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I would vouch for Dr. Fernando Bonanni in Warminster, PA. He is the director of The Institute of Bariatric and Metabolic Surgery for Abington Hospital. He did my original VSG in 2011 and I sailed through that recovery without a single problem. He performed my revision to an RNY on November 26, and again, am recovering very quickly. He is an outstanding, compassionate surgeon with a great team behind him consisting of PA's, NP's, and dieticians. He closely follows you postop and you are required to attend monthly support group meetings.

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
on 12/6/18 6:15 pm
I really do not appreciate your snarky and patronizing response. I am fully aware that you cannot outrun a bad diet, and I obviously could not maintain even a 77lb weight loss for years if I was eating crap. As mentioned, I eat a whole foods plant based diet, meaning my meals consist of veggies, fruits, whole grains, legumes, nuts and NO animal products, processed foods, or oils.
I do eat way too much to feel satisfied and it's as if I never had WLS. I can eat a salad of 2 cups of kidney beans, 4 cups of fresh spinach, 1 cup of broccoli, 1 cup of mushrooms, 1 cup of carrots, and 2 oz of tofu and be hungry for more 30 min later. I now power lift heavy weights 4-5x a week, so that likely contributes to my insatiable appetite that I have a hard time controlling. Obviously, I should not be able to eat so much even 10 years post op.
Regardless, I was not asking for nutritional advice, and I really do not care to hear your opinion on my diet. I was simply asking if my weight loss numbers were considered an RNY failure.
There are many posts around regain and revision, so IDK why you are coming for me? Seems like you like to think of yourself as some kind of authority on WLS- maybe YOU should see a therapist? I would think that someone *****sulted to WLS in MX at such a low BMI would have more empathy. I, too, had a swollen head and thought I knew everything about WLS and nutrition as I was riding my weight loss high in the early stages of my post op (it's annoying when someone assumes everything about your WLS journey, isn't it?). I suggest you humble yourself, and I hope that strangers on the internet will be less assuming and more empathetic to you than you were to me if you ever regain and seek help in the future.
Weight loss happens in the kitchen not the gym.
If you are not losing the weight you want then you may need to look at what you're consuming. Your surgery hasn't been a failure and you should be able to lose more but it will require some changes.
Are you using a digital scale to weigh what you eat and are you tracking everything that goes into your mouth (with an app like MyFitnessPal)? If you're not doing these things then it could help, assuming your goal is to figure out how to lose more weight.
Can you share what you typically eat each day? This will allow veterans to provide some suggestions on troubleshooting your diet. Take advantage of their experience with regain and getting back on track.
Many of us are most successful with keeping hunger at bay by eating dense protein first followed by non-starchy vegetables and then some fruit, if there is still room. And even more by limiting: snacking, consumption of simple carbs, processed food, desserts, sugar, juice, soda, alcohol.
As I'm sure you know, you can eat around any bariatric surgery and having a revision procedure will not resolve any over-eating or food addiction issues. Have you tried working with a therapist on any of this? Just something to consider as it has helped many folks on OH.
YMMV
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
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HW:330 - GW:150 - MW:118-125
RW:190 - CW:130