Small Bowel Resection

 I went to my doctor due to the fact i have been gaining weight and not feeling well 5 yrs after my surgery.He did a scope and today called to set me up with a surgery date for small bowel resestion,he said my bmi is 1.8 away from Tricare requirement for a revision but this surgery may help me lose weight and may not.He aslo explained that I did have some englargement.I then asked well what if I gained weight and he said I never tell paitents to do that.I feel mas though I need the small bowel and the nrevision and i would rather go under the knife once.Any thoughts?

Where did you see this doctor...was he at a Military facility, considering you said Tricare that is why I am asking. The small bowel resection is he referring to the section that is attached to your Stoma, from a possible RNY surgery, you didnt mention what surgery you had, so I am guess. If he is referring to that part of your bowel...it has stretched. The opening of the re-routed bowel with the RNY can stretch out and allow food to pass thru the stoma at a faster rate leaving you almost always hungry...if that happens you will gain weight. The revision of the small bowel may fix everything....


I hope this helps...
Caryn

Thanks for replying..I went and seen my surgeon who did the surgery in 2006,I just recently got married and his insurance is Tricare and mines is BcBs. I wasnt sure about his decision to do that surgery over the revision seeing my bmi is 34.1 and another doctor looked over my test results recommend I do a revision to the sleeve and sent me for a gi x-ray got results back and still recommends revision over resection because there is no gurantee I will lose weight with resection.Tricare covers revision but not the sleeve. My other issue is I know my doctor who performed the emt and this new doctor I don't and my family says I should go with my doctor who did the surgery as he knows me and knows his work.I'm schedule for the resection Monday @ 7.Just hope I'm making right decision..

People get revised from RNY to both Sleeves and /or a DS (whi*****ludes a sleeve).  What that does is eliminate problems of a pouch and stoma.  It puts your stomach back to original and then cuts off the portion of the stomach and you end up with a stomach similar to a banana with your pyloric valve back in and working.

Good luck with whatever you decide.  I just wanted to correct the other poster that said RNY cannot be revised to a sleeve because it most certainly can and is done frequently with Rnyer's that revise to the DS.

I agree with your family..as your DOCTOR knows his own work. You didn't answer if your original surgery was a RNY...or what. If you had the RNY...you can not have the sleeve.    I just had a revisioin from the BAND to  RNY...and  I was kinda worried about having a NEW doctor work on me.

Sorry my surgery was a lap rny and I'm going with my original surgeon and the small bowel resection. I think he knows what is best or atleast I hope this is the right surgery for me verses the revision.