VSG to RNY - Not excited

[stpatty 18]

I had VSG in November 2016. I never really lost the weight I had hoped (lost about 30 pounds). I'm sure a lot of it has to do with my choices because I really want to get the extra weight off. I recently met with my surgeon to discuss my options and after having a Bravo Endoscopy, we learned I have extremely bad acid reflux (I didn't need a procedure to learn that but whatever). He also stated that I have a hiatal hernia.

Today he advised me to undergo gastric bypass which will completely eradicate the reflux. I was hoping to go in for a duodenal switch but he stated that wasn't a good option for me.

Does anyone have any experience on vsg to rny with great weight loss results?

[I♡BypassedMyPhatAss♡ 801]

You're not excited about a new opportunity to lose the weight that you weren't able to with VSG? Or are you unhappy that your surgeon is recommending RNY instead of DS? My surgeon will only do DS on patients who have out of control diabetes, from what I understand.

[stpatty 18]

I'm not excited because I know I'd get better weight loss with DS than with RNY. I'm shallow I guess but really wanted to lose the weight. He told me DS was an option if I only wanted weight loss but RNY would alleviate the acid reflux. I'm likely going to get the RNY but was hoping someone here could tell me that weight loss is also good with this procedure.

[I♡BypassedMyPhatAss♡ 801]

I see. DS is very malabsorptive, more so than RNY, so it has a much higher risk of malnutrition and the malaborption of fats hinders absorption of fat soluble Vitamins. So I guess in a surgeons mind, the benefits have to outweigh the risks, which is why my surgeon only does it on patients with poorly controlled diabetics. So patient compliance with DS surgery isn't negotiable.

I'm having revision due to GERD soon as well.

There's many RNY'ers on here that have done exceptionally well with their surgeries. I'm sure they will post about their successes soon.

You will do well with RNY if you follow your surgeons program. Best wishes!

[stpatty 18]

Thanks so much for that! By the way, your profile name is bad ass! Love it!

[I♡BypassedMyPhatAss♡ 801]

Just now, stpatty said:

Thanks so much for that! By the way, your profile name is bad ass! Love it!

You're welcome! And thank you! Thanks for finding the humor in it!

[stpatty 18]

I love humor. I actually perform stand-up on the side. Hopefully someone won't slap me in the face while on stage.

[I♡BypassedMyPhatAss♡ 801]

1 minute ago, stpatty said:

I love humor. I actually perform stand-up on the side. Hopefully someone won't slap me in the face while on stage.

Humor on this site, is often missed. Sadly, lol. And lolol I hope you don't get Chris Rock'ed either! I think everything in life is easier dealt with if you can find humor in it. I guess not everyone feels that way. Not on this site at least.

[stpatty 18]

Oh dear

[I♡BypassedMyPhatAss♡ 801]

Mhmm, lol. 😂

[Guest]

44 minutes ago, stpatty said:

I'm not excited because I know I'd get better weight loss with DS than with RNY.

Is MGB an option for you at that practice? The weight loss approaches DS, with fewer side effects, and there's a proven great effect with VSG-->MGB revisions.

The DS revision wouldn't do anything for your reflux, so that'd be on borrowed time anyway. The MGB could solve it.

[stpatty 18]

6 minutes ago, MiniGastricBypassDude said:

Is MGB an option for you at that practice? The weight loss approaches DS, with fewer side effects, and there's a proven great effect with VSG-->MGB revisions.

The DS revision wouldn't do anything for your reflux, so that'd be on borrowed time anyway. The MGB could solve it.

I would like to think MGB would be an option, the surgeon is at Duke. With that said, he didn't mention it as an option. When I think 'mini,' I would assume that wouldn't be better for weight loss but I honestly don't know.

[Guest]

Just now, stpatty said:

When I think 'mini,' I would assume that wouldn't be better for weight loss but I honestly don't know.

Well, I do.

[catwoman7 10,975]

lots of people have done that revision. The thing is, like with VSG, you're going to have to change your habits and follow the program to lose the weight. The surgery will only take you so far. I lost a truckload of weight, but I worked really hard at it. And yes, the revision should at minimum improve, and will likely eradicate, the GERD.

btw - weight loss is never as strong or quick with revisions as it is with virgin surgeries, but that said, there are people who've been very successful with revisions. If you are committed, you'll get there.

Edited March 29, 2022 by catwoman7

[catwoman7 10,975]

1 minute ago, stpatty said:

I would like to think MGB would be an option, the surgeon is at Duke. With that said, he didn't mention it as an option. When I think 'mini,' I would assume that wouldn't be better for weight loss but I honestly don't know.

I don't know that all clinics do that. Mine just does VSG and RNY. I think MGB is pretty common in Europe, and some clinics are doing it here now...