Dr Alexander Nagel; RnY vs DS revision

Hi there, I had my RNY with Dr. Muryama  a year after you, May 2002, and I just revised to the DS five weeks ago, I have lived in Los Angeles for 6 years now. My original surgery weight was 278, and I my lowest weight was 180 - for that same five minutes - and I could not stay under 200 lbs no matter what I did, and I was 100% dedicated to nutrition, diet, exercise, supplements. I had a complication that landed me back in the hospital one week later, a second surgery 3 weeks later, hernia repair 1 year after that. I had some PS/skin removal done (panni, arms) at the same time of the hernia repair and that's when I hit that 180 for five minutes. 

The RNY to the DS is an extremely specialized surgery - as noted above - so it is imperative you have a surgeon who performs this. In my opinion, well worth it, I wish I'd had the DS in the first place, but back then, could not get it covered by insurance. The RNY first has to be undone, then the DS applied. My constant battling, struggling caused me tons of depression, and eventually I bounced back up to 240. 

I had my revision done by Dr. Keshishian, who is on the list of surgeons who performs this surgery and is a total rockstar. Below is an excellent post from a fellow revisionista whoalso had Dr. Keshishian in December 2011, Jamie from Alaska. She had a 3-year road to her revision, and did a LOT of research, has excellent information about the different revision options (ERNY-which is a distal RNY), and a list of surgeons who perform the RNY to DS revision in and out of the US. There is also one in Mexico,  Dr. Ungson. Some others have asked about Dr. Greenbaum, and she comments on him below. More info as mentioned on DSfacts.com.

Can NOT stress enough to read, do this research. You will also find many DS vets on a new board:

 http://weightlosssurgery.proboards.com/

See Jamie's post below, there are links to posts to read, and the list of surgeons below that. Wishing you lots of luck and keep reading, asking questions, posting! 

JAMIE'S POST
Here is a link regarding the ERNY (diagrams included) an the DS.  People refer to the ERNY as the "Worst Of Both Worlds"
http://www.dssurgery.com/newsletters/duodenal-switch-and-dis tal-gastric-bypass.php

Here is a link as to why your revision should be done OPEN ONLY!!!!!!!
http://www.obesityhelp.com/forums/ds/4483266/Terrys-Post-Gav e-me-the-Courage-to-Post/

Here is a link with a lady who I said to be cautious...... Read the thread......
http://www.obesityhelp.com/forums/revision/4462656/lapband-t o-what-ds-or-rny/#36915162

Here is another thread:
http://www.obesityhelp.com/forums/revision/4447254/RNY-to-Di stal-Gastric-Bypass-not-as-happy/

And yet another........  Seeing a pattern?
http://www.obesityhelp.com/forums/revision/4358315/Dr-g-is-g oing-to-revise-me-to-an-erny-not-the-ds/

The link below is what "sealed" my decision to pursue a revision from my 2002 RNY to a DS.
http://www.dssurgery.com/about/publications/duodenal-switch- safe-operation.pdf


List of RNY to DS revision surgeons

Dr. Keshishian, located in California

Dr. Rabkin, located in California

Dr. Elariny, located in Virginia

Dr. Roslin, located in New York

Dr. Buchwald, located in Minnesota

***Of Dr. Greenbaum she says:  Please, PLEASE keep your guard up with Greenbaum.  This last 12 months, he HAS NOT done a full RNY to DS revision that I have seen on the boards!!!!!!!!!!!!!!!!!!!!!  He has been doing RNY to ERNY.  NOT THE SAME THING!!!! 
Of course, the above doctors are in the United States 


Dr. Gagner, located in Canada

Dr. Baltasar, located in Spain

Dr. Marchesini, located  in Brazil