Question:
What is the main cause of failure of most surgeries that require revision?

Ok, I am still in the searching and researching stage. Everyone appears to have their opinions on surgeries based on the success they have personall had with them. So...when the surgeries fail...Why? Is it because of people eating through them ?"this is a term I have read elswhere" Is it because of infection? What is the main reason so many have had revisions?    — Michelle H. (posted on April 13, 2002)

April 13, 2002
i don't think people have to get revisions because of infections i think people forget that after you loose the 80 percent of there weight it is up to us to take off the rest and if we dont eat the right foods and exersise we can gain the weight back so i think thats why people get it revised to loose the weight again with out to much efforton there part and also it depends on what surgergy you have some people just get the banding done and they get revised to a gastric bypass either the band stetches or breaks so they get revised to a gastric bypass which is the most popular and sucessful surgery right now.i have not had a revision actully i just had the gastric bypass 2 month's ago so i am just giving you my opinion but i do go to a support group and they do talk about this subject.well take care feel free to email me if you have any questions i will try to answer them if i know the answers.
   — KIM B.

April 13, 2002
I will need a revision; I had an RNY 11/00 the opening from the pouch to the intestines is 'to big' food just falls right thru - did the surgeon do something wrong? no.. technically I am within normal 'limits' (size) but its to big for me. Normally this opening 'shinks' my didnt' nothing I did or didnt do. This problem is 'corrected' by having a DS.
   — star .

April 13, 2002
I had a RNY- proximal in September 2000. I was losing until 10 months post-op. I have ended up with a total weight loss of 85 lbs (40% of my excess weight). I am in the process now of trying to get approval for a RNY revision, to go distal this time. I need the increased malabsorption that a distal offers. I have maintained a reasonable diet and exercise plan without additional sustained weight loss.
   — Cindy W.

April 13, 2002
Usually mechanical breakdown of the first surgery. While we can outeat a surgery, we do not eat THROUGH the staple line. Most who have staple line disruption (SLD) will do so within 2 yrs. Mine was 5 yrs, some are a few weeks & still on clear liquids. I had originally distal RNY, lost 100%, held and then had SLD. Revised only to repair the pouch, am maintaining the same wt as always (110# or so. Many had older surgeries, now outdated. Many revise to upgrade to what they consider superior to their old one. Some revise because there is a flaw in their original that makes them be ill a lot, such as a poorly made pouch or something. There really are 100's of reasons.
   — vitalady

April 14, 2002
Thank you all for your answers, I truly appreciate it. There is so much to consider with getting surgery, it is overwhelming.
   — Michelle H.