Thinking about a revision of my VSG

I went to see a new bariatric doc here in the Cities last week or the week before.  Can’t remember if I wrote about it or not.  I asked him about having a revision done with my VSG.  He said he wasn’t sure that would be a good thing because I have lost a fair amount of weight that was in the range of what the VSG surgery was supposed to do.  But I am not where I want to be.  I don’t look like I want.  I don’t weigh what I want either.  I know that is a head thing for me, but something I want to do and be.  something I have always wanted.

So I have been reading up on some of this stuff.  I want to share what I have found.  Let me know what you think.

Of course there are risks with revision surgery.  As with any surgery, there are risks.

  • Revision weight loss surgery procedures generally take longer.
  • Open incisions are frequently but not always needed.
  • There is greater blood loss.
  • Leaks and infections occur more frequently. It is thought that leak rates increase due to changes in blood flow to the stomach caused by the original weight loss surgery.

Here are some of the reasons they give for a revision

  • A patient may not adapt well to the lifestyle required after a particular bariatric surgery.
  • Perhaps a specific bariatric surgery does not address the metabolic needs of a patient.
  • There are anatomical changes made to a patient’s body during bariatric surgery and these changes are not always maintained.
  • the pouch may stretch and become larger
  • the outlet of a gastric pouch may increase in diameter
  • a gastro-gastric fistula may form between the gastric pouch and the bypassed stomach
  • the intestine may increase its absorptive abilities beyond what was expected
  • restriction may decrease as a result of a band slippage

Unresolved Co-Morbities

Medical Complications

As a result of bariatric surgery, some patients do have medical complications that must be treated with revision bariatric surgery. In some cases, treating medical complications with revision bariatric surgery will be similar to the treatments previously discussed for mechanical and metabolic failure, but others may require reversal of the original bariatric surgery while weight loss is preserved. Possible medical conditions requiring revision include the following:

  • ulcer
  • stricture
  • severe dumping
  • malnutrition
  • over-malabsorption
  • metabolic bone disease
  • iron deficiency/anemia
  • vitamin deficiency
  • vitamin-D deficiency
  • thiamine (vitamin B-1) deficiency

——————————————————–

I had the VSG surgery done.  Aug 11, 2011.  My highest weigh ever has been 356 pounds.  My weight now is 243.  I know that is still heavy.  I know I have lost weight.  But I also know this is NOT where I want to be.  That may sound really selfish and vain.  But I want to look good and feel good for once in my life.  I want the whole package.  Is that too much to ask?  I am trying to get my brain in the game.  I went to the Emily Program today.  It’s a eating disorder clinic here.  I talked with a therapist there.  I know this is really odd considering what I am writing about today.  So I know my thinking is off.  I know that.  I know I need to work on my thoughts.  But that doesn’t change my want to at the moment.

So, anyways…I am going to keep reading and keep researching and keep talking to Dr. Kelly and the dietician and this new therapist and my other therapist.  Maybe some of you reading have some words of wisdom?  Let me know.

 

 

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