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With the metabolic problem I would look at the DS.
HW: 398.8 SW:356 GW: 175 CW:147
I am sorry you are dealing with all of that. I think I would seek a second opinion.
Unless you have GERD, in which Sleeve is not recommended, I would get what I wanted. Or feel I need. If you think you need metabolic WLS - why not DS?
BTW: I don't have Celiac, but I am very sensitive to grains. Plus dairy. Intolerance/allergies. But I tolerate meat, fish rather well.
Hala. RNY 5/14/2008; Happy At Goal =HAG
"I can eat or do anything I want to - as long as I am willing to deal with the consequences"
"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."
About a month ago I went to see my bariatric surgeon. We always spoke about removing my old broken up band and revising me to a sleeve. I've been so afraid of having surgery that I've put it off for years now. This visit, he recommended something I was not prepared for-RnY! I was shocked and devastated! He ALWAYS suggested the sleeve and said he wouldn't recommend RnY based on my weight and eating habits. I asked him why the sudden change, and he stated it was due to my metabolism registering so low on the scale. I was diagnosed with metabolic syndrome way back in 2005, thus the reason for the lap band back then. This surgeon is the same one who did that surgery. Even though he's one of the best, I think deep down I'm bothered by the fact that I was diagnosed with metabolic syndrome back in the day but was discouraged against RnY (a metabolic surgery) and encouraged to have lap-band surgery (a restrictive surgery). Back then, I researched the surgeries but knew nothing about the meaning/difference between metabolic and restrictive surgery. I just didn't get it. Needless to say, I left his office in tears and full of anxiety. RnY has always really frightened me. Not only does the rerouting scare me, but also, the fact that:
- I am anemic
- I am gluten intolerant
- I have diverticulitis
- I need ibuprofen for my severe menstrual cramps and joint pain
Just when I mustered up the courage to finally go to the doc to schedule removal and consider revising to the sleeve, I'm hit with this. Definitely a setback for me. Just wanted to get it out and felt this was THE place for that ?
Any and all comments welcome.
Wow I'm so sorry you're having to deal with that. Hopefully they'll get it taken care of for you soon.
THATS the name! Thanks.
It also seems there is someone in the Midwest. But yes, Dr. Rabkin is the other one out here.
I think Dr. Rabkin in San Francisco is the other major one than RNY-to-DS patients use.
RNY 06/03/15 by Michael Garren (Madison, WI)
HW: 373 SW: 316 GW: 150 LW: 138 CW: 163
I do have a stricture at the distal portion of my pouch, food is just not going through. Three more test this week. Will update once I know more.
Did you get any helpful responses to your first post about this? I've not been on OH as much lately and so didn't see what info you were given.
A stricture at 12 years seems really unlikely, but there is always the exception that proves the rule. I'm just so very sorry to hear all you are going through.
You might use the search bar here and search for "distal bypass" or "E-Rny" or similar. There are many people *****vise from sleeve to RnY but I'm not aware of too many that go for the distal bypass. Would fixing the stricture mandate that? Because I honestly don't know.
You probably should consider posting this on the Main Board where you'll have more visibility. Or in the RnY Forum. It sounds like you won't really have your answers until your surgeon looks at your tests results. Certainly anything we can say right now is complete conjecture.
Good Luck with your tests and if you have a minute please keep us posted. =)
A lot depends on the type of revision you're looking for. And why you are revising. What was your original surgery? When was it and has it been successful? Why are you seeking revision? Do you have GERD? or do you think your stoma needs tightening? Could it be regain? What about your own surgeon? Are they refusing to do a revision or are they not as knowledgeable as you'd like your next surgeon to be? Are there complications? Knowing what you're looking at and for will help us help you.
For example, revising from RnY to DS for example is an extremely delicate procedure best performed by a seasoned DS revision surgeon . I hear only one or two names consistently, one being Dr. Ara Keshasian (sp?) who I believe is on the west coast. There are maybe two more whose names are consistently recognized and for the life of me I can't remember them, but posting this out on the main boards will get you more traffic and thus more info.
(I think Marina Girl might have some good info too if I remember correctly so you might message her also.)
Many surgeons do sleeve to RnY or similar. Post your questions in the Main Forum here and you'll get feedback, especially if you provide more details. While your gathering that anecdotal data you might consider calling the 800 number on the back of your insurance card and finding providers near you who do the surgery you're considering. You'll need an appointment to discuss everything and possibly even have to attend another surgery seminar or pre-op tests and such.
Revisions can be long and complicated processes and can be risky as well (as is any surgery). Purpose to take your time in order to get everything just right before Go time. Understand what they'd be doing to your guts enough that you could do it yourself. You'll need that info many times postop.
Keep researching and learning until you find exactly what you need. Keep an open mind on what surgery is available to you. Comorbidities and health issues may disqualify someone from what they are seeking. You just don't know until you get out there and start talking to people and reading.
I'd probably start by posting right here in the Main Forum.
Good luck and feel free to post more details. It will help you get more relevant responses.
