Nifer72

Hi everyone! I'm scheduled for my revision on March 21, 2022. I had my original surgery 21 years ago! My sw prior to the first surgery was 375, in the first year I lost 100lbs getting down to 275... my lowest weight since then was 248 due to an illness. I've bounced up and down between 250 and 280 since then. I am a diabetic, have Gerd and was just diagnosed with very slow motility (my pcp says gastroparesis but my surgeon just says slow motility). When I started the process for revision (7months ago) my surgeon didn't think insurance would cover for just weight loss, but with further testing we discovered the digestion issue, his tune changed and surgery was approved! I know a lot has changed with protocols in the last 21 years! I see my surgeon next week for pre-op so I will be asking him a lot, but wanted to find out from anyone who's had the proximal to distal revision as well: What was the recovery like for the distal revision compared to the original surgery? Did you have to spend anytime in the hospital? My surgeon already mentioned he does it outpatient and I should go home same day, which seems crazy to me! I know weight loss can be slower with a revision. How much did you lose and in what timeframe? Any other pieces of advice? I plan on strictly following the food phases that the nutritionist gave me and leaning toward the longest of the time frames she gave me... ie 2-3 weeks post op liquid, 4-8 weeks soft foods etc... I am determined to lose and get to a goal weight of 155-175 which my surgeon said was possible in our initial meeting 8 months ago.

Thank you! I hope your surgery went well!

My revision was a bit more... complicated than most. Due to unforseen issues (basically one anastomosis was not done right), the surgery in March had to be aborted after 3hrs. New surgery was scheduled for June to allow for healing. 2nd surgery, the surgeon discovered another surprise. My common channel was only 25cm and the configuration of my intestines was not the rny configuration. He had to back my common channel to 300cm, cut out a portion of my pouch and small intestines due to necrotic tissue. This surgery took 8hrs! So almost 9months post op, I do have better restriction than I did with my surgery 22 years ago, but I'm absorbing more. I'm down 50lbs so it's been slow going, but I'm still losing. Thanks for asking, Hope you are doing well on your journey.

It has been a bit traumatic, very angry with my original surgeon, but I am proud of the progress. The nsv's have been great! Was able to touch my toes today lol!

So, I am scheduled for my rny revision on March 21st. Had my pre-op today. It's going to be out patient, a simpler procedure than my original bypass. Still have to do the modified liquid diet pre-op for 14 days: 2 meals protein drinks, 1 light meal (3 oz lean meat, 1 cup veggies) or another protein drink. Have to get pre-op testing... bloodwork and an ekg. I'm excited and ready for the 21st to be here! I quit smoking two weeks ago as part of my surgeons requirements. I am making the changes needed to make the most of this. I know weight loss will be slower, but I'm also in a better place to stick to the plan. My revision is not due to regain, just a boost to get to goal and to help with digestive and slow motility issues. Original surgery was over 21 years ago,I starting weight was 475. I lost 100lbs down to 275 gained some weight when I got pregnant but then lost that regain, and kept it off. Last 17 years I've bounced between 245 and 275. Due to medical/digestive issues, I go through periods where I can barely eat and then go back to maintenance diet. This surgery is not only to help me get to a goal of 175ish but also to help settle the digestive issues. Any other revisions going on this month?

My surgeries were eye opening. I had surgery in March, where my surgeon discovered, my previous surgery was done wrong so he had to abort and close me back up. He had to assess the next steps to consider how to fix the issue he found. We made a plan and I had to wait three months for my next surgery. I had my 2nd surgery June 27th. Dr Chaisson was going to fix the issues he found the first time and do the revision. Surgery was expected to be 3 hrs but ended up being 8hrs long. This time, with a more thorough look at the anatomy, he found out my common channel was only 25cm long and my pouch was larger than expected. Both of those things mean that I never had a RNY bypass but a biliopancreatic diversion. So my surgeon had to fix the issues with my anamostasis to the pouch, resize my pouch and make my common channel longer. So it wasn't what we expected at all, my loss has been slow, but I've lost about 50lbs since June.

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.

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

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?

