Question:
Why do so many need a revision in 2 to 3 yrs. post-op?

Lately I have been reading about large pouches being revised after 2 or 3 yrs after a RNY. How common is this and why? What can I ask my surgeon to make sure it doesn't happen to me? Does transecting have anything to do with it? Give it to me straight!! Thanks    — [Anonymous] (posted on August 14, 2001)

August 14, 2001
I guess people who need revisions find that they cannot adapt to the rules needed to achieve maximum success with the "tool" they've chosen. This is why researching ALL the different surgery options is so important. Ask yourself, Can I live this way for the rest of my life? If not, maybe consider a different option. Here are a couple of groups that deal with this specific issue that you might be interested in: http://groups.yahoo.com/group/DS_Revision, and, http://groups.yahoo.com/group/OSSG-Revision. Hope this helps... --->http://www.mywls.com/discus
   — [Deactivated Member]

August 14, 2001
I don't know if this will help or not, but I read an article that said the normal pouch size after 2 yrs is about 6-9 ounces. The people who had this final size were successful at keeping the weight off. Some people end up with a bigger pouch (10-12 ounces) and apparently there are several causes for this (having a bigger starting pouch and stretching the pouch through overeating were two). These people have a harder time keeping the weight off. You might ask your doctor specific questions about what size pouch he or she normally makes and the long-term success rates of past patients. And be sure to not overstuff your pouch! Also, you said RNY, but most revisions I have heard of were VBGs that revised to RNY.
   — ctyst