Duodenal Switch after having RNY Surgery.
on 5/18/11 1:18 pm - eustis, fl
I have had some eating problems and food intolerances, but they seem to be improving.
For me it was the right decision.
TeachMid, I know it's been a long time since this thread originated but I wanted to try to ask a question; maybe one of you will see it. I had RNY in 2002, looking to revise to DS due to massive regain in past 2-3 years. I way that the loss for revision is much slower. Could you possibly elaborate so I could have some tangible comparison? I thank you in advance for your time!!
Thank you Cheri and Holly!
Think twice, cut once! I've had 3 surgeries now, RNY, VSG and DS .
Ask me about the DS or visit dsfacts.com
2002 - RNY
2010 - RNY to VSG
2011 - Full DS-August 24th
HW 311 SW 306 CW 235 GW 150
If I were u, I would start with dsfacts.com and read up on the surgery, doctors ect. Then come back here and ask questions, there are many of us who are willing to help you.
Be aware that it's a 'LIFETIME' commitment to vitamins and keeping your bloodwork in a healthy place. You have to have a bit of a thick skin and be an advocate for yourself with your doctors etc. There is a risk of a lea****uring and other complications, because you are a revision. But most of us went thru without incident.
You will need an experienced surgeon who has done revisions before. You may have to travel, don't let that scare or deter you if you are truly serious about the DS.
How much weight have you re-gained? When did u have your RNY?
I'd just also encourage you to read DSFacts.com and the information on this site to get really familiar with the DS itself. If you're interested in having it, just get ready for the medical establishment to try to talk you out of it.
The revision board here on OH also has a lot of folks who have revised from the RnY to the DS.
My suggestion would be no matter what you decide to do, definitely take a long hard look at the DS and research as much as you can before deciding to go any other route. It is not uncommon to find people *****vised from one RNY to another RNY only to find another disappointment.
It took forever: Still had to do the full multi-disciplinary process to satisfy insurance requirements
It was expensive, yes: Out of pocket costs were incredible ($10k upfront BEFORE insurance)
It was painful, yes: Thought I was going to die in recovery (to me, the pain was ridiculous)
Protein/Vitamins/Other Nutrional Supplements: FOREVER!
If I am not cautious, yes, BM's smell...but I never met anyone who's sh*t don't stank!
This is minimizing the surgery of course. There is so much to learn but lurk a bit on the DS board. Go to dsfacts.com . Disregard those who have nothing but negativity to share about the surgery because they usually have no reliable knowledge of it. Visit the revisions board. When you've decided to make it happen and go for the DS, next move: Get the best of the best surgeons. My choice was Dr Rabkin.
I have absolutely NO regrets. Regarding insurance, I followed this as if I were a first timer:
It also addresses:
Repeat Bariatric Surgery:
Aetna considers medically necessary surgery to correct complications from bariatric surgery, such as obstruction, stricture, erosion, or band slippage.
Aetna considers repeat bariatric surgery medically necessary for members whose initial bariatric surgery was medically necessary (i.e., who met medical necessity criteria for their initial bariatric surgery), and who meet either of the following medical necessity criteria:
- Conversion to a RYGB or BPD/DS may be considered medically necessary for members who have not had adequate success (defined as loss of more than 50 percent of excess body weight) two years following the primary bariatric surgery procedure and the member has been compliant with a prescribed nutrition and exercise program following the procedure; or
- Revision of a primary bariatric surgery procedure that has failed due to dilation of the gastric pouch is considered medically necessary if the primary procedure was successful in inducing weight loss prior to the pouch dilation, and the member has been compliant with a prescribed nutrition and exercise program following the procedure; or
Replacement of an adjustable band due to complications (e.g., port leakage, slippage) that cannot be corrected with band manipulation or adjustments.