10 years out ... STRUGGLING

Dawn_in_Wisconsin
on 4/1/12 12:37 pm
Hi all,
I'm Dawn. I had Roux en Y in Dec 2001. I did pretty well the first couple of years, going from 388 to about 230. I started dating, found it tougher to avoid the stuff I needed to avoid (sugars, carbs, etc). I suffered dumping. I developed low blood sugars after high carb loads and had to try limiting carbs to 15 per meal. I couldn't seem to stick to the guidelines of when to and when not to drink fluids.  I would have attacks of bowel spasms that lasted for hours and caused sweating, diarrhea, gas, rapid heart rate, hyperventillation, and a critically low potassium level that landed me in the ER on IVs for 4 hours. Since then, NuLev, and tablet for irritable bowel seems to help if I have those attacks, which mainly occur if I eat junk/fat/grease.  Over the last 2 or 3 years hunger has returned. Hiatal hernia has developed. Depression has gotten worse, I am now on 3 antidepressants, sleeping meds, and am in counseling/seeing a psychiatrist weekly. OCD has also been diagnosed, including hoarding. I have never regretted having my GBP, because I believe it saved my life ... but I need to save my life again. I've been reading on the follow-up procedures inccluding the "rose" something-or-other... anyone know anything about it? I have not found any surgeons who perform it anywhere in Wisconsin, or neighboring states, even. I guess I'm just reaching out to see if/what others have experienced.  I'm back to ordering larger-than-normal amounts of food, doing fast food again, etc. I'm back up to 330 and am afraid to get on the scale again. 
kathkeb
on 4/1/12 1:53 pm
Dawn,
I have no medical advice for you.

It seems from your post, that even with significant physical pain, you continue to eat in a way that is harmful to you.  Honestly I don't see how another surgery will help until you confront the reasons you choose pain in order to eat foods that you should avoid.

I strongly suggest www.oa.org or www.therecoverygroup.org  they just started a new 12-step program on April 1 --- you can join on line and get started.

I wish you the best and hope you find peace.
Kath

  
(deactivated member)
on 4/1/12 1:57 pm - Mexico
On April 1, 2012 at 7:37 PM Pacific Time, Dawn_in_Wisconsin wrote:
Hi all,
I'm Dawn. I had Roux en Y in Dec 2001. I did pretty well the first couple of years, going from 388 to about 230. I started dating, found it tougher to avoid the stuff I needed to avoid (sugars, carbs, etc). I suffered dumping. I developed low blood sugars after high carb loads and had to try limiting carbs to 15 per meal. I couldn't seem to stick to the guidelines of when to and when not to drink fluids.  I would have attacks of bowel spasms that lasted for hours and caused sweating, diarrhea, gas, rapid heart rate, hyperventillation, and a critically low potassium level that landed me in the ER on IVs for 4 hours. Since then, NuLev, and tablet for irritable bowel seems to help if I have those attacks, which mainly occur if I eat junk/fat/grease.  Over the last 2 or 3 years hunger has returned. Hiatal hernia has developed. Depression has gotten worse, I am now on 3 antidepressants, sleeping meds, and am in counseling/seeing a psychiatrist weekly. OCD has also been diagnosed, including hoarding. I have never regretted having my GBP, because I believe it saved my life ... but I need to save my life again. I've been reading on the follow-up procedures inccluding the "rose" something-or-other... anyone know anything about it? I have not found any surgeons who perform it anywhere in Wisconsin, or neighboring states, even. I guess I'm just reaching out to see if/what others have experienced.  I'm back to ordering larger-than-normal amounts of food, doing fast food again, etc. I'm back up to 330 and am afraid to get on the scale again. 
 
Sadly, Rose does not work.  You can read the revision boards and see for yourself.  Everyone is the same, they lose 20 or 30# on the post op diet and as soon as they go back to sold foods they regain.

They can burn your stoma but that doesn't really do any good either.

They can put a band around your bypass but that's more of a short term fix, bands last 10 years at best and then they have to be removed.

If you post on the revision board you might get a lot more suggestions from others in your shoes.

MickeyDee
on 4/1/12 3:41 pm
There is medical evidence that shows our fat cells finally regain the upper hand and overcome the RNY. It's not you being deficient in any way--it's the hormones in the cells.

If you are going to do more surgery, definitely look into the VSG or the DS; both have much better records for revisions.

Check out the revision board on this site, or talk to MsBatt about it.
Citizen Kim
on 4/2/12 5:29 am - Castle Rock, CO
Really?  Can you cite this medical evidence please as my fat cells certainly don't seem to have got this particular memo ...

The OP will not be successful with ANY surgery until she gets her emotional eating under control with therapy and recommending revisions to people who are not ready,  will only ensure they fail at their next surgery too!   Even the VSG and DS can be eaten around by determined people ...

