I have just started my research on revision surgery in Mexico! My head is spinning I'm looking to revise a failed RnY of 14years. I think I've decided on RnY to DS now to find a surgeon and start things on it's way! Any info on a good surgeon for revision would be so appreciated!!!

The revision that you are contemplating, a RNY to DS is a very complex procedure, so tread very carefully and research, research, research. I haven't been as up on the DS world as I used to be (my wife is 12+ years out on hers,) but 4-5 years ago there were only about a half dozen surgeons in North America that one would trust to do this revision, none of whom were in Mexico. A virgin DS is already a step up in complexity to an RNY or VSG, which is why there are relatively few bariatric surgeons that offer it; the revision from an RNY is another step up from there.

The Mx doc with the longest DS experience that I;m aware of is Dr. Gilberto Ungston (he was the only doc doing them reliably in MX 4-5 years ago, and had been working on training others to do the DS. Whether he is tackling the RNY/DS revision, I don't know, but he would be a good place to start if you want to keep it in Mx.

You need to find people who have had that specific procedure done by surgeons that you can consider. I have run into a few people who have had it done, as I have dealt with a couple of the Calif surgeons who do the procedure, and it has been very worthwhile, at least if done by the right surgeon.

You can't depend on advertising or online profiles of surgeons, as many will say they do this or that procedure and then sell you on what they actually can do once they get you in their office (something like a distal RNY is sometimes offered as "DS-like" revision that doesn't work nearly as well). It gets even trickier when you are self-pay as you don't have an insurance company on your side as an enforcer - a doc saying that he is doing one procedure and billing insurance for it and then doing a different procedure is guilty of insurance fraud, and the companies take a dim view of such things. So, you need to be extra careful when you are self pay, whether in Mx or the US.

Good luck in your search....

Thank you for your response I am totally going to research this very carefully. And I do need to consult with a surgeon to even see if this is the best procedure for me!!

Thank you for your response I am totally going to research this very carefully. And I do need to consult with a surgeon to even see if this is the best procedure for me!!

Hi, it's a pleasure to address you. We can schedule a Skype or facetime consultation to address all your questions!

I would love to discuss this with you Dr. Illan.

Congrats on the opening of your new Hospital.

I just got a hold of my Endoscopy report So my stoma was 3cm and it's considered enlarged if it's >2cm no wonder I have no restriction and have regain [emoji20]

I was googling other stuff and came across a procedure called sclerotherapy. They basically inject the stoma with morrhuate, which causes a build up of scar tissue, making the stoma smaller. Sounds promising!

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I have heard about this procedure but also there are not good long term results but it is worth discussing with a surgeon!

@drillian it looks like you did your US fellowship at the hospital I had my original RnY at.