Is a 2nd revision even possible?

[Photo925 100]

I originally had a sleeve and a few years back had it revised to the mini bypass. I have the worst reflux ever now and have gained back even more weight than before the MGB and am just miserable. Is it possible to have a second revision to a full bypass? I saw a digestive specialist and he suggested that was the route I go, but ran into trouble actually finding a surgeon that would perform it, So if anyone has an insight or suggestions, I would greatly appreciate it

[summerset 5,261]

Yes, it's possible. It's not going to be a classic RNY bypass but the anastomosis will be changed to an RNY one anyway.

I think I'm going to get this along with hiatoplastic and gastropexia (hernia is back again and with it reflux got worse). I'm still on the fence though because at the moment things seem to be better again.

ETA: fixing bile reflux after MGB is obviously quite like fixing bile reflux after partial gastrectomy with a Bilroth II anastomosis. They change the anastomosis into an RNY one.

Edited December 23, 2019 by summerset

[New&Improved 1,780]

Talk to a specialist*

[bikerchick519 202]

I had the sleeve and then had horrible acid reflux and found out the sleeve was stretched. I had the mini gastric bypass because I was told that would fix it. Well it didn't. I have even worse reflux and found out my esophageal sphincter is not closing. Medication does nothing. After extensive testing I'm being told I need a full gastric bypass. I'm waiting to see if insurance will pay this time. They refused to pay for a revision last time stating my bmi wasn't high enough and I had no co-morbidities. My surgeon is confident he can get it approved so now I'm just waiting to see if it's covered. My first 2 surgeries were in Mexico.

[bikerchick519 202]

I looked into the Lynx surgery. It's a magnetic ring around the sphincter but every surgeon he consulted said the full bypass is the way to go for me.

[New&Improved 1,780]

RNY BYPASS best decision I ever made