Bypass revision?

[freshair 135]

Has anyone had previously had a rny and gotten a revision? In the last 2 years o got pregnant and have since put back on the weight even if I'm watching what I'm eating. I feel my absorption is back to normal.

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[RickM 1,752]

This is a tricky one, as the bypass is difficult to revise. The most common things that are done are basically minor tweaks to your existing bypass - either putting a lapband over the pouch, or tightening up the stoma to try to restore some restriction. Neither seems to have a very good record of success. The most successful thing that I have seen is to revise it to a duodenal switch, but that is a very complex procedure, and there are only a handful of surgeons (maybe half a dozen) around the country who can do it. The other thing that is sometimes done, as the DS is too complex for most, is to convert to a distal RNY, which basically moves the pouch much further down the intestinal tract increasing the malabsorption, but that seems to be more trouble prone than the other alternatives.

[freshair 135]

Thank you I'm in Canada so I'll have to research here I'm waiting to talk to my surgeon, but wanted to know if anyone on here had had the procedure and succeeded

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[RickM 1,752]

In Canada, for these more complex jobs, one doc to look into is Michel Gagner, who I think is in Montreal. I don't know how that works for you on location or on insurance coverage, but he was in on some of the early DS work and does a lot of complex revisions and procedures, so is worth checking out.

[jojo105 1]

I had a RNY in 2011 and went from 230 pounds to 160 in about 18 months and kept it at about 170 until in 2016 I was creeping up to 190 and so depressed. My RNY surgeon performed a Gastric band and it was initially a slow loss but I am now at about 130 pounds. I do intermittent fasting and work out a lot though.

The PBing is something you have got to get used - for me it is almost daily - to and it really is impossible to eat a lot which can be hard to get used to.