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Sleeve revision to RNY due to esophagitis

debilee

Member
I am awaiting approval for a sleeve revision which I had in 2/2012. I lost too much weight so my surgeon recommended I gain about 25 lbs, and I have stayed at that weight for 8 years. I have been having severe indigestion and burning with nausea and vomiting in the last 3-4 years and have now been diagnosed with Class C Esophagitis and Hiatal Hernia. The recommendation from my Endocrinologist and a Bariatric Surgeon is a sleeve revision to RNY. So this possible upcoming surgery is not from a sleeve fail due to weight loss. Here is my biggest fear and concern. I already am a kidney stone factory, I have malabsorption, and a few other issues. How will I keep my kidneys flushed out sufficiently. I am now afraid I might get malnutrition with an already small stomach since no food will go through the stomach for processing and absorption. I'm not sure, with our crazy world right now, that I can afford all of the vitamins and minerals I will need to take for the rest of my life. I'm also 69 years old....so I'm no spring chicken. Then what happens to the lower half of an already small stomach? So....I am now wondering if just a hernia repair will suffice. The bariatric surgeon, knowing I wasn't fond of the rny, suggested either the magnets, which I flatly refused, or just the hernia repair to see if that would suffice then if not have the rny. The older I get the riskier surgery is. I'm not getting any younger. I just know I hurt bad, and that tends to reflect on my "used to be happy" mood. I am begging for suggestions or experience from anyone.
 
Hi Deb, so sorry you are going through this. I am 66, so I totally understand wanting to keep surgeries to a minimum. I wish I had answers for you but I don't have any experience with this. There are a lot of folks here who have had RNY and may be able to help you shed some light on your dilemma. Whichever way you decide to go, I wish you luck and good health.
 
Hi Deb, so sorry you are going through this. I am 66, so I totally understand wanting to keep surgeries to a minimum. I wish I had answers for you but I don't have any experience with this. There are a lot of folks here who have had RNY and may be able to help you shed some light on your dilemma. Whichever way you decide to go, I wish you luck and good health.
Thank you so much. Growing old ain't easy!!
 
I had the RNY specifically because of the upper GI issues that the sleeve can worsen. It absolutely reduces upper GI issues. However, I did not have a revision, so I am hoping that someone who has will respond to you.
Thank you. I never knew about the upper GI issues until a few years ago. The surgeon said she would remove any hernias while doing the procedure, but said I didn't have one. I'm beginning to find that difficult to believe. I too someone that has had a revision can respond.
 
Hi Deb, so sorry you are going through this. I am 66, so I totally understand wanting to keep surgeries to a minimum. I wish I had answers for you but I don't have any experience with this. There are a lot of folks here who have had RNY and may be able to help you shed some light on your dilemma. Whichever way you decide to go, I wish you luck and good health.
Judy - what is RNY?
 
Actually "RNY" is grammatically incorrect. Medically, it's RYGB. There's no "n" but people use that letter to represent "en," which is an adverb connecting the name of the surgical inventor, Cesar Roux, with the appearance of the finished procedure, which resembles a capital letter "y."

If pronounced as a French or maybe Catalan phrase, it would sound like "rooz on ee," but most people just use an acronym that works for them.

Only a journalist/writer like me would really care. I am endlessly curious about word origins.

Eventually, it gets sorted out.
 
I am now afraid I might get malnutrition with an already small stomach since no food will go through the stomach for processing and absorption. I'm not sure, with our crazy world right now, that I can afford all of the vitamins and minerals I will need to take for the rest of my life. I'm also 69 years old....so I'm no spring chicken. Then what happens to the lower half of an already small stomach? So....I am now wondering if just a hernia repair will suffice. The bariatric surgeon, knowing I wasn't fond of the rny, suggested either the magnets, which I flatly refused, or just the hernia repair to see if that would suffice then if not have the rny. The older I get the riskier surgery is. I'm not getting any younger. I just know I hurt bad, and that tends to reflect on my "used to be happy" mood. I am begging for suggestions or experience from anyone.
Hi Debilee,

Your understanding of the process is a little off. Food doesn't slide through your stomach without digesting. It spends less time there but digestion begins, and continues until it becomes stool in your intestines. Patients can defeat the surgery by eating small, high-calorie meals several times a day.

Surgery is a tool that gives you an edge. You can change your habits and eat less, while cutting bad foods out of your life.

I'm also 69 and my SS is less than $900 a month. I get food stamps and when not in a pandemic, I do odd jobs like painting and gardening for a little cash. I don't have any disposable income to speak of and I take a complement of vitamins and minerals daily.

Most people probably wouldn't enjoy my Spartan life with no movies, travel, dining out or gas in the car. But I set priorities and don't feel deprived.

I'd rather be thin, healthy, without heart disease or diabetes like everyone else in my family. I love working up a sweat, hiking mile-high mountains, canoeing a big lake, reading, taking photos, creating art... all that and more than eating chips and candy and fast food everyday.

Get that HERNIA fixed, have the bypass, and let the doctor make you healthy. Focus on your beautiful life. Find a new hobby or say affirmations. Smile at yourself in the mirror until you bust out laughing.

You didn't do all that hard work and come all this way to decide you can't afford it or avoid other medical treatment. Get better. YOU DESERVE IT!
 
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