Endoscopy revised gastric bypass…. Anyone in my boat ?

Not sure what your situation or question is. Can you give more details?

I'm waiting to have a gastroscopy to see what can be done. Like you I had RNY 21 years ago, weight regain, god awful reflux, bloating etc. Surgeon want to have a look to see if the anamostosis is OK and if there is leakage from the pouch to the remnant stomach, which back then they left the old stomach in. Which can contribute to the weight regain and the reflux. He will only do a revision abdominally, so interested to hear how you get on.

Hello, I’m in the process of getting a revision to my RNY (2004). It’s a “trans-oral” procedure. My stomach pouch has expanded at the junction of the pouch and the intestine that’s connected to it, so food doesn’t stay in it which makes me eat more, leading to regain. They’ll go down like an endoscopy and sew up the pouch, leaving a smaller hole. It costs less than a surgical procedure ( the insurance companies like that).

Hi Victoria,

I am interested to know how are you doing. Did you have your revision done? How are you feeling? Any advise. I am looking into this Toré method too??

Hi Bebaeg,

Thank you so much for asking. I had my revision on May 9. I’ve lost 33-ish pounds. I get stuck in the middle of the next 10 pounds, so right now I’m fluctuating between 264 and 266. When I first stalled, I realized that I was severely constipated. I’m finding that that happens a lot. Unfortunately, the solution leads to the opposite problem of diarrhea. ? I’m grateful for what I’ve lost, but it’s still frustrating.

I had RNY in 1990 and regained all I lost. I always blamed myself but now know that the surgery failed due to a fistula between pouch and stomach. I didn't know that revision was even possible until 2020, just before the pandemic struck. I started the bariatric program in early 2021. I discovered that I am a food addict with trigger foods: sugar, wheat flour, rice, white potatoes, and processed food. I cut out those foods and the result was fantastic! I lost 70 lbs prior to surgery. Despite this success, I went ahead with laparoscopic revision surgery on 12/21/21 at age 73. I weighed 247 at the time of surgery, down from 317.

Unfortunately, I fell in that very tiny group of bariatric surgical patients that develop serious complications. Ten days after my revision surgery, I was airlifted back to the hospital with peritonitis and sepsis, caused by a rupture of the jejunum below the anastomosis. I was hospitalized for 7 weeks and underwent three endoscopic procedures and two open surgeries before they finally found and corrected a residual abscess. I left the hospital with a 15-cm long open surgical wound, which took 8 more weeks to fully close.

I am now fully recovered and am back to exercising daily. The endoscopic procedures stretched the new anastomosis so I have no more restriction than I had pre-surgery, so I still have to be very careful about what I consume. I typically go through month-long stalls and then drop a few pounds. I do lose inches during the stalls. I've dropped from size 32/4X to size 20/XL and now weigh 214 lbs., just past the 100 lb loss mark.

After being on a restricted diet for over 16 months I struggle with near-irresistible cravings in the afternoon and evenings. The clinic wants me to limit intake to 800 calories. ? It is daunting because I know I will never be able to go on a "maintenance" diet and must continue to avoid my trigger foods forever. Even when I choose protein snacks in response to cravings, each snack adds 100 or more calories to the daily total so my daily calorie count is between 900-1200 calories. (I will gain weight at 1500 calories.) I've done a trial of weight loss drug CONTRAVE but had to discontinue due to side effects.

This is a horror story, but don't let it dissuade you from your revision. Complications are extremely rare.

Edited July 17, 20224 yr by Sunnyway

I had RNY in 1990 and regained all I lost. I always blamed myself but now know that the surgery failed due to a fistula between pouch and stomach. I didn't know that revision was even possible until 2020, just before the pandemic struck. I started the bariatric program in early 2021. I discovered that I am a food addict with trigger foods: sugar, wheat flour, rice, white potatoes, and processed food. I cut out those foods and the result was fantastic! I lost 70 lbs prior to surgery. Despite this success, I went ahead with laparoscopic revision surgery on 12/21/21 at age 73. I weighed 247 at the time of surgery, down from 317.
Unfortunately, I fell in that very tiny group of bariatric surgical patients that develop serious complications. Ten days after my revision surgery, I was airlifted back to the hospital with peritonitis and sepsis, caused by a rupture of the jejunum below the anastomosis. I was hospitalized for 7 weeks and underwent three endoscopic procedures and two open surgeries before they finally found and corrected a residual abscess. I left the hospital with a 15-cm long open surgical wound, which took 8 more weeks to fully close.
I am now fully recovered and am back to exercising daily. The endoscopic procedures stretched the new anastomosis so I have no more restriction than I had pre-surgery, so I still have to be very careful about what I consume. I typically go through month-long stalls and then drop a few pounds. I do lose inches during the stalls. I've dropped from size 32/4X to size 20/XL and now weigh 214 lbs., just past the 100 lb loss mark.
After being on a restricted diet for over 16 months I struggle with near-irresistible cravings in the afternoon and evenings. The clinic wants me to limit intake to 800 calories. [emoji33] It is daunting because I know I will never be able to go on a "maintenance" diet and must continue to avoid my trigger foods forever. Even when I choose Protein Snacks in response to cravings, each snack adds 100 or more calories to the daily total so my daily calorie count is between 900-1200 calories. (I will gain weight at 1500 calories.) I've done a trial of weight loss drug CONTRAVE but had to discontinue due to side effects.
This is a horror story, but don't let it dissuade you from your revision. Complications are extremely rare.

Thank you for sharing. I hope you doing well!