REPEAT SLEEVE FOR WEIGHT REGAIN? OH MY....
If at first you don't suceed..... try again?
Study I just found while browsing..
http://www.soard.org/article/S1550-7289(10)00611-8/abstract
Laparoscopic repeat sleeve gastrectomy versus duodenal switch after isolated sleeve gastrectomy for obesity Abstract Background Repeat sleeve gastrectomy (re-SG) and the addition of the duodenal switch (DS) are possible options to increase weight loss after isolated SG (ISG). We report the feasibility, safety, and outcomes of laparoscopic re-SG versus DS in patients presenting with insufficient weight loss or weight regain after ISG. Methods From November 2003 to December 2009, 7 and 19 patients underwent laparoscopic re-SG and DS, respectively, mainly because of the patients' dietary habits: volume eating (hyperphagia) was treated by re-SG and eating meals too frequently (polyphagia) by DS. Results At ISG, the mean weight and BMI was 127.7 ± 31.4 kg, and 45.1 ± 11.8 kg/m2 for the re-SG group and 119.8 ± 20.9 kg and 41.2 ± 5.5 kg/m2 for the DS group, respectively. The mean interval between ISG and reoperation was 37.1 ± 20.3 months for the re-SG group and 29.8 ± 24.9 months for the DS group. At reoperation, the mean weight, BMI, and percentage of excess weight loss (%EWL) was 109.7 ± 21 kg, 38.9 ± 8.7 kg/m2, 24.3 ± 16.6% for the re-SG group and 107.6 ± 19.6 kg, 36.9 ± 4.2 kg/m2, and 19.5 ± 19.9% for the DS group, respectively. The mean operative time was 137.5 ± 75.5 minutes for the re-SG group and 152.6 ± 54.3 minutes for the DS group. No conversion to open surgery was required, and no mortality occurred. One patient in the re-SG group developed a leak at the angle of His. In the DS group, 1 patient presented with bleeding, 1 patient with a duodenoileostomy leak, and 1 patient with a duodenoileostomy stenosis. The mean hospital stay was 11.5 ± 20.5 days for the re-SG group and 4.7 ± 2.7 days for the DS group. The mean follow-up was 23.2 ± 11.1 months for the re-SG group and 24.9 ± 20.1 months for the DS group. The mean weight, BMI, and %EWL was 100 ± 21.1 kg, 35.3 ± 8.3 kg/m2, 43.7 ± 24.9% for the re-SG group and 80.7 ± 22.5 kg, 27.3 ± 5.2 kg/m2, 73.7 ± 27.7% for the DS group, respectively. During follow-up, 3 patients in the DS group required corrective surgery for late complications. Conclusion The results of the present study have shown that laparoscopic re-SG is feasible but carries the risk of fistula development, which is difficult to treat. Laparoscopic DS was also shown to be feasible at a cost of not negligible complications, which are easier to manage than with re-SG. The efficacy seemed greater after DS than after re-SG.
Study I just found while browsing..
http://www.soard.org/article/S1550-7289(10)00611-8/abstract
Laparoscopic repeat sleeve gastrectomy versus duodenal switch after isolated sleeve gastrectomy for obesity Abstract Background Repeat sleeve gastrectomy (re-SG) and the addition of the duodenal switch (DS) are possible options to increase weight loss after isolated SG (ISG). We report the feasibility, safety, and outcomes of laparoscopic re-SG versus DS in patients presenting with insufficient weight loss or weight regain after ISG. Methods From November 2003 to December 2009, 7 and 19 patients underwent laparoscopic re-SG and DS, respectively, mainly because of the patients' dietary habits: volume eating (hyperphagia) was treated by re-SG and eating meals too frequently (polyphagia) by DS. Results At ISG, the mean weight and BMI was 127.7 ± 31.4 kg, and 45.1 ± 11.8 kg/m2 for the re-SG group and 119.8 ± 20.9 kg and 41.2 ± 5.5 kg/m2 for the DS group, respectively. The mean interval between ISG and reoperation was 37.1 ± 20.3 months for the re-SG group and 29.8 ± 24.9 months for the DS group. At reoperation, the mean weight, BMI, and percentage of excess weight loss (%EWL) was 109.7 ± 21 kg, 38.9 ± 8.7 kg/m2, 24.3 ± 16.6% for the re-SG group and 107.6 ± 19.6 kg, 36.9 ± 4.2 kg/m2, and 19.5 ± 19.9% for the DS group, respectively. The mean operative time was 137.5 ± 75.5 minutes for the re-SG group and 152.6 ± 54.3 minutes for the DS group. No conversion to open surgery was required, and no mortality occurred. One patient in the re-SG group developed a leak at the angle of His. In the DS group, 1 patient presented with bleeding, 1 patient with a duodenoileostomy leak, and 1 patient with a duodenoileostomy stenosis. The mean hospital stay was 11.5 ± 20.5 days for the re-SG group and 4.7 ± 2.7 days for the DS group. The mean follow-up was 23.2 ± 11.1 months for the re-SG group and 24.9 ± 20.1 months for the DS group. The mean weight, BMI, and %EWL was 100 ± 21.1 kg, 35.3 ± 8.3 kg/m2, 43.7 ± 24.9% for the re-SG group and 80.7 ± 22.5 kg, 27.3 ± 5.2 kg/m2, 73.7 ± 27.7% for the DS group, respectively. During follow-up, 3 patients in the DS group required corrective surgery for late complications. Conclusion The results of the present study have shown that laparoscopic re-SG is feasible but carries the risk of fistula development, which is difficult to treat. Laparoscopic DS was also shown to be feasible at a cost of not negligible complications, which are easier to manage than with re-SG. The efficacy seemed greater after DS than after re-SG.
