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Do you sure about decision? Is an drastic procedure.
Hi, I've had sleeve since 2011 but am having loads of heartburn and reflux and annoying belching.
i will be having an EGD next week and my surgeon said depending on the results I may be eligible to revise to bypass.
Would this be a wise decision? My BMI is 30. Would it help me lose more weight? What are pros/cons to revising and what will be biggest change for me in going from Sleeve to bypass?
I would be so appreciative of any info you can provide! Thanks!
Hello!
New member, but not new bariatric pt. Original RNY in 2004. Original loss -160#. Currently down only -70# from original highest weight. Have spent the last 1.5 years on medication assisted weight loss protocols. -10#.
I am researching the TOR-e. NOT interested in full revision as I can not accept the risks of full surgery - original RNY landed me in the ICU for 4 days. Endoscopic/outpatient or nothing.
Has anyone had a TOR-e? I keep hearing about an Apollo Overstich, but from what I read that is changing the size of the pouch not the outlet, and this is outlet reduction rather than pouch. What is the difference with all these various endogastric procedures? I know many of them are not very popular. Has anyone here had a TOR-e?
The research I am looking at is:
- Transoral outlet reduction with full thickness endoscopic suturing for weight regain after gastric bypass: a large multicenter international experience and meta-analysis. https://www.ncbi.nlm.nih.gov/pubmed/28664438
- Five Year Outcomes following Transoral Outlet Reduction (TORe) Show Effective and Durable Treatment of Weight Regain after ROUX-EN-Y Gastric Bypass https://www.gastrojournal.org/article/S0016-5085(17)34356-1/abstract
- Endoscopic Suturing for Transoral Outlet Reduction Increases Weight Loss After Roux-en-Y Gastric Bypass Surgery https://www.gastrojournal.org/article/S0016-5085(13)00493-9/ fulltext
HW:330 - GW:150 - MW:118-125
RW:190 - CW:130
Hello all! I am new to obesityhelp.com
I had a sleeve surgery done 12/2011. I lost A LOT of weight, going from 314ish to 179lbs. I never got completely to goal but I was HAPPY!
Well, depression, childbirth, loss of my mother, thyroid issues, and bad habits and i'm back up to 269. I've been trying and trying to find stories from people who have revised to RNY for regain, however most of what I come across is due to reflux issues.
Has anyone had revision to RNY because of regain? I'd love to hear your stories. I'm scheduled for my conversion on 5/22/19.
My test results showed severe GERD. Additionally, damage to my esophagus, a hernia and other issues.
I feel like at this point there is hope for a cure and more weight loss. I have a date of mid-May. I pay alot for my insurance from work. I glad it will deal with this issue.
I am tried of feeling like.....
Just heard the dr requirement is 6 months then apply for surgery. So I am looking at late September.
I am scheduled to have it May 10th (not overstitch, but similar procedure). My Dr. said that they can do this again if stoma stretches out again, so it sounds like they expect that. I also had RNY 6/2010 and have gained back almost all the weight. :-(
There is a safer version of the DS out known as SADI or SIPS. It is still considered investigational by insurance and the ASMBS, but seems to be effective for the weight loss without as many of the known side effects of the DS.
There are endoscopists who are also doing a TORe procedure. Transoral outlet reduction (TORe) The TORe procedure, also known as the gastric outlet reduction procedure, is an EBT specifically for people who have had successful gastric bypass surgery but start to regain weight several years later. Gastric outlet reduction reduces the size of the opening between the stomach and small intestine. This reduces the amount of food that can be eaten, promotes early satiety and portion control, and results in weight loss. Mayo Clinic researchers have demonstrated that in some cases, over-dilation of this opening is responsible for weight regain after gastric bypass surgery. This procedure is nonsurgical and is performed in the endoscopy lab.
One of our endoscopists is doing it where I work and has had really good results. She makes the stomal opening smaller than it was when the bypass was done. Less invasive, and some insurances will pay for this. Just a thought.
