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Revision if you already have a gastric bypass?



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Hi! Happy New Year!
I was banded in 08. I have had problems with throwing up and slight slippage that showed in a upper Gi. The other test was an Endoscopy that showed mild esophaguses...

so insurance approved a revision to gastric bypass.
I just got home from the hospital and so bummed that the surgeon decided it would be best to do the bypass in 3 months....😩

I feel great, no problems with removal..

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Those 3 months will pass quickly. I know that you must be disappointed but you have to believe that the surgeon knows best. You definitely don’t want complications if you can help it.

Hang in there.

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1 hour ago, Polishanita1 said:

Has anyone had a gastric bypass( RNY) and then had a revision? What.was the reason for the revision?

Curious why would you need a revision from RNY??

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unless there's something mechanically wrong with your bypass, it's sort of pointless to revise it. Other than the DS, it's the strongest surgery out there at the moment. If the problem is behavioral, revising it to something else isn't going to help you long term - you have to tackle whatever the problem is, or you're eventually going to have the same issue with the next surgery.

revising from RNY to DS is a complicated and supposedly risky surgery that only a handful of surgeons are qualified to do. There are no other surgeries I know of that you can revise to from RNY other than DS.

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14 hours ago, Polishanita1 said:

Has anyone had a gastric bypass( RNY) and then had a revision? What.was the reason for the revision?

Can you give us a bit more info? Revision to what, do you mean? To undo the RNY? To a duodenal switch?

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I’m 2008 I had a lapband installed.
I have had many problems from that over the few years.
they can revise that to a different surgery, to Gastric bypass or sleeve.
I choose gastric bypass.
they were unable to do that at this time and just removed my lapband.
hope that helps..

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Your headline and first post are misleading. They imply / state you have GBP and are wondering if that can be revised. I would edit them to clarify you have band and want revision to GBP. That is very common here for the reasons you outlined later in the thread. But the title and first post seem to state you already have GBP so that's why the responses are confusing.

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My only experience is Lapband to Sleeve. However, I had a former co-worker who had RNY and stretched out her pouch. Gained all her weight back, plus some. She had her RNY pouch revised to make it smaller again. I lost track of her, so I honestly can't tell you whether or not she was successful.

Also, in my line of work I see a lot of medical records. I read a case where a sleeved patient had a revised sleeve.

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I have had a gastric bypass and am considering a revision. I was not sure what the option are or if it was even possible. I have had a concern ever since my surgery with a section of my bypass that is where the stomach was connected to the intestine. It has always caused me pain and I am concerned that it is not correct.

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I had full RNY bypass in 2005 and lost approximately 80lbs. I was able to keep the weight off consistently for about 10 years until I suddenly lost the “Feeling Full” after meals and the weight started to creep back on. I struggled with almost a constant feeling of being hungry, which I had never had, after the RNY bypass. I returned to my original surgeon to no avail. His feeling was that I must be doing something different and not following the same lifestyle. I was referred to another Bariatric doctor who found a gastric fistula (essentially an opening in the pouch), and via surgery installed a metal clamp (also referred to as a bear paw). While this seemed to help initially, something still was not the same as it had been for the first 10 or so years.
After much research and visiting several other Bariatric Specialists over the last few years, all while the weight slowly continued to increase, it was recently discovered that a portion of my pouch had attached and formed a connection to my original stomach, thus allowing food to be processed by both the new RNY pouch/digestive path as well as the original stomach/digestive path. Also the metal clamp previously installed was missing, and probably passed in the normal digestive process.
This leads me to where I am today, having been informed that the best solution at this point is for a RNY Bypass revision. They will be going in and separating the pouch from the original stomach again, and suturing/stapling both sections off.
I am waiting for the official revision date/insurance approvals etc, but the doctors office does not think it will be an issue at all. Fingers crossed that I will be back on my way to weight loss soon.

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3 hours ago, John04073 said:

I had full RNY bypass in 2005 and lost approximately 80lbs. I was able to keep the weight off consistently for about 10 years until I suddenly lost the “Feeling Full” after meals and the weight started to creep back on. I struggled with almost a constant feeling of being hungry, which I had never had, after the RNY bypass. I returned to my original surgeon to no avail. His feeling was that I must be doing something different and not following the same lifestyle. I was referred to another Bariatric doctor who found a gastric fistula (essentially an opening in the pouch), and via surgery installed a metal clamp (also referred to as a bear paw). While this seemed to help initially, something still was not the same as it had been for the first 10 or so years.
After much research and visiting several other Bariatric Specialists over the last few years, all while the weight slowly continued to increase, it was recently discovered that a portion of my pouch had attached and formed a connection to my original stomach, thus allowing food to be processed by both the new RNY pouch/digestive path as well as the original stomach/digestive path. Also the metal clamp previously installed was missing, and probably passed in the normal digestive process.
This leads me to where I am today, having been informed that the best solution at this point is for a RNY Bypass revision. They will be going in and separating the pouch from the original stomach again, and suturing/stapling both sections off.
I am waiting for the official revision date/insurance approvals etc, but the doctors office does not think it will be an issue at all. Fingers crossed that I will be back on my way to weight loss soon.

That's the craziest thing I've ever heard. It's so weird that's even possible. The human body does weird stuff! Hopefully they will fix it for you. That's why I liked that with the sleeve that extra stomach is removed.

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3 hours ago, John04073 said:

I had full RNY bypass in 2005 and lost approximately 80lbs. I was able to keep the weight off consistently for about 10 years until I suddenly lost the “Feeling Full” after meals and the weight started to creep back on. I struggled with almost a constant feeling of being hungry, which I had never had, after the RNY bypass. I returned to my original surgeon to no avail. His feeling was that I must be doing something different and not following the same lifestyle. I was referred to another Bariatric doctor who found a gastric fistula (essentially an opening in the pouch), and via surgery installed a metal clamp (also referred to as a bear paw). While this seemed to help initially, something still was not the same as it had been for the first 10 or so years.
After much research and visiting several other Bariatric Specialists over the last few years, all while the weight slowly continued to increase, it was recently discovered that a portion of my pouch had attached and formed a connection to my original stomach, thus allowing food to be processed by both the new RNY pouch/digestive path as well as the original stomach/digestive path. Also the metal clamp previously installed was missing, and probably passed in the normal digestive process.
This leads me to where I am today, having been informed that the best solution at this point is for a RNY Bypass revision. They will be going in and separating the pouch from the original stomach again, and suturing/stapling both sections off.
I am waiting for the official revision date/insurance approvals etc, but the doctors office does not think it will be an issue at all. Fingers crossed that I will be back on my way to weight loss soon.

Wow this is the second time that I have read about a person having this happen in just the past few days.
I do hope that they are able to get you sorted out quickly.
good luck!

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