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The information in this post is my opinion and not intended to be or implied to be fact or a substitute for medical advice, diagnosis or treatment. All content and information contained in this post is for educational purposes only. I assume no responsibility for the accuracy of information contained in this post, and such information is subject to change without notice. You should confirm any information obtained from this post with other sources, and review all information regarding any medical condition or treatment with your MD. Never delay seeking medical treatment because of something you have read in this post or on this web site. I am not responsible nor liable for any opinion, advice, medical treatment or other information you obtain through this post or web site.
The information in this post is my opinion and not intended to be or implied to be fact or a substitute for medical advice, diagnosis or treatment. All content and information contained in this post is for educational purposes only. I assume no responsibility for the accuracy of information contained in this post, and such information is subject to change without notice. You should confirm any information obtained from this post with other sources, and review all information regarding any medical condition or treatment with your MD. Never delay seeking medical treatment because of something you have read in this post or on this web site. I am not responsible nor liable for any opinion, advice, medical treatment or other information you obtain through this post or web site.
Hi I noticed that you had a revision. Im looking for some advice. I had RNY 4 years ago and lost about 160 lbs. I maintained my weight at around 137 for 2 years and in the last 6 months I have gained almost 50 lbs. I am considering revision as I am so worried that I will continue gaining. You had the DS? Was it for inadequate wl or regain? Thanks for any advice you can offer.
You appear to be experiencing what so many with the RNY have.
I had a DS...full surgery about 3 years ago...I knew there was something wrong with my tummy when I couldn't get past the 114 lb loss mark...no matter what I did. So I went to Houston and talked to Dr. Erick Wilson and he said he would do a resleeve...so that's what I did.
Fortunately, I'm still malabsorbing so I left my intestines as they were...75 CC and now my tummy is a pretty small 34 oz bougie. I've lost about 20-22 lbs and went to see the doc the other day and he is very pleased.
Being a revision can hinder your weight loss, but as long as your ins will pay for it, I would say go for it. I'm 65 years old and seem to be perking right along regardles of my age.
I had it done Lap and I think that is best as long as the doc can see what he's doing. There are two great surgeons here in TX Dr. Wilson (Houston) and Dr. Stewart (Denton). I know there's a great surgeon in your area, Dr. Greenbaum who is in NJ...look him up on DS facts for more info.
Any other questions...please ask...I'll answer you if I know the answer...sometimes I'll even make up an answer...lol...just kidding.
I had a DS...full surgery about 3 years ago...I knew there was something wrong with my tummy when I couldn't get past the 114 lb loss mark...no matter what I did. So I went to Houston and talked to Dr. Erick Wilson and he said he would do a resleeve...so that's what I did.
Fortunately, I'm still malabsorbing so I left my intestines as they were...75 CC and now my tummy is a pretty small 34 oz bougie. I've lost about 20-22 lbs and went to see the doc the other day and he is very pleased.
Being a revision can hinder your weight loss, but as long as your ins will pay for it, I would say go for it. I'm 65 years old and seem to be perking right along regardles of my age.
I had it done Lap and I think that is best as long as the doc can see what he's doing. There are two great surgeons here in TX Dr. Wilson (Houston) and Dr. Stewart (Denton). I know there's a great surgeon in your area, Dr. Greenbaum who is in NJ...look him up on DS facts for more info.
Any other questions...please ask...I'll answer you if I know the answer...sometimes I'll even make up an answer...lol...just kidding.
On June 10, 2011 at 9:19 AM Pacific Time, BBoop wrote:
I've been resleeved and so far so good. I'm happy and at this point almost six weeks, I've lost about 20 to 22 lbs. I still malabsorb and as always the DS is a forgiving surgery.B
Thank you for your post and congrats!
For educational purposes, will you clarify your revision.
Initial surgery DS with 100 cm channel? Then resleeved?
