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on 12/6/18 1:48 pm
I had RNY WLS in June 2008 at 297 lbs. Shortly after surgery, I had stenosis, and my surgeon performed an endoscopic dilation as treatment. After, I went on to lose 112 lbs over 1.5 years at a somewhat slow weight loss pace.
I got really into nutrition and fitness, exercising at least 1-2 hrs a day 6-7 times a week but never got down lower than 185 lbs. I then injured my femur and couldn't keep up with the intense exercise, and my weight went back up to 215 by 4 years post op. I then had some problems with drinking too much alcohol and went up to 240lbs. I got that under control and lost 20lbs from cutting it out of my life.
I have since been sitting at 220lbs for a while and have not been able to get under 200lbs since my initial post op weight loss. I eat a whole foods plant based diet, but I do feel like I have trouble controlling my appetite. It has become such a problem that I have turned to phentermine to help suppress it, and I am worried that I will gain weight if I go off of it.
I am starting to consider seeing a surgeon for revision. So, I guess what I'm wondering is if my maintained weight loss of 77 lbs after 10 years is considered a rny failure considering that I started at 297 lbs? My current BMI is 34.5 and my starting BMI was 46.5.
Thanks so much for the information. I'm trying to decide between having a DS or SIPS as a revision from RNY from the year 2000. I'm looking to loose 75 lbs of excess weight that I have regained. Do you think instead of having a common channel at 300, shortening it to 250 would help fight off the regain in the future. I suppose I would need to know the real difference between a single and a double (whatever it's called) to know if having a SIPS surgery with a shorter common channel is just the same as the DS. What are your thought on this?
You've responded to a 1.5 year old thread. I recommend you ask your questions in a new thread in the Duodenal Switch (DS) Forum in order to elicit more responses.
Thanks so much for the information. I'm trying to decide between having a DS or SIPS as a revision from RNY from the year 2000. I'm looking to loose 75 lbs of excess weight that I have regained. Do you think instead of having a common channel at 300, shortening it to 250 would help fight off the regain in the future. I suppose I would need to know the real difference between a single and a double (whatever it's called) to know if having a SIPS surgery with a shorter common channel is just the same as the DS. What are your thought on this?
There are very few bariatric surgeons capable of doing an RNY to DS revision. It is a very complex operation and should only be done by one of these highly skilled surgeons. (Below are the ones I'm aware of in the U.S.)
Ara Keshishian, MD
Location: Pasadena, CA
John Rabkin, MD
Location: San Francisco, CA
Steven Simper, MD
Location: Millcreek, UT
Folahan Ayoola, MD
Location: Denton & Flower Mound, TX
Stephen Boyce, MD
Location: Knoxville, TN
Hazem Elariny, MD
Location: Vienna, VA
Fernando Bonanni, MD
Location: Warminster, PA
Is the ricotta bake ok for the puréed phase postop? What about puréed Wendy's chili?
Age: 50 Ht: 5' 3.5" SW: 261 BMI: 45.5 CW: 119.4 BMI: 20.8 Goal in 9.5 months (23.6 lbs below goal) Total lost: 141.6 lbs Inches lost: 84.25"
Month one: 22.2 lbs; Month 2: 17.4 lbs; Month 3: 11 lbs; Month 4: 13 lbs; Month 5: 11.4
lbs; Month 6: 9.2 lbs; Month 7: 13.2 lbs;
Month 8: 9 lbs; Month 9: 10.2 lbs; Month 10: 3.6 lbs: Month 11: 7.6 lbs Month 12: 5.8 lbs 
Hi Gaines39,
Welcome to OH
I did not have a revision but have seen many members have success. Most surgeons offer some kind of financial aid options. I would be glad to assist you with finding a surgeon in your area. In order to find the best surgeon for you I would need some additional information. I will send you a PM (private message)
Let's get this going for you 
Regards,
Kathy
Member Services
HW:330 - GW:150 - MW:118-125
RW:190 - CW:130
I had gastric bypass surgery with Dr. Bryan Freeman in 2010. He no longer practices I lost down over 100 pounds but oven gained 50 back. I've been looking for a revision to DS. However, I was just told today that my insurance no longer covers Bariatric surgery. Has anyone had success with revision and paid out of pocket or through a finance plans?
Thanks. I will. I see the doc in January.
BTW....How have you found the revision. I know you need to be much more careful about what you eat and how much (or you get sick).
I don't have an answer since my revision was medically necessary because of my GERD and was not for additional weight loss. I think it's also dependent on your insurance. Some companies have a one WLS per lifetime limit. Your best bet is probably to check directly with your insurance company to see what its requirements are.
