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Revision from RNY to Distal RNY questions



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I had RNY 21 years ago, I'm scheduled for a revision from proximal RNY (standard one most people get) to a Distal RNY where they make the roux limb longer by bypassing more small intestine than they do on the standard RNY. I'm getting this distal revision done Monday March 21st (6 more sleeps! Yikes!). My Dr says he does them as out patient, which kinda boggles my mind (I figured at least an overnight stay), and I'll go home same day. Has anyone else experienced this? I know there aren't many distal rivisioners that I've run across.

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Hi - how are you feeling, how did surgery go? I'm having my RNY conversion to Distal (duodenal switch) on April 14th. I saw your post and wanted to see how it went and if you can provide any information as to how you're feeling, what recovery is like, etc.

Good luck, wishing you all the best!

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Hi! Sorry I haven't been around much. Did you have a Distal revision or a revision to a duodenal switch (they are different). Anyway, I'm doing ok. I'm calling it the surgery that wasn't.

So I did have surgery on March 21st. Dr went in and had to clean a bunch of adhesions and fix a hernia before he saw that things didn't look the way they should. It wasn't the normal, expected RNY anatomy. He couldn't complete the surgery without coming up with a new surgical plan. As it was a 1 hr surgery had already turned into 3 from the adhesions and hernia repair.

As of right now, I go back to see my surgeon tomorrow to see what our/my options are and figure out the best surgical plan for me.

How did your surgery go?

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Hi! I had a revision TO the Distal Bypass. I started out with the RNY Gastric Bypass, now I have a duodenal switch.

My surgery went pretty good! No complaints, just sore from the operation, but it's better each and every day. Down 15lbs already, which isn't as much as I hoped for :(

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I hear that revisions are slower with weight loss. Just keep in mind, you lost 15lbs in less than 30 days! That's awesome!

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    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
      · 2 replies
      1. NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

      2. Theweightisover2024🙌💪

        That sounds awesome. I'll have to check that out thanks!

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