Maybe I need a revision - any advice?

I had Open RNY on Sept 9, 2004, it worked great and I lost 220 pounds, from 404 to 180 in 15 months. Then I had a TT and Breast Aug in Mar 06, I think I looked good. Then I had a baby in 07 and just 7 weeks ago. I gained 70 pounds both times, lost it the first time, having trouble with motivation this time.

I can eat what I use to eat when I was obese. For example I can eat whole grinders, drink soda, eat full sandwiches and salads. The only thing that still works is I get dumping syndrome. Has anyone experienced this? I am NEVER full and if I do feel full it does not last very long maybe an 1 hour 2 at the most. I have to force myself not to continually eat, I mean I really feel true hunger this is not emotional eating. HELP! I called my surgeon because I want to know if I stretched it out to much. Maybe something is wrong, I don't know I haven't seen my surgeon since 2006.

I definately would see surgeon.  Aren't you supposed to be checked every year for the rest of your life????  Taking Vitamins? I notice that if I do not drink enough water I will be hungry. Get your water in and exercise while waiting to see doctor. I am going through a bunch of stuff too but I can say, do what is right, eat what is right and see what happens before you put your body through anything else. Keep reading the posts and stop avoiding your doctor/surgeon. I can say that cause I did it too!!!! 
Take Care,

Never feeling full and getting hungry again very soon after eating sounds like you have an enlagred pouch and stoma - when the stoma gets too large, the food fells right into the intestines and you can eat non-stop because it doesn`t stay in the pouch. You need to see a doctor to check this. Unfortunately, the way the RNY pouch is done, both happens frequently.

If you indeed have an enlarged stoma and/or pouch, it`s a difficult question what to do - there are non-invasive methods to repair an enlarged stoma (ROSE, stomaphyx, sclerotherapie) but they`re usually not covered by insurence and they don`t seem to help for more then a few weeks - just a waste of time and money.
Surgical options with more sucess are a revision to ERNY (adding more malabsorbation), band over bypass (getting some restriction back) or to a full duodenal switch (adding malabsorbation and also getting new restriction). The DS is usually most sucessful in terms of weight loss because it not only adds powerful malabsorbation, but also solves the problem of the enlarged pouch/stoma by taking the RNY pouch down, putting the phyloric valve back into work and then creating a sleeve stomach. But it is also the most complicated surgery.

You could start by researching all the revision types, and finding a doc who actually does them all.  Some of them will say they do and then try to talk you into something else.

They will probably do an upper gi to see what is going on.

In the meantime try looking up and doing the 5 day pouch test. Its a little hard, but doable. Sometimes it kind of resets your pouch, and you will see a little difference in the amount you can eat.

Good luck!

Did you have a revision?