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Revision after failed sleeve surgery



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I had sleeve surgery in 2015, 6 months later I stopped losing weight, and felt no restriction. I am still obese and need to lose alot of weight according to several of my Drs. and A1c and other bloodwork. If you've had revision are you happy with RNY. Is it worth another surgery? I have an appt next week to discuss with WL surgeon.

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I had the RNY in 2001. Loss 200 lbs but was still over weight. Kept the weight off for nearly a decade then gained it back. Recently I had a revision to DS. I was told by many the DS is the best for the very large to lose the weight and keep it off. So far I’ve lost 50 lbs in two and a half months.

I hope this helps. I know I don’t have much info as to the revision outcome still but so far it’s been worth it.

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8 hours ago, Time4Kindness said:

I had sleeve surgery in 2015, 6 months later I stopped losing weight, and felt no restriction. I am still obese and need to lose alot of weight according to several of my Drs. and A1c and other bloodwork. If you've had revision are you happy with RNY. Is it worth another surgery? I have an appt next week to discuss with WL surgeon.

I would agree. I'd revise to a DS. You probably need that surgery. I don't think you will be happy with the RNY and think you will likely not get to your goal weight with it.

I can say this because I have RNY (virgin surgery) and have a larger capacity. So I do not feel a whole lot of restriction. And food goes through my stoma very easily. So I have to be extremely careful of what goes in my mouth, calorie, volume count and limit food in the face of hunger. And I got to my goal. But it took Iron balls to do it. And not everyone can put that kind of limit on themselves.

If you haven't already, you need to have your sleeve evaluated to see if they left too much of the fundus in tact, or if it can be revised to make the sleeve smaller in a re-surgery. If it's surgeon error, they should have to fix it.

If it's your error through overeating or eating around restriction, then a new surgery won't necessary fix your head and you will need to consider counseling along with a new anatomy if you want to avoid having this same discussion in the future.

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I have had the sleeve and the RNY. My sleeve failed - for one I had a leak, so was in hospital for 3 months... they tried to place several stents and think they probably stretched things out. Upper GI confirmed my stomach was stretched. So, I have the RNY now. It is a slow process - apparently weight loss is slower with a revision, but I am happy. I woke up from the sleeve hungry and that hunger did not go away. I woke from RNY and I was not hungry and I still find I have minimal hunger. I still have demons that drive me to want to eat that I am working on, but the restriction I have from RNY helps me a LOT. I hope this helps.

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