clpeltz’s Posts
on 11/3/14 11:29 am
No
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 7/19/14 11:54 am
I revised from RNY to DS in April of 2011. Best decision of my life. Who is your surgeon? What would you like to know?
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 7/12/14 2:40 am
There would be an increased risk of leaks. Going back to basics (high protein, high fat, low carb) while you are going through the process of looking into a re-sleeve would be good.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 7/12/14 2:37 am
My thoughts are that if gastric bypass didn't work the first time around, why would it work the second time. I has gastric bypass in May of 2008....lost about 80 lbs and gained 50 of it back. Had severe reactive hypoglycemia which interfered with weight loss. I had to eat all the time to keep my blood sugar from crashing. It didn't matter what I ate. My body did not like the gastric bypass....my body wanted its pyloric valve back.
I revised to the duodenal switch (DS) in April 2011. Best decision I ever made. Your surgeon is not a RNY to DS revision surgeon, so you would need to go to a different surgeon. And don't let ANY surgeon tell you that an ERNY is the same as a DS....IT IS NOT. There are only a handful of surgeons that are routinely recommended as this is the most complex of all revisions. Not any DS surgeon can do this kind of revision. It is MUCH MORE DIFFICULT that a revision to ERNY. The surgeon needs to reconnect your pouch to your remnant stomach and then form the sleeve stomach. He would then rearrange the intestinal bypass.
This would be your best chance of losing the weight you want and keeping it off, IMO. Again, I stress that you need to find an experienced surgeon for this kind of revision. Where are you located? Two of the best are in CA.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 4/26/14 10:14 am
No, no, no. Ungson is the ONLY one you should be dealing with in MX for a revision.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 4/22/14 11:38 pm
Revision to what?
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 3/3/14 8:04 am
I'm sorry you're having to deal with this. In regards to reversal....no wls is completely reversible. And complication risks are higher with revision/reversals. The first thing you need to do is let your surgeon do the endoscopy. Strictures are fairly common and easily fixed. There is no reason to not have it. I had a stricture that took several dialations to open up. They can do this at the time of the endoscopy and does not require surgery.
You are still really early out. You would be hard pressed to get ANY reputable surgeon to revise you this early out. You made the decision and now you have to work it. My first couple of months were horrible. I felt like you. Absolutely miserable. I had surgery beginning of May 2008 and literally did not eat until August. I couldn't. Everything I ate hurt or came back up. I had to literally beg my surgeon to do an endoscopy. You are lucky that your surgeon is listening to you and offering solutions....not just blaming you, like my surgeon did. UGH. The endoscopy showed a stricture that was so small....he was amazed I was drinking anything at all! After being dialated three times, the stoma was finally at the size it was supposed to be at. Once the stricture was fixed, I was able to eat and drink normally and life got much better...at least until the regain started (another story---I revised to DS in April of 2011).
Hang in there. Let your surgeon figure out what is causing all the discomfort and fix it. You will be amazed how much better you will feel. Feeling better will change your outlook.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 2/1/14 6:58 am
I had been posting on the DS board because i am going for a RnY revision to a DS next week and needed some suport, but all the people there were able to do for me was scare me about my doctor. I really just need some support, my surgery is on Thrusday and now I'm a little scared and a little excited.
You SHOULD be scared. You are risking your LIFE. You don't want support. You want everyone to tell you what you want to hear. Well, you are not going to get that here. If you want to risk waking up with a ERNY...then you will have to live with the consequences. You have been told that your surgeon is not an experienced RNY to DS surgeon. You have been told who is. You are choosing to stay with a surgeon who, not only is not a RNY to DS revision surgeon, but isn't even a very good virgin DS surgeon. Think! You only get ONE life. Are you really going to keep on this track with so many people waving the red flag? To do so shows much ignorance and closed mindedness. The only 'support' I can offer you is a hope that you won't end up dead.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 1/16/14 8:22 am
Yes, it can be done, but you need to have a very experienced surgeon. Not just any DS surgeon can do a TRUE RNY to DS revision. In a true revision, the pouch is reconnected to the remnant stomach and then the sleeve is made. Then the surgeon needs to adjust the intestinal part. There is a very small list of surgeons that have great experience to do this. Choose wisely because this is your life.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 1/4/14 9:05 am
Never heard of him as a revision surgeon. There is a very big difference between a virgin DS and a revision from RNY to DS. Just because a surgeon can do a DS does not mean that they can do a revision from RNY to DS. It is a very technical and difficult surgery. I would not trust my life in the hands of a surgeon that has not done hundreds of these revisions. I'll stick to the list that has been proven to have the most experience.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 12/31/13 10:30 pm
Revision to DS is the only logical choice when you have the sleeve already. If you are thinking about getting re-sleeved as well, you will want a very experienced surgeon. You will probably want to travel to the U of M in MN to Dr. Henry Buchwald.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 12/31/13 10:28 pm
I had this revision in April 2011. Great results! Best decision I ever made. Know and accept that there are only a handful of surgeons in the country that can truly do this revision. You will need to go with one of them.
