RNY to SIPS/SADI

[mcfluffington 179]

HI I had a weight regain and I have seen doctors with all kinds of suggestions for revision surgery.

Has anyone heard of RNY to Single anastomosis duodenal switch.

Or had this?

I know revision after gastric bypass is unusual.

Just looking for information.

[Frustr8 7,886]

Didn't know anyone in the Keystone State did Those- usually hear from posters in North Carolina and St Louis Mo.

[mcfluffington 179]

Hopefully some of those folks will see this thread. I am really desperate to hear stories about this revision.

[RickM 1,752]

Revising the RNY to anything is difficult, which is why we don't see many revisions done; typically the most that is done is applying a band over bypass, or tightening the stoma to try to restore some restriction, but neither has a particularly good track record.

I have seen a few revisions to the "traditional" BPD/DS performed which is very complex, and there are only a half dozen or so surgeons around capable doing that one. As the SIPS/SADI/SA-DS is being promoted as a simpler, more "accessible" procedure on a par with the RNY on a complexity basis, I wouldn't expect to see many surgeons with the skills yet to do a revision between the two.

One doc to check into, who is in your neck of the woods, is Dr. Mitchell Roslin in NYC, who has done some of the RNY to DS revisons, and is a big promoter of the SIPS/SADI - if anyone could do it, he would be it, or he could tell you why it isn't such a good idea, if that is the case. Another possible in your neighborhood (just over the border in NJ is Dr. David Greenbaum who also does a lot of these complex revisions.

[mcfluffington 179]

Thanks Rick, I will take your advice and speak to one of those doctors.

[mcfluffington 179]

Hi, I am going to have this surgery come 12/4/19. I am nervous and excited.

I had no problem getting approval as this is now a standard of care for bariatric surgeons,

I'll let you know how it goes.

[mcfluffington 179]

The surgery went very well except for pain due to a strain in my abdominal wall.

It is almost three weeks post op and the pain is almost gone. I have even gone back to work. I am losing about 4 lbs a week. Probably because I am eating very little.

I am dinking a lot of Premier Protein Orange Mango. I never knew Protein could be delicious. but this stuff is pretty good.