Lizelda

Second gastric bypass

16 posts in this topic

Is there anyone who has had a second gastric bypass? I am thinking about it and would like to find out more before i do it. I had the operation in 2002 done by dr. De Beer in Pretoria. As you all know, the operation was banned in SA and he was subjected to disiplinary action. I was one of the unfortunate few for whom the surgery didn't work or acctually it worked too well because I lost too much weight, at the end my liver was failling and I had to reverse the operation.

Needles to say, I have gained it all back plus 20kg more.

I am going to see prof Tessa vd Merwe in November, but i would like to find out if there is anyone else like me.

If the same has happened to you or if you know of anyone, please let me know. I am scared and unsure and would realy apreciate some advise.

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Welcome to T-T Lizelda.

Unfortunately, I don't have much to offer people in your situation - I know very little about revisions - especially when a RNY has been reversed.

The only two things I can raise as possibilities would be a gastric band or conversion to vertical gastrectomy and duodenal switch.

I'm really interested to hear what prof Tessa vd Merwe suggests - please keep us informed.

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given your past issues id probably look into the lap band, at least if you start loosing too fast it can be fully adjusted to keep you on a SAFE weight loss path.

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Thank you for your reply!

I also wonder what she is going to say, but I would go for the gastric bypass again. The one I had was banned and I think that says alot!!! As far as I understand dr De Beer shortened my small bowel to about 30cm and that is too dangerous. But what I can't understand is that my friend had the same operation with me and she never lost all the weight she wanted and even gained some after a year, the only difference between us is that she is 12 years older than me.

And also she ate alot where I could not even stand the smell of food, I only french fries, and that upset my tummy.

So I guess diet also has alot to do about it.

Oh how I HATE that word!!!

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Pardon me for being dumb, but what's a second gastric bypass?

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Pardon me for being dumb, but what's a second gastric bypass?

The original poster explained it very well, I thought.

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Pirata, i think he had his first one reversed because of his complications. What he means by second bypass is that he is thinking of getting it done again

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Hey Lizelda

I am so sorry you have had the bad experience with Dr De Beer

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[SIZE="4"]"Georgia"]Well, I don't know about a 2nd GBS, but I can relate to you on the uncontrolled weight loss. I'm going through that now. So each person's Physiology is very different, and the same results can't always be delivered. I've seen many put back on the weight & I'm thinking like you, how in the world is that possible! But each "body" reacts differently.

I'm somewhat leery though about going through another procedure, I know for me personally the first GBS, and I'm now 5 years out, took me for quite a loop, I'm looking at a possible revision procedure now, but I'm dragging my feet. The thought of undergoing another is somewhat scary to me. I'm going to first try and see if changing somethings in my life will improve my appetite. (i.e I'm de-stressing).

I wish you well on the pursuit of another GBS, but please be careful.

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Thanks Twiggy for your support! Its wonderfull that our operation was so successfull, I also considered Prof Heine and maybe I should consult with him for a second opinion.

My operation was reversed as an emergency and by chance there was another lady that was released that day. I did not have a chance to speak to her, but he nursing staff told me she had her reversal the previous week, but that it was too late. She looked terrible, very yellow and weak, the nurse acctually told me that there was nothing they could do for her and that she was going to die.

So if you ask me why I want to do this AGAIN, well I am 1.5m tall and I weigh 130km. I would rather die than live like this. I think all of you would understand.

To DEE145:

I spoke to my GP about the rapid loss and she looked it up. It has something to do with the lining of the stomach that is giving off something because it is not getting any vitamin B12. The simptoms are burning in your mouth when you eat certain foods aspecially spicy, by this I mean severe burning! Also diaree and weight loss. It is easily treated by vitamin B12 injections daily for a period. I suggest you see your doctor and ask them to look into it.

But you must remember that if you reverse you operation, you will gain the weight back no matter what. I was monitored by a dietrician and followed a diabetic type diet and it didn't work. Even when I stopped eating, I gained. I was bulimic and still gained.

Think long and hard and speak to various proffessionals.

Good luck !

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I have no experience except to offer- my ears for listening.

and also to say if I were going to get a reversal and a new surgery I would want the sleeve not the band- I think the band is for people who are not much of a bad food choice eater but a bad portion controller- you say you hate diet..then band is probably not your best choice.

good luck in whatever you decide :)

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Thanks for the replies. I would not mind gaining weight, I would actually then be able to wear more of my wardrobe! :-)) I have a very large walk-in closet and out of that, I can probably wear about 3 pants and a few dresses that fit well, everything else is just too big and makes me look crzy. I can't afford to go shopping for new wardrobe every other month. I wouldn't mind if I was having to shop because I just wanted too, but I'm forced to in order to keep up w/the weight loss. I never would have thought this pre-GBS, but putting on a few pounds now would make me happy!!!!

