Revision of RNY

[2ndTimeFreedom 104]

@LostFound21 - it was exactly 6.5 months. My insurance company required a six month supervised diet. For me this was different as it was not required the first time.

Everyone I am getting discharged today. Operation went great. Doctor did tell my husband the only reason it took a bit longer was because of the way the original surgery and anatomy placement was different that they were used to???? Then he said we simply do it different in NY. I suspect it was also because it was 10 years old also. Nonetheless I made it. Vital signed are stable. BLood pressure and heart rate are on the low side but honestly that is my norm. BP is 95/63 HR 57 — again my baseline even pre surgery. So I’m ok. Zero pain and only took IV Tylenol a few time after surgery. Up walking every two hours. I can not wait to go home today.

[LostFound21 13]

1 hour ago, 2ndTimeFreedom said:

@LostFound21 - it was exactly 6.5 months. My insurance company required a six month supervised diet. For me this was different as it was not required the first time.

Everyone I am getting discharged today. Operation went great. Doctor did tell my husband the only reason it took a bit longer was because of the way the original surgery and anatomy placement was different that they were used to???? Then he said we simply do it different in NY. I suspect it was also because it was 10 years old also. Nonetheless I made it. Vital signed are stable. BLood pressure and heart rate are on the low side but honestly that is my norm. BP is 95/63 HR 57 — again my baseline even pre surgery. So I’m ok. Zero pain and only took IV Tylenol a few time after surgery. Up walking every two hours. I can not wait to go home today.

So glad to hear everything went well and no pain.

[Losingit2018 1,170]

On 7/3/2019 at 11:13 AM, 2ndTimeFreedom said:

So happy you had your egd completed. I also think it is amazing that your pouch did not stretch!! That is great news. Without stretching did the surgeon suggest any next steps (outside the monitoring the acid)?

I saw dr and got my results back from the bravo test yesterday. My acid levels were off the charts I am revising to bypass.

[2ndTimeFreedom 104]

3 hours ago, Losingit2018 said:

I saw dr and got my results back from the bravo test yesterday. My acid levels were off the charts I am revising to bypass.

So sorry your acids levels were off the charts. However, happy that revisional surgery is an option. I know you will do great. I am day two post-op and doing great. I still am waiting two weeks to weigh myself as I know I was probably dumped with fluids and I feel bloated. How long will you have to wait for a surgical date?

[Eunice Fuller 2]

I had Gastric Bypassed Revision! I love it!! I had it revised after 17 yrs. I haven’t had any problems so far and I’m still losing weight. My revised date was August 11, 2017

[2ndTimeFreedom 104]

32 minutes ago, Eunice Fuller said:

I had Gastric Bypassed Revision! I love it!! I had it revised after 17 yrs. I haven’t had any problems so far and I’m still losing weight. My revised date was August 11, 2017

Thank you so much for posting. I am the first person that I have known to get a revision done. How much weight did you shed after the revision? This is amazing!

[Losingit2018 1,170]

3 hours ago, 2ndTimeFreedom said:

So sorry your acids levels were off the charts. However, happy that revisional surgery is an option. I know you will do great. I am day two post-op and doing great. I still am waiting two weeks to weigh myself as I know I was probably dumped with fluids and I feel bloated. How long will you have to wait for a surgical date?

The scheduler was out of the office today so I am waiting for her to call me with a date. The nurse told me that she thinks my dr is booked until late August/ Early September.

I know that the complication rate from a second surgery is greater than that of a first so I am very nervous about it.

[ValerieInMexico 162]

I am going, on July 1, for my RNY revision surgery. My surgeon is going to examine the pouch and stoma, and make smaller if possible. What concerns me is that he is also going to increase the amount of intestine that is bypassed. My original RNY, done in 2000, what a short length.

I am worried just because I have not read about anyone else having this done. I may just ask him that, if the pouch and stoma just appear stretched..... make that smaller and not do the bypass work. This will be a situation where I will be on my own after surgery. I mean, they are very responsive over phone and with emails, but there is no follow up appointments. My GP will work with me on monitoring my Iron, Calcium etc.