Proud Feminist, Atheist, LGBT friend, and Democratic Socialist

MickeyDee
on 4/2/12 10:09 am, edited 4/2/12 10:11 am
I read the article on a competing website, but can't get the pdf to transfer.

Here's the opening abstract.  I hope you might be able to get to the article by using the noted author and publication from this:

"Long-term Weight Regain after Gastric Bypass:

A 5-year Prospective Study

Daniéla Oliveira Magro

& Bruno Geloneze &

Regis Delfini

& Bruna Contini Pareja &

Francisco Callejas

& José Carlos Pareja

Received: 26 March 2007 / Accepted: 8 May 2007 / Published online: 8 April 2008

#

Springer Science + Business Media B.V. 2007

Abstract

Background

surgery compared to the lower weight usually observed

between 18 and 24 months postsurgery. The objective of

this study was to evaluate weight regain in patients

submitted to gastric bypass over a 5-year follow-up period.

A certain weight gain occurs after obesity

Materials and Methods

was conducted on 782 obese patients of both genders. Only

patients with at least 2 years of surgery were included. The

percentage of excess body mass index (BMI) loss at 24, 36,

48, and 60 months postsurgery was compared to the

measurements obtained at 18 months after surgery. Surgical

therapeutic failure was also evaluated.

A longitudinal prospective study

Results

18 months postsurgery (

in BMI of 1.06 kg/m

Percent BMI loss was no longer significant after 24 months,

and weight regain became significant within 48 months

after surgery (

weight regain, a mean 8% increase was observed within

60 months compared to the lowest weight obtained at

18 months after surgery. The percentage of surgical failure

was higher in the superobese group at all times studied,

reaching 18.8% at 48 months after surgery.

Percent excess BMI loss was significant up top
MickeyDee
on 4/2/12 10:18 am
Sorry, it doesn't seem to be transferring the entire abstract.

But the research is there.
MickeyDee
on 4/2/12 10:19 am
The information is one of several studies I have encountered on another website;  I'm not a computer whiz, so if the following link doesn't work, I apologize.

Long-term Weight Regain after Gastric Bypass:

A 5-year Prospective Study

Daniéla Oliveira Magro

& Bruno Geloneze &

Regis Delfini

& Bruna Contini Pareja &

Francisco Callejas

& José Carlos Pareja

Received: 26 March 2007 / Accepted: 8 May 2007 / Published online: 8 April 2008

#

Springer Science + Business Media B.V. 2007

Abstract

Background

surgery compared to the lower weight usually observed

between 18 and 24 months postsurgery. The objective of

this study was to evaluate weight regain in patients

submitted to gastric bypass over a 5-year follow-up period.

A certain weight gain occurs after obesity

Materials and Methods

was conducted on 782 obese patients of both genders. Only

patients with at least 2 years of surgery were included. The

percentage of excess body mass index (BMI) loss at 24, 36,

48, and 60 months postsurgery was compared to the

measurements obtained at 18 months after surgery. Surgical

therapeutic failure was also evaluated.

A longitudinal prospective study

Results

18 months postsurgery (

in BMI of 1.06 kg/m

Percent BMI loss was no longer significant after 24 months,

and weight regain became significant within 48 months

after surgery (

weight regain, a mean 8% increase was observed within

60 months compared to the lowest weight obtained at

18 months after surgery. The percentage of surgical failure

was higher in the superobese group at all times studied,

reaching 18.8% at 48 months after surgery.

Percent excess BMI loss was significant up top
Citizen Kim
on 4/2/12 12:12 pm - Castle Rock, CO
8% regain after 5 years?   That's not exactly significant is it?   Your initial post made it sound like all us RNY vets were walking around having regained to our original pre-surgery weight!!!   I'll be the first to agree that if we don't follow the rules of our particular surgery, ALL of us have the potential to gain weight in the long term.

The article you shared didn't even mention RNY but told us what we all know, diets alone don't guarantee us lifetime weight loss (neither do any of the surgery options for that fact!)  

I really don't see this as some sort of surgery competition.  If the OP has some sort of mechanical failure of her surgery, I would be the first to suggest the DS as a revision surgery.   However, she says that her eating is due to some psychological/social problems and this would NOT put her in a good position for a surgery revision.   As everyone else has advised, she needs to tackle her emotional and addiction problems before considering undertaking a very serious surgical solution which will probably not work if she goes ahead under her present cir****tances.

Proud Feminist, Atheist, LGBT friend, and Democratic Socialist

MickeyDee
on 4/2/12 1:31 pm, edited 4/2/12 1:32 am
Actually, the title of the abstract states that it is about Gastric Bypass.

That being said, just take the research as it is shown, use it if you need
(or if anyone else can use it), or ignore it. Your choice.

I'm not interested in picking a fight.

You asked where I got my info; I cited two different sources.
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