X-Post from DS Board. Huge step for me.
Hello everyone. I had RNY in Rochester, NY March 2008.
Highest weight: 357
Day of surgery: 317
Lowest post op: 257 Aug 2009
Current: 309
I am so confused and I am trying to do my research. Dr. O'Malley did my RNY and when I went back to discuss my regain they basically said "sucks to be you, our surgery's don't fail, it must be you."
I started researching revision and my doctor did a referral to Dr. DiBenedetto also in Rochester who is doing BOB revisions and told me he has had about a dozen patients from Dr. O'Malley who have had a stretched out lower stoma and that BOB has worked for them all because it returns the restriction that the RNY should have retained. He told me the RNY to DS is "experimental, dangerous, and complicated" I currently have an upper GI and and upper endoscopy scheduled with them to find out what might be going on.
I have also called Dr. Roslin in NYC and I have the number to attend a seminar but I live in Rochester and traveling to the city is going to be costly for me and not that easy but I fear that the DS is really the gold standard of revision.
So please board members give me your input. I want to know the good and the bad.
Then I went for my upper endo which showed a very small pouch but my lower stoma was completley open.
Flash forward to current day. I have been struggling with reactive hypoglycemia due to the lower stoma allowing food to move through my system so quickly and stimulating my pancreas to produce too much insulin. Well I was passed around from my PCP, to Dr. O'Malley the original surgeon, to the ER and I finally landed in Dr. Dibenedettos office. He was so nice and did a thourough exam even though he was not my original surgeon. He originally recommended a BOB but after my issues with the hypoglycemia and meeting with me personally he is totally on board with me going to Dr. Roslin in NYS for the revision to DS even though this means this will be one less surgery for him. The huge part is that I had my mother and partner with me at the appointment and he convinced them to stand by me with this decision. This is HUGE for me because I could't do it without their support. Count me on that yellow brick road towards my switch!
6/12/12 RNY to DS revision with Dr.Roslin
Glad to hear you are approved and have full support, wishing you well!
US
Dr. Rabkin, northern California, Dr. Keshishian, southern California
Dr. Elariny, Virginia
Dr. Roslin, New York
Dr. Buchwald, Minnesota
Out of the US
Dr. Gagner, Canada (Does most revisions in two parts)
Dr. Baltasar, Spain
Dr. Marchesini, Brazil
Dr. Ungson, Mexico
Revision to DS 12/15/2011/Dr. Keshishian, Verdugo Hills
RNY 5/11/2002 Dr. Muryama, Northwestern
***RNY complication surgery 5/2011, Hernia repairs 6/2003, 8/2013
SW 240 CW 158-163 Goal and maintaining
Glad you have decided to pursure an RNY to DS revision & also have a GREAT surgeon!!!!! Good for you!!!!!!
Have you read this GREAT paper? This, honesty, after all of the research I had done "sealed" my decision to pursure a revision from RNY to DS to correct what "broke" with my RNY.
http://www.dssurgery.com/about/publications/duodenal-switch-safe-operation.pdf
Good Luck on YOUR journey!!!!!!
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**