Did any of your surgeons suggest this approach?

[ValerieInMexico 162]

Woops: I meant July 31st. Reassured myself with a lot of reading last night. Trust the surgeon, but really not sure if I am doing the smartest thing.

[2ndTimeFreedom 104]

11 hours ago, ValerieInMexico said:

I am going, on July 1, for my RNY revision surgery. My surgeon is going to examine the pouch and stoma, and make smaller if possible. What concerns me is that he is also going to increase the amount of intestine that is bypassed. My original RNY, done in 2000, what a short length.

I am worried just because I have not read about anyone else having this done. I may just ask him that, if the pouch and stoma just appear stretched..... make that smaller and not do the bypass work. This will be a situation where I will be on my own after surgery. I mean, they are very responsive over phone and with emails, but there is no follow up appointments. My GP will work with me on monitoring my Iron, Calcium etc.

Did any of your surgeons suggest this approach?

Hello Valerie - my surgeon did not suggest this but I also do not know how much was bypassed originally so this may not have been needed in my case. I went to a revision specialist so I think had he suggested I may have asked for research (I still did this with my current surgery) and then discuss with the surgeon, my Primary and my family. I am still only a week out but I am so happy . For me, the recovery is so much easier second time around.

[2ndTimeFreedom 104]

1 hour ago, ValerieInMexico said:

Woops: I meant July 31st. Reassured myself with a lot of reading last night. Trust the surgeon, but really not sure if I am doing the smartest thing.

I love it and I know you will do great

[LostFound21 13]

12 hours ago, ValerieInMexico said:

I am going, on July 1, for my RNY revision surgery. My surgeon is going to examine the pouch and stoma, and make smaller if possible. What concerns me is that he is also going to increase the amount of intestine that is bypassed. My original RNY, done in 2000, what a short length.

I am worried just because I have not read about anyone else having this done. I may just ask him that, if the pouch and stoma just appear stretched..... make that smaller and not do the bypass work. This will be a situation where I will be on my own after surgery. I mean, they are very responsive over phone and with emails, but there is no follow up appointments. My GP will work with me on monitoring my Iron, Calcium etc.

Did any of your surgeons suggest this approach?

Sounds like maybe the surgeon intends to do a duodenal switch or something similar. I attended a WLS seminar and they said that's what the their surgeon usually uses for revision. I have my consult on August 21st but if that's what they suggest I'll go with it.

[RNY 2ND RODEO 23]

I had rny gastric bypass in 2001. Went from 516 to 175. Then I started gaining again. Old habits are hard to break. Cokes and pizza. Now Im scheduled for revision on 8/23/19. I feel so ashamed. Back to 400 lbs. This time I need to follow the rules instead of finding ways around them.

Sent from my LGMP260 using BariatricPal mobile app

[PrincessCharming 2]

On 7/1/2019 at 3:15 AM, Notthe1sttime said:

Update- I just had an endoscopy performed. We found out the pouch is quite large and there is a fistula connecting the pouch to the remnant stomach. This info is being presented to the insurance, and hopefully the revision is approved.

Prior to the procedure I decided to pursue the revision despite the predicted results. I felt like I owed myself the opportunity to try again. In the interim, I've been meeting with a nutritionist to improve my eating habits.

Im happy.

Have you had your revision yet? I'm thinking about doing it so would like to know how you're doing. Thanks

[Losingit2018 1,170]

On 7/17/2019 at 6:15 PM, 2ndTimeFreedom said:

So sorry your acids levels were off the charts. However, happy that revisional surgery is an option. I know you will do great. I am day two post-op and doing great. I still am waiting two weeks to weigh myself as I know I was probably dumped with fluids and I feel bloated. How long will you have to wait for a surgical date?

My revision is scheduled for 9/12. Not only do I have gerd, I only lost 1/2 my excess weight with the sleeve. So I am really looking forward to a 2nd chance at getting the rest of the weight off.

Edited August 19, 2019 by Losingit2018