Question:
Why is a revision needed
I have read about people needing a revision of the RNY? Why what happens and what is the signs and symptoms that made you go to the MD to discover you needed a revision. And what is a revision? — Carrie W. (posted on May 18, 2004)
May 18, 2004
A revision is when the gastric bypass has to be redone (or fixed).
Revisions are needed when any number of problems occur, the most common of
which are: staple line disruption (which is much more common among those
whose remnant stomach and pouch were not transected) and extreme
pouch-stretching.
Many people in need of a revision notice that their capacity has increased
dramatically on a fairly consistent basis. Revisions are complicated
surgeries that relatively few surgeons tackle and fewer still of those will
perform the revision laparoscopically. The good news is that the
overwhelming majority of us who have gastric bypass surgery will never need
a revision.
— SteveColarossi
May 18, 2004
To add to what Steve said, mine was due to SLD, but I have hosted many here
(my doc does rev) and have seen intact surgeries revised to a different
type (too proximal, for example, made more distal) with great success.
Sometimes, people have vomited since their surgery, or never EVER felt
full. Those kinds of mechanical issues can be fixed, too, usually. For
you to task about revision, some questions you might ask yourself: is there
regain, or incomplete loss, no matter how careful you are? Got reflux?
Persistent vomiting? Never feel full? Most of the "intact"
revisions I've seen lost substantial wt, but were unable to finish and the
wt started creeping back. Once given the surgery matched to them, these
people have done beautifully (and holding)! They still had 60+ lbs to
lose, not just 10.
— vitalady
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