Question:
I went from 368 down to 176 back to 217, do you think I should ask for a revision?

   — carla C. (posted on May 1, 2005)


April 30, 2005
NO!! Surgery isnt the answer to everything ---your Fisrt surgery was and still is JUST a TOOL...it is not and will never be a cure all...Get ahold of the Rules of the Pouch and start following them.
   — fishnrockport

April 30, 2005
You should go and speak to your surgeon and check on the mechanics of the surgery. Make sure you don't have an enlarged stoma or some sort of SLD if you are not transected. Your surgeon can order a battery of tests to see if there is a mechanical issue with your surgery. You can ask for a revision, but unless it's medically necessary you may not receive it. Good luck!
   — Shayna T.

May 1, 2005
They will only do a revision if something is wrong with your original surgery. As the other person said, have your surgeon test you to make sure your original surgery is okay. If there's nothing wrong with your original surgery, then there's nothing to revise. If you have been outeating your tool and not following your dietary guidelines, there's nothing the doctors can do for you that you can't do for yourself. If however there's something wrong with the original surgery, a revision is a possiblity.
   — nursekuba

May 1, 2005
As the hostess for many "intact, but not working" surgeries, my answere would be: that depends. Is your surgery intact? Who said so? Which surgery was it? Now, let's assume your ideal wt to be 168 (just grabbing for easy figuring), that's 200 lbs, of you'd lost 192--pretty impressive. You've regained a bit, which means you've now maintained a loss of 76%. If you have a proximal, you've already beat the odds. So, many docs would say you've maintained more than 50% lost of excess, good enough. One of the other factors is your part. How has nutrition been? Has your eating/drinking been pretty much on target? And the question I really hate to ask, is, what was the target, or original game plan? Eat what? Avoid what? As to walking into your doc and saying, "No thanks, I want another model", sometimes they get highly offended and are not so nice. I know we bring ppl here from all over the country cuz the doc does not judge them. As I said, even an intact but not working surgery can sometimes be revised, given the right set of circumstances. LOTS of talking, looking, testing, then deciding.
   — vitalady

May 1, 2005
I don't know what they can do for you in "repairing" your RNY if it's broken; however, if you do go that route, I hope you'll look into getting your RNY converted to a DS, if possible. Check out (http://www.)dssurgery.com/aboutus/Research/safeoperation.pdf.
   — [Deactivated Member]

May 3, 2005
Honestly Carla, You dont' give enough information about yourself for any of us long-term post-opers to give you much advice. I have been post-op for almost 2 years now and have found that some weight gain is just normal for women. May of us who did not have our menstral cycles pre-op now do...so you have the issue of water-retention and just basic hormonal cravings that you've not dealt with before. Prior to that time I can expect to pack on about 8-10 pounds, but within 3-4 days after my cycles starts, it is gone. You have gaining 41 pounds...what have you changed? You have honestly changed your eating habits since your pouch has healed and relaxed? Are you sticking with your proteins, liquids, and vitamins. I have to be honest, I don't take my vitamins everyday...I forget and that is just the truth. I have to do better about that. But before you subject yourself to another surgery that may not be needed, please search within yourself, be honest with yourself, and ensure there is nothing that you can do to change the problem and shed the unwanted pounds. 41 pounds is not alot...you can do it...Best wishes and luck to you.
   — Ce-Ce P.




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