7 years post op RNY 2 babies and think I need Revision

I had my RNY surgery in 1998. Started at 316, got to 169 and felt fabulous. I slowly started putting on wieght in 2000, got pregnant with my 1st child in 2001, had my second in 2003 and am at 240 right now. At first I just thought...well I've been having babies and struggling to take off baby weight. Now after reading up on revisions - I'm thinking I should look into this. I called my surgeons office and they seem to think I'm intact and am snacking and not exercising enough. I now live miles across the US from my surgeon in Atlanta and think I should talk to a local surgeon about a revision and if that is part of my problem. Anyone else with RNY experiencing this type of situation 7 years after surgery? I'd love a second chance. Any good Docs in Atlanta. I'd also like to consider going to support group again.

thank god you posted this i am also 7 yrs post-op and have regrained weight .My surgeon stated the same to me but i am not snacking to much! i can barely eat a snandwich with out throwing-up I do not know anything about revivision could you plese e-mail the information you have? I just relocated to villa rica ga and do not know of any docs either but if i find someone i will forward it to you my e-mail is [email protected] I hope to hear from you soon

Sarita, Not being able to eat a very small meal without throwing up is a sign of a blockage problem. It does not have to be totally blocked, just a small, partial blockage. I had the same problem with a revision in 1989, which (because it was untreated by the original surgeon because he said I was eating too fast or too much) ended up closing off completely and a different surgeon had to do an emergency surgery to unblock it. But he did more than that, with out my knowledge, he reversed my surgery as much as he could and I regained ALL my lost weight, plus some. You need to get an upper GI done to see how the food flows through the digestive track and see if there are any problems. This can also show them IF the RNY has "failed" or not, and the insurance should pay for it. Patty PS: Also, Do NOT insist the original surgeon repair a failed surgery. If they say NO, look for someone else and make sure they are experinced in doing revisions.

If you have problems finding a surgeon to do a revision ****rtianly did), Dr Husted in Nashville, TN is a specialist in revisions. Many Dr. don't want to do revisions, cause they can take longer and have more problems in surgery, like with scar tissue. They would much rather do a "virgin" WLS that is routine work with out complications, they are much faster than a revision that they would have to clean out scar tissue from previous surgery, and work with intestines that have already been rearanged and figure out how to "fix" the previous problem. When my first surgery in 1982 began to fail in 1983, according to the surgeon, it was all my fault!! That was NOT true. When you look for a revisionist, make sure thay have experience in revisions. Dont' take chances, but don't give up!! Patty

I have been told that I need a revision - my stoma is too large. Do you know if they do that procedure as as Open procedure? Will they cut over the old scar? It doesn't seem like they'd have open you all the way back up again. Anyone know?

Most Surgeons will do revisions as open, because the chance of scar tissue in the area is greater and they need to be more careful with a revision. Some will be able to do it LAP though, it will depend on the surgeon. As far as the old scar, they try to cut on each side of the old scar and remove that tissue. When they finish and start to close, it will be fresh, unscarred tissue that they stitch together. Patty