Question:
Why is a revision needed

I have read about people needing a revision of the RNY? Why what happens and what is the signs and symptoms that made you go to the MD to discover you needed a revision. And what is a revision?    — Carrie W. (posted on May 18, 2004)

May 18, 2004
A revision is when the gastric bypass has to be redone (or fixed). Revisions are needed when any number of problems occur, the most common of which are: staple line disruption (which is much more common among those whose remnant stomach and pouch were not transected) and extreme pouch-stretching. Many people in need of a revision notice that their capacity has increased dramatically on a fairly consistent basis. Revisions are complicated surgeries that relatively few surgeons tackle and fewer still of those will perform the revision laparoscopically. The good news is that the overwhelming majority of us who have gastric bypass surgery will never need a revision.
   — SteveColarossi

May 18, 2004
To add to what Steve said, mine was due to SLD, but I have hosted many here (my doc does rev) and have seen intact surgeries revised to a different type (too proximal, for example, made more distal) with great success. Sometimes, people have vomited since their surgery, or never EVER felt full. Those kinds of mechanical issues can be fixed, too, usually. For you to task about revision, some questions you might ask yourself: is there regain, or incomplete loss, no matter how careful you are? Got reflux? Persistent vomiting? Never feel full? Most of the "intact" revisions I've seen lost substantial wt, but were unable to finish and the wt started creeping back. Once given the surgery matched to them, these people have done beautifully (and holding)! They still had 60+ lbs to lose, not just 10.
   — vitalady