Anyone have Gastric Sleeve and then Roux-en-Y?

I had gastric sleeve surgery in 2008 and was told that would be part 1 with RNY as part 2.  This was due to a high BMI.  I've had no problem with my sleeve and lost 110 lbs before I stopped losing weight.  It will soon be time to have part 2.  Just wondering if anyone else has gone through both surgeries?

somebody told you wrong.  IF you have the sleeve, the first part is sleeve, second part is duodenal switch.   very rarely does the sleeve be made into the bypass and usually only because person is having problems.

Hi Tamara. You are correct that the second part is usually duodenal switch, but not in my case, they included RNY in the original plan.  UCSF Medical Center in San Francisco is in the top 10 nationally, so I don't question that they know what they're doing but I will be switching to Stanford which has a better patient support (pre & post) and plan on consulting with them.

I did, but for completely different reasons.  I sleeved, and had many many complications, so an RNY was done to correct my problems, and be able to get off a feeding tube.   From my understanding they used to do sleeves in the first part of a process for DS.   But they have found that sleeves work well alone, and most sleevers dont need a second surgery.  

I'm sorry that you experienced complications with your sleeve.  I hope the RNY corrected the problems you were having. I haven't had any complications with my sleeve but still have quite a bit to lose and I'm at the point where they feel it is time for the 2nd surgery. I am a type 2 diabetic and have had diabetes since my late teens (37 years).  Since I've had it so long I no longer produce my own insulin but still have to contend with the insulin resistance of type 2. RNY will give me a better chance of controlling the diabetes although I don't believe my diabetes will ever completely go away.

 I'm just curious as to why you did not just do the RNY to begin with...

Lora

Initially my intention was to have RNY but my doctor would not perform one because my BMI was 56, I'm 5' 2-1/2" and store all my weight in my middle. Too risky, could have damaged my liver or anything else that was in the way.

 I am only 5'3" and had a BMI of 57  (and also carried most of my weight in my middle).  I had open RNY surgery (and could have had it done lap if i had switched surgeons).  I guess I just don't understand why someone would go into this expecting to have to have 2 surgeries (and then possibly additional plastic surgeries) rather than just one surgery.

I hope it goes well for you, though.

Lora

They rarely do open procedures unless absolutely necessary and did not want perform an "open" procedure on me.  Lora, I'm not sure if you had any additional medical issues, but I do/did so it was determined that an open procedure would be much more risky taking into account my medical history. People come from all over the world to see doctors in various specialties at UCSF because because of the expertise of their doctors.  So while I did my own research, the doctors are very knowledgable and I believe they made the best decision with my best interest in mind.  There was always the chance that the sleeve would be the only surgery necessary but I think that was about 50-50.  I am going to research my options, surgergical and non-surgergical.

Looks like you done great!  Congrats.

Part of the reason mine was open was because of the potential for problems because of scar tissue from a previous surgery and it was preferable to me AND the surgeon for her to just do it open from the beginning rather than do the lap incisions, find scarring or have trouble maneuvering around the liver or something, and then have to open me up anyway (and then I would have the 6 small incisions AND the large one).  

If the surgeon, had concerns about doing an open procedure on you, then obviously that was the best option.  It was just confusing that the surgeon would not do a lap RNY then but now that you have the sleeve, he will do a lap revision to RNY.

Definitely research all your options.  Since you already have the restriction from the sleeve, with the  RNY bypass, you are basically trading temporary (about 18 months of) caloric and fat malabsorption for a lifetime of no NSAIDs and lack of vitamin absorption.

Lora