Thanks so much!
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The information in this post is my opinion and not intended to be or implied to be fact or a substitute for medical advice, diagnosis or treatment. All content and information contained in this post is for educational purposes only. I assume no responsibility for the accuracy of information contained in this post, and such information is subject to change without notice. You should confirm any information obtained from this post with other sources, and review all information regarding any medical condition or treatment with your MD. Never delay seeking medical treatment because of something you have read in this post or on this web site. I am not responsible nor liable for any opinion, advice, medical treatment or other information you obtain through this post or web site.
The information in this post is my opinion and not intended to be or implied to be fact or a substitute for medical advice, diagnosis or treatment. All content and information contained in this post is for educational purposes only. I assume no responsibility for the accuracy of information contained in this post, and such information is subject to change without notice. You should confirm any information obtained from this post with other sources, and review all information regarding any medical condition or treatment with your MD. Never delay seeking medical treatment because of something you have read in this post or on this web site. I am not responsible nor liable for any opinion, advice, medical treatment or other information you obtain through this post or web site.
I have a 75 CC and now have a 34 oz bougie. There's no telling how big my stomach was to begin with.
I may join the Facebook page, but there's really not much to tell about my recent surgery...just had it resleeved and then went home. Todd Wilson, MD in Houston did it and so far I'm doing great...no issues.
Betty
Hi Betty,
Long time no hear! Glad that the resleeve is working for you. I gave up on losing more weight. The size of my sleeve isn't the issue, my body just doesn't want to budge and I'm pretty happy at 140, size 9 and med to large tops. I can live with this and no diabetes, no hbp. Glad to see you back posting!
Long time no hear! Glad that the resleeve is working for you. I gave up on losing more weight. The size of my sleeve isn't the issue, my body just doesn't want to budge and I'm pretty happy at 140, size 9 and med to large tops. I can live with this and no diabetes, no hbp. Glad to see you back posting!
Chris
HW/225 - 5'1" ~ SW/205/after surgery 215 ~ CW/145~ BMI-25.8~Normal BMI 132 ~DS Dr Rabkin 4/17/08
Plastics in Monterrey - See Group on OH Dr Sauceda Jan 13, 2011
LBL, BL, small thigh lift, arms & a full facelift on 1/17/11 UBL 1/21/13
Love my Body by Sauceda
I've been here...reading but don't post that often.
Sorry you didn't lose all your weight...but 140 is great...see I only lost 114 and I was still over 200 lbs...so I had to do something.
I still have HBP and use a CPAP so I'm hoping to lose those two ailments someday. The HBP may be heredity...my mother was tiny but had high BP...the CPAP has got to go.
Don't feel bad...140 is a great weight. I should be so lucky...since I'm a revision I have no idea where I'll end up...I'm hoping of all hopes to lose 100 lbs...but that may be wishful thinking.
B
Sorry you didn't lose all your weight...but 140 is great...see I only lost 114 and I was still over 200 lbs...so I had to do something.
I still have HBP and use a CPAP so I'm hoping to lose those two ailments someday. The HBP may be heredity...my mother was tiny but had high BP...the CPAP has got to go.
Don't feel bad...140 is a great weight. I should be so lucky...since I'm a revision I have no idea where I'll end up...I'm hoping of all hopes to lose 100 lbs...but that may be wishful thinking.
B
On June 10, 2011 at 2:47 PM Pacific Time, BBoop wrote:
I have a 75 CC and now have a 34 oz bougie. There's no telling how big my stomach was to begin with.
I may join the Facebook page, but there's really not much to tell about my recent surgery...just had it resleeved and then went home. Todd Wilson, MD in Houston did it and so far I'm doing great...no issues.
Betty
Into NUTrition? Then join our "Nutrition Matters" group on Facebook.
The information in this post is my opinion and not intended to be or implied to be fact or a substitute for medical advice, diagnosis or treatment. All content and information contained in this post is for educational purposes only. I assume no responsibility for the accuracy of information contained in this post, and such information is subject to change without notice. You should confirm any information obtained from this post with other sources, and review all information regarding any medical condition or treatment with your MD. Never delay seeking medical treatment because of something you have read in this post or on this web site. I am not responsible nor liable for any opinion, advice, medical treatment or other information you obtain through this post or web site.
The information in this post is my opinion and not intended to be or implied to be fact or a substitute for medical advice, diagnosis or treatment. All content and information contained in this post is for educational purposes only. I assume no responsibility for the accuracy of information contained in this post, and such information is subject to change without notice. You should confirm any information obtained from this post with other sources, and review all information regarding any medical condition or treatment with your MD. Never delay seeking medical treatment because of something you have read in this post or on this web site. I am not responsible nor liable for any opinion, advice, medical treatment or other information you obtain through this post or web site.
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