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RNY Gastric Bypass revised to Distal
RickM replied to thancock's topic in POST-Operation Weight Loss Surgery Q&A
Here in the States, the proximal is the default, and there are specific standards of care that are defined within the insurance billing codes; the distal is outside of that standard and is not usually approved as an initial surgery, but can be justified as a revision if deemed appropriate. Here, for the higher BMI cases that need something stronger than a VSG or proximal RNY, the duodenal switch is the normally approved procedure. My wife's surgeon noted at one time that on the occasions that he still did a bypass (their preferred is the duodenal switch) that he liked to make them as malabsorptive as the codes permitted, which is still far short of what a distal would provide. -
How important is the no drinking before?
RickM replied to Ellf's topic in Gastric Bypass Surgery Forums
The before is not such a big deal, as the fluid empties out quickly; indeed, I there are some bypass specific surgeons who recommend a pre-drink around 15 minutes before. The main exception to this where a half hour-ish wait may be needed is in those patients who experience substantial inflammation in the stomach early on, and the water may not empty all that quickly. Otherwise, physiologically, it doesn't make much sense. -
Hi everyone! Does anyone know the best way to get ur fluids in to meet the 64 oz of fluid. I had the gastric bypass on 8/8/19 and its hard trying to keep up and very overwhelming. Sent from my SM-G955U using BariatricPal mobile app
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New food intolerances after revision?
Shells_Almost_There replied to GingerSlim's topic in Revision Weight Loss Surgery Forums (NEW!)
I find that I can't have the protein bars or shakes that I relied on before and after VSG. Now, they are too sweet and (sorry, TMI) I almost immediately get the shakes (dumping) and will probably have to run to the bathroom. And really, that's what's changed the most after my revision to RNY - I haven't had more than maybe 5 normal BMs in 19 months. -
Food Before and After Photos
GreenTealael replied to GreenTealael's topic in General Weight Loss Surgery Discussions
My lonely microwave egg lol first egg (eaten outside of ricotta bake) since revision surgery Went much better than deli meat (i can't tolerated poultry yet/again) Added sweet potato on top... Tossed the afters (about 10% sorry no photo) -
RNY Gastric Bypass revised to Distal
FluffyChix replied to thancock's topic in POST-Operation Weight Loss Surgery Q&A
Most of us who have RNY today, get the proximal surgery because of how extreme the distal is. It also carries more post surgical long term risk due to vitamin and mineral deficiencies that may only show up years down the road. So distal is a revision surgery (usually). Also, today, most super MO peeps get VSG as their 1 st surgery cuz the risk of surgery is less, quicker surgery, etc. Then they get revisions to either RNY or DS. Most go from VSG to DS (malabsorption element and VSG anatomy). -
Thank you so much for posting this. It is so discouraging hearing all these negative opinions about Lapband. I also noticed a common theme of non-compliance, and those who got the band and didn't even keep consulting with their medical team for fills/unfills. Still, it makes it hard to come to a forum like this for support, when all it does is place doubt in my mind. I am just glad my surgeon is seriously well respected and chooses to only do Lapbands as he thinks it is the better option of Sleeve/Bypass.
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I just got the lapband done a week ago. My surgeon who is very well respected has discontinued sleeve operations because of newly released research showing weight gain over time. He truely believes in lapband, and so should we. It gets a bad rap because it places greater responsibility on patients to work with the surgical team in adjusting the band over time. If you look at those having issues.. common complaints are that they couldn't keep food down for months on end.. I mean okay, but why didn't they get the band adjusted? You can't blame lapband for that. I am only one week post op, but I would take lapband over sleeve or bypass anyday of the week.
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Freakish Restriction???
AZhiker replied to KarenLR75's topic in POST-Operation Weight Loss Surgery Q&A
Yes, bypass. It is much better now, but then, I am also relearning how to eat - to slow down and take smaller bites and much smaller portions. It has taken a while for my eyes to catch up with the new tummy. Before surgery, I had no sense of fullness. I could eat and eat and eat and never stop. The surgery has definitely given me the fullness very quickly, but I had to learn what that felt like and how to stop BEFORE feeling full, because if I ate until I was just feeling full, 10 minutes later I would be in agony. I am learning how to eat like a normal person who naturally stops when they've had enough. -
Freakish Restriction???
New&Improved replied to KarenLR75's topic in POST-Operation Weight Loss Surgery Q&A
Did you have bypass -
RNY Gastric Bypass revised to Distal
New&Improved replied to thancock's topic in POST-Operation Weight Loss Surgery Q&A
That's news to me also I thought there would be a standard procedure for this bypass? Or do surgeons alter things if need be? I hope my surgeon does the best procedure possible. My BMI is only 43 not 50 though -
RNY Gastric Bypass revised to Distal
KarenLR75 replied to thancock's topic in POST-Operation Weight Loss Surgery Q&A
Um, this is all I could come up with and now it has made me want to ask my Dr. as I never knew there was RNY Proximal and RNY Distal. It's like the more I learn, the less I know. Here is the info on distal that I found. Someone set me straight if this is wrong. Since my BMI at one time was about 60 and when I met my surgeon it was in the mid 50's - I now wonder....if our Dr doesn't say do those of us who have RNY "assume" we had proximal rather than distal? I qualify..and still do in the super obese group. RNY Gastric Bypass (Distal)- usually performed for patients who are in the super obese group (BMI over 50). Depending on their obesity, more small intestines are bypassed when the obesity is more severe to help them lose more weight. When more intestines are bypassed, there will be less intestinal surface for absorption of calories, especially fat. This results in more frequent bowel movements per day. If fat is consumed in the diet, fat will be digested less, and will be eliminated undigested. This may create foul smelling, loose stools. Indication for this procedure is reserved for bigger patients, or for those patients who have failed their original gastric bypass. Patients with the distal gastric bypass may need other fat soluble vitamin supplements, such as Vitamin A, D, E, and K, depends on how long their small intestine is bypassed. Patient follow up is very important to make sure they are metabolically and nutritionally healthy. -
Any August 2019 people out there?
