I have had dealings with both Drs Rabkin and Keshishian, the two docs here in CA experienced with this revision (if you aren't talking to one of them, you should be...) I have seen a few come through our support groups over the years with the RNY/DS revision (including a couple of double revisers - Lapband to RNY to DS) and they overall seem to have done well.

Any revision tends to be less powerful than a virgin procedure (my simple minded way of looking at it is that our stomachs start out being able to hold 32-64 oz, but after WLS and even some years of adapting/stretching, they maybe hold 6-8 oz, so there is a less significant difference than with the original WLS - we have gotten used to living with a smaller stomach and adapted to it - sometimes over-adapted.) However, the DS is metabolically stronger than the RNY or VSG, so does tend to give better overall results, and most particularly, better regain resistance.

Your mention of not following up is a bit of a concern - the DS is somewhat fussier on that than the RNY (which can be fussy enough as it is.) So, you need to commit to keeping up with annual labs/follow ups to stay on top of any changes that occur in you. Some get into real trouble by letting that slide with the DS, but those who keep up with it and make appropriate changes maintain a high level of health and good weight over the long haul - I see many in our support group who are in the 10-20 year range and living well.

Your best bet is to talk to the doc on your specific concerns - both Dr. R and K have been in the DS business for around 20 years, so they know well what it can and can't do, and how to tailor it to fit different cir****tances. If anyone has seen someone else in your situation, it would be them.

Note - this all applies to the "traditional" BPD/DS, the newer, simpler SIPS/SADI/"loop DS" is a somewhat different animal that may or may not work as well for you - it's newer, so the jury is still out on it.

Good luck, whichever way you go!

My H had the DS for diabetes ages ago. His biggest surprise, his lifelong battle with constipation ended. I told him it would but he had to see it for himself! He loved his surgery. He wasn't fat so he got the best of all, he could eat as he pleased, no more diabetes, and no more constipation!

I never heard of the glitter product before so I may have to give it a try. The transit time is probably one of the most important parts of my general wellness feeling each day. It's probably my biggest surprise from wls.

I think it also has to do with rate of gastric emptying.
My DH, a Norma has really slow gastric emptying.if he eats a lot, he wo t be hungry again for 10-12 hours.
pre wls, I always needed my three meals a day, regularly.
post wls, my gastric emptying rate was tested and showed that I have very rapid gastric emptying. It was in the range of abnormal rate of emptying.

Though I no longer feel hunger, I feel a "need" for fuel about every 2-3 hours. I am usually looking for real, dense protein sndam satisfied by that

i dont recognize any one food coming thru and usually o first thing every morning and often the need to go wakes me up. Occassionally I will go again a smaller Amy in the evening. Very occasionally .

So sorry about missing the call. We had a snowstorm yesterday so Saturday had to be errands, etc. Before I knew it, it was Saturday afternoon and I missed it!