Revision Question Roux En Y

Jessica M.
on 11/2/19 5:06 pm - Midlothian, TX

I had gastric bypass (Roux en Y) in 2007. I want to have a revision but not sure what options are available. Can they redo my original gastric bypass?

"Winning at a Losing Game"

hollykim
on 11/8/19 10:14 am - Nashville, TN
Revision on 03/18/15 with
On November 3, 2019 at 12:06 AM Pacific Time, Jessica M. wrote:

I had gastric bypass (Roux en Y) in 2007. I want to have a revision but not sure what options are available. Can they redo my original gastric bypass?

no, they can tighten the stoma if it is stretched but that is about all.

The ppl we have seen here who have that does usually lose about 20# max and then loss stops.

Why are you wanting a revision?

often going back to basics helps restart weight loss along with not drinking and eating, high protein low carb diet and logging your intake every day helps.

 


          

 

Leiteb
on 11/10/19 5:17 pm

The previous comment is not true. I just had a consult and they can do a formal surgical revision. Risks are anywhere from 18-40% for a complication, so it is risky, but can be done if anatomy is favorable. They can do a Tore surgery, which is a tissue stitch surgery which narrows the stoma if that is what is stretched. This may only last a few years, as it is not standardized yet and has room for improvement. There is also the option to do a band over bypass which narrows the stoma and pouch size. This is a pushed a lot because it is a familiar procedure to many in the bariatric community and is lower risk. You can also look into pouch reset diets, seek counseling or other dietary aids. Whatever you do, make sure you are dealing with certainty of your options as discussed with your surgeon, before weighing things too much.

Sparklekitty, Science-Loving Derby Hag
on 11/12/19 12:19 pm
RNY on 08/05/19
On November 11, 2019 at 1:17 AM Pacific Time, Leiteb wrote:

The previous comment is not true. I just had a consult and they can do a formal surgical revision. Risks are anywhere from 18-40% for a complication, so it is risky, but can be done if anatomy is favorable. They can do a Tore surgery, which is a tissue stitch surgery which narrows the stoma if that is what is stretched. This may only last a few years, as it is not standardized yet and has room for improvement. There is also the option to do a band over bypass which narrows the stoma and pouch size. This is a pushed a lot because it is a familiar procedure to many in the bariatric community and is lower risk. You can also look into pouch reset diets, seek counseling or other dietary aids. Whatever you do, make sure you are dealing with certainty of your options as discussed with your surgeon, before weighing things too much.

"Band over bypass" is a terrible option. Bands have a miserable track record in terms of scarring, adhesions, and other complications. Many surgeons will not place lap-bands at all because of the risks.

The "pouch reset" is complete bunk. Going back to liquids will not shrink a pouch that has stretched; it's just another fad diet. You're much better off going back to basics and eating a limited amount of lean, dense protein.

Nerdy Little Secret (#42) - Derby Strong!
VSG 2013, lost 150lb - RNY conversion 2019 due to GERD


rocky513
on 11/13/19 3:26 pm, edited 11/13/19 7:27 am - WI

There is no way to actually redo your original RNY surgery because there is only so much stomach that can be used to create a pouch, and the stomach has already been resected. They can convert to a distal RNY (longer channel) from proximal RNY which is a terrrible option because of the side effects of severe vitamin malabsorption, chronic diarrhea, and foul smelling stool and gas. You can revise to DS, but it is a very complicated surgery with very few qualified surgeons that can perform it in the U.S.

Pouches do not stretch out. They are created from a section of stomach that has very little pliability. Stomas are what stretch, usually from overeating and drinking with meals. What happens is the stoma stretches to about the same size as the pouch and food flows freely into the intestines, which means you feel no restriction and you never feel satisfied. They can try to stitch the stoma to make it smaller, but those procedures usually fail.

HW 270 SW 236 GW 160 CW 145 (15 pounds below goal!)

(deactivated member)
on 11/27/19 4:33 am

My ex husband had a distal RNY going back ten years . Though he was a world class ass .. he never farted in my presence ... there was zero social complications from his distal ( or any other ) ... actually the a- hole was pretty much healthy as a horse despite ( what I would call ) deplorable eating habits : restaurant meals twice a day .... " low-fat snax like cookies all the time ... no excercise whatsoever .Even his type 2 diabetes remained under control ... despite his lifestyle issues.

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