Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

HI I had a weight regain and I have seen doctors with all kinds of suggestions for revision surgery.

Has anyone heard of RNY to Single anastomosis duodenal switch.

Or had this?

I know revision after gastric bypass is unusual.

Just looking for information.

Share this post


Link to post
Share on other sites

Didn't know anyone in the Keystone State did Those- usually hear from posters in North Carolina and St Louis Mo.

Share this post


Link to post
Share on other sites

Revising the RNY to anything is difficult, which is why we don't see many revisions done; typically the most that is done is applying a band over bypass, or tightening the stoma to try to restore some restriction, but neither has a particularly good track record.

I have seen a few revisions to the "traditional" BPD/DS performed which is very complex, and there are only a half dozen or so surgeons around capable doing that one. As the SIPS/SADI/SA-DS is being promoted as a simpler, more "accessible" procedure on a par with the RNY on a complexity basis, I wouldn't expect to see many surgeons with the skills yet to do a revision between the two.

One doc to check into, who is in your neck of the woods, is Dr. Mitchell Roslin in NYC, who has done some of the RNY to DS revisons, and is a big promoter of the SIPS/SADI - if anyone could do it, he would be it, or he could tell you why it isn't such a good idea, if that is the case. Another possible in your neighborhood (just over the border in NJ is Dr. David Greenbaum who also does a lot of these complex revisions.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Recent Topics

  • Most popular:

  • Recent Status Updates

    • BoredCW

      Still stalled. Hating every week of it. 
      I'm in that "I must be doing something wrong, I won't lose any more weight" mode of thinking.
      Hating everything about myself dull drums. If it wasn't for the stress of work, i'd probably be more upset.
      · 0 replies
      1. This update has no replies.
    • Krestel

      Yesterday I discovered stretchy pants. It was the first time that I walked into a normal store and dared to try on clothes in over many many years. Scary, but I found some guy chinos that I liked. I was even able to wear women's sizes even though the legs were wayyyyy too short.
      · 0 replies
      1. This update has no replies.
    • CrowLuv

      Down 31 pounds in my first month! OK, so a month and two days, but I'm counting it anyway. 😆
      At this point, I'm doing well overall. According to surgeons' instructions, I'm on soft foods for another week-ish. I'm so ready for solids - the soft foods can be such "sliders" and I have to be extra, extra careful.
      For example, my refried beans + dollop of plain Greek yogurt + tomatillo salsa verde became a problem. I never felt satisfied and felt I could have easily had a much bigger serving. Then, far worse was when I made homemade hummus - holy cow it is SO GOOD, but again - felt like I could have downed a quart, no problem. 😂
      It's (for me at least) extremely challenging to "eat mindfully" when the food is that soft. I mean for crying out loud, there's nothing to "chew on"! 😂
      So, couple of days ago - I committed to no more refried beans and no more hummus. Farewell my delicious friends. Going to focus on chicken and tuna and eggs for the time being (ground up til mushy, of course). 
      I'm hoping that once I get the go-ahead to introduce solids I will be able to feel the restriction. Because honestly? I'm only a month in, and I feel NO restriction. It's frustrating, but not the end of the world. Willpower was never my problem. But I'm so looking forward to that feeling I hear a lot on here when people say "Oh I ate half an egg and was SO STUFFED." This has....not been my experience. 😕
      Really hoping that's because my foods are so mushy/soft right now. We shall see. 
      Regardless, I'm 100 percent committed. I hear over and over how this tool is the most powerful for about a year, maybe/possibly a wee bit more. I will not sabotage that for the world. 
      So - doing my happy dance at 31 pounds down - I'm in a "weight decade" I haven't seen in a very long time. And it only gets better from here! 
      · 3 replies
      1. Bastian

        Fantastic! Well done on the beans and hummus restriction, :D :141_dancer:

      2. ms.sss

        Excellent attitude! I foresee great success in your future :)

      3. CrowLuv

        Thanks y'all, I really appreciate the encouragement! :)

    • veisor  »  Panda333

      Hi!
      Thank you for replying.   It means the world to me.  It also confirmed what I been feeling about which procedure to choose.   I fall into the category as you do and elected the sleeve as it seemed to be less invasive and recovery would be better and faster,  however I am so afraid to regain the weight back since I rarely eat and obesity runs in my family.   I have two siblings that had the bypass and they have been successful.  My sister was in the high 400's and is about 140 now and has been for several years since her procedure.  I guess I felt that the sleeve would allow me to have more control, however I realized that I can't control my genetics and that is one of the biggest reasons that I am here.  Yes, I have not always made the best choices but trust me when I say that I have been on the loss and regain + more rollercoaster weight ride for yrs! I have spent so much money as I am sure you have as well as many others who are going through this.  It is not easy and anyone who thinks this is a copout is crazy!!! This has been harder than anything I have done including hiring a personal trainer to kick my butt in the gym! And still with all the gym hours, clean eating "not to mention the clean eating cost" I knew it was time that I moved to the next step to finally be who I know in my head and heart cause when I see myself in the mirror,  well let's just say is not the girl I see in my mind. 
      So thanks again for your reply and I hope that we can keep in touch through our journey. 
      😊
      · 0 replies
      1. This update has no replies.
    • AggiG

      · 0 replies
      1. This update has no replies.
  • Trending Topics

  • Together, we have lost...
      lbs
    ×