Anyone go from sleeve to RNY???
My surgeon once mentioned in a pre-op info session that the sleeve used to be used primarily as a stepping stone surgery for larger patients to lose weight to be converted to an RNY. Since the sleeve was a faster surgery the larger patient didn't have to be under anesthesia as long. Then once they lost enough to be able to under-go RNY they could be converted.
Hope this helps.
Hope this helps.
I did have a sleeve as part of my first WLS. The problem was that my surgeon made it too large, probably to compensate for the malabsorption. All that did was lead to problems. I never felt any restriction and managed to regain 100 lbs in spite of the malabsorption.
I had my revision to reduce the malabsorption due to issues I was having and at the time my surgeon suggested making my sleeve into a pouch. I considered having the sleeve made smaller but to tell you the truth I didn't trust the sleeve at that point and I wanted as much restriction as possible. For me having restriction has worked out well, at least to this point.
Have you looked into having a DS? That seems the logical next step since you already have part of it. With that much weight to lose and to continue to maintain the loss the DS has a much better tract record then the RNY. Having your sleeve revised to a pouch with give you more restriction but the malabsorption of the RNY is a lot less then the DS and doesn't last very long, about 2 to 3 years, while with the DS the malabsorption is much greater and is pretty much permanent. Of course you have to be very diligent with supplements, as you would with any malabsorptive procedure, and you need to have your labs checked regularly to stay healthy.
Your surgeon probably doesn't do the DS and therefore won't recommend it. You may want to check around and see if there are any surgeons near you that do the DS and talk to them. The people who have had the DS seem very happy with it for the most part.
I had my revision to reduce the malabsorption due to issues I was having and at the time my surgeon suggested making my sleeve into a pouch. I considered having the sleeve made smaller but to tell you the truth I didn't trust the sleeve at that point and I wanted as much restriction as possible. For me having restriction has worked out well, at least to this point.
Have you looked into having a DS? That seems the logical next step since you already have part of it. With that much weight to lose and to continue to maintain the loss the DS has a much better tract record then the RNY. Having your sleeve revised to a pouch with give you more restriction but the malabsorption of the RNY is a lot less then the DS and doesn't last very long, about 2 to 3 years, while with the DS the malabsorption is much greater and is pretty much permanent. Of course you have to be very diligent with supplements, as you would with any malabsorptive procedure, and you need to have your labs checked regularly to stay healthy.
Your surgeon probably doesn't do the DS and therefore won't recommend it. You may want to check around and see if there are any surgeons near you that do the DS and talk to them. The people who have had the DS seem very happy with it for the most part.
WLS 10/28/2002 Revision 7/23/2010
High Weight (2002) 240 Revision Weight (2010) 220 Current Weight 115.