Revision: Why do revision patients lose slower??

Good morning everyone!!  Hope everyone is doing well.  It's snowing here in DE.  LOVELY....  I've read on a few of the boards that people who have revision surgeries tend to lose slower and I am just wondering Why?? 

Thanks in advance for the help.  Please be careful if snowing where you are.

Hugs,

Carrie

I can't think of any reason that revision patients would lose more slowly except, perhaps, that they on average don't have quite as much to lose.  People with less to lose will lose more slowly.

Thanks for the reply.  That's what I thought it was, but not sure.  I know not to compare myself to anyone else, just wondering what to expect from myself.

This is just a generalization, and sure to irritate some people. Most revision patients are getting revised because they didn't lose enough with their first surgery, or lost and regained a lot. They never changed, or permanently changed, what and how much they ate. A second or third surgery won't alter that. That's why many people don't lose as quickly after a revision.

This does not apply to those having a revision for a medical issue, which is completely different from those revising from lack of weight loss. And revising from the band or the horrible old VBG has differences. Those folks really have my sympathy.

If the revision was RNY to RNY then the malabsorption part of the surgery has already gone away and revision is generally just adding more restriction.  If it is band over bypass, then that is just restriction.  Changing from restriction only like band to RNY would result in greater weight loss.  There are extended RNY procedures that could result in a lot of weight loss.

Much has to do with the eating habits and the reason for revision.

Let's remember that it is the treatment that fails and not the patient.

I think there could be a lot of reasons why the weight loss is slower, just like we all lose weight differently. They could range from physical, mental and emotional. 

The important thing is that this is a journey to better health and there isn't a best way or faster way to get healthier; you need to be treat the whole you. 

Uhm, I am not sure I can agree with you on that. I accept total responsibility for many things I have done or not done including my previous weight loss attempts. I do not in any way blame the treatment, it's the patient no doubt about it.

With respect, you can't have it both ways.  RNY cannot be both "just a tool" and "the treatment that fails."

I think I understand what you're trying to say, that failure to lose weight doesn't make one a failure as a person, but the only path to longterm success is through our choices and behaviors.

with all due respect,sometimes it IS the patient that fails and not the treatment.

that is a pretty broad sweeping statement you are making and ,honestly,I don't see how you can possibly say that ,in the absolute way,you have stated it,unless you are privileged to the medical records of every one in the world,with an RNY,seeking a revision?

Yep, I have to agree with the other dissenters here.  In my RL support group, with the exception of 1, all of those who have needed a revision,  failed to use the tool to their advantage.  The one that is the exception, had/has a slipped lap band.