Question:
duodenal switch
I am confused about this, i am reading that people are getting this after having the bypass surgery, or the lapband. Can other surgeries be done after the RXY? and why? I am really interesed. I have not lost any for a year from 235 to around 145, i still would like to loose a few more lbs, i am so afraid of gaining, any help would be so nice to hear. — Reelbaby (posted on January 25, 2008)
January 25, 2008
I dont think I have ever heard of this. If you have Bypass the only way
they will reverse it or change it is if you have something life threatening
so the Dr who is doing this must be a reputable dr. How tall are you. I
weighed 274 when I had my surgery and I now weigh 135. I am 5 ft 6 inc. You
dont want to lose too much weight then you start looking sick.
— Joanc
January 25, 2008
not sure if this is posted right, i was saying i was reading where patients
are getting a second procedure done, because they were gaining weight or
wanted to have a bigger weight loss. I was just wanting more info on this,
if and how or what is being done . I was 235 and now around 145, height is
5'4, i have some skin on my arms , lot as a matter of fact, belly , the
rest i could live with i guess.
— Reelbaby
January 25, 2008
Other revisions from one type of bariatric procedure are not common, they
are by no means rare occurences.
Not everyone succeeds with bariatric surgery-- sometimes, the person
develops complications or mechanical problems that need to be fixed. Other
times, an individual's eating issues were not addressed by the surgery type
chosen, so a revision (or a change to another bariatric type is needed).
For instance, some RNY patients over time will start to graze and will
notice a weight gain-- if the old eating behaviors creep back in and lead
to an unhealthy return to morbid obesity, a number of different revisions
can be undertaken. The pouch could be made smaller or additional intestine
could be bypassed; in extreme cases, the surgeon could then perform a DS.
Also, some banded patients either do not have success because they eat
around the band or because the band slips or erodes; in those cases, a
banded patient could have an RNY.
The issue with revisions is that every patient has truly unique issues so
only a surgeon with significant experience in treating revisions should be
consulted if a second surgey is needed.
— SteveColarossi
January 25, 2008
Yes, often the DUODENAL SWITCH surgery is done on those pts with failed
lapband & RNY surgeries which is why I chose to have the DS instead of
those other surgeries.
The revision to DS must be done by a qualified surgeon as it is not a
simple op. Do come to the DS forum here on OH under FORUMS, above. Also see
DUODENALSWITCH.COM
— SameButDifferent
January 25, 2008
Yes, there are other procedures that are done after the RNY. The DS is an
option and so is a dystal RNY (where you get the DS "bottoms" but
still have the RNY pouch). You are more likely to find a surgeon who is
willing to do the dystal than a full reconstruction to the DS as it is a
much more difficult procedure. There are lots of happy RNY to DS revision
patients though on the DS board who would be more than happy to help. And,
VitaLady is a dystal RNY who has TONS of wonderful information. But, I can
tell you at 145 and 5'4", you won't qualify for either.
— BuckeyeSylvia
January 26, 2008
If a person has bypass or the lapband, and for one reason or another, does
not get the desired results, that person may be able to convince a surgeon
to perform a switch or other revision. However, this is rare because a
surgeon does not want to perform a revision on a person who was unable to
'get it right' the first time. If there is a medical reason or life
circumstance that caused the 'failure', then it is more likely that they
will be given the second surgery. However, your surgery was not a failure.
You aren't going to find a surgeon who will perform thousands of dollars
worth of surgery, so that you can lose 20 more lbs. I would honestly be
terrified of a surgeon who would be willing to perform further weight loss
surgery on you. I don't know your height, but you are obviously very close
to the weight that you should be at. Working out is pretty much your only
option. If you have loose skin and such, you might look into getting a body
lift or other skin removal procedure.
Good luck!
— genau
January 26, 2008
I wasn't really interested in getting it done, i was wanting to know what
it was, when i read the post, i feel kinda stupid, things keep changing so
much... yes i know i won't get it redone, i am to close to my goal weight,
if i don't loose anymore i will be happy with my results.. i have skin
that needs removed, but this point i know my insurance won't cover it, so
the only option for me is self pay, and right now that is above my
head..lol.. so i will just enjoy life as it is , i am healthy now. Thanks
for your information...
— Reelbaby
February 8, 2008
Funny this question was asked! I had the Fobi Pouch done in 2002. A couple
years ago, I started having trouble with a HYPER thyroid.... I got that
resolved. But the heart palpitations and the dumping syndrome didn't stop,
especially at night, with my heart racing, waking me from a deep sleep
even--
What is this? It's like "late" dumping. When you eat, your
pancreas releases enough insulin to help balance the sugars in your system
to keep your levels from going too high or low. Well, I have been
"flooded with insulin and now... my cardiologist says I need to have a
revision from the Fobi Pouch to a Duodenal Switch!! I have never heard of
this until yesterday & I'm terrified. I'm doing my homework,
researching in the meantime... Ultimately, it's my decision but living with
low blood sugar IS NOT fun and it can be very scary! It's also scary to see
how common this is, as I searched here on Obesityhelp!
Take care,
Jodi
— imjomama365
February 13, 2008
Let me be perfectly clear. Having a revision from a RnY to a DS or a
lapband to a DS is getting fairly common. Come to the DS forum. Insurance
companies are approving these revisions. I had rny in 2005 and lost 90
pounds in 8 months. In the last year, I have gained 40 pounds and going for
a DS to a well reputed DS surgeon. I must travel so it will cost me more
out of pocket, but I feel the DS is the way to go and wish I h ad had it
from the beginning. My diabetes has returned so that is one reason I was
approived and I still have sleep apnea. Please pass on this info to any one
suearching for something that really works.
— KRWaters
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