I have an appointment w/a GBS Doctor next month, a Dr. Elliot Goldman in NYC, Beth Israel hospital, he came recommended from a member on this site. I've been researching his work, and found really great stats on him. I'm hoping that something can be found out other than doing a revision. I don't experience burning in my mouth as mentioned by Lizelda, most of my problem is Dumping. I've seen gastroentrologoist over the years, and was treated once for h pylori, but after being treated for that all my test's came back looking good (that was about 3 years ago). One of my questions to the doctor will be: what exactly is produced in a women's body when she is approaching that time of month, what ever extra that is produced seems to help me w/having an appetite and keeping it down, it's one of the few times during the month when I have a healthy appetite and it doesn't hurt to eat and it all stays down.

My last blood work up did not show any Vit b deficiences, however, I'll be doing follow up this month, I always suffered from Iron deficiency, on and off w/other things like Folic, Vit D, at different times. I'll do all the follow-up w/doctor's and get better at taking my vitamins (I sometimes DON'T stay consistent). I know I don't consistently do things I should, that also contribute to my in-ability to eat like I could.

On a different note, I do have to ask, a 2nd GBS??? Why would this be done? Isn't the stapling/restriction there from the first one? Just curious & based on my procedure, I WOULD not want to under-go GBS again. Way to painful for my taste! :-))) & for me, more long term hurt!

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a second gastric bypass is an option for 1: someone who had it reveresed the first time for whatever reason.

2: someone who didnt follow the rules or had a bad time with the first one and gained all the weight back...

i have frineds under both situations.

the one who had a reversal lost to goal and kept going...fast, so they reveresed it...

she quickly balooned back up to morbid obeasity so the drs did a lapband (which does, once properly adjusted) restrict your intake, but doesnt have the issues with absorbtion problems ect.

the other friend had a bypass...he lost all the weight then a few years later slipped into bad habits, hes now up past his origioanl bypass start weight and is now fighting to have a redo, in which they do the same procedure as the problem is the pouch has stretched out to a normal size again...

most drs are unwilling or very weary to do this though because theres a higher propensity to complications, the new ppouch's membrane is already thinner because its now made from already stretched material, and if the patient had bad eating habits the first time theres nothing to stop them form slipping again.

hes determined to get it done and since insurance wont cover a revision for him unless he has 12 months psychiatric care, instead hes planning to go to mexico and pay out of pocket...

i think hes stupid though because he hasnt fixed the issues that cause him to over eat so itll all just happen again.

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I have seen Prof. Tessa and the surgion and now I have to decide witch operation I want. Apparently I qualify for 2 different surgeries... A normal gatric bypass and something that sounds like the sleeve-thing(dual something).

I guess all I can do is to chat to people on this forum and google as much as possible about people's personal experiences?

I must say I haven't found any negative stuff yet, so I suppose its good then.

All I know for certain is that I'm gonna do my research until I'm an expert ready to give a lecture at a university!!!

The only thing that bothers me a bit is that Prof. Tessa said she was sending me to the best surgion in the country and when I saw him I realized he was her husband! She just could have said that he is her husband and that he is the best, don't you think?:confused:

I guess I'm so scared because of what happened to me that I will suspect anyone!!

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I have no words of wisdom but just wanted you to know that I'm rooting for you :)

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On Monday, October 18, 2010 at 11:09 AM, Lizelda said:

Is there anyone who has had a second gastric bypass? I am thinking about it and would like to find out more before i do it. I had the operation in 2002 done by dr. De Beer in Pretoria. As you all know, the operation was banned in SA and he was subjected to disiplinary action. I was one of the unfortunate few for whom the surgery didn't work or acctually it worked too well because I lost too much weight, at the end my liver was failling and I had to reverse the operation.

Needles to say, I have gained it all back plus 20kg more.

I am going to see prof Tessa vd Merwe in November, but i would like to find out if there is anyone else like me.

If the same has happened to you or if you know of anyone, please let me know. I am scared and unsure and would realy apreciate some advise.

I had my JIB in 2007 and want to have it reversed but obviously don't have the funds how did you do it?

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