RNY reversal and revision to the Sleeve

So, I am asking strictly from a curiosity of the anatomical changes to your body.  Your pyloric valve is gone forever...they cannot recreate.  Is your physician going to 'undo' the changes made to your intestines?  How will he change your pouch shape to the vertical 'banana' shape of a sleeve?  Will you malabsorb still?

Wow!!!  I would be doing a detailed seek and search for a doc who has performed 'successfully' this procedure on multiple pts. No disrespect to you or your physician, but aren't you like really concerned regarding the long term effects?  

I wish the best for you.  God's will be done.  Sending positive thoughts to you snowball!

Of course I'm concerned, I'm nervous beyond belief. Hence why I wrote here! Thank you for the well wishes.

That's what they do. They essentially undo the RNY, and put everything back the way it was. Then they do a sleeve. So it's complicated, and not performed very often.

In most cases RNY the pyloric valve is not "gone forever" but it is bypassed. Left in the body with the rest of the stomach. Take down of RNY - means putting it back together - the pouch and the remnant stomach. Then if converted to VSG - create a sleeve and remove the rest of the stomach. Very complicated and long procedure. 

Thank you for sharing.  I have spent some time using the search feature on this site to garner more education on revisions/reversals.  

I do hope this is resolution for the OP.  Hala and Grim...thanks again for your responses :):)

Sorry to double-dip this post, but I failed to add there is an excellent thread from 2012ish on reversal...the posters there also referred to it as "take down".

I know we have all been annoyed with the updates (IT) here lately...but the search feature has not been a problem.  Yay!!!

No, the pyloric valve isn't gone forever.  Well, at least most people's aren't.  Mine is because I had a subtotal gastroectomy.  My stomach was removed except for the pouch but that isn't common and was the result of my revision.

Anyway, in most RNY patients the pyloric valve is just hanging out with the rest of the remnant stomach, unused but very much present.

If he is not on the DS vetted list, I would run like the wind ...   RH is nothing compared to a conversion done by someone who doesn't do them regularly.  

And removing part of your pancreas?  This has red light written all over it!  1-5 years is prime time for RH and I would not have someone perform this risky of a surgery at this point of your post surgery life.

Spend a couple of years on a no more than 50 per day carb diet before subjecting yourself to this. 

The diet that most of us have to follow for RH is limiting carbs to under 40 a day (as Kim pointed out).  That diet should not have caused a 30 pound regain.  I would take Kim's advice and treat this with a low carb diet before having surgery.