Going in for VSG...Surgeon changed it to RNY

cabin111
on 7/14/16 4:27 pm

Just wondering what percent of people who go in for a VSG end up coming out with an RNY.  I know there are a few...It's like 1/4 of 1%, but it does happen.  If there is problems with the; anatomy, an ulcer, or birth defect, the surgeon (with prior approval from the patient...signed) will convert the surgery to an RNY.  Does anyone know the percent that has had this done?  I'm looking for hard cold facts...Documentation please.  Brian

(deactivated member)
on 7/15/16 4:10 am

Believe it or not Ure lucky  when it happens .  They might have found a a huge hiatal hernia ( found VERY often) ulcers.. the docs r right .  My ex husband and I are two examples of very successful RNYS  long term... he had his distal RNY 12  yrs ago

resolved diabetes ... ( and ALL he eats is carbs and restaurant food God forbid a vegetable  or a bit of movement out of the office chair and office cave )

I had a proximal " miini " RNY with a very large pouch 5 years ago so I could continue eating the lowfat organic salads beans high fiber orierntal barely cooked fresh  foods I love ( and grow ) ,

I was 128 extremely hot lbs  at my last weigh in  five foot nine ... I wear anything I want ( mostly huge diamonds tsanzanites emeralds and expensive lingerie ) .  And yes I can rock a 3.95  Walmart booty short way  better than ur 13 yr old stepdaughter lol

iloveravens
on 7/15/16 8:07 am
RNY on 08/13/14

I don't "know" anyone here that this happened to except myself (sort of).  Even then the surgeon didn't change to an RNY right then, I had the surgery the following day (after signing new consent forms).  I'm not sure they'd actually be allowed to do what you're saying?  Hmmmm, I'd be interested in the documentation too.

Lanie; Age: 43; Surgery Date (VSG): 8/12/14 w/complications resulting in RNY next day;

Height: 5' 6" SW: 249 Comfort Zone: 135-140 CW: 138 (10/13/17)

M1: -25 lbs M2: -12 M3: -13 M4: -7 M5: -11 M6: -10 M7: -7 M8: -7 M9: -3 M10: -8 M11: -4 M12: -4

5K PR - 24:15 (4/23/16) First 10K - 53:30 (10/18/15)

Grim_Traveller
on 7/15/16 8:25 am
RNY on 08/21/12

I haven't heard from anyone that this happened to directly. From what I've seen, docs reserve the right to convert from lap to open if necessary. I've seen many posters complain that they got NO surgery because of issues found, but never a different surgery.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

Patty R.
on 7/15/16 5:14 pm - Harrisville, RI
RNY on 09/08/16

What are the insurance implications??  I was approved for revision to RNY 3 years ago, however lap-band caused too much damage.

Now trying again for RNY. Insurance had/has approved RNY only.

Lap-Band 2007 out 2013 RnY 2016 Age 64 5'6" HW 294 SW 284 LW 214 CW 235.2 goal 199

G. Dean Roye, MD FACS

Patty

Acain
on 7/16/16 8:12 am
RNY on 06/30/16

I had surgery 2 weeks ago and at least my surgeon on the consent made it very clear that if for some reason they couldn't perform the RNY they would convert to a VSG. They did the RNY on my and didn't have to convert but if the consents signed they have a right to convert if necessary. The percentage doesn't really matter the answers are really going to be in the surgeons operative report and determining if they followed the standard of care which I'm sure your surgeon did. You can request the operative report from the records department all medical documents are technically the patient's and you should have access to them. I'm a 4th year medical student going into a surgical specialty and from my limited knowledge I've never observed surgeon convert from the intended operation to another unless it was clearly needed. You have to realize that even though the risks are relatively small they do happen to someone. I'm sorry that your surgery didn't go as planned but from the medical literature RNY's are statistically more successful in the long term than VSGs. At least there's a silver lining. Anyways try and get that operative report. 

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