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Hi Sharon! I had a distal bypass revision 3 years ago. DS was desired, but due to severe GERD, my insurance wouldn't pay. My pouch was made large with my RNY and my stoma is normal size. I have a 100 cm common channel and 250 cm alimentary limb. Early on, I was able to increase my protein amount fairly quickly. Within 9 months, I was able to lose all my regain, but never got to my goal weight. (I have hypothyroid issues and working on that now) I am happy that I'm under 200 lbs! Due to the malabsorption, I am able to eat more and feel satisfied, plus maintain my weightloss.
Since my intestinal bypass is more like the DS, I follow a DS diet (high protein, moderate/high fat, low carb) and vitamin supplementation. The amount of protein and supplementation I take is based on my labs.
Good luck to you and your new journey!
Donna
HW322 SW296 GW150 LW196
RNY 8-29-11
Revision to Distal bypass 7-5-16
SW262 GW165
John 3:16
Hi Everyone, I had a RNY in 2002. Didn't start having low iron and low ferritin until 3 years ago. Had an iron infusion times 3 over a week, got my iron levels up but didn't really help the ferritin. I did some research and started using a Iron Patch with Vit C. Last year my iron levels had increased, ferritin was still low. This year both are in the normal range! I don't know if your insurance will pay for the patch because you can get it over the counter. I get mine from PatchMD.com.
I had my sleeve with them in 2011 and had a great experience. But I hesitated to go to him for my revision since I could not find ANY info or reviews about him doing revisions. Did they not do a barium image before and after to show you the difference?
Dr. Rodriguez at Mexico Bariatric Center. I was told before and after surgery that they would/did resleeve me to ensure the best outcome.
Oh no! Who did your revision?
I am set for a revision in a few weeks w/Ungson in Mexicali but was told that my sleeve would not be touched.
Hi Janet according to my Surgeon as i previously had the gastric bypass my stomach has not fully stretched out so apparently I have some restrictions... i honestly don't really feel it comparing to others who have had a revision surgery.
He also said i NEED to get in 120g protein daily starting from day one. As i don't have the same restrictions as every one else, its been no problems getting on the protein.
I just don't know and I'm becoming really disheartened.
Thank you Janet, i don't know the length of my common channel...these are questions that I'm going to ask next week for my first follow up.
I agree, i have done alot of research and never heard of the Doc not reducing the stomach hence my frustration.
I have been getting in all my protein and water with no problems.. it just sucks.
I'll know more once i see my Doc.
Thank you!!
How did you make out at the doctor's? Was he able to answer your questions?
I'm concerned as Valarie is that your doctor did the distal bypass on you. I would see if you can get your operation report and I would also look at your insurance to make sure the surgeon didn't charge them for a DS surgery when it wasn't performed.
Best of luck to you.
Thank you Valerie and Dr Sanchez for your responses.
So after a back and forth bickering with my doctor as he was very arrogant and i had to let him know that he would not patronize or speak down to me, he finally explained this...
He said that he had previously explained to me, (maybe I misunderstood) that there was no need to do the Sleeve Gastrectomy part of the DS as i had previously had a gastric bypass done and my pouch was not stretched. He said by doing the Sleeve Gastrectomy it would make my stomach hold more (I'm not sure if I'm bought on that,). However, I do know that I don't/cant eat alot of food in one sitting.
I then asked him to explain what he did to me as if i were a 3 year old, i need to be clear before leaving.
What he said was my intestines is about 5m long, so he detached my stomach and reattached to the end of my intestines, leaving about one meter for the food to be absorbed.
So, when i eat i only absorb approx 20% of fat, calories etc, but that also means I only absorb 20% of my nutrients, hence why i have to diligently take all my vitamins etc.
So apparently a partial DS was done minus the restriction.
I asked him if he knew of any forums where i could speak to other people who have had the same procedure as i needed it for support through this journey, he said he didn't but they run a support group at the center the 1st Monday of every month and there should be people there.
He also said that the weight loss will be a long road and I'd probably get to goal in 2 years. ?
Dr Sanchez, do you have any advice? Does what he explained ring true to you?
I came away feeling like i hsd a bit more clarity but as the days go by, i don't know....
Thank you!
I'm not a doctor. Dr. Sanchez was my doctor who had done my lapband back in 2003.
I know there are folks on here who can answer your questions better than me, but I have a feeling your doctor explained things, but not the way he is trying to say he did. I think he left out information when you first spoke with him before your revision.
I can't explain it, but I have a gut feeling this guy took you for a ride. I have never heard of a DS surgeon not doing the sleeve part even if it was a revision.
If I am reading this correctly it is sounding more and more like he gave you the Distal Bypass. "Distal Bypass Surgery is when more than 120 inches of the intestine is bypassed as opposed to the eighteen to forty inches in Proximal Gastric Bypass. If more intestine is bypassed then weight will be lost through the process of malabsorption"
Please next time you go back ask for your operative report so you know exactly what was done.
Oh ok lol...
Yes, it does sound like a Distal Bypass. I will ask for a copy of the operative report.
Thank you both so much for responding and i will keep you posted!
Thank you Janet, i don't know the length of my common channel...these are questions that I'm going to ask next week for my first follow up.
I agree, i have done alot of research and never heard of the Doc not reducing the stomach hence my frustration.
I have been getting in all my protein and water with no problems.. it just sucks.
I'll know more once i see my Doc.
Thank you!!
