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sleeve in 2010 now revision to RNY due to complications



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Hi

I haven't been on one of these forums in a looong time. I had a sleeve done in 11/2010. It has gone well and MOST of the time I hovered between 185-210 (which was fine with me as I was nowhere near my high of 300). about 1.5 yrs ago I started having trouble keeping some foods down...I figured I was just eating too fast or too much. I was losing weight but not too fast. I had post-menopausal bleeding in 12/2019 so we did the whole cancer check thing (esp with the vomiting becoming more of an issue). Everything came out fine so I was referred to a GI who found a hernia. Had this repaired in 6/2020. Since then I have done well to keep anything but liquids down. I had an upper GI done and my stomach is the shape of a barbell. (1/3 normal sleeve, middle 1/3 severely narrowed, last 1/3 normal sleeve). Referred to another GI who did another EGD and colonoscopy and found I had almost a complete blockage in my stomach (11/2020) (he also got a good view of how I look like skin and bones without clothes which I think REALLY concerned him). He sent me straight to the ER to be admitted and I had surgery 2 days later which ended up being them taking the scar tissue that was wrapped around my stomach out. Still no improvement. My new GI had his nurse call me because he wanted to have an appointment (12/28) and see how I was doing post surgery (5 weeks out). He immediately ordered ANOTHER upper GI (12/30) which looked exactly like the one from October. We discussed going to a different surgeon and I picked a new bariatric surgeon (I tried a few but they wouldn't take me since they didn't do my original surgery in 2010 and the one who did is no longer in network).

Once the surgeon saw my upper gi results he had his nurse move my appointment up a week. (1/5). My GI sent a message to the surgeon prior to my appointment so he had a heads up about me. First he wasn't happy I hadn't been referred earlier to him by my first GI. He said there is no fixing the middle part of my stomach and the only thing to do is revise to an RNY. He wants to do it as soon as ins approves. (Today I spoke with them and it is marked high priority and I should have an answer by tomorrow). I made sure they knew I could only keep liquids down and it had been thing way since June. I also mentioned I have gone from a size 14/16 in Dec 2019 to 4/6 now. (I just bought a size 4 straight skirt and it fits perfectly). I have a TON of loose skin but clothes hide it. In July I just bought a new bra 36 B now I am a 32A. The guy on the phone at Aetna took these notes to add to my file in addition to the ones my surgeon sent (the upper gi series, etc). Originally my file wasn't marked high priority until someone on the clinical team looked at it.

SO, now you have my LOOONG backstory.

I am kind of scared about the RNY. How is the recovery? This will be my 3rd surgery in 7 months. My body has not been getting the calories it needs for quite a while now (even Protein Shakes take a long time to get through). It's actually probably a miracle that I am still able to function as well as I have been at work. All of the covid changes have been kicking my rear but it has been a very productive year for me despite this whole mess. Thankfully I have an amazing admin assistant and colleagues who have been pitching in here and there to help when I absolutely needed it...but I am a workaholic so I have taken very little time off for recoveries.

What can I expect of an RNY rather than the sleeve?

Has anyone had any complications like this so far out from the original surgery? Obviously I am not doing this to lose weight...I am actually doing it to gain weight. This has really been crazy mentally after all those years worried about losing weight.

sorry for the book. I would love input from anyone :)

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5 hours ago, 5boys1girl forme said:

What can I expect of an RNY rather than the sleeve?

I think it's very similar. I think the progression through the food staged are the same.

You may experience dumping or not. You may initially loose weight from the surgery but you can maintain your weight if you are diligent (or gain weight if you are not careful)

You may also have a different type of full sensation (or lack thereof)

5 hours ago, 5boys1girl forme said:

How is the recovery?

Recovery may be similar to your first WLS or slightly faster (especially if this will be done laparoscopically) since it will correct a problem.

Good Luck ♥️

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Sorry you are having all the issues. I would imagine you will lose the first 2 weeks but bounce back after that. I am able to eat more with the RNY then I did with the sleeve and progressed to soft foods at one week post op. Good luck to you !!

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