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In the end, I would do what you feel best. It's your body. If you feel you have done your research and you know where your decision comes from, make it a point to let him know. You are the one who will have to live with the surgery. I would say unless you have bad GERD, the sleeve is a wonderful choice.
It's your body. Do what you feel is right for you. Good luck!
RNY Oct. 27/17. HW 289; SW 285; GW 144; LW: 161 CW: 196 FML: Fighting regain :(
Consult with doc; I am not a good candidate anyways as my outlet is apparently, after 15 years, not stretched. So.... moot point.
This procedure is being recommended to me as the only endoscopic option for which I might be a good candidate to address my weight regain (approx 75 lbs). I have NEVER heard of it, and I can find no hits on it when I search the entire OH forum or any of the Facebook groups I belong to.
Anyone? I am in the process of seeking a second medical opinion, but I want patient input as well.
Radiofrequency ablation for the treatment of weight regain after Roux-en-Y gastric bypass surgery. https://www.ncbi.nlm.nih.gov/pubmed/28713063
I am having revision with Dr. Greenbaum of Virtua in NJ. He is top notch as well...
Fire the judgey therapist. We aren't all judgey I promise.
Eating at night is a big sign of emotion regulation or what we call low distress tolerance. That isn't necessarily your fault, actually, but, well, goodness look at what's been going on. That is awful...I am so sorry for your loss.
My rule is we don't take things away without replacing them. Instead of eating, could you do something else? Don't laugh, but there are weighted blankets great for anxiety and PTSD that are very comforting. some people will hug them or wrap themselves in them. Have hobbies or things to keep your hands busy...things you enjoy which are not eating. I have had PTSD and nightmares so I get it...they suck, and they don't really care that I don't want to scarf donuts. If you absolutely have to eat, and yeah I feel you on the protein, have alternatives and ditch the rest. I had to be ruthless because I literally would eat anything when I had similar issues. Now I don't keep any at home because I can't. I have to get a hysterectomy within the next year or so myself.
There is nothing I can say to make things better, because they are awful, but I can say that you have made it through a lot. It may not seem like you can ever have relief from anxiety, however that doesn't mean tomorrow you won't.
The one thing I will say: be kind to yourself above all else. you deserve kindness and compassion, esp. from yourself.
You are not a bad person who is choosing to shoot themselves in the butt. You are not an eff-up. You are not terrible. You are suffering, and frankly anyone who doesn't get the power of comfort when we are suffering, especially a therapist, should hush up.
My sister had the same issues regarding sleep. We read some articles about the weighted and magic blankets. We also checked some videos. I didn't trust a piece of blanket can recover you from insomnia. But dramatically it helped my 24 years old sister. She was suffering since last 2-3 years. I won't say a weighted blanket will fully recover you from insomnia or sleep-related issues. But it will help you in another way. Take my words.
Sources I read,
https://tonic.vice.com/en_us/article/qve9kb/the-blanket-that s-heavy-with-promises-of-perfect-sleep
https://www.webmd.com/sleep-disorders/news/20180402/seeking- better-sleep-under-a-weighted-blanket
https://pushtofitness.com/weighted-blanket-for-adults-guide/
I'll just say this right up front. There are not going to be many success stories from folks who've gone from proximal to distal. It's a pretty awful surgery frankly and one that I wouldn't encourage for anyone. You'll be lucky to lose maybe 30ish pounds and you're sure to more than offset that positive with increased vitamin malabsorption. For life.
But I'm not your surgeon and don't know your situation. You may be the exception to the rule and it will work for you. If your surgeon is recommending this particular revision, they should be able to give you a more than adequate list of pros and cons and I'd start there.
Can I ask why you are revising? Because that makes all of the difference. If you're revising for any other reason than mechanical failure, be aware that you'll be forced to face down the regain monster eventually. There just aren't that many options out there.
Also you might consider posting this question in the RnY Forum for more traffic.
Good luck finding the right course of action for your body.
I am being scheduled for a revision surgery in June, he will fix my hiatal hernia, as my stomach is up in my chest, he will fix the obstruction at the distal end of my pouch and revise my pouch. Looks like a big surgery for me. Please research and find a surgeon that is VERY knowledgeable in revisions.. my doctor is, he told me that there are only two surgeons in the state that I live it that would even touch me and he is the one I found my lots of research. Good luck.
I feel for you 
Our stories are so close. I had lapband 2008 and had it removed 2009.rny was in January 16th of this year.mine pouch started closing about 2 weeks ago out of the blue. i have been in the hospital and er 3 to 4 times.exactly the same on everything else.broth is really getting old and it has to be thin not thick .just remember that there is somebody else that feels just like you.i will also do the same.Pain and discomfort can make you go crazy and isolated.no body truly understands what we are going thru right now.the feeling in our bodies now are not like anything that can be described.
