Revision?

Consider the reasons why you have regained weight. Is it because there is something mechanically wrong with your pouch? Or is it because you fell back into bad habits?

Surgery, especially a revision, is not magic. If you failed one surgery, you can fail a second one just as easily.

It's not about failing at surgery at all. I was and am very successful with my surgery. The revision would be to hopefully correct some of the anemia and absorption issues, but also due to some recent complications. It was a surgeon who suggested it due to issues with the gastric emptying.

My first question is do you take vitamins and supplements?

Honestly not sure if any of the revisions would help with gastric emptying. You may end up having to have the RNY fully reversed. What type of revision did that surgeon suggest?

What revision is he recommending? I would get a second opinion before doing anything.

I don't know that a revision would do anything to help anemia or absorption. If anything, it might make them worse. One of the more common(?) revisions for RNY is changing from a proximal to a distal, but this increases malabsorption and would probably make the anemia worse.

You could revise to the DS, but only a few surgeons in the country have the skill needed to do that. If you go to someone who does not know what he is doing, your life could be in danger. A friend of mine revised to the DS with a surgeon who did not know what he was doing and she was in constant extreme pain and in and out of the hospital for years, until her death.

Please try to change your habits and lose the weight without a revision. I am in the same boat. I have had regain in the last year. I am going to start tracking my food so that I can lose it.

Good luck!!

Delayed gastric emptying - already with RNY - I would be really careful who I would allow to touch me.

I most likely have low motility of my digestive track. I had that probably from the beginning. I am not sure if anything as a surgery can be done to improve that.

I had a few hernias in the past, almost all of them were internal hernias. I had a total of 3 surgeries in the 8 years to correct that. None of the internal hernias was detectable in many tests I had to diagnose The reason of the pain I was experiencing and the severe constipation that my condition caused. Only lap surgery was able to find the point of the problems and correct it.

To this day my guts are not working very efficiently. It is what it is. I learned to live with it and to deal with it.

• I take a lot of miralax to cause more water inside my guts. More liquid the consistency, the gravity itself can help to move it along. I drink a lot of liquids. Little coffee, then tea and water. Taking a lot of miralax and magnesium, some of the water would go into my intestine so I need to make sure I have enough for the rest of my body.
• I also take a lot of magnesium.
• I limit fiber - fiber would slow down the transition of the food inside my gut.
• I take probiotics, large dosages.
• I try to move around after eating. Movement really helps with "massaging the intestines and movement of he food inside I also do a lot of abdominal "crunches like movements, plus physical massage of my gut. If things get stuck, my partner can really help me, pressing gently, yet deeply inside my gut area as I relax as much as I can when he does that. Breathing deeply also helps a lot.
• Lastly - I think that helped me the most - I also follow IF. intermittent fasting. When I don't eat any food or even drink protein shakes but push a lot of liquids inside my intestines. I often don't start eating until 12 or 1 or 2 pm, and stop eating around 9 pm. 10 pm on weekends, or when I work really late.
• I make sure there is enough fat in all my meals. Fat is a lubricant.
• if I notice my BM is not complete in the morning, I may increase miralax, or add more water and I ma really careful what I eat that day. If I eat anything I make sure it is something rather easy to pass.

If someone would consider revising you - I would ask a lot of questions to see if they understand the reason you have Gastroparesis (low motility, slow emptying) and if the surgery is going to correct that or make it worse. Having RNY - that configuration is created for people who have normal digestive track.

How can they revise something that is already the ideal configuration?

I echo the caution before doing anything surgically. I am not sure how a revision would help with gastroparisis and I would hate for things to get worse for you. I have read of partial or total gastrectomies for severe cases with mixed outcome. I think the poster above me pretty much summed up how I approach things with sluggish GI. I hope you can solve your health issues. I think we all understand it is a very personal thing.

Thank you!