possible revision??

  This past Thursday 8/; I went & saw my surgeon, whom I haven't seen since my RNY surgery in 2008 (except for his PA). Since then, I've only lost a total of 25 lbs. This past Thursday, he told me, that he would like to place me in a study & also do a revision (along with hernia repair). I don't know what to do... since i only lost 25 lbs with the 1st surgery, I'm in a way reluctant in doing a 2nd one. i can really use some inspirational words of advise from my fellow RNY buddies out there & see what you all think of what i should do. if our roles were reversed, what would you do???  thank you for your time in this matter friends!! i could really use your words of wisdom rite now....

Wow... losing only twenty five pounds after a RNY is definitely an anomaly!!!  I have to admit that I am really surprised that, having lost SO little weight, you would not have seen your actual surgeon in 3 years to find out WHY.  I would also question why the PA would not have had you see the surgeon himself when you were not losing any weight.  That does not seem like a very good standard of care IMO.

What I would personally do in your situation would depend on:
1) what your surgeon's office has already done to address the issue (before deciding to do a revision)
2) why your surgeon thinks you lost such an incredibly small amount of weight and why he thinks a revision would help (what is he going to do in terms of a revision that he thinks will make a difference and WHY does he think that particular action WILL make a difference?) what are the physical implications of what he proposes to do (e.g., if he proposes to bypass a much larger amount of intestine, how is that going to effect your absorption of nutrients (including protein) and  how will that change the vitamin supplementation that you must have?
3) MOST IMPORTANTLY: what a second surgeon has to say about the situation.  Because your siutuation is SO unusual (I cannot imagine how you could lose such a small amount of weight... you should have lost much more than that with only the restriction alone or the bypass alone... I cannot imagine how you were able to eat enough to not lose more than that) I would insist that they do both an EGD and a CT scan with contrast -- and have the second surgeon look at those -- to make sure that the original surgery was done properly and that there is no physical problem that would account for the minimal weight loss.

Lora

I agree with Lora.  You need to find out why you didn't lose more before you move ahead.  Was the surgery done correctly?  Did you change your eating habits?  I had a revision but not mainly to lose weight, although I did regain 100lbs.  I had issues that I wanted resolved and my surgeon offered to reduce my stomach at the same time.  I had to really think about what would be different this time.  I knew exactly why my first surgery failed.  I did nothing to change my eating and I didn't address my food issues.  I decided that since I was getting a second chance I was going to do things differently.  I learned that WLS is just a tool.  I really thought it was a cure for my obesity and I was very disappointed to learn that if I didn't change the way I ate I wouldn't lose weight or be able to keep it off.
I hope your surgeon has put you in touch with a nutritionist and a psych to help you prepare for a revision if you decide to go that route.  Both help immensely.