I had a VSG 8 years ago and lost 182 lbs.  I have regained 110 lbs.  I have been debating having a revision to a RNY.  Anyone done this?  Were you successful.  Any suggestions and experiences would be helpful.

Have you heard of the duodenal switch? Since you already have the sleeve, the first half of the procedure is already done. The second part adds in intestinal malabsorption. I had a VSG then revised to the DS about 2 months ago, so far I'm very happy. 

Hey!  Do you have issue with the bathroom. Both my surgeon and nurse practitioner proclaimed that if I had the switch diahheria [sic] was a very real problem!  Particularly, I "would have to know where every bathroom in a 3 mile radius" was.

Can you expand on this aspect from your studying AND your experience?

Thanks!

It's a common misconception that with the ds you will have uncontrolled diarrhea.  I admit the first month bms were frequent but now in my second month it has calmed down a lot. All the supplements that we have to take tend to have a constipating effect.  From reading the boards most people have a problem the first month but once supplements are started it goes away.  In fact I have seen many post about constipation. 

I had a sleeve in 2010. Lost 90 pounds - never made it to goal. Gained 50 pounds back!! Ahhhh. Just had a revision to an RNY two weeks ago. So far so good 

sw 2010= 280

lowest weight 2011 = 185ish

regain weight 2015 = 240 

cw = 198 

I am 5'3 

The RNY offers some benefit over the VSG - but the DS offer significantly more.  Definately, as FLO suggests, check out the DS.  (The VSG was created as a first step towards a DS, but when many people got good results, it became a stand-alone surgery.)   You don't post a lot of info, but if your BMI is >50, I would look into the DS. 

You could possibly try the revision board as well . There may be someone in your same boat. 

Good luck in your journey 

Also research mini gastric bypass. I know a lot of doctors favour MGB over sleeve or as a revision to a sleeve. Good luck

What is the cause of the regain? The bulk of the caloric malabsorption of the RNY is temporary (18-24 months), so if the problem with regain with the sleeve isn't addressed (whether it is food choxies, snacking, lack of portion control, and some combination of those), you may end up being back in the same predicament in a few years.

As others have indicated, you already have the first half of the DS, so completing the DS (and leaving the sleeve intact) would make more sense than converting to a RNY.  The caloric malabsorption of the DS is also permanent.

Lora

I didn't know the malabsorption was permanent.