VSG to RNY

Generally if you have surgery you are going to have pain. Just expect it and take your pain meds around the clock and don't let it get unbearable before your next dose. Its better to catch it early than late. You are right every one is different with their pain tolerance and it does depend on the situation. Just stay on top of it and you'll do fine.

Now on to the real issue. Why do you want rny when you already have half of the ds? Was this your idea or your doc? You wont find many ds'rs wishing they had rny and want a revision to rny. Girfriend if you need to switch docs and get the ds. And hey, this will be easier on your body and may even help with your pain.

Good luck

I think you need to do a little more of your own research, and not just go with what this doctor says.  I understand you have hernia and insurance issue, but what he wants to do to you is nuts!  

It would be much easier for you to be switched to a DS.  You already have the DS tummy...all your doctor would have to do would be the intestinal bypass portion.

There are several people on the DS board who were very successful with a 2-part DS (VSG first and then the intestinal bypass later).  One of them was just like you in that she had only lost 30ish pounds the first year with her VSG and then lost 100+ pounds the following year after she got the second half of her DS.

Good luck to you with whatever you decide to do.

Felicia

There are plenty of insurance issues that have been resolved with little problem. Even people on here who can help you resolve them.

ETA you have only lost 40 pounds with a restriction only procedure, why do you think another restriction only procedure is going to help you reach goal? RNY has very little malabsorbtion.

 Sabrina,
If you already have the sleeve, why not go to a full fledged DS???  So much better long term stats then RNY for loss and maintenance!  Really and truly.  Go to DSfacts.com  The long term studies are so much better for DS than RNY.  Keep your sleeve!  Keep your pyloric valve fully functioning!  You will be so much happier!

Hi there!

I'm NOT trying to give you a hard time, really.  I do what to challenge you, though.

It sounds like you're making a choice out of convenience and fear:  the doctor you know and trust vs. doing the research and perhaps traveling to a new doctor for a surgery that fits better with what you have already.

Opinions here are valuable, but from a purely practical sense, you're already halfway to a DS, the 'platinum standard' of weight loss surgery.  Although they are very different surgeries with different wellness requirements after surgery, both the DS and RNY have malabsorption components.  If you're willing to get an RNY, getting a DS is not a huge leap out of your comfort zone. 

Getting a DS will require researching REAL DS surgeons and going through the requirements from their office and from your insurance.  DSers can make great recommendations of doctors you can consult with over the phone to at least ask some questions and get more information.  I'm not sure if you'd be an official revision if you have a sleeve, but other wiser ones may comment and offer direction.

In my humble opinion, it defies all logic and wellness to go for what is required to 'change' you to RNY instead of 'finishing' a DS.

I too recommend going over to the DS board, and reading the information at dsfacts.com. 

My very best to you.  I hope everything works out well for you, no matter what you choose.

Please Please Please follow the links in my sig, and go to www.weightlosssurgeon.com to see great comparison pictures.  Please notice that the sleeve and DS picture has the same stomach part. 

It really should be illegal for a doctor to convert a sleeve to an Rny.  Especially when the sleeve was invented as the first part of the DS.

Again, please consider the future quality of life with this.

We are not DS bullies, we are caring people that don't understand how doctors can get away with this.  It is not fair to their patients to recommend a surgery just because they don't know how to do the one the person needs. 

My doctor does surgery at a bariatric center of excellence (bc/bs) and he does all 4 weight loss surgeries.   He will not talk you into one surgery over another.  But, I would bet my last dollar that he would never recommend a vsg to rny.

At least get a second opinion (that is what I did, and I am so glad I did.)

 

Ms. Sabrina...

There are two DS surgeons in GA.  http://www.dsfacts.com/North-American-Duodenal-Switch-Surgeo ns.html#ga

Dr. Smith is listed as a bariatric center of excellence. 

And just another point... why deal with dumping when you don't have to.  And checkout the comparisons of long term results regarding ds vs rny:  http://www.dsfacts.com/Duodenal-Switch-Compared-to-Gastric-B ypass.html

Oh, there are just so many reasons to get a second opinon!!!!   And a second opinion won't hurt anything.     Please Please Please!!!


 

Thank you....I have had 3 opinions. Also, Dr. Smith does not accept my inusrance and a cash payment is NOT an option.

Thank you once again.

Sabrina

Hi Sabrina,
First off best wishes on your revision surgery.  I too am a fellow sleevster who will revisioned in the near future.  My surgeon first recommended revising to an rny but then referred me to a colleague to talk about a duodenal switch.  I think in regards to pain it would depend on whether they did the revision lap or open.  Mine will be open.  I'm interested in hearing what fellow revisioners have to say though since I will go through it as well.

Joanne