Question:
Will the weight loss be less now?

I had a VBG in 2000, and am sccheduled to have a revision to RNY on May 31,2005. Can I expect to lose enough weight to reach my goal, which is about 150 pounds. I only lost about 50 from the initial surgery. I have heard though that once you have a revision you lose much slower. Just wanted to get other views on this. Thank you for your time.    — MS. A. (posted on April 5, 2005)

April 6, 2005
I had VBG then a revision and never had a problem losing slower. Reached goal and have done great! I think thats not really true about being slower. VBG is slower than RnY weight loss tho. Don't fear, you will do great and since you have had a previous WLS ... you will be more aware about the this is a tool. Enjoy the ride. Its awesome!!!!!! Details on my surgeries are under profile.
   — WLS_Deb

April 6, 2005
I believe the losing slower related to having a proximal RNy and then having the limb moved down lower for greater malabsorption. Since the VBF does not have any malabsorption with it and probably left a larger stomach than the pouch you will end up with, you should get good results. Just make sure the surgeon does a small pouch and at least a 100cm bypass and preferably a 150cm bypass. You could go longer but most likely do not need to. The longer the bypass the greater the malabsorption issues can be. I'm finally settling out but my 2nd year PO was a struggle with a number of low levels. At 26 months we have found the right levels of meds to keep things happy. I have to take extra zinc and vitamin D. I've also had 4 days of iron infusions two different times to get my hemoglobin to get into the normal range. Hopefully it will stay now that I'm not having any more PS for a while. Time will tell. My calcium tends to be borderline also, but typically staying slightly above normal now.
   — zoedogcbr

April 6, 2005
Please research the DS before you have a revision to an RNY. I believe the DS will give you better long-tern results.
   — MsBatt

April 7, 2005
I had a vbg 6 years ago, i just had a rny 10/8/05, I have lost 105 lbs so far. I don't think that is slow at all. I am estatic. It's the best decision I have ever made. I feel 100% better...I say go for it.
   — BARBARA M.

April 11, 2005
Before you revise to an RNY, you may want to consider DS. I've researched for a while now and the DS has better outcomes, no worries about dumping, obstructions, and a much better record on re-gaining.
   — T S.