chriss_bt replied to big_ange's topic in PRE-Operation Weight Loss Surgery Q&A
Holly smokes that’s a lot of lbs in a week! Did you have sleeve or bypass? I’m so nervous I am on the 26th! -
RNY Gastric Bypass revised to Distal
thancock posted a topic in POST-Operation Weight Loss Surgery Q&A
Has anyone had revision surgery from RNY GB to Distal? -
Had the sleeve in 2017 /Converted to bypass 2019 I really don't see a difference yet between the two (except all the issues are resolved & when labs are done in a few weeks I'll compare) but as far as lifestyle... Same so far
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Revision surgery after gastric bypass surgery
thancock replied to RhondaRob's topic in Revision Weight Loss Surgery Forums (NEW!)
I had open Gastric Bypass in March 2003. In St Louis Missouri. That was the closest place to me that was doing the surgery. Lost 148 pounds. Kept it off for about 9 years. I gained about 90 pounds back. A week ago, Monday, August 5th, 2019 I had revision from RNY to Distal. I’ve lost 12 pounds. I’m still on liquids until Friday when I see my surgeon. -
My understanding is that with bypass I would have had to be careful with exactly what I ate and sugar, fats, etc. I didn’t want dumping etc . I lost my weight quickly , I can eat at meetings and through work - can cheat a little and no issues with digestion or diarrhea. I feel great and weight is steady at my goal
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In what way do you believe that your post op life is fairly normal as compared to someone that has had a bypass?
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My doc prefers the sleeve, he only does bypass is medically necessary I have/had history of gerd at the time, said if needed we can convert to bypass later, 17 months later I was bypass. But my gerd did improve at first with the sleeve, it wasn't until about 10-11 months that it go worse
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My RNY story two years post-op
Arturo Federico posted a topic in Tell Your Weight Loss Surgery Story
Hello, My name is Arturo and I am 2 years post-op Gastric Bypass. I have lost a total of 185 pounds which for once in my life I could say I am not over weight. Unfortunately, when I had my surgery I was readmitted to the hospital a week later with abdominal pain which turned out to be a Portal Vein Thrombosis due to the surgery. This started my hell of Portal Hypertension and an enlarged spleen that has caused constant abdominal pain ever since. Luckily I was able to find a hepatic surgeon who could help my issue by restoring blood supply to my liver which has been reduced since the surgery 2 years ago. I am happy that my blood supply has been restored but it seems that I am able to eat more and unfortunately I gained back 15 pounds and I am starting to get worried. As I start feeling better I plan to go back to the Gym and work on my diet so I can get my weight back down again or at least maintain because I feel better at my current weight. Moral of the story I have been asked so many times if the RNY surgery was worth it due to everything I have been through. I counter with this statement I would not regret having the surgery as at the time I had no reason to think that i would have a Portal Vein Thrombosis and I am not sorry for the decision that I have made. Either way this complication could happen for any other surgery in the abdomen, not necessarily a gastric surgery such as the RNY. Anybody who is considering having the gastric bypass or any other surgery to help them with their weight just remember that complications can happen. Just be aware of them and make your decision accordingly. I look forward to being a part of this forum and if anyone has any questions please let me know. Here are a couple of before and after pictures: Before and after: 1 yr ago After - now -
I was told to go with the Gastric Bypass because of my GERD from my doctor. Once I told him I had really bad Reflux he would not consider the Sleeve because it would make it worse.
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Whose goal weight are you using? Your own or your program's?
Briswife15 replied to Uterno's topic in Gastric Sleeve Surgery Forums
I'm using my own goal, and a healthy weight I weighed for most of my adult life before I ballooned up! lol. My surgeon's group has a more conservative goal of 15-20 pounds more. We'll see what my body and metabolism have to say on the matter! I'm remaining flexible. Only 4.5 months post bypass, so we'll see!! Sent from my SM-N960U using BariatricPal mobile app -
Whose goal weight are you using? Your own or your program's?
summerset replied to Uterno's topic in Gastric Sleeve Surgery Forums
I used my own. Back in the days nobody seemed to talk about goal weights. When I had my revision nobody talked about about a goal weight either. -
Recovery time for RNY Gastric Bypass
Briswife15 replied to lingre's topic in Gastric Bypass Surgery Forums
Hi. I took off 4 weeks for my gastric bypass, but could have returned after 3 weeks. I was still napping in the afternoon. I also have a desk job, and I just told work I was having "surgery" and didn't say what kind. I think 2 weeks would be pushing it, but there are hardy folks on here who have taken less time than that. Good luck! Sent from my SM-N960U using BariatricPal mobile app -
I am waiting on my surgery date but trying to come up with timeframe to plan to be out of work. Can I get some real life time out of work timelines - for Gastric Bypass RNY specifically? I work a desk job and can potentially work from home when needed too. I want to get back to work as quickly as possible as I am trying to just take PTO and not a formal leave. Don’t really want to have to tell anyone why am out out of the office because I don’t want to raise any alarms or deal with any judgement on my decision. I had my gallbladder out back in May and was incredibly tired and cloudy headed for almost 3 weeks after...maybe it will be similar to that recovery? My surgeon made it sound like the recovery would be similar but said most do better with this surgery because they are actually excited and much knife motivated about getting back to normal much quicker. Would love to hear all sorts of experiences!
