you get my point. One surgeon had this to say about choosing your surgery type for you. (*I am not sure there is any real one size fits all though on deciding!) http://www.alagsa.com/Bariatric_Surgery.htm Some surgeons do a very short 40CM bypass (not near long enough for most of us MO)! Get a copy of your surgical report from the hospital medical records so you KNOW what you have! It is yours according to law! They say 50% of excess wt lost is a 'successful surgery'. I agree *but why accept this? when others lose 75, 80, 90, 100%? I know everyone is different but if there are means to allow most to lost 80+ % why shouldn't everyone have the opportunity? We all have to weigh the pros and cons. Going BPD/DS or more distal has risks, a lap band has risks etc. Many lose 80%+ and regain after 1, 2, 3,5 yrs. Not always behavioral or mechanical,,,,so their body is real good at adapting and hence they probably had wrong surgery.... I hope this helps some and doesn't really confuse you. I have to add, I haven't had a revision. I am here learning with everyone "IN CASE" (I think education is key to success and all I can arm myself with!). It (regain) scares me too! I see/read/hear about wt regain more and more online and read more about revisions. WLS has come a long way, but maybe just maybe some day we'll get the right surgery the first time! One that we can behaviorally adapt to and use and that won't break! ONE CAN DREAM! I think a good revision surgeon is key to lower risks, I wouldn't go to just anyone! And I know many on the group could help u with someone good! Dr Fox and Oh in Washington State. http://www.aboutmso.com/pp/prospectivepatients.cfm http://www.ohtobethin.com/ Dr. Gagner in NYC: http://www.cornellweightlosssurgery.org/ This is a great group http://groups.yahoo.com/group/WLSrevisionsupport/ of people who can definately lead u in the right direction! I also know OH has 2 different Revision Forum. http://www.obesityhelp.com/morbidobesity/amosforums/failed_wls_second_time_around http://www.obesityhelp.com/morbidobesity/surgtype-forums/Revision/ ~~~~~~~~~~~~~~~~~` Take Care, Jamie Lap RNY 10/9/02 Dr. Singh 320/163 5'9'' (lost 45# before surgery) Plastics 6/9/04 & 11/11/2005 Dr. King http://www.obesityhelp.com/morbidobesity/members/profile.php?N=c1132518510 "Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"