It's been a rough couple of days since being released from the hospital. Woke yesterday in a lot more pain and running a fever of 102.5 and chills. Called the surgeon and he said just to take some Tylenol. My partners were not ok with that so they took me to the er just to make sure there was no infection. No infection, ileus causing bowel obstruction/constipation that I'm just supposed to take stool softeners (which I already was) and a fleet enema. Like the constipation/slow motility is the reason we were going for the distal revision so since the revision wasn't done, this isn't going to change. I also expected the pain and they treated me like I was there looking for drugs because I'm a chronic pain patient. I'm not sure why I expected anything different. Still running the high fever if I fall behind on the Tylenol. My surgeon does keep callin, and gave me his cell phone number if there were any other issues. I reminded him this morning that slow motility/constipation was one of the issues I was complaining about prior to surgery. He said we would be looking at a "more sophisticated " surgery than the distal RNY but we would talk more at my follow-up

Less than 12 hrs now and I will be having my revision to distal bypass. I can't believe it's finally here, but I am so ready!

Good luck to everyone still left to have their surgery in March! Still not sure yet when we will be scheduling my second surgery. I've had some setbacks but ii am getting back up on my feet again.

So things didn't go exactly as planned with me yesterday. When do they ever? Surgery was only supposed to be an hour ended up being over 3 hours. Doctor found a lot of adhesions that he had to clear up before he could see exactly what was going on. My previous surgeon from 20 years ago did an older version of the surgery which included a loop that my current surgeon wasn't expecting and made my new surgery more dangerous so he had to fix a hernia that was there and basically had to abort the surgery were planning on doing. Which means I'm going to need a different surgery once I heal up from this one. I am doing okay now of course I'm in some pain I had abdominal surgery yesterday regardless of the changes to our plans.

I was supposed to have a revision from RNY to distal RNY yesterday but, things didn't go exactly as planned with me yesterday. When do they ever? Surgery was only supposed to be an hour ended up being over 3 hours. Doctor found a lot of adhesions that he had to clear up before he could see exactly what was going on. My previous surgeon from 20 years ago did an older version of the surgery which included a loop that my current surgeon wasn't expecting and made my new surgery more dangerous so he had to fix a hernia that was there and basically had to abort the surgery were planning on doing. Which means I'm going to need a different surgery once I heal up from this one. I am doing okay now of course I'm in some pain I had abdominal surgery yesterday regardless of the changes to our plans.

Well, this is it. My revision surgery is 12.5 hrs away. Seemed like it would never happen and now here it is!

I'm set for Monday too.

I had a sf popsicle instead

First time in over a week I've had any cravings. I think because it's because I realized, after the call from the hospital today, how close I am, and how I'm going to have to have to commit the long haul from here on out to cutting certain foods from my diet. I'm not even craving sweets (blame the protein drinks lol) but a nice bowl of buttery popcorn lol. Ugh. Carbs are my downfall. Always have been.

I am so sorry, I can't even imagine. Hopefully the time will go quickly.

I like the isopure powder in mixed berry. Have to make it ahead and let it sit for a while because it gets pretty foamy. I tried the protein2o and didn't like them. They had a stronger chalky aftertaste to them to me.

Congratulations!

6 more sleeps until my surgery! 8 days into my pre-op diet and my appetite is almost nil. I rarely feel hungry, but I am getting my protein in and following my groups plan. I've been in nesting mode and cleaning my house (and yelling at my family to keep it clean lol) like I always do before every surgery. How's everyone else doing?

Oh I understand. Our issues with food arise from all kinds of things. People need to know they aren't alone and they aren't a failure. We've got to deal with the mental aspects of obesity. For many, obesity is a symptom and not the root problem. Good luck to you!

Ugh, I am so sorry.

OMG! That is so funny! Hmm I think I would be either Anna or Belle as a Disney princess, their personalities suit me to a T. Just wish I could sing! Lol Yes, therapy is important to get rid of those underlying issues. I've been in therapy for years, but doing the pre-op, and sticking to it, has made me really see how stress and boredom were really a lot of the reasons I would make the wrong food choices more often than not. It has been an eye opener for me.