Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Hi, I'm new here. I'm actually looking to connect to veterans of the surgery. I had my surgery 18 years ago and at the time it was great.

Doctors said I should of lost more weight. Starting weight 407 and lowest was just under 300 but I'm now up to 340 and I'm looking to get another procedure because I just can't seem to find a diet (way of eating) I can stick with. My knees are shot so I need to lose weight to get knee replacement surgery.

I had my gallbladder taken out.

Has anyone had pain in the upper abdomen when your bend over for about a minute? What about a side pain (my right) almost feels like I bruised a rib.

Thanks gang. Look forward connecting with someone that is going thru the same thing I am. I appreciate it.

Share this post


Link to post
Share on other sites

Unfortunately, revisions tend not to do all that well for regain problems - I like to think about it as your stomach started out being able to hold 32-64 oz, and after WLS it can hold 1-4 oz typically; even after it stretches some and/or adapts, its capacity of maybe 4-8 oz is still just a fraction of what it was, and we have gotten used to living with that. So, going with a "do over" revision just doesn't have the same power as the first time around. Further, the bypass is difficult to work with, so typically the best they can do is to either put a band around the pouch to restrict it, or tighten up the stoma, neither of which have a great track record of success.

Probably your best shot at getting on track again and losing a substantial amount in a revision is to look into a duodenal switch (DS) which has much better regain resistance than the RNY or sleeve. Unfortunately, that is a very difficult revision, that maybe a half dozen or so surgeons around the country can do. Fortunately, two of them are here in CA - Dr. Ara Keshishian in the Glendale/Pasadena area, and Dr. John Rabkin in SF. I have seen several patients come through our support group over the years that have had quite reasonable success with that revision, so it is definitely worth a look.

The other approach that you might find is to convert your (conventional) proximal RNY to a distal RNY, which basically involves moving the pouch much farther down the intestine, bypassing more of it. It does not have a great reputation for being trouble free (from what i have seen, most insurance will not cover it as a primary WLS procedure, but will consider it for a revision.) I suspect that a big problem with it is that the surgeons don't really appreciate the nutritional/supplement differences with it, (it is much closer to a DS than an RNY in supplement needs) and the patients suffer as a result as they may not get the aftercare that they need over the years. The DS tends to be much less of a problem in this regard as the surgeons who do it do so as their primary or preferred procedure, so they know all of its subtle needs by experience.

Good luck in finding a solution to your problems,

Share this post


Link to post
Share on other sites

Hi, I'm new here. I'm actually looking to connect to veterans of the surgery. I had my surgery 18 years ago and at the time it was great.
Doctors said I should of lost more weight. Starting weight 407 and lowest was just under 300 but I'm now up to 340 and I'm looking to get another procedure because I just can't seem to find a diet (way of eating) I can stick with. My knees are shot so I need to lose weight to get knee replacement surgery.
I had my gallbladder taken out.
Has anyone had pain in the upper abdomen when your bend over for about a minute? What about a side pain (my right) almost feels like I bruised a rib.

Thanks gang. Look forward connecting with someone that is going thru the same thing I am. I appreciate it.

Hi. Revisions on gastric bypass are usually successful and more effective than original surgery. 60 to 80% excess weight loss, but you would have to follow your surgeon and team advice.
https://anmedhealth.org/services/surgery/weight-loss-surgery/revisional-bariatric-surgery#:~:text=Gastric%20bypass%20revision%20surgeries%20tend,their%20medical%20team's%20advice%20closely.n

Sent from my SM-S908U using BariatricPal mobile app

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • amazingmimi

      I feel like I've finally gotten past the biggest hurdle. Surgery date is September 6th, the day after Labor Day, and yesterday I got my insurance approval letter. I've followed everything they've told me to do, and I've even lost 30 lbs on my own since hubby had to change his diet for diabetes. No worries now about having to do 4 weeks of the liver shrinking diet instead of 2. On my initial visit, if I had gained just 5lbs I would have had to do 4 weeks. It's getting closer. Just 2 more months to wait.
      · 1 reply
      1. NmMd

        Although the prep work took energy, I found the biggest hurdle was post-operative. The first 48 hrs were extremely uncomfortable. I did an overnight and trying to down the liquids, Tylenol, and especially the barium was rough. Thankfully though, I got away with only having to have 1 belly injection after surgery. Needless are not my thing.

    • Grace1234

      I am brand new to this my surgery is tentative for July 27 depending on insurance and I'll be have the Gastric Sleeve.
      · 0 replies
      1. This update has no replies.
    • Pepper1

      I am looking for people to connect with that are 4-5 years out. Many of the support sights I go to are all newbies. And while I enjoyed that when i first had my surgery and found it useful, I am looking to exchange ideas with folks that are out a few years. I am slowly gaining weight back and losing my excitement. I don't want that!
      · 1 reply
      1. SleeverSk

        Maybe post in the forums. It's a more active areaI have noticed no one replies to status updates

    • SuziDavis

      I have a surgery date! I am getting sleeved on 8/17/2022!
      · 0 replies
      1. This update has no replies.
    • Mudh8r

      How do you stay focused? I'm struggling a bit the past three days.  All I want is sweets and carbs.  I have no clue what changed but for some reason I'm craving hard.  I'm literally dreaming about food and when I wake up, I'm thinking about my next meal.  I'm not "hungry" but so munchy.  I'm trying to stay focused, busy, exercise and the likes but this looking struggle is getting to be so hard.  I meet with my nutritionist tomorrow and I'm so hopeful she has some advice.  My protein intake is great, liquids on point, even throwing in some raw veggies and berries to curb the sweet/carb craving.  Thoughts?
      · 1 reply
      1. SleeverSk

        I am like this at the moment too, maybe post in the forums and not as your status update you will get more replies

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×