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I would say that the sleeve would not be an option because you have already had RNY. I would look into the duodenal switch this is the most durable weight loss of all revision procedures however, also the most drastic as well.
Gastric Bypass 04/26/2017
HW=325 lbs
SW=305 lbs
CW=195 lbs
GW=170 lbs
JUST BECAUSE I CAN DOES NOT MEAN I SHOULD
Dr. Vuong has a lot of great videos on Youtube. You should watch some of them.
THIS one concerning the epidemic of revisions was good.
Laura in Texas
53 years old; 5'7" tall; HW: 339 (BMI=53); GW: 140 CW: 170 (BMI=27)
RNY: 09-17-08 Dr. Garth Davis
brachioplasty: 12-18-09 Dr. Wainwright; lbl/bl: 06-28-11 Dr. LoMonaco
"May your choices reflect your hopes and not your fears."
Sparkle kitty, could you be more specific are you certain that a revision is not possible? This are you saying that everyone who has revised will ultimately regain weight at some point? I think I'm confused.
Heather
Thanks your response. But I'm asking if a revision is possible if my anatomy has changed. Based on RNY surgery then a band. As you know since the stomach has stretched I'm wondering if it's possible.
While weight regain is a possibility with every surgery that is not in question.
Heather
What does your daily eating and activity look like?
Unless there is a mechanical issue with your surgery, a revision won't do anything. Bluntly, if you can gain weight (presumably due to eating habits?) after two surgeries, there's nothing preventing you from doing so after a third surgery.
Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!
Yes. I just had a revision on the 19th from RNY to Partial Gastrectomy with Gastrojejunostomy.So RNY surgeries before 2010 were made much larger. Mine was 4 times the size. Over the years I had complications though. For years suffering from nausea and vomiting and a hiatal hernia. I am grateful and hope you find the answers. Get on it dont wait. My revision journey started 2 yrs ago. Good luck
Thank you for the information. I have had the band removed about 3 years after surgery. I will consult a surgeon. So much about this surgery has changed since having it.
Heather
You have been through a lot. BOB or band over bypass was popular around 2008, but did not help most people. You would have to be evaluated by a surgeon to see if the band can be removed and the RNY revised, although I have never heard of RNY being revised to sleeve.
The sleeve is a non-absorption surgery that normally results in less weight loss than RNY, so revising from sleeve to RNY is the more common operation now. The sleeve sometimes results in severe GERD and revision is done to relieve the GERD.
Any weight loss surgery is just a tool to help us eat less food. I had RNY in 2007 and started back to Weigh****chers when I started to regain in 2009. I am still following the Weigh****chers plan.
What food and exercise plans are you following?
Real life begins where your comfort zone ends
Your very welcome. Whatever you do just do not give up. I was going to have my revision to a Distal in California 2 years ago and decided it would not be right for me. I felt so compelled to respond to this because I could never find anything about revision to a RNY other than to convert to a DS or Distal. Well the only way a surgeon would even consider converting a RNY to DS is if your BMI after RNY is over 50. It's a two step process. Much, much more complicated.
The Partial Gastrectomy with Gastrojejunostomy is when they remove the lower portion of stomach or pouch kind of like the Sleeve Gastrectomy only instead of making it banana shaped it's more like a little ball. Your remnant stomach is still there (The part of the stomach cut from pouch that remains in RNY'ers) So basically it's pure restriction. After my surgery RNY in 2005 I had 2 kids gained everything back and some. Got up to 230. I could eat like a normal person without surgery. A whole footlong subway sandwich. That is not normal. If you can eat that way then your pouch was probably made much larger. Also the suchers they were using back then were different. Today they use a stapler that provides better healing and is just better as far as success long term.
One thing I will say is your initial procedure is still working because without it we would have all probably been much larger. Although many gain back it is not as much as you would have without it because of malabsorption.
Oh and when I was in California and started my revision journey I was super sick with nausea and vomiting the surgeon did a barium swallow and found nothing wrong! I was like this is not right. I knew something was wrong. He still wanted to do a Distal. I would have had to do a diet for 6 months in order to get an approval from insurance.
When I came to Texas and seen the surgeon here he was very concerned and set me up for an EGD. That's when he found all my issues hiatal hernia, dumping and he said my pouch was 4 times the size RNY Gastric Bypass pouches are today and no one who's pouch that is created that large will have long term success. The revision was approved the next day because of his findings. So if you feel something is not right don't stop until you find answers. The Bariatric surgeons out here in Texas got it together and know what they are doing.
Good Luck!!!
I'm here if you have any more questions.
Smiles,
Diana
