Revision

I am post roux n y of 2001 by Dr. Daniel Fabito.

i have gained back nearly 50 lbs over several years and have been looking at a revision because I never reached my goal weight after struggling to do so for five years.

Now I'm post-menopausal and going in the wrong direction despite regular exercise and many weight loss attempts.

If if anybody has or is dealing w a similar situation please, I need support.

Dar

What type of surgery are you looking to revise to? When you start with an RNY, there aren't really any easy and effective options.

Exercise is great, but 80% of weight loss is based on what you eat. Do you weigh, measure, and log your food to follow your surgeon's initial guidelines exactly?

As Julie noted, there are no easy answers here. Going back to tracking your intake is a good baseline to establish and can point to any easy places to reduce.

On revisions, unfortunately, the bypass is difficult to work with, and the common solutions - tightening the stoma or band over bypass - don't offer very good results overall. Given the struggles that you had originally, which imply either a more severe metabolic problem than your bypass could address, or a simple incompatibility between you and the procedure, it is even more unlikely that either of these minor "tweaks" would offer you much relief. Possibly the best solution would be a revision to the duodenal switch, but that is a very complex revision and there's only a handful - maybe a half dozen or so - surgeons around with that capability, but I have seen some pretty good results from it. Check out the DS forum here and ask around about surgeons who perform it.

Hi, I was 365 day of surgery in 2009, today I'm 372. I lost 100lbs the first few months then slowly gained it all back.

I visited my surgery team last week and she told me 80% of the people she sees for revision surgery don't need it. The 20% that do have an overly stretched pouch, stoma or a fistula. I'm scheduled for an upper GI to check my anatomy and in the meantime she put me back on stage 2 for a week. Full liquids. It's brutal. I'm just completing day 2. Her explanation is by sipping very tiny swallows of only liquids (think 8oz over 30 min) my pouch will not "fill" at all and have a chance to rest and shrink back as small as it can. Once I'm shrunk I'll work with their dietitian to get back on track with dry meals of mostly protein. No more soda, no more drinking w meals. We'll see.

There seems to be controversy on here about pouch resets. But she is my expert so I'm trying what she wants me to. They have physical therapists, support groups etc. I'd recommend seeing a bariatric team. They can evaluate you and get you back on track. Good luck. You're not alone.

Pouch reset is what I tried but it was mor my version of high protein and small frequent meals. I feel like it helped some but it's been a while.

I swear I feel like my stomach is back to its original size that's why I'm considering revision.

It sounds like it could possibly be due to hormonal issues/imbalance. After going through menopause your hormone levels change and energy can go down. I completely understand the frustration as it is something I am dealing with too.