revision RNY GB to DS Revision

[cjwilson80 2]

Hi!

I'm new here, I just googled "Weight Loss Surgery Discussion Boards" and this is the first site that popped up. I hope I'm in the right place...

I had Open RNY GB in May of 2002. My weight the morning of surgery was 310lbs. I lost over 100 lbs in the first 10 months and got down to my lowest weight of 153lbs about 2 years after surgery. I was feeling fabulous!

However, over the years, I was able to maintain at about 170-180lbs consistently, until I gave birth to my son in 2012. After he was born, I wasn't able to lose all of the weight I gained during pregnancy. I was around 200 - 205 lbs at my lowest after he was born. But, due to some other life circumstances and traumatic life experiences that happened to me in 2016, I have gained back over 100lbs and am now sitting at about 268lbs. I'm crushed.

In May 2021 I decided to research revisions and found a surgeon in my area (St. Louis, MO) who specializes in revisions and I found out that I am a candidate for a revision to Duodenal Switch. After meeting with a dietician for 6 months, psychologist, primary care physician, etc. I'm finally having my revision next week... April 14, 2022!!

I'm so scared and nervous this time around. I don't know what to do or where to go. I wasn't this nervous before my first surgery and I think it's because I didn't have as much to lose back then when I was 21. Now I have a 10 year old son who is everything to me and I'm terrified that if something goes wrong, he won't have a mom.

Has anyone else in the forum gone through this and if so, can you please share your experience with me?

[I♡BypassedMyPhatAss♡ 804]

Hi! 👋 Welcome to the forums!

Best wishes on your revision!

[Guest]

You're in the right place. A DS isn't a radically different procedure to your RNY so you shouldn't feel overly concerned, the fact that you already had a successful RNY means that you're a particularly low risk candidate for DS.

[learn2cook 587]

Best wishes on your revision!

[cjwilson80 2]

On 4/8/2022 at 5:07 PM, Pollito said:

You're in the right place. A DS isn't a radically different procedure to your RNY so you shouldn't feel overly concerned, the fact that you already had a successful RNY means that you're a particularly low risk candidate for DS.

Thank you, this helps tremendously!!

[SleeveToBypass2023 2,639]

What is the main difference between a RNY and a DS?

[Guest]

4 hours ago, Future Sleeve Diva said:

What is the main difference between a RNY and a DS?

With both you get a small stomach pouch. With DS it's essentially a much more radical bypass. RNY has a very small malabsorption component. DS is much larger. It's the most powerful procedure available that statistically leads to the greatest percentage of excess weigh loss.

[SleeveToBypass2023 2,639]

29 minutes ago, Pollito said:

With both you get a small stomach pouch. With DS it's essentially a much more radical bypass. RNY has a very small malabsorption component. DS is much larger. It's the most powerful procedure available that statistically leads to the greatest percentage of excess weigh loss.

What makes the malabsorption so different between them? Why is the DS's so much bigger than RNY?

[Guest]

6 minutes ago, Future Sleeve Diva said:

What makes the malabsorption so different between them? Why is the DS's so much bigger than RNY?

So...it's about how much of the intestines are bypassed. Also the DS pouch is essentially a sleeve because it's pyloric valve sparing. Read more here https://www.dsfacts.com/comparison-of-ds-and-rny/