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MarinaGirl
on 5/9/19 1:09 am
Topic: RE: Rny to Ds in Georgia

Note that Dr Keshishian (aka Dr K) is in Pasadena, CA, which is a suburb of Los Angeles. I highly recommend you contact his office for a phone consultation. I had complex abdominal surgery with him last summer and had a great experience; I also flew in from another state.

BariatricExPat
on 5/7/19 1:35 am
Revision on 07/09/18
Topic: RE: Hiatal hernia and revision

Hello, I just joined this organization, but maybe something I can share will help you as you go through this turn of events in your weight loss journey. I had a sleeve in December of 2008 and did really well for nine years. I lost 135 lbs which was really close to my goal of -150 and kept the weight off. But in January of 2018 I had some episodes of choking and vomiting that I thought were due to eating food too fast. I was living in a country not very familiar with sleeve patients and although I told the doctor about my altered anatomy, he diagnosed me with a hiatal hernia and treated that condition with Prilosec. After six weeks, the vomiting and choking was increasing in frequency and I was pretty much on liquids but even those sometimes would not go down. He increased the Prilosec and told me I might be eating too much, too fast, too fatty, or too spicy. After the third visit, he recommended surgical correction of the hernia, but my instincts told me not to let someone unfamiliar with bariatric patients operate on me. I kept going, knowing I needed to see my surgeon back in the US but also not being able to go bac****il June of 2018. By the time I arrived in the States, I was vomiting 5-10 times a day and really miserable. The surgeon in the US was very upset and said, "You're not going to like what you're about to hear." He proceeded to tell me that a particular suturing technique that had been used on my sleeve (back when sleeves were rather new) was creating a scar that had rolled inward and was physically blocking the path. The only correction that would last (in his expert opinion) was revision. He wrote an urgent letter my insurance company stating that this was an emergency revision and medically necessary. I had the revision done on July 9, 2018. I flew out of the States to a brand new country on July 29, scared to death! I have not vomited since July 9 which is a sweet relief! I have lost a lot of my strength during the sickness prior to and the recovery after. I have also lost 30 more pounds. I joined this organization though because I have struggled with a lot of feelings of loss after the revision, because my sleeve and I were a very happy couple. My gastric bypass is a lot more strict in that there is NO WAY I can even have one sip of carbonation at all without dire effects. My lifestyle with the sleeve was so easy that I never told anyone outside of my immediate family I had it! For over 9 years, I was "passing" as a normal person. But this revision: there is so much more to passing that it became impossible and I had to confess to some new friends why I am not interested in the brunch buffets, mimosas, and happy hours that normally I could enjoy to a small extent. Now there is nothing there I can enjoy. It is better than vomiting for sure, but I still need this support group to make a new path for myself. So it's been a couple of months since your original post. How are feeling now and what is the plan for the future?

sparty
on 5/5/19 5:55 am, edited 5/4/19 10:58 pm
Revision on 08/16/18
Topic: RE: revision from lap band to gastric bypass

I revised from lapband to RNY last August and I'm down 124 pounds. You can see the specifics in my signature line.

I don't know why you couldn't be successful converting from lapband to RNY. It gave me a tool that actually works. Not to mention I have had ZERO issues with food getting stuck or throwing up, which happened way too often with my Band. There are a number of people on this site that have successfully met their goals after converting from Lapband. Follow your program and show those people they have no idea what they are taking about!

Good luck!

Band to RNY 8/16/18

Age: 33, Height: 5'4"

HW: 299 (Pre-LB), RNY Consult: 260, SW: 248, GW: 145 (reached 3/31), New Goal: 130, CW: 133.0

Pre-op: -13, M1: -20, M2: -15, M3: -15, M4: -15, M5: -13, M6: -13, M7: -9, M8: -9, M9: -3, M10:

catwoman7
on 5/2/19 5:44 am
RNY on 06/03/15
Topic: RE: Rny to Ds in Georgia

the other one is John Rabkin in San Francisco

RNY 06/03/15 by Michael Garren (Madison, WI)

HW: 373 SW: 316 GW: 150 LW: 138 CW: 163

Amy R.
on 5/1/19 11:16 pm, edited 5/1/19 4:17 pm
Topic: RE: Rny to Ds in Georgia

Not many surgeons do that particular revision and even fewer do it well. It's much more complicated than you might think and thus the risks are higher also.

Why are you looking to revise? That certainly can and probably will determine your insurance coverage. Assuming you are insured, you can call the toll free number on the back of your card to get names of bariatric surgeons in your area. You'd then have to research which ones perform this procedure.

There are two that we see mentioned here often that are considered experts in this area. One is Dr. Ara Keshashian (sp?) in California. I can never remember the name of the other one for the life of me but hopefully someone will chime in here and give you more info.

If you're considering this option for any other reason than mechanical failure it would be hard to recommend proceeding. Fortunately for all of us you don't need my recommendation of course. Good luck, be careful and don't necessarily contract with the lowest bidder.

edited: you can also check in at the DS Forum and you'll probably get more feedback.

mtnwoman04
on 5/1/19 9:14 pm - Blairsville, GA
Topic: Rny to Ds in Georgia

Has anyone here had the gastric bypass revision to the ds? I am trying to get information on the procedure, how it works and who in Georgia does it?

Thank you

Patsy

sdpinkerton
on 5/1/19 5:23 pm
Topic: RE: revision from lap band to gastric bypass

I had my lap band removed last year and have gained 50 lbs I was approved today for RNY waiting to schedule but I'm worried a lot of people said I'm easting my time i won't lose much because its a revision

xjaymox
on 5/1/19 1:06 pm
Topic: RE: revision from lap band to gastric bypass

No, the bloating has gone away. There was a very deep incision from the lap band port removal that I also had to have packed. I found that incision to be very painful. The doctor said he had to cut through a lot of muscle to get to the port. It has healed now and no longer hurts. Overall, I found the revision surgery to be pretty difficult to recover from and my doctor said it was significantly more invasive than just a gastric bypass.

(deactivated member)
on 4/30/19 6:21 pm
Topic: RE: Endoscopic ablation of the pouch?

Upon clarifying with my surgeon, I've misunderstood the surgical approach. He's proposing APC (argon plasma coagulation), not radio-frequency ablation.

I have a new question in the main forum, and I'm still seeking a second opinion.

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