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Has anyone had previously had a rny and gotten a revision? In the last 2 years o got pregnant and have since put back on the weight even if I'm watching what I'm eating. I feel my absorption is back to normal.

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This is a tricky one, as the bypass is difficult to revise. The most common things that are done are basically minor tweaks to your existing bypass - either putting a lapband over the pouch, or tightening up the stoma to try to restore some restriction. Neither seems to have a very good record of success. The most successful thing that I have seen is to revise it to a duodenal switch, but that is a very complex procedure, and there are only a handful of surgeons (maybe half a dozen) around the country who can do it. The other thing that is sometimes done, as the DS is too complex for most, is to convert to a distal RNY, which basically moves the pouch much further down the intestinal tract increasing the malabsorption, but that seems to be more trouble prone than the other alternatives.

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In Canada, for these more complex jobs, one doc to look into is Michel Gagner, who I think is in Montreal. I don't know how that works for you on location or on insurance coverage, but he was in on some of the early DS work and does a lot of complex revisions and procedures, so is worth checking out.

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I had a RNY in 2011 and went from 230 pounds to 160 in about 18 months and kept it at about 170 until in 2016 I was creeping up to 190 and so depressed. My RNY surgeon performed a Gastric band and it was initially a slow loss but I am now at about 130 pounds. I do intermittent fasting and work out a lot though.

The PBing is something you have got to get used - for me it is almost daily - to and it really is impossible to eat a lot which can be hard to get used to.

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