Dr. Keshishian, located in California
Dr. Rabkin, located in California
Dr. Simper, located in Utah
Dr. Elariny, located in Virginia
Dr. Roslin, located in New York
Dr. Buchwald, located in Minnesota
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 11/5/13 9:19 am
Here is the list of RNY to DS revision surgeons in the US that we frequently refer people to:
Dr. Keshishian, located in California
Dr. Rabkin, located in California
Dr. Simper, located in Utah
Dr. Elariny, located in Virginia
Dr. Roslin, located in New York
Dr. Buchwald, located in Minnesota
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 11/5/13 3:10 am
Hello Sarah. I had RNY in May of 2007. Lost and regained. Not an unfamiliar story unfortunately. Regain happens a lot with RNY. Any*****gained, had lots of food intolerances and severe reactive hypoglycemia. Had a revision to DS in April 2011. Best thing I have EVER done! I'm 2 1/2 yrs out and still have great restriction. The issue with RNY to DS revision is that there are only a handful of surgeons in the states that can do this complicated surgery. You CANNOT go to just ANY DS/Revision Surgeon. You have to get one who has the expertise to do a TRUE RNY to DS revision. Where are you located? There are two of the best in CA. I went to Dr. Henry Buchwald in MN.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 10/10/13 3:39 am
That is called an ERNY. There is no such thing as 1/2 RNY and 1/2 DS. If the Dr doesn't have the confidence to give you a TRUE DS, go to someone else.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 10/7/13 10:36 am
Hello Nancy! You are definitely not alone. I had RNY in 2008 and then a revision to DS in 2011. It was the best thing I ever did! I love my DS and am currently in the process of going through the process of getting plastics. I am so excited!
I had my RNY lap and my revision to DS open. Personally, the recovery was easier the second time around. You are going to be tired. Your body is going to go through major surgery and you are going to have to baby yourself so your body can heal. Have you gotten all the info you need on supplements? That is very important! Make sure that you visit the ds forum here and ask questions. There is also a OH DS family group on facebook that you could join. It is a great group to ask questions.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 10/1/13 2:21 am
With type 2 and high blood pressure, you need to consider the DS. You already have the first part. IMO the only logical revision to a VSG is to revise to DS. Check out dsfacts.com to get factual information regarding the DS. Also, visit the DS forum here with any questions you have. You deserve the best and the DS is the best. It has the VERY BEST stats for long term weight loss maintenence and the VERY BEST stats for curing diabetes. RNY can and does help with type 2, but it is often temporary and individuals see a recurrence after 5 years. Be careful, if you decide to go the RNY route, there is no other options for the future.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 9/1/13 12:03 am
You need to keep your fully functioning stomach and revise to the DS. You already have the first part (the sleeve). Ungson is the ONLY DS surgeon to go to in MX. Visit the ds forum here to get info on the DS. You can't make the right decision for yourself if you don't research ALL your options. Revising to the DS is the only logical choice, unless there are other medical problems that would make a sleeve not good for you.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 8/14/13 1:01 am
Get a second opinion with Keshishian in CA. He is the most experienced RNY to DS revision surgeon in the US.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 8/14/13 1:01 am
He is not a RNY to DS revision surgeon. THAT is on a whole other caliber.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 8/14/13 12:58 am
The universal recommendation you'll find is to start with the vitalady DS regimen and adjust from there based on your labs. Do not rely on your surgeon. They are cutters, not nutritionists. They do not get any nutritional education in med school. Dieticians rarely know anything about post-op DS life. Your best bet is to get advice from those who are living it. Personally, I take about 40 per day. It is a small price to pay for getting your health back. It eventually just becomes part of everyday life.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 8/1/13 1:13 am
It does not combine the rny and sleeve. It is a sleeve with a duodenal switch. The duodenal swith is VERY DIFFERENT than the RNY. Much more malabsorption. It is only more dangerous in the hands of individuals who do not take care of themselves. As long as you commit to the lifelong supplement regimen and get labs done every 6 months, you can avoid most deficiencies. And as long as you follow the eating plan and watch carbs, you can avoid most bathroom issues.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 7/24/13 11:17 pm
Your surgeon is not an expert revision surgeon. I would highly suggest you look into one of these drs.
Dr. Keshishian, located in California
Dr. Rabkin, located in California
Dr. Simper, located in Utah
Dr. Elariny, located in Virginia
Dr. Roslin, located in New York
Dr. Buchwald, located in Minnesota
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 7/24/13 11:15 pm
The DS is your best bet. IMO, a revision from VSG to RNY is not smart. Your pyloric valve regulates the movement of food from your stomach to your intestines. This prevents dumping syndrome, which is huge in RNYers. DSers can still 'dump', but not at any greater rate than a normal person who had not had any type of surgery. The CURE rate for Diabetes LONG TERM is much higher in DS than RNY. Many RNYers see a return of diabetes after 5 years. Wouldn't you rather have it gone permanently? Having your sleeve revised as well would be ideal. Especially if it is too large and you have very little restriction. Unfortuately, you will need an expert revision surgeon. Not just any DS surgeon should be trusted. Be very careful.
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
on 7/14/13 12:11 am
Very sorry you are dealing with this. I know that I would be contacting the original surgeons office and demanding explanations. Possibly even getting a lawyer involved. I would think this would be considered malpractice. The original surgeon should be paying for your revision since he didn't give you what you were supposed to get in the first place and LIED about it on the op report. Good Lord!
RNY to DS Revision 4/29/2011
Dr. Henry Buchwald
"Think twice.....Cut ONCE"
