Question:
I am wondering if there are to many people out there going from the rny to the ds. Wh

   — poppink (posted on August 9, 2005)

August 9, 2005
From what I have seen is if a person needs a revision for whatever reason they are normally extended out to a DS equivalent bypass/common channel. From what I've read an RNY can never be converted to exactly a DS because usually the Pyloric valve no longer works etc. So you can get the longer bypass to help with additional weight loss and long term maintenance, but most would never have exactly the same stomach function as someone who got the DS in the first place. <p>The bottom line is if a person's RNY surgery does not work for them, then there isn't much for alternatives than to go to a DS length bypass. Many times it comes down to the person not getting the right RNY for their situation in the first place - too large a pouch and stoma and too short a bypass. Some patients are doomed from the start due to their surgeon doing a one size fits all surgery.
   — zoedogcbr

August 9, 2005
You might want to post on my surgeon's messageboard, at ccfos.com. He's a world-class revision specialist. While it's true that not everyone with the RNY can be converted to a 'true' DS, many people can be. It's just a question of whether the pylorus will 'wake up' or not, and that often depends on how long it's been inactive.
   — MsBatt

August 9, 2005
And some peope prefer the help of their pouch, so move from proximal rny to distal rny, as measured in similar terms to a DS. There are other options. Most people change surgery types because of non-loss or regain. Some will change because they had a problem (not as common) and have to be rebuilt another way, but if the revision is a CHOICE and not medical necessity, that is usually the reason.
   — vitalady

August 12, 2005
Have a look at this paper: http://www.dssurgery.com/aboutus/Research/safeoperation.pdf
   — [Deactivated Member]