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.

Can anyone recommend a top notch revision surgeon?

I am so incredibly sorry for all you've gone through.

This might be a good post to put up over on the Sleeve and RnY Forums. The thing with regain is this: no matter how many surgeries you have, you're still going to ultimately reach that point where it's calories in vs. calories out. It's just a fact. Generally it surfaces between 18 and 36 months where all of a sudden we are gaining weight even though we've not increased our calories. What's happened is that our bodies adjust to the surgery (any WLS, and no matter how many procedures you have.).

So our surgeries give us a chance to get the weight off. It's up to us to maintain that.

I've had big regains because I'm a slow learner (60 pounds, 40 pounds and 20+ pounds). But every one of them has been fought back off. Today at ten years post-op I'm now at my lowest weight so far: 145 pounds. My previous low had been 177. So even with regains and time and bad choices we still can make our surgeries work for us.

Just some things to think about. Maybe try some non-surgery solutions before you go full on revision. It's all up to you though obviously.

Good luck, take care, please keep us posted. And again, consider the Main Forums. I think you'll get a lot more feedback over there.

Wow I wish I had some knowledge to pass along to you. It looks like you've already done a goodly amount on your own though and that is always important.

Those procedures only affect the stoma. They posit that by tightening that up, folks will have more restriction for awhile I guess and be able to jump start their weight loss.

This is only my own anecdotal evidence, but I've yet to see anyone have this type of procedure and lose more than 20-30ish pounds. That doesn't preclude your trying it of course. If your stoma has actually stretched and you've confirmed that via endoscopy, there is a chance of your losing some weight once it's fixed.

I wouldn't personally undergo any procedure though until I had reports from the docs confirming the stretched stoma. Even those who undergo full on revisions are still going to come to a point where there is nothing more to be done surgically. These big surgeries give us a chance at a level playing field but don't kid yourself. It's always going to come back to calories in vs calories out. Once that malabsorption is gone from a virgin surgery, it's not likely to come back with any significance. Even with tightening up the stoma.

Good luck, I hope whatever you choose works for you. This stuff is hard. But we can do hard things. Take care, and keep us posted. You also might try posting this on one of the general forums. They get more traffic.

Most people can eat around surgery. Angela from My 600-lb life had RNY lost some weight, then regained...what she lost and gained additional over 200 lbs ...

If you have no****ch i****ch a " My 600-Lb life, Angela's story." Season 7, E15

https://www.youtube.com/watch?v=Digh0313eIk

"...Angela was one of the more unusual patients on the show because she had previously undergone weight loss surgery in her late 20s when she weighed 375 pounds. She ended up losing over 100 pounds. However, she ultimately gained back all the weight she lost and then some. .."

At dr. Now her noted weight during her first visit was 608 lbs. " AFTER RNY. Because she did not change her diet or lifestyle.