How did you make out at the doctor's? Was he able to answer your questions?
I'm concerned as Valarie is that your doctor did the distal bypass on you. I would see if you can get your operation report and I would also look at your insurance to make sure the surgeon didn't charge them for a DS surgery when it wasn't performed.
Best of luck to you.
Thank you Valerie and Dr Sanchez for your responses.
So after a back and forth bickering with my doctor as he was very arrogant and i had to let him know that he would not patronize or speak down to me, he finally explained this...
He said that he had previously explained to me, (maybe I misunderstood) that there was no need to do the Sleeve Gastrectomy part of the DS as i had previously had a gastric bypass done and my pouch was not stretched. He said by doing the Sleeve Gastrectomy it would make my stomach hold more (I'm not sure if I'm bought on that,). However, I do know that I don't/cant eat alot of food in one sitting.
I then asked him to explain what he did to me as if i were a 3 year old, i need to be clear before leaving.
What he said was my intestines is about 5m long, so he detached my stomach and reattached to the end of my intestines, leaving about one meter for the food to be absorbed.
So, when i eat i only absorb approx 20% of fat, calories etc, but that also means I only absorb 20% of my nutrients, hence why i have to diligently take all my vitamins etc.
So apparently a partial DS was done minus the restriction.
I asked him if he knew of any forums where i could speak to other people who have had the same procedure as i needed it for support through this journey, he said he didn't but they run a support group at the center the 1st Monday of every month and there should be people there.
He also said that the weight loss will be a long road and I'd probably get to goal in 2 years. ?
Dr Sanchez, do you have any advice? Does what he explained ring true to you?
I came away feeling like i hsd a bit more clarity but as the days go by, i don't know....
Thank you!
I'm not a doctor. Dr. Sanchez was my doctor who had done my lapband back in 2003.
I know there are folks on here who can answer your questions better than me, but I have a feeling your doctor explained things, but not the way he is trying to say he did. I think he left out information when you first spoke with him before your revision.
I can't explain it, but I have a gut feeling this guy took you for a ride. I have never heard of a DS surgeon not doing the sleeve part even if it was a revision.
If I am reading this correctly it is sounding more and more like he gave you the Distal Bypass. "Distal Bypass Surgery is when more than 120 inches of the intestine is bypassed as opposed to the eighteen to forty inches in Proximal Gastric Bypass. If more intestine is bypassed then weight will be lost through the process of malabsorption"
Please next time you go back ask for your operative report so you know exactly what was done.
Dr. Sanchez Lapband 9/12/2003
hw305/revision w280/cw197/gw150
Revision from Lap Band to Bypass on 2/4/2015 by Dr. Pohl
Thank you Janet, i don't know the length of my common channel...these are questions that I'm going to ask next week for my first follow up.
I agree, i have done alot of research and never heard of the Doc not reducing the stomach hence my frustration.
I have been getting in all my protein and water with no problems.. it just sucks.
I'll know more once i see my Doc.
Thank you!!
How did you make out at the doctor's? Was he able to answer your questions?
I'm concerned as Valarie is that your doctor did the distal bypass on you. I would see if you can get your operation report and I would also look at your insurance to make sure the surgeon didn't charge them for a DS surgery when it wasn't performed.
Best of luck to you.
Thank you Valerie and Dr Sanchez for your responses.
So after a back and forth bickering with my doctor as he was very arrogant and i had to let him know that he would not patronize or speak down to me, he finally explained this...
He said that he had previously explained to me, (maybe I misunderstood) that there was no need to do the Sleeve Gastrectomy part of the DS as i had previously had a gastric bypass done and my pouch was not stretched. He said by doing the Sleeve Gastrectomy it would make my stomach hold more (I'm not sure if I'm bought on that,). However, I do know that I don't/cant eat alot of food in one sitting.
I then asked him to explain what he did to me as if i were a 3 year old, i need to be clear before leaving.
What he said was my intestines is about 5m long, so he detached my stomach and reattached to the end of my intestines, leaving about one meter for the food to be absorbed.
So, when i eat i only absorb approx 20% of fat, calories etc, but that also means I only absorb 20% of my nutrients, hence why i have to diligently take all my vitamins etc.
So apparently a partial DS was done minus the restriction.
I asked him if he knew of any forums where i could speak to other people who have had the same procedure as i needed it for support through this journey, he said he didn't but they run a support group at the center the 1st Monday of every month and there should be people there.
He also said that the weight loss will be a long road and I'd probably get to goal in 2 years. ?
Dr Sanchez, do you have any advice? Does what he explained ring true to you?
I came away feeling like i hsd a bit more clarity but as the days go by, i don't know....
Thank you!
Thank you Janet, i don't know the length of my common channel...these are questions that I'm going to ask next week for my first follow up.
I agree, i have done alot of research and never heard of the Doc not reducing the stomach hence my frustration.
I have been getting in all my protein and water with no problems.. it just sucks.
I'll know more once i see my Doc.
Thank you!!
How did you make out at the doctor's? Was he able to answer your questions?
I'm concerned as Valarie is that your doctor did the distal bypass on you. I would see if you can get your operation report and I would also look at your insurance to make sure the surgeon didn't charge them for a DS surgery when it wasn't performed.
Best of luck to you.
Dr. Sanchez Lapband 9/12/2003
hw305/revision w280/cw197/gw150
Revision from Lap Band to Bypass on 2/4/2015 by Dr. Pohl
