Hello! I'm now ready to seriously consider a revision from RNY to DS.

Carmela2017

Member
I've consulted with Dr Ayoola over the phone and would like to hear from those of you who chose him as your surgeon and why. He does not do the Hess method, which I prefer.
 
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Larra

Well-Known Member
Hi Carmela! I can't speak to having revision, but I also have a cookie cutter DS (13 years now, can't believe it) and I've been very happy with it. The most important thing, with this complex revision, is having a surgeon experienced with RNY to DS revision, and you have one.
 

Webmommy

Well-Known Member
Welcome! Dr. Ayoola is my surgeon too. What length of a common channel did he think you should have?
 

Carmela2017

Member
Welcome! Dr. Ayoola is my surgeon too. What length of a common channel did he think you should have?
He told me that he would recommend 100 cm common channel and 150 alimentary for me. Does that sound right? I'm concerned because I want not only the best outcome for me, but the Hess method shows that one size does not fit all. Also, I am seeing that the most common size used is 75 cm for common and 275 cm for the alimentary limb. I've always had a really bad struggle losing weight, otherwise I would never had surgery in the first place. I need to get this right this time and don't want to settle for something that won't work for me. What are your measurements on the lengths? By the way, my BMI is nearly 44.
 

Webmommy

Well-Known Member
He told me that he would recommend 100 cm common channel and 150 alimentary for me. Does that sound right? I'm concerned because I want not only the best outcome for me, but the Hess method shows that one size does not fit all. Also, I am seeing that the most common size used is 75 cm for common and 275 cm for the alimentary limb. I've always had a really bad struggle losing weight, otherwise I would never had surgery in the first place. I need to get this right this time and don't want to settle for something that won't work for me. What are your measurements on the lengths? By the way, my BMI is nearly 44.
I have a BMI of 43 and he said 120-125 common length because he was concerned that I would lose too much weight. I have a hard time losing weight too and I thought the 120 was too long for me. But the truth is that I don't know for a fact that it is too long and it's mostly my fears about remaining obese and fear of failure. Once I wrapped my head around that, the length was fine. But I did have to momentarily squash some jealousy over your 100! I'm just going to do the best I can and release my fears. He's pretty good at what he does and his office is less than an hour away.
 

Carmela2017

Member
I have a BMI of 43 and he said 120-125 common length because he was concerned that I would lose too much weight. I have a hard time losing weight too and I thought the 120 was too long for me. But the truth is that I don't know for a fact that it is too long and it's mostly my fears about remaining obese and fear of failure. Once I wrapped my head around that, the length was fine. But I did have to momentarily squash some jealousy over your 100! I'm just going to do the best I can and release my fears. He's pretty good at what he does and his office is less than an hour away.
Makes me nervous that you said "he's pretty good at what he does" I don't want just pretty good, I want great!! I would be traveling from Massachusetts to Texas, so he better be the best!
 

Spiky Bugger

Well-Known Member
I found three really good DS surgeons in my state. The one closest to me was going to be easier to get to for follow-up and to deal with any problems post-op...and happened to require the least up-front cash. So there I went.

So...once you (generic you) find the best chef...do you start telling him/her how to cook? I have NO idea what he did or how long anything was supposed to be or how long anything ended up...nor would I know what to do with that information.

Weird, huh?
 

Webmommy

Well-Known Member
Makes me nervous that you said "he's pretty good at what he does" I don't want just pretty good, I want great!! I would be traveling from Massachusetts to Texas, so he better be the best!
I'm from a very stoic Scandinavian area and pretty good is downright flattery! I could be dying or amazingly spectacular and I'll say I'm pretty good! We downplay everything and we don't toot our own horns. Also, that's subjective because almost everyone thinks their surgeon is great if you listen to them tell it. I know people who think their WL surgeon was great and he's looking at jail time. Sooooo.

Dr. Ayoola is one of the best in this region because he has the most experience and that's not subjective and is quantifiable. People travel from all over to see him. If you want a DS you don't wake up with something else and excuses with him. I think he's the best choice for me and that's something you need to figure out for yourself because you have to live with your choices. Good luck!

Eta: You're seeking the RNY to DS and I'm not as knowledgeable as others are about it but I do know it's riskier. You want to choose someone who's experienced in it and that isn't oodles of people but it is Dr. Ayoola. There are more so you might one to check out the search option and see who else pops up.
 
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southernlady

Administrator
Staff member
Eta: You're seeking the RNY to DS and I'm not as knowledgeable as others are about it but I do know it's riskier. You want to choose someone who's experienced in it and that isn't oodles of people but it is Dr. Ayoola. There are more so you might one to check out the search option and see who else pops up.

Correct about not being that many. As to the best on that list, my vote would be Dr. K in CA. But any of that list would be a great choice.
 

Carmela2017

Member

Correct about not being that many. As to the best on that list, my vote would be Dr. K in CA. But any of that list would be a great choice.
I have a consultation scheduled with Dr K this month!
 
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