Anyone out there have any experience with him doing a revision from 1998 rny (failure to lose all weight is the problem) to a ds lap.  I haven't really heard anything about him and someone suggested I go to him since he is in New York and I am from Brooklyn.  Dr. Greenbaum doesn't want to do the ds on me, he prefers the distal bypass (yuk) and i am at this point sending all my reports to Dr. Gagner (who is currently in Ecuador).  I am a liitle concerned about after care, any emergency I might have if gagner is so far from me.
Guys I need your help.  Please chime in.Thnx. 

I'm using Dr. Roslin to do my band to sleeve revision.  I know a lot of people who have used him for both their original surgery and people who have switched to him for a revision.  He's very no nonsense, he won't sugar coat anything for you.  Schedule an appointment with him and bring a list of questions and concerns with you to ask him.  He's not warm and fuzzy but he's really competant and I love his support group.  His office staff is also as nice as can be.

Good luck!

Why are you revising to a sleeve and not a full ds.  Just curios.  I am very torn.

And just why do you think that a second restrictive-only procedure is going to help?  You've already failed restriction AND you have another starvation diet hit on your metabolism.

http://www.ncbi.nlm.nih.gov/pubmed/21113685

Obes Surg. 2010 Nov 27. [Epub ahead of print]

Failed Restrictive Surgery: Is Sleeve Gastrectomy a Good Revisional Procedure?

Jacobs M, Gomez E, Romero R, Jorge I, Fogel R, Celaya C.

Gastric Sleeve Center, Jackson South Community Hospital, 9380 SW 150th St. Suite 210, Miami, FL, 33176, USA, [email protected].

Abstract

The aim of this study is to evaluate the safety and efficacy of converting failed restrictive procedures such as laparoscopic adjustable gastric banding (LAGB), non-adjustable gastric banding (NAGB), and vertical banded gastroplasty (VBG) to laparoscopic sleeve gastrectomy (LSG). A prospective database was maintained of 32 patients who failed restrictive procedures. Twenty-six patients failed LAGB, three patients failed NAGB, one of which was performed open, and three patients failed VBG. These patients were converted to LSG between January 2006 and May 2010. Post-conversion outcomes, BMI, and excess weight loss (EWL) were recorded. Four patients were excluded from the weight loss statistical data secondary to short follow-up (less than 6 months since conversion); however, these patients were included in the overall number of cases and in the discussion of complications. Causes of failed restrictive procedures in our series include inadequate weight loss, 15 (47%); weight gain, six (19%); slippage, five (16%); esophageal dilatation, one (3%); unhappy with device, one (3%); tear of silastic ring, one (3%); infection, one (3%), gastrogastric fistula with VBG and weight gain, one (3%); and intractable nausea and vomiting, one (3%). The average hospital stay was 1.5 days (range, 1-3). The average length of follow-up was 26 months. The mean pre-conversion BMI was 42.69, post-conversion to SG mean BMI was 33.3, mean EWL pre-conversion was 10%, and post-conversion mean EWL was 60%. There was no mortality, no conversion to open, and there was one complication, a contained leak resolved by antibiotic treatment. Conversion to LSG from a prior restrictive procedure may be a feasible and acceptable alternative for patients. Average EWL was 60% at an average of 26 months.

And don't forget, this is after the OPTIMAL 26 months post-VSG.  Take a look at where you are likely to end up after 5 years.